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How nicotine attacks the blood vessels: Mapping the biological hierarchy of cardiovascular harm

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A comprehensive review in Nature Reviews Cardiology maps the biological pathway of nicotine-induced cardiovascular damage, documenting the cascade from initial nicotine receptor binding in blood vessel walls to the formation and rupture of atherosclerotic plaques. The research provides an unprecedented detailed framework for understanding how nicotine directly causes heart attacks and strokes by damaging the vascular system at multiple biological levels.


This detailed mechanistic understanding could inform more targeted interventions for smoking cessation and cardiovascular disease prevention. The findings may also guide development of therapeutic strategies to mitigate vascular damage in current and former smokers.


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A review published in Nature Reviews Cardiology provides the most detailed picture yet of how nicotine damages the cardiovascular system—tracing the biological chain of events from the moment nicotine binds to receptors in blood vessel walls through to the atherosclerotic plaque rupture that triggers heart attacks and strokes.

Source: How nicotine attacks the blood vessels: Mapping the biological hierarchy of cardiovascular harm