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        <identifier>oai:figshare.com:article/33772288</identifier>
        <datestamp>2026-09-15T06:29:41Z</datestamp>
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          <dc:title>Waterpipe smoke condensate activates autophagy in non-tumorigenic lung epithelial cells: implications for inflammation and stemness</dc:title>
          <dc:creator>Rania Zaarour (24912193)</dc:creator>
          <dc:creator>Bilal Azakir (8845631)</dc:creator>
          <dc:creator>Ayda Shah Mahmood (14764237)</dc:creator>
          <dc:creator>Zohra Nausheen Nizami (19254517)</dc:creator>
          <dc:creator>Husam Nawafleh (14764240)</dc:creator>
          <dc:creator>Yehya Elsayed (1493344)</dc:creator>
          <dc:creator>Salem Chouaib (22347908)</dc:creator>
          <dc:subject>Cell development, proliferation and death</dc:subject>
          <dc:subject>lung cancer</dc:subject>
          <dc:subject>smoking</dc:subject>
          <dc:subject>inflammation</dc:subject>
          <dc:subject>autophagy</dc:subject>
          <dc:subject>waterpipe</dc:subject>
          <dc:description>&lt;p dir="ltr"&gt;Waterpipe smoking is a growing global health concern, but its effects on bronchial epithelial cells are poorly understood. We exposed non-tumorigenic human bronchial epithelial BEAS-2B cells to waterpipe smoke condensate (WPSC). WPSC reduced viability dose-dependently, but a subcytotoxic dose (0.1%) caused only a transient drop in viability and no significant apoptosis over 72 h (MTT and Annexin V/PI assays). This resistance was associated with autophagy activation: LC3-II and p62 accumulated over time and further increased with bafilomycin A1, alongside increased AMPK and decreased mTORC1 phosphorylation. Blocking autophagy with bafilomycin A1 increased apoptosis and necrosis, indicating a protective role. WPSC also induced DNA damage (γH2AX and 53BP1 foci), proinflammatory cytokines (IL-1β, CCL2), and the cancer stem cell markers CD44 and CD133. Subcytotoxic waterpipe smoke thus activates a protective autophagic response in normal lung epithelial cells, which may be an early event linking waterpipe smoke to lung carcinogenesis.&lt;/p&gt;</dc:description>
          <dc:date>2026-09-15T06:29:41Z</dc:date>
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          <dc:identifier>10.6084/m9.figshare.33772288.v1</dc:identifier>
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          <dc:rights>CC BY 4.0</dc:rights>
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