Biological Toxicity of the Compositions in Electronic-Cigarette on Cardiovascular System

J Cardiovasc Transl Res. 2021 Apr;14(2):371-376. doi: 10.1007/s12265-020-10060-1. Epub 2020 Aug 3.

Abstract

Using electronic cigarette (e-cig) among youth is becoming a critical public health crisis in the USA. However, the biological impacts of the e-cig on multiple organ systems, especially in the cardiovascular system, are largely unknown. Unlike conventional tobacco, e-cig combines various chemical ingredients including nicotine and other add-on non-nicotine chemicals, such as the solvents (propylene glycol and/or vegetable glycerin) and flavoring chemicals, which dramatically increases the diversity of the potential implications. The recent outbreak of e-cig vaping-related tragic deaths in youth and multiple hospitalized patients raised a question on the safety of e-cig use and led to an urgent need for the knowledge of the health risk of the e-cig compositions. Therefore, in the review, we summarized the latest findings from both human and animal studies on the potential cardiovascular toxicological effects of e-cig on the cardiovascular system in terms of the systemic physiological implications and the cellular and molecular mechanisms involved.

Keywords: Biology; Cardiovascular; E-cigarette; Toxicity.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Animals
  • Cardiovascular Diseases / chemically induced*
  • Cardiovascular Diseases / metabolism
  • Cardiovascular Diseases / pathology
  • Cardiovascular Diseases / physiopathology
  • Cardiovascular System / drug effects*
  • Cardiovascular System / metabolism
  • Cardiovascular System / pathology
  • Cardiovascular System / physiopathology
  • E-Cigarette Vapor / adverse effects*
  • Electronic Nicotine Delivery Systems*
  • Flavoring Agents / adverse effects*
  • Humans
  • Nicotine / adverse effects*
  • Nicotinic Agonists / adverse effects*
  • Risk Assessment
  • Solvents / adverse effects*
  • Vaping / adverse effects*

Substances

  • E-Cigarette Vapor
  • Flavoring Agents
  • Nicotinic Agonists
  • Solvents
  • Nicotine