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Some research has shown that cells exposed to e-cigarette vapor showed similar genetic changes as cells exposed to conventional cigarette smoke raising concerns that e-cigarettes could potentially lead to lung cancer

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Specifically, cigarette smoke activates damage-associated molecular patterns (DAMP) and pathogen-associated molecular patterns (PAMPS) in lung epithelial cells and alveolar macrophages, which activate Tolllike receptors (TLRs) and NODlike receptors (NLRs)

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The health risks are greater, and although people may think theyre socially acceptable because they dont have filters and arent inhaled, this doesnt mean they dont cause harm to others around them