The ability of CS to modulate the expression of XBP1, if mirrored in vivo in smokers, may have significant ramifications for the development and progression of lung neoplasms since XBP1 not only has a primary role in maintaining ER homeostasis [22,133], but also important regulatory functions in DNA damage and repair pathways, redox homeostasis and oxidative stress responses [22]. This evidence concerns the gene XBP1 and Neoplasm of the lung.