Daily exposure to formaldehyde and acetaldehyde and potential health risk associated with use of high and low nicotine e-liquid concentrations.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
16 04 2020
Historique:
received: 14 06 2019
accepted: 25 03 2020
entrez: 18 4 2020
pubmed: 18 4 2020
medline: 26 11 2020
Statut: epublish

Résumé

Recent evidence suggests that e-cigarette users tend to change their puffing behaviors when using e-liquids with reduced nicotine concentrations by taking longer and more frequent puffs. Using puffing regimens modelled on puffing topography data from 19 experienced e-cigarette users who switched between 18 and 6 mg/mL e-liquids with and without power adjustments, differences in daily exposure to carbonyl compounds and estimated changes in cancer risk were assessed by production of aerosols generated using a smoking machine and analyzed using gas and liquid chromatography. Significant differences across conditions were found for formaldehyde and acetaldehyde (p < 0.01). Switching from a higher to a lower nicotine concentration was associated with greater exposure regardless of whether power settings were fixed or adjustable which is likely due to increased liquid consumption under lower nicotine concentration settings. Daily exposure for formaldehyde and acetaldehyde was higher for 17/19 participants when using low (6 mg/mL) compared with high (18 mg/mL) nicotine e-liquid concentration when power was fixed. When power adjustments were permitted, formaldehyde and acetaldehyde levels were higher respectively for 16/19 and 14/19 participants with the use of 6 compared with 18 mg/mL nicotine e-liquid.

Identifiants

pubmed: 32300142
doi: 10.1038/s41598-020-63292-1
pii: 10.1038/s41598-020-63292-1
pmc: PMC7162853
doi:

Substances chimiques

Aerosols 0
Carcinogens 0
Formaldehyde 1HG84L3525
Nicotine 6M3C89ZY6R
Acetaldehyde GO1N1ZPR3B

Types de publication

Clinical Trial Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

6546

Subventions

Organisme : Cancer Research UK (CRUK)
ID : C50878/A21130
Pays : International

Références

Mcneill, A., Brose, L. S., Calder, R., Bauld, L. & Robson, D. Evidence review of e-cigarettes and heated tobacco products 2018 A report commissioned by Public Health England, https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/684963/Evidence_review_of_e-cigarettes_and_heated_tobacco_products_2018.pdf (2018).
Stephens, W. E. Comparing the cancer potencies of emissions from vapourised nicotine products including e-cigarettes with those of tobacco smoke. Tob. Control, https://doi.org/10.1136/tobaccocontrol-2017-053808 (2017).
Kosmider, L. et al. Carbonyl compounds in electronic cigarette vapors: Effects of nicotine solvent and battery output voltage. Nicotine Tob. Res. 16, 1319–26 (2014).
doi: 10.1093/ntr/ntu078
Goniewicz, M. L. et al. Exposure to Nicotine and Selected Toxicants in Cigarette Smokers Who Switched to Electronic Cigarettes: A Longitudinal Within-Subjects Observational Study. Nicotine Tob. Res. 19, 160–167 (2017).
doi: 10.1093/ntr/ntw160
Hecht, S. S. et al. Evaluation of Toxicant and Carcinogen Metabolites in the Urine of E-Cigarette Users Versus Cigarette Smokers. Nicotine Tob. Res. 17, 704–709 (2015).
doi: 10.1093/ntr/ntu218
McRobbie, H. et al. Effects of Switching to Electronic Cigarettes with and without Concurrent Smoking on Exposure to Nicotine, Carbon Monoxide, and Acrolein. Cancer Prev. Res. 8, 873–878 (2015).
doi: 10.1158/1940-6207.CAPR-15-0058
Shahab, L. et al. Nicotine, Carcinogen, and Toxin Exposure in Long-Term E-Cigarette and Nicotine Replacement Therapy Users. Ann. Intern. Med. 166, 390–400 (2017).
doi: 10.7326/M16-1107
Talih, S. et al. Juice Monsters: Sub-Ohm Vaping and Toxic Volatile Aldehyde Emissions. Chem. Res. Toxicol. 30, 1791–1793 (2017).
doi: 10.1021/acs.chemrestox.7b00212
EL-Hellani, A. et al. Nicotine and Carbonyl Emissions From Popular Electronic Cigarette Products: Correlation to Liquid Composition and Design Characteristics. Nicotine Tob. Res. 20, 215–223 (2016).
pmcid: 5896517
Farsalinos, K. E., Voudris, V. & Poulas, K. E-cigarettes generate high levels of aldehydes only in ‘dry puff’ conditions. Addiction 110, 1352–1356 (2015).
doi: 10.1111/add.12942
Baassiri, M. et al. Clouds and “throat hit”: Effects of liquid composition on nicotine emissions and physical characteristics of electronic cigarette aerosols. Aerosol Sci. Technol. 1–9, https://doi.org/10.1080/02786826.2017.1341040 (2017).
Khlystov, A. & Samburova, V. Flavoring Compounds Dominate Toxic Aldehyde Production during E-Cigarette Vaping. Environ. Sci. Technol. 50, 13080–13085 (2016).
doi: 10.1021/acs.est.6b05145
Kosmider, L. et al. Cherry-flavoured electronic cigarettes expose users to the inhalation irritant, Benzaldehyde. Thorax 71, 376–377 (2016).
doi: 10.1136/thoraxjnl-2015-207895
Pankow, J. F. et al. Benzene formation in electronic cigarettes. Plos One 12, e0173055, https://doi.org/10.1371/journal.pone.0173055 (2017).
doi: 10.1371/journal.pone.0173055 pubmed: 28273096 pmcid: 5342216
Farsalinos, K. E. & Gillman, G. Carbonyl Emissions in E-cigarette Aerosol: A Systematic Review and Methodological Considerations. Front. Physiol. 8, 1119, https://doi.org/10.3389/fphys.2017.01119 (2017).
doi: 10.3389/fphys.2017.01119 pubmed: 29375395
Farsalinos, K., Voudris, V. & Poulas, K. Response to Shihadeh et al. (2015): E-cigarettes generate high levels of aldehydes only in ‘dry puff’ conditions. Addiction 110, 1862–1864 (2015).
doi: 10.1111/add.13078
Shihadeh, A., Talih, S. & Eissenberg, T. Commentary on Farsalinos et al. (2015): E-cigarettes generate high levels of aldehydes only in ‘dry puff’ conditions. Addiction 110, 1861–1862 (2015).
doi: 10.1111/add.13066
Farsalinos, K. E. et al. Aldehyde levels in e-cigarette aerosol: Findings from a replication study and from use of a new-generation device. Food Chem. Toxicol. 111, 64–70 (2018).
doi: 10.1016/j.fct.2017.11.002
Laugesen, M. Nicotine and toxicant yield ratings of electronic cigarette brands in New Zealand. NZMJ 27, 1175–8716 (2015).
Prévôt, N. et al. Nicotine delivery from the refill liquid to the aerosol via high-power e-cigarette device. Sci. Rep. 7, 2592 (2017).
doi: 10.1038/s41598-017-03008-0
Goniewicz, M. L., Kuma, T., Gawron, M., Knysak, J. & Kosmider, L. Nicotine levels in electronic cigarettes. Nicotine Tob. Res. 15, 158–66 (2013).
doi: 10.1093/ntr/nts103
Kosmider, L. et al. Assessment of nicotine concentration in electronic nicotine delivery system (ENDS) liquids and precision of dosing to aerosol. Przegla̧d Lek. 72, 500–504 (2015).
Kośmider, L., Madej, D., Gawron, M. & Sobczak, A. Influence of electronic cigarettes puffing regimes on amount of vaporized liquid*. Przegl. Lek. 73, 699–703 (2016).
pubmed: 29688686
Talih, S. et al. Effects of user puff topography, device voltage, and liquid nicotine concentration on electronic cigarette nicotine yield: measurements and model predictions. Nicotine Tob. Res. 17, 150–157 (2015).
doi: 10.1093/ntr/ntu174
Kosmider, L., Spindle, T. R., Gawron, M., Sobczak, A. & Goniewicz, M. L. Nicotine emissions from electronic cigarettes: Individual and interactive effects of propylene glycol to vegetable glycerin composition and device power output. Food Chem. Toxicol. 115, 302–305 (2018).
doi: 10.1016/j.fct.2018.03.025
Talih, S. et al. Transport phenomena governing nicotine emissions from electronic cigarettes: model formulation and experimental investigation. Aerosol Sci. Technol. 51, 1–11 (2017).
doi: 10.1080/02786826.2016.1257853
Farsalinos, K. E., Romagna, G., Tsiapras, D., Kyrzopoulos, S. & Voudris, V. Evaluation of Electronic Cigarette Use (Vaping) Topography and Estimation of Liquid Consumption: Implications for Research Protocol Standards Definition and for Public Health Authorities’. Regulation. Int. J. Environ. Res. Public Heal. Int. J. Environ. Res. Public Heal. 103390, 2500–2514 (2013).
Bates, C. D. & Farsalinos, K. E. E-cigarettes need to be tested for safety under realistic conditions. Addiction 110, 1688–1689 (2015).
doi: 10.1111/add.13028
Dawkins, L. E., Kimber, C. F., Doig, M., Feyerabend, C. & Corcoran, O. Self-titration by experienced e-cigarette users: blood nicotine delivery and subjective effects. Psychopharmacology. 233, 2933–2941 (2016).
doi: 10.1007/s00213-016-4338-2
Kośmider, L., Kimber, C. F., Kurek, J., Corcoran, O. & Dawkins, L. E. Compensatory Puffing With Lower Nicotine Concentration E-liquids Increases Carbonyl Exposure in E-cigarette Aerosols. Nicotine Tob. Res., https://doi.org/10.1093/ntr/ntx162 (2017).
Dawkins, L. et al. ‘Real-world’ compensatory behaviour with low nicotine concentration e-liquid: subjective effects and nicotine, acrolein and formaldehyde exposure. Addiction 113, 1874–1882 (2018).
doi: 10.1111/add.14271
Goniewicz, M. L. et al. Levels of selected carcinogens and toxicants in vapour from electronic cigarettes. Tob. Control 23, 133–139 (2014).
doi: 10.1136/tobaccocontrol-2012-050859
US EPA, Risk Information System Division, I. Formaldehyde (CASRN 50-00-0)|IRIS|US EPA., https://cfpub.epa.gov/ncea/iris/iris_documents/documents/subst/0419_summary.pdf .
Monticello, T. M. et al. Correlation of regional and nonlinear formaldehyde-induced nasal cancer with proliferating populations of cells. Cancer Res. 56, 1012–1022 (1996).
pubmed: 8640755
Swenberg, J. A. et al. Formaldehyde Carcinogenicity Research. Toxicol. Pathol. 41, 181–189 (2013).
doi: 10.1177/0192623312466459
Talih, S. et al. Characteristics and toxicant emissions of JUUL electronic cigarettes. Tob. Control, https://doi.org/10.1136/tobaccocontrol-2018-054616 (2019).
Pankow, J. F., Strongin, R. M. & Peyton, D. H. Formaldehyde from e-cigarettes-it’s not as simple as some suggest. Addiction 110, 1687–1688 (2015).
doi: 10.1111/add.13017
Sleiman, M. et al. Emissions from Electronic Cigarettes: Key Parameters Affecting the Release of Harmful Chemicals. Environ. Sci. Technol. 50, 9644–9651 (2016).
doi: 10.1021/acs.est.6b01741
Farsalinos, K. E. & Voudris, V. Do flavouring compounds contribute to aldehyde emissions in e-cigarettes? Food Chem. Toxicol. 115, 212–217 (2018).
doi: 10.1016/j.fct.2018.02.059
Etter, J.-F., Zäther, E. & Svensson, S. Analysis of refill liquids for electronic cigarettes. Addiction 108, 1671–1679 (2013).
doi: 10.1111/add.12235
Goniewicz, M. L. et al. Nicotine levels in electronic cigarette refill solutions: A comparative analysis of products from the US, Korea, and Poland. Int. J. Drug Policy 26, 583–588 (2015).
doi: 10.1016/j.drugpo.2015.01.020
Trehy, M. L. et al. Analysis of electronic cigarette cartridges, refill solutions, and smoke for nicotine and nicotine related impurities. J. Liq. Chromatogr. Relat. Technol. 34, 1442–1458 (2011).
doi: 10.1080/10826076.2011.572213
Peace, M. R. et al. Concentration of Nicotine and Glycols in 27 Electronic Cigarette Formulations. J. Anal. Toxicol. 40, 403–407 (2016).
doi: 10.1093/jat/bkw037
Davis, B., Dang, M., Kim, J. & Talbot, P. Nicotine Concentrations in Electronic Cigarette Refill and Do-It-Yourself Fluids. Nicotine Tob. Res. 17, 134–141 (2015).
doi: 10.1093/ntr/ntu080
Goniewicz, M. L., Hajek, P. & McRobbie, H. Nicotine content of electronic cigarettes, its release in vapour and its consistency across batches: regulatory implications. Addiction 109, 500–507 (2014).
doi: 10.1111/add.12410
Etter, J.-F. & Bugey, A. E-cigarette liquids: Constancy of content across batches and accuracy of labeling. Addict. Behav. 73, 137–143 (2017).
doi: 10.1016/j.addbeh.2017.05.012
Cox, S. et al. E-cigarette puffing patterns associated with high and low nicotine e-liquid strength: Effects on toxicant and carcinogen exposure. BMC Public Health 16, https://doi.org/10.1186/s12889-016-3653-1 (2016)
US EPA. Basic Information about the Integrated Risk Information System, https://www.epa.gov/iris/basic-information-about-integrated-risk-information-system .
Fowles, J. & Dybing, E. Application of toxicological risk assessment principles to the chemical constituents of cigarette smoke. Tob. Control 12, 424–430 (2003).
doi: 10.1136/tc.12.4.424

Auteurs

Leon Kosmider (L)

Department of General and Inorganic Chemistry, Medical University of Silesia, Katowice FOPS in Sosnowiec, Jagiellonska 4, 41-200, Sosnowiec, Poland. leon.kosmider@gmail.com.

Sharon Cox (S)

Centre for Addictive Behaviours Research, School of Applied Sciences, London South Bank University, SE1 0AA, London, UK.

Marzena Zaciera (M)

Department of Chemical Hazard and Genetic Toxicology, Institute of Occupational Medicine and Environmental Health, 41-200, Sosnowiec, Poland.

Jolanta Kurek (J)

Department of Chemical Hazard and Genetic Toxicology, Institute of Occupational Medicine and Environmental Health, 41-200, Sosnowiec, Poland.

Maciej L Goniewicz (ML)

Roswell Park Cancer Institute, Department of Health Behavior, Buffalo, NY, 14263, USA.

Hayden McRobbie (H)

Queen Mary University of London, Wolfson Institute of Preventive Medicine, Barts and The London School of Medicine and Dentistry, E1 4NS, London, UK.

Catherine Kimber (C)

Centre for Addictive Behaviours Research, School of Applied Sciences, London South Bank University, SE1 0AA, London, UK.

Lynne Dawkins (L)

Centre for Addictive Behaviours Research, School of Applied Sciences, London South Bank University, SE1 0AA, London, UK.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH