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How smoking may trigger dementia through the lungs — Level A2 — white and brown cigarette stick

How smoking may trigger dementia through the lungsCEFR A2

28 Apr 2026

Adapted from U. Chicago, Futurity CC BY 4.0

Photo by Abuzar Xheikh, Unsplash

Level A2 – High beginner / Elementary
3 min
140 words

New research finds that smoking may raise the risk of dementia by creating chemical signals that move from the lungs to the brain. Earlier ideas focused on damage to blood vessels and less oxygen in the brain, but the new study suggests nicotine can change organ communication.

Researchers found rare lung cells called pulmonary neuroendocrine cells (PNECs) release tiny particles called exosomes when exposed to nicotine. These exosomes contain serotransferrin, a protein that helps control iron. The team made similar lung cells from human stem cells so they could study many cells in the lab.

Changes in iron balance can affect brain cells and match markers seen in neurodegeneration. The vagus nerve could carry the lung signal to the brain. Scientists are testing whether blocking these exosomes could lead to future treatments, but effects on people are still years away.

Difficult words

  • dementiaA loss of memory and thinking skills
  • nicotineA chemical in tobacco and cigarettes
  • exosomeA tiny particle released by cells
    exosomes
  • serotransferrinA protein that helps control body iron
  • pulmonaryRelated to the lungs and breathing
  • vagus nerveA nerve that connects the body to brain
  • neurodegenerationProgressive damage to brain cells and tissue

Tip: hover, focus or tap highlighted words in the article to see quick definitions while you read or listen.

Discussion questions

  • Do you think smoking can harm the brain? Why?
  • Would you try to stop smoking after reading this? Why or why not?
  • What could scientists try to block to help people, according to the article?

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