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Effects of E-Cigarette Refill Liquid Flavorings with and without Nicotine on Human Retinal Pigment Epithelial Cells: A Preliminary Study

Author

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  • Shilpi Goenka

    (Department of Biomedical Engineering, Stony Brook University, Stony Brook, NY 11794-5281, USA
    Department of Biochemistry and Cellular Biology, Stony Brook University, Stony Brook, NY 11794-5215, USA)

  • Sanford R. Simon

    (Department of Biomedical Engineering, Stony Brook University, Stony Brook, NY 11794-5281, USA
    Department of Biochemistry and Cellular Biology, Stony Brook University, Stony Brook, NY 11794-5215, USA
    Department of Pathology, Stony Brook University, Stony Brook, NY 11794, USA)

Abstract

Smoking is an etiologic factor for age-related macular degeneration (AMD). Although cigarette smoke has been extensively researched for retinal pigment epithelial (RPE) cell degeneration, the potential for adverse effects on the retinal epithelium following exposure to flavored e-cigarette refill liquid has never been explored. In this preliminary study, we have examined the effects of 20 e-liquids (10 different flavored nicotine-free and 10 nicotine-rich e-liquids) used in e-cigarettes on the metabolic activity, membrane integrity, and mitochondrial membrane potential of RPE cells. Our results showed that of the flavors studied over the concentration range: 0.5, 1, and 2% v/v for a duration of 48 h, cinnamon was the most toxic and menthol was the second most toxic, while other flavors showed lesser or no cytotoxicity. The presence of nicotine augmented cytotoxicity for cinnamon, menthol, strawberry, vanilla, and banana while for other flavors there was no synergism. Together, our results demonstrate that exposure of RPE to flavored e-cigarette refill liquids caused significant cytotoxicity and may be a risk factor for the development of retinal pathogenesis, although further in-depth studies are necessary.

Suggested Citation

  • Shilpi Goenka & Sanford R. Simon, 2021. "Effects of E-Cigarette Refill Liquid Flavorings with and without Nicotine on Human Retinal Pigment Epithelial Cells: A Preliminary Study," IJERPH, MDPI, vol. 18(21), pages 1-15, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:21:p:11655-:d:673439
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    References listed on IDEAS

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    1. Konstantinos E. Farsalinos & Giorgio Romagna & Dimitris Tsiapras & Stamatis Kyrzopoulos & Vassilis Voudris, 2013. "Evaluation of Electronic Cigarette Use (Vaping) Topography and Estimation of Liquid Consumption: Implications for Research Protocol Standards Definition and for Public Health Authorities’ Regulation," IJERPH, MDPI, vol. 10(6), pages 1-15, June.
    2. Rossella Bengalli & Emanuele Ferri & Massimo Labra & Paride Mantecca, 2017. "Lung Toxicity of Condensed Aerosol from E-CIG Liquids: Influence of the Flavor and the In Vitro Model Used," IJERPH, MDPI, vol. 14(10), pages 1-14, October.
    3. Naudia Gray & Mary Halstead & Nathalie Gonzalez-Jimenez & Liza Valentin-Blasini & Clifford Watson & R. Steven Pappas, 2019. "Analysis of Toxic Metals in Liquid from Electronic Cigarettes," IJERPH, MDPI, vol. 16(22), pages 1-10, November.
    4. Konstantinos E. Farsalinos & Vassilis Voudris & Konstantinos Poulas, 2015. "Are Metals Emitted from Electronic Cigarettes a Reason for Health Concern? A Risk-Assessment Analysis of Currently Available Literature," IJERPH, MDPI, vol. 12(5), pages 1-18, May.
    5. Elise M. Stevens & Emily T. Hébert & Alayna P. Tackett & Eleanor L. S. Leavens & Theodore L. Wagener, 2020. "Harm Perceptions of the JUUL E-Cigarette in a Sample of Ever Users," IJERPH, MDPI, vol. 17(13), pages 1-9, July.
    6. Kanae Bekki & Shigehisa Uchiyama & Kazushi Ohta & Yohei Inaba & Hideki Nakagome & Naoki Kunugita, 2014. "Carbonyl Compounds Generated from Electronic Cigarettes," IJERPH, MDPI, vol. 11(11), pages 1-9, October.
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