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吸电子烟对肺部生理和炎症的急慢性影响。

Acute and chronic effects of vaping electronic devices on lung physiology and inflammation.

作者信息

Masso-Silva Jorge A, Byun Min Kwang, Alexander Laura E Crotty

机构信息

Department of Medicine, Division of Pulmonary, Critical Care & Sleep Medicine, University of California San Diego, San Diego, CA, United States.

Division of Pulmonology, Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea.

出版信息

Curr Opin Physiol. 2021 Aug;22. doi: 10.1016/j.cophys.2021.06.001. Epub 2021 Jun 11.

DOI:10.1016/j.cophys.2021.06.001
PMID:38550798
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10978006/
Abstract

The impact of e-cigarette use on the inflammatory state and function of the lungs is not well understood. Here we review the latest studies on the impact of short and long term e-cigarette aerosol inhalation on molecular pathways, cellular recruitment, gas exchange and airway physiology. Inflammatory cytokines IL-6 and IL-8 were increased by e-cigarette exposures, and a variety of immune cells were recruited to the parenchyma and airways across models. While there are few consistent signals across , and human studies, due to the multitude of different e-devices and the combination of chemicals within different aerosols generated, it is clear that use of e-cigarettes does alter the inflammatory state and function of the lungs with both acute and chronic use. This is evidenced by the multitude of inflammatory lung diseases already tied to e-cigarette use, but the causal chemicals are primarily remain at large.

摘要

电子烟使用对肺部炎症状态和功能的影响尚未得到充分了解。在此,我们综述了关于短期和长期吸入电子烟气溶胶对分子途径、细胞募集、气体交换和气道生理学影响的最新研究。电子烟暴露会增加炎性细胞因子白细胞介素-6和白细胞介素-8,并且在各种模型中,多种免疫细胞被募集到肺实质和气道。虽然在动物、体外和人体研究中几乎没有一致的信号,由于存在多种不同的电子设备以及不同气溶胶中化学物质的组合,但很明显,无论是急性还是慢性使用电子烟,都会改变肺部的炎症状态和功能。这已被众多与电子烟使用相关的炎性肺病所证明,但主要的致病化学物质仍大多未知。

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本文引用的文献

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Effect of E-Cigarette aerosol exposure on airway inflammation in a murine model of asthma.电子烟气溶胶暴露对哮喘小鼠模型气道炎症的影响。
Inhal Toxicol. 2020 Nov-Dec;32(13-14):503-511. doi: 10.1080/08958378.2020.1856238. Epub 2020 Dec 9.
2
Addressing the challenges of E-cigarette safety profiling by assessment of pulmonary toxicological response in bronchial and alveolar mucosa models.通过评估支气管和肺泡黏膜模型中的肺毒理学反应来解决电子烟安全性分析的挑战。
Sci Rep. 2020 Nov 24;10(1):20460. doi: 10.1038/s41598-020-77452-w.
3
Effect of Pod e-Cigarettes vs Cigarettes on Carcinogen Exposure Among African American and Latinx Smokers: A Randomized Clinical Trial.电子烟与香烟对非裔美国人和拉丁裔烟民致癌物暴露影响的随机临床试验。
JAMA Netw Open. 2020 Nov 2;3(11):e2026324. doi: 10.1001/jamanetworkopen.2020.26324.
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Electronic cigarette aerosols induce oxidative stress-dependent cell death and NF-κB mediated acute lung inflammation in mice.电子烟气溶胶诱导氧化应激依赖性细胞死亡和 NF-κB 介导的小鼠急性肺炎症。
Arch Toxicol. 2021 Jan;95(1):195-205. doi: 10.1007/s00204-020-02920-1. Epub 2020 Nov 7.
5
Effects of e-cigarettes and vaping devices on cardiac and pulmonary physiology.电子烟和蒸气设备对心肺生理学的影响。
J Physiol. 2020 Nov;598(22):5039-5062. doi: 10.1113/JP279754. Epub 2020 Oct 12.
6
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EBioMedicine. 2020 Oct;60:102982. doi: 10.1016/j.ebiom.2020.102982. Epub 2020 Sep 10.
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