Updates on the toxic effects provided by the use of electronic cigarettes: a literature review

Authors

DOI:

https://doi.org/10.33448/rsd-v12i4.41020

Keywords:

Toxicity; Pathophysiology; Pathologic processes.

Abstract

Introduction: Electronic cigarettes have gained prominence and popularity since 2003. Use is more prevalent in the 19-24 age group. Lung diseases, cardiovascular, immunological, dermatological and oral disorders, resulting from the toxic effects provided by the various compounds of the product, are a possible problem for the future of public health. Objective: To identify the toxic effects of electronic cigarette use on the physiological mechanisms of the human body. Materials and Methods: This is an integrative literature review about the new evidence on the toxic effects of electronic cigarettes and the pathophysiology involved. The PICO strategy was used to prepare the guiding question. In addition, these descriptors were crossed; “electronic cigarette”; “toxicity”; “pathophysiology”, in the National Library of Medicine (PubMed MEDLINE), Scientific Electronic Library Online (SCIELO), Ebscohost, Google Scholar and Virtual Health Library (BVS) databases. Results and Discussion: The vast majority of articles showed a harmful relationship between the use of electronic cigarettes and various systems, such as exacerbation of asthma and chronic obstructive pulmonary disease, increased risk of thrombosis and atherosclerosis, alteration in the functioning of macrophages and platelets, the reduction of nitric oxide and other mechanisms. Conclusion: Several pathophysiological mechanisms have been elucidated in several studies, but it is necessary that more studies, especially longitudinal and with the identification of the pattern of use and the components of e-cigarettes, be developed to consolidate the evidence already proposed, especially in the long term.

Author Biographies

Clara Ferreira Claudino Chiaradia, Faculdade de Medicina de Itajubá

Medicine Student.

Álvaro Linhares Bandeira, Universidade Federal da Paraíba

Médico, pela Universidade Federal da Paraíba.

Tatiana Capistrano de Paula, Faculdade de Medicina de Itajubá

Acadêmica de Medicina.

Kelly Christina da Mota, Faculdade de Medicina de Itajubá

Acadêmica de Medicina.

Laura Voelzke Gaspari, Faculdade de Medicina de Itajubá

Acadêmica de Medicina.

Carolina Teixeira Capellini, Faculdade de Medicina de Itajubá

Acadêmica de Medicina.

Yane Valois Souza Ferreira, Faculdade de Medicina de Itajubá

Acadêmica de Medicina.

Isadora Loiola Franco , Faculdade de Medicina de Itajubá

Acadêmica de Medicina.

Marilene Rivany Nunes, Centro Universitário de Patos de Minas

Doutora em enfermagem em saúde pública. EERP- USP.

References

Almeida-da-Silva, C. L. C., Matshik Dakafay, H., O'Brien, K., Montierth, D., Xiao, N., & Ojcius, D. M. (2021). Effects of electronic cigarette aerosol exposure on oral and systemic health. Biomedical journal, 44(3), 252–259. https://doi.org/10.1016/j.bj.2020.07.003

Baldassarri S. R. (2020). Electronic Cigarettes: Past, Present, and Future: What Clinicians Need to Know. Clinics in chest medicine, 41(4), 797–807. https://doi.org/10.1016/j.ccm.2020.08.018

Bertoni, N., & Szklo, A. S. (2021). Dispositivos eletrônicos para fumar nas capitais brasileiras: prevalencia, perfil de uso e implicações para a Política Nacional de Controle do Tabaco. Cardeno de Saúde Pública 37, 37(7). https://doi.org/10.1590/0102-311X00261920

Bertoni, N., Cavalcante, T. M., Souza, M. C. de, & Szklo, A. S. (2021). Prevalência de uso de dispositivos eletrônicos para fumar e de uso de narguilé no Brasil: para onde estamos caminhando? Revista Brasileira de Epidemiologia, 24(Suppl. 2), e210007. https://doi.org/10.1590/1980-549720210007.supl.2

Bhave, S. Y., & Chadi, N. (2021). E-cigarettes and Vaping: A Global Risk for Adolescents. Indian pediatrics, 58(4), 315–319.

Giovacchini, C. X., Crotty Alexander, L. E., & Que, L. G. (2022). Electronic Cigarettes: A Pro-Con Review of the Current Literature. The journal of allergy and clinical immunology. In practice, 10(11), 2843–2851. https://doi.org/10.1016/j.jaip.2022.07.009

Gugala, E., Okoh, C. M., Ghosh, S., & Moczygemba, L. R. (2022). Pulmonary Health Effects of Electronic Cigarettes: A Scoping Review. Health promotion practice, 23(3), 388–396. https://doi.org/10.1177/1524839920985506

Herman, M., & Tarran, R. (2020). E-cigarettes, nicotine, the lung and the brain: multi-level cascading pathophysiology. The Journal of physiology, 598(22), 5063–5071. https://doi.org/10.1113/JP278388

Holliday, R., Chaffee, B. W., Jakubovics, N. S., Kist, R., & Preshaw, P. M. (2021). Electronic Cigarettes and Oral Health. Journal of dental research, 100(9), 906–913. https://doi.org/10.1177/00220345211002116

Kass, A. P., Overbeek, D. L., Chiel, L. E., Boyer, E. W., & Casey, A. M. H. (2020). Case series: Adolescent victims of the vaping public health crisis with pulmonary complications. Pediatric pulmonology, 55(5), 1224–1236. https://doi.org/10.1002/ppul.24729

Khadka, S., Awasthi, M., Lamichhane, R. R., Ojha, C., Mamudu, H. M., Lavie, C. J., Daggubati, R., & Paul, T. K. (2021). The Cardiovascular Effects of Electronic Cigarettes. Current cardiology reports, 23(5), 40. https://doi.org/10.1007/s11886-021-01469-4

Kligerman, S. J., Kay, F. U., Raptis, C. A., Henry, T. S., Sechrist, J. W., Walker, C. M., Vargas, D., Filev, P. D., Chung, M. S., Digumarthy, S. R., Ropp, A. M., Mohammed, T. L., Pope, K. W., Marquis, K. M., Chung, J. H., & Kanne, J. P. (2021). CT Findings and Patterns of e-Cigarette or Vaping Product Use-Associated Lung Injury: A Multicenter Cohort of 160 Cases. Chest, 160(4), 1492–1511. https://doi.org/10.1016/j.chest.2021.04.054

Kosumi, K., Baba, Y., Okadome, K., Yagi, T., Kiyozumi, Y., Yoshida, N., Watanabe, M., & Baba, H. (2020). Tumor Long-interspersed Nucleotide Element-1 Methylation Level and Immune Response to Esophageal Cancer. Annals of surgery, 272(6), 1025–1034. https://doi.org/10.1097/SLA.0000000000003264

Menezes, A. M. B., Wehrmeister, F. C, Sardinha, L. M. V., Paula, P. do C. B. de, Costa, T. de A., Crespo, P. A., & Hallal, P. C. (2023). Uso de cigarro eletrônico e narguilé no Brasil: um cenário novo e emergente. O estudo Covitel, 2022. Jornal Brasileiro de Pneumologia, 49(1), e20220290. https://doi.org/10.36416/1806-3756/e20220290

Mitri, A., Lin, G., Waldman, R. A., & Grant-Kels, J. M. (2021). Effects of tobacco and vaping on the skin. Clinics in dermatology, 39(5), 762–771. https://doi.org/10.1016/j.clindermatol.2021.05.004

Neczypor, E. W., Mears, M. J., Ghosh, A., Sassano, M. F., Gumina, R. J., Wold, L. E., & Tarran, R. (2022). E-Cigarettes and Cardiopulmonary Health: Review for Clinicians. Circulation, 145(3), 219–232. https://doi.org/10.1161/CIRCULATIONAHA.121.056777

Overbeek, D. L., Kass, A. P., Chiel, L. E., Boyer, E. W., & Casey, A. M. H. (2020). A review of toxic effects of electronic cigarettes/vaping in adolescents and young adults. Critical reviews in toxicology, 50(6), 531–538. https://doi.org/10.1080/10408444.2020.179444

Rouabhia M. (2020). Impact of Electronic Cigarettes on Oral Health: a Review. Journal (Canadian Dental Association), 86, k7.

Smith, M. L., Gotway, M. B., Crotty Alexander, L. E., & Hariri, L. P. (2021). Vaping-related lung injury. Virchows Archiv: an international journal of pathology, 478(1), 81–88. https://doi.org/10.1007/s00428-020-02943-0

Souza, M. T., Silva, M. D., & Carvalho, R. (2010). Revisão integrativa: o que é e como fazer. Einstein, 8(1), 102-106.

Szumilas, P., Wilk, A., Szumilas, K., & Karakiewicz, B. (2022). The Effects of E-Cigarette Aerosol on Oral Cavity Cells and Tissues: A Narrative Review. Toxics, 10(2), 74. https://doi.org/10.3390/toxics10020074

Wasfi, R. A., Bang, F., de Groh, M., Champagne, A., Han, A., Lang, J. J., McFaull, S. R., Melvin, A., Pipe, A. L., Saxena, S., Thompson, W., Warner, E., & Prince, S. A. (2022). Chronic health effects associated with electronic cigarette use: A systematic review. Frontiers in public health, 10, 959622. https://doi.org/10.3389/fpubh.2022.959622

Winnicka, L., & Shenoy, M. A. (2020). EVALI and the Pulmonary Toxicity of Electronic Cigarettes: A Review. Journal of general internal medicine, 35(7), 2130–2135. https://doi.org/10.1007/s11606-020-05813-2

Yan, R., Chen, X. L., Xu, Y. M., & Lau, A. T. Y. (2021). Epimutational effects of electronic cigarettes. Environmental science and pollution research international, 28(14), 17044–17067. https://doi.org/10.1007/s11356-021-12985-9

Published

26/03/2023

How to Cite

CHIARADIA, C. F. C. .; SANTOS, G. F. .; BANDEIRA, Álvaro L. .; PAULA, T. C. de .; MOTA, K. C. da .; GASPARI, L. V. .; CAPELLINI, C. T. .; FERREIRA, Y. V. S. .; FRANCO , I. L. .; NUNES, M. R. . Updates on the toxic effects provided by the use of electronic cigarettes: a literature review. Research, Society and Development, [S. l.], v. 12, n. 4, p. e5712441020, 2023. DOI: 10.33448/rsd-v12i4.41020. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/41020. Acesso em: 19 apr. 2024.

Issue

Section

Health Sciences