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TOXICOLOGICAL EVALUATION OF ELECTRONIC CIGARETTE USE

Year 2025, Volume: 2 Issue: 3, 148 - 156, 02.11.2025
https://doi.org/10.62425/crihs.1776895

Abstract

Electronic cigarettes (e-cigarettes) are nicotine delivery systems that have been promoted as less harmful alternatives to conventional tobacco products and are rapidly gaining popularity, particularly among young people. However, knowledge about the toxicological profiles of the chemicals and aerosol constituents in e-cigarettes remains limited. This study aims to evaluate the substances present in e-cigarettes from a toxicological perspective and to identify their potential health effects based on the available literature. Specifically, the toxicological potential of nicotine, propylene glycol, glycerol, flavorings, heavy metals, and aldehydes was examined. The findings indicate that e-cigarettes not only sustain nicotine addiction but may also exert harmful effects on the respiratory, cardiovascular, oral and dental, and nervous systems. Furthermore, aldehydes generated through the thermal degradation of propylene glycol and glycerol are emphasized as contributors to oxidative stress and cellular damage. Overall, the study concludes that the widespread use of e-cigarettes among young people may negatively impact mental health and pose emerging threats to public health. Accordingly, the results highlight the need for the development of regulatory policies addressing e-cigarette use.

References

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  • Alzahrani, T., Pena, I., Temesgen, N., & Glantz, S. A. (2018). Association between electronic cigarette use and myocardial infarction. American Journal of Preventive Medicine, 55, 455–461. https://doi.org/10.1016/j.amepre.2018.05.004
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  • Irusa, K. F., Vence, B., & Donovan, T. (2020). Potential oral health effects of e-cigarettes and vaping: A review and case reports. Journal of Esthetic and Restorative Dentistry, 32, 260–264. https://doi.org/10.1111/jerd.12583
  • Jakob, J., Joss, S., Meier, A., Tal, K., Schoeni, A., Marti, J., Diethelm, P., & Auer, R. (2022). The price of nicotine dependence: A comparison of the cost of nicotine across products in Switzerland, Germany, USA, Sweden, France and the UK, in 2019. Tobacco Prevention & Cessation, 8, 1–5. https://doi.org/10.18332/tpc/156052
  • 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. https://doi.org/10.1007/s11886-021-01469-4
  • Kizhakke Puliyakote, A. S., Elliott, A. R., Sá, R. C., Anderson, K. M., Crotty Alexander, L. E., & Hopkins, S. R. (2021). Vaping disrupts ventilation-perfusion matching in asymptomatic users. Journal of Applied Physiology, 130, 308–317. https://doi.org/10.1152/JAPPLPHYSIOL.00709.2020
  • Köseoğlu, E., Uğur, F., Saraymen, R., Canatan, H., Coşkun, A., & Bilgen, M. (2014). Elektronik sigara kullanimina objektif bakiş. Cukurova Medical Journal, 39(3). https://doi.org/10.17826/cutf.86547
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ELEKTRONİK SİGARA KULLANIMININ TOKSİKOLOJİK AÇIDAN DEĞERLENDİRİLMESİ

Year 2025, Volume: 2 Issue: 3, 148 - 156, 02.11.2025
https://doi.org/10.62425/crihs.1776895

Abstract

Elektronik sigaralar (e-sigaralar), geleneksel tütün ürünlerine göre daha az zararlı olduğu iddiasıyla geliştirilmiş nikotin iletim sistemleri olup, özellikle gençler arasında hızla yayılmaktadır. Ancak, e-sigaraların içerdiği kimyasallar ve aerosol bileşenlerinin toksikolojik profili hakkındaki bilgiler hala sınırlı düzeydedir. Bu çalışma, e-sigaralarda bulunan maddeleri toksikolojik açıdan değerlendirmeyi ve insan sağlığı üzerindeki potansiyel etkilerini literatür temelli olarak ortaya koymayı amaçlamaktadır. Araştırmada, e-sigaralarda yer alan nikotin, propilen glikol, gliserol, aroma maddeleri, ağır metaller ve aldehitlerin toksiste potansiyeli incelenmiştir. Elde edilen bulgular, e-sigaraların yalnızca nikotin bağımlılığını sürdürmekle kalmayıp; solunum, kardiyovasküler, ağız-diş sağlığı ve sinir sistemi üzerinde zararlı etkilere neden olabileceğini göstermektedir. Ayrıca, propilen glikol ve gliserolün ısıl bozunumu sonucu ortaya çıkan aldehitlerin, oksidatif stres ve hücresel hasar süreçlerine katkıda bulunduğu bildirilmektedir. Gençler arasında yaygın e-sigara kullanımının ruh sağlığı üzerinde olumsuz etkiler yaratabileceği ve halk sağlığı açısından yeni tehditler oluşturabileceği sonucuna varılmıştır. Bu bağlamda, e-sigaraların bireysel ve toplumsal düzeyde sağlık riskleri taşıdığı ve düzenleyici politikaların geliştirilmesinin gerekliliği önemle vurgulanmaktadır.

References

  • Abdel-Sater, K. A. (2021). Impact of electronic cigarettes on the liver. Novel Techniques in Nutrition & Food Science, 6(2). https://doi.org/10.31031/NTNF.2021.06.000633
  • Alanazi, H., Semlali, A., Chmielewski, W., & Rouabhia, M. (2019). E-Cigarettes Increase Candida albicans Growth and Modulate its Interaction with Gingival Epithelial Cells. International Journal of Environmental Research and Public Health, 16(2), 294. https://doi.org/10.3390/ijerph16020294
  • 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
  • Alshareef, H., & Omaye, S. (2021) Toxicology of commonly found ingredients in e-cigarettes: a brief review. Health, 13, 1396-1409. https://doi.org/10.4236/health.2021.1311100.
  • Alzahrani, T., Pena, I., Temesgen, N., & Glantz, S. A. (2018). Association between electronic cigarette use and myocardial infarction. American Journal of Preventive Medicine, 55, 455–461. https://doi.org/10.1016/j.amepre.2018.05.004
  • Anderson, C., Majeste, A., Hanus, J., & Wang, S. (2016). E-cigarette aerosol exposure induces reactive oxygen species, DNA damage, and cell death in vascular endothelial cells. Toxicological Sciences, 154, 332–340. https://doi.org/10.1093/TOXSCI/KFW166
  • Bennani, I., Alami Chentoufi, M., El Karbane, M., Cheikh, A., & Bouatia, M. (2020). E-cigarette quality control: impurity and nicotine level analysis in electronic cigarette refill liquids. The Scientific World Journal, 2020, 1–7. https://doi.org/10.1155/2020/3050189
  • Bhalerao, A., Sivandzade, F., Archie, S. R., & Cucullo, L. (2019). Public health policies on e-cigarettes. Current Cardiology Reports, 21(10), 111. https://doi.org/10.1007/s11886-019-1204-y
  • Bircan, E., Bezirhan, U., Porter, A., Fagan, P., & Orloff, M. S. (2021). Electronic cigarette use and its association with asthma, chronic obstructive pulmonary disease (COPD) and asthma-COPD overlap syndrome among never cigarette smokers. Tobacco Induced Diseases, 19, 23. https://doi.org/10.18332/tid/132833
  • Borekci, S., Bilir, N., Karlikaya, C., & Tobacco Working Group, T. (2015). A new area to fight: electronic cigarette. Eurasian Journal of Pulmonology, 17(2), 80–84. https://doi.org/10.5152/ejp.2015.6 5375
  • Chatterjee, S., Tao, J. Q., Johncola, A., Guo, W., Caporale, A., Langham, M. C., & Wehrli, F. W. (2019). Acute exposure to e-cigarettes causes inflammation and pulmonary endothelial oxidative stress in nonsmoking, healthy young subjects. American Journal of Physiology - Lung Cellular and Molecular Physiology, 317, L155–L166. https://doi.org/10.1152/ajplung.00110.2019
  • Cichońska, D., Król, O., Słomińska, E. M., Kochańska, B., Świetlik, D., Ochocińska, J., & Kusiak, A. (2021). Influence of electronic cigarettes on antioxidant capacity and nucleotide metabolites in saliva. Toxics, 9. https://doi.org/10.3390/toxics9100263
  • Eke, B. C., & Yüce, Y. (2022). Legal regulations regarding new and developing nicotine and tobacco products in Turkey. Turk Hijyen ve Deneysel Biyoloji Dergisi, 79, 567–578. https://doi.org/10.5505/TurkHijyen.2022.36974
  • Espinoza-Derout, J., Shao, X. M., Lao, C. J., Hasan, K. M., Rivera, J. C., Jordan, M. C., Echeverria, V., Roos, K. P., Sinha-Hikim, A. P., & Friedman, T. C. (2022). Electronic cigarette use and the risk of cardiovascular diseases. Frontiers in Cardiovascular Medicine, 9, 879726. https://doi.org/10.3389/fcvm.2022.879726
  • Ferrari, M., Zanasi, A., Nardi, E., Morselli Labate, A. M., Ceriana, P., Balestrino, A., Pisani, L., Corcione, N., & Nava, S. (2015). Short-term effects of a nicotine-free e-cigarette compared to a traditional cigarette in smokers and non-smokers. BMC Pulmonary Medicine, 15. https://doi.org/10.1186/s12890-015-0106-z
  • Freystätter, C., Staud, C., Fast, A., Tratnig-Frankl, P., Ihra, G., & Radtke, C. (2025). Fake smoke, real fire: a retrospective single-center analysis of the underestimated risk of e-cigarette explosions and the typical burn patterns. Wiener Klinische Wochenschrift. https://doi.org/10.1007/s00508-025-02520-y
  • Gibson, C. J. S., Eshraghi, N., Kemalyan, N. A., & Mueller, C. (2019). Electronic cigarette burns: a case series. Trauma (United Kingdom), 21, 103–106. https://doi.org/10.1177/1460408 617738812
  • Goniewicz, M. L., Knysak, J., Gawron, M., Kosmider, L., Sobczak, A., Kurek, J., Prokopowicz, A., Jablonska-Czapla, M., Rosik-Dulewska, C., Havel, C., Jacob, P., & Benowitz, N. (2014). Levels of selected carcinogens and toxicants in vapour from electronic cigarettes. Tobacco Control, 23(2), 133–139. https://doi.org/10.1136/ tobaccocontrol-2012-050859
  • Gordon, T., Karey, E., Rebuli, M. E., Escobar, Y.-N. H., Jaspers, I., & Chen, L. C. (2022). E-cigarette toxicology. Annual Review of Pharmacology and Toxicology, 62(1), 301–322. https://doi.org/10.1146/annurev-pharmtox-042921-084202
  • Howard, C. (2016). A new source for nicotine exposures in pediatric patients: electronic cigarettes. Journal of Emergency Nursing, 42, 451–453. https://doi.org/10.1016/j.jen.2016.03.008
  • Irusa, K. F., Vence, B., & Donovan, T. (2020). Potential oral health effects of e-cigarettes and vaping: A review and case reports. Journal of Esthetic and Restorative Dentistry, 32, 260–264. https://doi.org/10.1111/jerd.12583
  • Jakob, J., Joss, S., Meier, A., Tal, K., Schoeni, A., Marti, J., Diethelm, P., & Auer, R. (2022). The price of nicotine dependence: A comparison of the cost of nicotine across products in Switzerland, Germany, USA, Sweden, France and the UK, in 2019. Tobacco Prevention & Cessation, 8, 1–5. https://doi.org/10.18332/tpc/156052
  • 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. https://doi.org/10.1007/s11886-021-01469-4
  • Kizhakke Puliyakote, A. S., Elliott, A. R., Sá, R. C., Anderson, K. M., Crotty Alexander, L. E., & Hopkins, S. R. (2021). Vaping disrupts ventilation-perfusion matching in asymptomatic users. Journal of Applied Physiology, 130, 308–317. https://doi.org/10.1152/JAPPLPHYSIOL.00709.2020
  • Köseoğlu, E., Uğur, F., Saraymen, R., Canatan, H., Coşkun, A., & Bilgen, M. (2014). Elektronik sigara kullanimina objektif bakiş. Cukurova Medical Journal, 39(3). https://doi.org/10.17826/cutf.86547
  • Kuntic, I., Kuntic, M., Oelze, M., Stamm, P., Karpi, A., Kleinert, H., Hahad, O., Münzel, T., & Daiber, A. (2023). The role of acrolein for E-cigarette vapour condensate mediated activation of NADPH oxidase in cultured endothelial cells and macrophages. Pflugers Archiv European Journal of Physiology, 475(7), 807–821. https://doi.org/10.1007/S00424-023-02825-9/FIGURES/6
  • Lee, Y., & Lee, K. S. (2019). Association of depression and suicidality with electronic and conventional cigarette use in south korean adolescents. Substance Use and Misuse, 54, 934–943. https://doi.org/10.1080/10826084.2018.1552301
  • Moheimani, R. S., Bhetraratana, M., Yin, F., Peters, K. M., Gornbein, J., Araujo, J. A., & Middlekauff, H. R. (2017). Increased cardiac sympathetic activity and oxidative stress in habitual electronic cigarette users: Implications for cardiovascular risk. JAMA Cardiology, 2, 278–285. https://doi.org/10.1001/jamacardio.2016.5303
  • Naeem, M. N. M., Zain, S. M. S. M., Ng, C., & Noh, M. F. Md. (2020). Chemical constituents in e-cigarette liquids and aerosols. Journal of Environmental Protection, 11(09), 664–681. https://doi.org/10.4236/jep.2020.119040
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Details

Primary Language Turkish
Journal Section Reviews
Authors

Hatice Şen

Gizem Yıldıztekin 0000-0002-0750-2631

Publication Date November 2, 2025
Submission Date September 3, 2025
Acceptance Date October 31, 2025
Published in Issue Year 2025 Volume: 2 Issue: 3

Cite

APA Şen, H., & Yıldıztekin, G. (2025). ELEKTRONİK SİGARA KULLANIMININ TOKSİKOLOJİK AÇIDAN DEĞERLENDİRİLMESİ. Current Research in Health Sciences, 2(3), 148-156. https://doi.org/10.62425/crihs.1776895
AMA Şen H, Yıldıztekin G. ELEKTRONİK SİGARA KULLANIMININ TOKSİKOLOJİK AÇIDAN DEĞERLENDİRİLMESİ. Curr Res Health Sci. November 2025;2(3):148-156. doi:10.62425/crihs.1776895
Chicago Şen, Hatice, and Gizem Yıldıztekin. “ELEKTRONİK SİGARA KULLANIMININ TOKSİKOLOJİK AÇIDAN DEĞERLENDİRİLMESİ”. Current Research in Health Sciences 2, no. 3 (November 2025): 148-56. https://doi.org/10.62425/crihs.1776895.
EndNote Şen H, Yıldıztekin G (November 1, 2025) ELEKTRONİK SİGARA KULLANIMININ TOKSİKOLOJİK AÇIDAN DEĞERLENDİRİLMESİ. Current Research in Health Sciences 2 3 148–156.
IEEE H. Şen and G. Yıldıztekin, “ELEKTRONİK SİGARA KULLANIMININ TOKSİKOLOJİK AÇIDAN DEĞERLENDİRİLMESİ”, Curr Res Health Sci, vol. 2, no. 3, pp. 148–156, 2025, doi: 10.62425/crihs.1776895.
ISNAD Şen, Hatice - Yıldıztekin, Gizem. “ELEKTRONİK SİGARA KULLANIMININ TOKSİKOLOJİK AÇIDAN DEĞERLENDİRİLMESİ”. Current Research in Health Sciences 2/3 (November2025), 148-156. https://doi.org/10.62425/crihs.1776895.
JAMA Şen H, Yıldıztekin G. ELEKTRONİK SİGARA KULLANIMININ TOKSİKOLOJİK AÇIDAN DEĞERLENDİRİLMESİ. Curr Res Health Sci. 2025;2:148–156.
MLA Şen, Hatice and Gizem Yıldıztekin. “ELEKTRONİK SİGARA KULLANIMININ TOKSİKOLOJİK AÇIDAN DEĞERLENDİRİLMESİ”. Current Research in Health Sciences, vol. 2, no. 3, 2025, pp. 148-56, doi:10.62425/crihs.1776895.
Vancouver Şen H, Yıldıztekin G. ELEKTRONİK SİGARA KULLANIMININ TOKSİKOLOJİK AÇIDAN DEĞERLENDİRİLMESİ. Curr Res Health Sci. 2025;2(3):148-56.

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