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Cytotoxicity evaluation of electronic cigarette vapor extract on cultured mammalian fibroblasts (ClearStream-LIFE): comparison with tobacco cigarette smoke extract

Author: Romanga

Year Published: 2013

Summary

Introduction:
This text presents a study that compares the cytotoxicity of electronic cigarette (EC) vapor extracts to cigarette smoke (CS) extract using an in vitro cytotoxicity assay on monolayer-cultured mouse BaLB/3T3 fibroblasts. The study aims to evaluate the potential harm reduction of ECs compared to traditional cigarettes.

Key Points:

* The study used 21 commercially available EC liquids and one brand of tobacco cigarette.
* The extracts were prepared by simulating EC use and CS inhalation, and the fibroblasts were exposed to the extracts at different dilutions.
* The CS extract exhibited significant cytotoxicity at extract concentrations above 12.5%, while only one EC vapor extract showed cytotoxic effects at the highest extract concentration.
* The relative difference in viability between CS extract and the 'Coffee' EC extract was statistically significant at all extract concentrations.
* The majority of EC liquids (13 of 21) did not show any significant cytotoxic effects at any extract concentration.
* Twelve of the EC liquids tested were tobacco-flavored, but they were not associated with a statistically significant difference in fibroblast viability.
* The results support the concept that ECs may be less harmful compared to traditional cigarettes and could be useful products in tobacco harm reduction.

Main Message:
The study suggests that ECs are significantly less cytotoxic compared to CS, and the majority of EC liquids did not show any significant cytotoxic effects at any extract concentration. The results support the potential of ECs as a harm reduction strategy for smokers who are unable or unwilling to quit. however, further research is needed to better understand and evaluate the effects of EC use on human health. It is important to note that the study was funded by a company that manufactures EC liquids, and there may be potential conflicts of interest. Therefore, the results should be interpreted with caution, and independent studies are necessary to confirm the findings.

Citation

Romagna, Giorgio, Elena allifranchini, Elena Bocchietto, Stefano Todeschi, Mara Esposito, and Konstantinos E. Farsalinos. “Cytotoxicity Evaluation of Electronic Cigarette Vapor Extract on Cultured Mammalian Fibroblasts (ClearStream-LIFE): Comparison with Tobacco Cigarette Smoke Extract.” Inhalation Toxicology 25, no. 6 (May 2013): 354–61. https://doi.org/10.3109/08958378.2013.793439.
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