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TLR activation on immune and vascular cells leads to activation of downstream signaling pathways that trigger an immune response with upregulation of proinflammatory cytokines and activation of NOXs, which contribute to the development of hypertension by promoting OxS, inflammation, endothelial dysfunction, smooth muscle cell migration and proliferation, and ultimately organ damage (Lazaridis et al., 2021)

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Effects of Smoking on Pregnancy Research shows that smoking during pregnancy increases the risk of miscarriage, preterm birth , low birth weight , and stillbirth