“…The combination of smoking and alcohol drinking clearly showed significant synergistic effects on the plasma level of RCS, especially with regard to trans-2-alkenals (2-hexenal, 2-octenal, 2-nonenal, 2-decenal, and 2-undecenal), cis-4-alkenal (cis-4-decenal), alkadienals (2,4-hexadienal, 2,4-heptadienal, and 2,4-decadienal), alkanals (propanal, octanal, nonanal, decanal, undecanal, dodecanal, tridecanal, tetradecanal, and octadecanal), and an aromatic alkanal (benzaldehyde). Alkanals (≤C 10 ) and alkenals (≤C 6 ) have been detected in cigarette smoke (Table S1) [10][11][12][13], as they are contained in tobacco leaves and are also used as flavor additives for cigarettes. Thus, there is no surprise that higher levels of RCS were detected in the smoking/no-drinking group as compared to the no-smoking/no-drinking group in this study.…”