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One of the mechanisms is that:

Alpha 1 antitrypsin (an alpha 1 globulin) normally inhibits proteases and thus elastases also. Normally; due to negative control on elastases, elastic component of lungs is maintained with proper physical characteristics. The compound does it so by binding with proteases through amino acid methionine at 358 position in its chain.

In a smoker; the methionine is oxidised to methionine sulfoxidase; which cannot bind to proteases. As inhibition is released, elastic components of lung start degrading by action of these enzymes. Thus, smoker gets emphysema or other disorders and it causes decrease in vital capacity as distensibility (compliance/stretchability) decreases. Smokers with alpha 1 antitrypsin deficiency have a worse condition.

Smoking destroys alveoli and capillaries therefore not as much oxygen can be absorbed by the lungs/body.

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Kara White

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3y ago

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