Electronic cigarette usage is increasing worldwide, yet there is a paucity of information on the respiratory health effects of electronic cigarette aerosol exposure. This study aimed to assess whether exposure to electronic-cigarette (e-cigarette) aerosol would alter lung function and pulmonary inflammation in mice, and to compare the severity of any alterations with mice exposed to mainstream tobacco smoke. Female BALB/c mice were exposed for 8 weeks to tobacco smoke, medical air (control) or one of 4 different types of e-cigarette aerosol. E-cigarette aerosols varied depending on nicotine content (0 or 12mg/mL) and the main excipient (propylene glycol or glycerin). 24 hours after the final exposure, we measured pulmonary inflammation, lung volume, lung mechanics, and responsiveness to methacholine. Mice exposed to tobacco cigarette smoke had increased pulmonary inflammation and responsiveness to methacholine compared with air controls. Mice exposed to e-cigarette aerosol did not have increased inflammation, but did display decrements in parenchymal lung function at both functional residual capacity and high transrespiratory pressures. Mice exposed to glycerin based e-cigarette aerosols were also hyper-responsive to methacholine regardless of the presence or absence of nicotine. This study shows, for the first time, that exposure to e-cigarette aerosol during adolescence and early adulthood is not harmless to the lungs, and can result in significant impairments in lung function.
- electronic cigarette
- lung function
- airway hyper-responsiveness
- Copyright © 2016, American Journal of Physiology-Lung Cellular and Molecular Physiology