A marker of hydroxyl radical damage to DNA, 8-hydroxy-2'-deoxyguanosine (8-OHdG); 8-isoprostane, a marker of lipid peroxidation; and 3-nitrotyrosine (3-NT), a product of tyrosine nitration mediated by peroxynitrite, were measured in sputum supernatants using commercially available enzyme immunoassays (Cayman Chemical Co) according to the manufacturer’s instructions. Sputum nitrite levels were measured using the Griess assay. The Meso Scale Discovery platform (Meso Scale Discovery LLC) was used to measure inflammatory mediators in sputum and BAL supernatants. The mediators measured were the proinflammatory cytokines IL-1β, tumor necrosis factor (TNF)-α, and granulocyte-macrophage colony-stimulating factor (GM-CSF); the neutrophil chemokine CXCL8/IL-8; and the protease matrix metalloprotease-9 (MMP-9). Neutrophil elastase was measured using an enzyme-linked immunosorbent assay according to the manufacturers’ instructions (Immunodiagnostik AG). Further details are provided in the e-Appendix.