All types of smoke are carcinogenic. Increasing air smoke is a serious global problem. Knowledge on carcinogenic effects of various types of smoke is necessary to work out effective preventive measures.
The purpose of the review is to characterize the general characteristics and peculiarities of the carcinogenic effects of various types of smoke. The most significant carcinogens of all types of smoke are polycyclic aromatic hydrocarbons, heavy metals and carbon microparticles. Any smoke is an etiological factor for respiratory tract cancer, and systemic neoplasms (tumors of hematopoietic and lymphoid tissues, central and peripheral nervous systems, soft tissues and skeleton). Tobacco smoke may be involved in the pathogenesis of cervical cancer due to the induction of local immunosuppression and specific tropic nitrosamines. Exhaust fumes due to high benzene content may cause hematological malignancies, especially leukemia in children. Wildfire smoke, due to significant amounts of ultra-fine carbon particles PM0.1, contributes to the development of central nervous system tumors. Severe contamination with natural and artificial radionuclides makes wildfire smoke a factor of high carcinogenic danger for the human population globally. Prevention of malignant neoplasms caused by smoke requires government measures to promote smoking cessation, hybrid and electric engines in automobiles, as well as wildfire prevention, early detection and extinction. Effective respirators and indoor air filters should be used for personal protection. To relieve environmentally caused oxidative stress, herbal medicines and food products that stimulate autophagy, as well as transfer factors for immunodeficiency correction, are recommended.
