Short-term e-cigarette vapour exposure causes vascular oxidative stress and dysfunction: evidence for a close connection to brain damage and a key role of the phagocytic NADPH oxidase (NOX-2).

AIMS: Electronic (e)-cigarettes have been marketed as a 'healthy' alternative to traditional combustible cigarettes and as an effective method of smoking cessation. There are, however, a paucity of data to support these claims. In fact, e-cigarettes are implicated in endothelial dysfunction and oxidative stress in the vasculature and the lungs. The mechanisms underlying these side effects remain unclear. Here, we investigated the effects of e-cigarette vapour on vascular function in smokers and experimental animals to determine the underlying mechanisms. METHODS AND RESULTS: Acute e-cigarette smoking produced a marked impairment of endothelial function in chronic smokers determined by flow-mediated dilation. In mice, e-cigarette vapour without nicotine had more detrimental effects on endothelial function, markers of oxidative stress, inflammation, and lipid peroxidation than vapour containing nicotine. These effects of e-cigarette vapour were largely absent in mice lacking phagocytic NADPH oxidase (NOX-2) or upon treatment with the endothelin receptor blocker macitentan or the FOXO3 activator bepridil. We also established that the e-cigarette product acrolein, a reactive aldehyde, recapitulated many of the NOX-2-dependent effects of e-cigarette vapour using in vitro blood vessel incubation. CONCLUSIONS: E-cigarette vapour exposure increases vascular, cerebral, and pulmonary oxidative stress via a NOX-2-dependent mechanism. Our study identifies the toxic aldehyde acrolein as a key mediator of the observed adverse vascular consequences. Thus, e-cigarettes have the potential to induce marked adverse cardiovascular, pulmonary, and cerebrovascular consequences. Since e-cigarette use is increasing, particularly amongst youth, our data suggest that aggressive steps are warranted to limit their health risks.

Ultrahigh-Resolution Mass Spectrometry in Real Time: Atmospheric Pressure Chemical Ionization Orbitrap Mass Spectrometry of Atmospheric Organic Aerosol.

The accurate and precise mass spectrometric measurement of organic compounds in atmospheric aerosol particles is a challenging task that requires analytical developments and adaptations of existing techniques for the atmospheric application. Here we describe the development and characterization of an atmospheric pressure chemical ionization Orbitrap mass spectrometer (APCI-Orbitrap-MS) for the measurement of organic aerosol in real time. APCI is a well-known ionization technique, featuring minimal fragmentation and matrix dependencies, and allows rapid alternation between the positive and negative ionization mode. As a proof of principle, we report ambient organic aerosol composition in real-time, with alternating ionization, high mass resolution ( R = 140 000) and accuracy (<2 ppm). The instrument was calibrated in the negative ion mode using 3-methyl-1,2,3-butanetricarboxylic acid (MBTCA) model aerosol. We obtain a detection limit of 1.3 ng/m3. Based on the performed calibration using MBTCA particles, the ambient concentration of MBTCA in the particle phase measured in an urban area in Mainz, Germany, ranged between 10 and 80 ng/m3. For the first time, we apply a nontarget screening approach on real-time data, showing molecular variability between ambient day- and nighttime aerosol composition. The detected compounds were grouped in the night- and daytime and analyzed by ultrahigh-resolution MS (UHRMS) visualization methods. Among several prevalent biogenic secondary organic aerosol (BSOA) markers, 24 organic mononitrates and one organic dinitrate were detected. We further estimate that, on average, organic nitrates contribute to 5% and 14% of the measured particulate organic aerosol at day and night, respectively.