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Some studies have reported that intestinal damage and extra-intestinal manifestations present in patients with UC could be caused by an adaptive immune response mediated by antibodies that target autoantigens ( Enterobacteriaceae, Pasteurellaceae, Vellonellaceae , and Fusobacteriaceae , and a reduction in Firmicutes, Erysipelotrichales, and Clostridiales ( Faecalibacterium and Roseburia and an increase of Enterobacteriaceae and Ruminococcus gnavus ( Opposite Effects of Cigarette Smoking on CD and UC Epidemiology Currently, it is widely accepted that cigarette smoking confers protection against UC ( However, the protective effect of cigarette smoking in UC is temporary, since the relative risk of developing the disease increases after smoking cessation, compared with patients who have never smoked (OR 1.64 [1.361.98]) ( Nicotine has been used as a therapeutic agent in UC patients, and its administration has been in the form of chewing gum, transdermal patches, and nicotine-based enemas ( On the other hand, early smoking significantly increases the risk of CD [OR 2.0 (1.652.47), ( As in UC, the impact of cigarette smoking on CD is temporary, and smoking cessation improves the course of the disease

And eventually, that repair process starts going wrong.Thats when normal cells begin to behave abnormally.It doesnt happen overnight