“…As the first line of protection for the airways and lungs, the epithelium is an essential barrier against outer irritants [13,14]. However, when AECs are overexposed to irritants such as CS and other environmental factors, they can undergo EMT, characterized by the loss of polarity, reduced epithelial marker expression, loss of tight junctions, and increased mesenchymal characteristics such as motility, depolarized cytoskeletal arrangements, vimentin and alpha smooth muscle actin overexpression and so on [15][16][17]. Various studies by Sohal, Soltani, Mahmood and others have demonstrated that small airway dysfunction is associated with EMT [18][19][20][21][22][23][24].…”