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The cilia are damaged, and they move more slowly than usual

Similarly, mice exposed to EC vapor increased human rhinovirus loads ( EC use is reported to cause COPD-like illnesses ( EC use was attributed to epithelial barrier damage in capillary endothelial cells and lung epithelial cells ( The production of ROS by EC, paired with the reduction of cellular glutathione levels, suggests that dual users may be subjected to higher levels of oxidative stress than single-substance users

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doi: 10.1080/14622200701767811 9