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This effect is thought to be mediated through the toxic effects of polyaromatic hydrocarbons, lead, arsenic, and even radioactive materials including polonium 210 and lead 210

BMC Pulm Med 9(25):14712466 Montano M, Cisneros J, Ramirez-Venegas A, Pedraza-Chaverri J, Mercado D, Ramos C, Sansores RH (2010) Malondialdehyde and superoxide dismutase correlate with FEV(1) in patients with COPD associated with wood smoke exposure and tobacco smoking

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