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电子烟使用者吸入电子烟对黏液纤毛清除功能的急性影响。

Acute Effect of E-Cigarette Inhalation on Mucociliary Clearance in E-Cigarette Users.

机构信息

Center for Environmental Medicine, Asthma, and Lung Biology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.

School of Medicine: Curriculum in Toxicology and Environmental Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.

出版信息

J Aerosol Med Pulm Drug Deliv. 2024 Aug;37(4):167-170. doi: 10.1089/jamp.2023.0027. Epub 2024 Apr 22.

Abstract

Recent studies show e-cigarette (EC) users have increased rates of chronic bronchitic symptoms that may be associated with depressed mucociliary clearance (MCC). Little is known about the acute or chronic effects of EC inhalation on MCC. MCC was measured in young adult vapers ( = 5 males, mean age = 21) after controlled inhalation of a radiolabeled (Tc99m sulfur colloid) aerosol. Whole-lung clearance of radiolabeled deposited particles was measured over a 90-minute period for baseline MCC and associated with controlled periodic vaping over the first 60 minutes of MCC measurements. The vaping challenge was administered from a fourth generation box mod EC containing unflavored e-liquid (65% propylene glycol/35% vegetable glycerin, 3 mg/mL freebase nicotine). The challenge was administered at the start of each 10-minute interval of MCC measurements and consisted of 1 puff every 30 seconds for 5 minutes (i.e., 10 puffs for each 10-minute period for a total of 60 puffs during the initial 60 minutes of MCC measurements). Compared with baseline, peripheral lung average clearance (%) over the 90 minutes of MCC measures was enhanced, associated with EC challenge, 12 (±6) versus 24 (±6), respectively ( < 0.05 by Wilcoxon signed-rank test). Acute enhancement of MCC during EC challenge is contrary to recent studies showing nicotine-associated slowing of ciliary beat and mucus transport at higher nicotine levels than those used here. However, our findings are consistent with an acute increase in fluid volume and mucin secretion to the bronchial airway surface that is likely short lived. Research reported in this publication was supported by the National Institutes of Health R01HL139369 and registered with ClinicalTrials.gov (NCT03700892).

摘要

最近的研究表明,电子烟(EC)使用者出现慢性支气管炎症状的比率增加,而这可能与纤毛黏液清除功能下降(MCC)有关。人们对 EC 吸入对 MCC 的急性或慢性影响知之甚少。在受控吸入放射性标记(Tc99m 硫胶体)气溶胶后,对年轻成年电子烟使用者( = 5 名男性,平均年龄 = 21 岁)进行了 MCC 测量。在 90 分钟的时间段内,对放射性标记的沉积颗粒进行全肺清除率测量,并与 MCC 测量的前 60 分钟内的受控周期性电子烟使用相关联。电子烟挑战由第四代盒式 mod EC 进行,其中包含无味电子液体(65%丙二醇/35%植物甘油,3 mg/mL 游离碱尼古丁)。在 MCC 测量的每个 10 分钟间隔的开始时进行挑战,包括每 30 秒吸一口,持续 5 分钟(即,每个 10 分钟间隔吸 10 口,在 MCC 测量的最初 60 分钟内总共吸 60 口)。与基线相比,MCC 测量的 90 分钟内外周肺平均清除率(%)在 EC 挑战时增强,分别为 12(±6)和 24(±6)(Wilcoxon 符号秩检验, < 0.05)。在 EC 挑战期间 MCC 的急性增强与最近的研究结果相反,这些研究表明,在高于此处使用的尼古丁水平下,尼古丁会导致纤毛摆动和黏液转运减慢。然而,我们的发现与急性增加到支气管气道表面的液体量和粘蛋白分泌一致,这种情况可能是短暂的。本出版物中报告的研究得到了美国国立卫生研究院 R01HL139369 的支持,并在 ClinicalTrials.gov 上注册(NCT03700892)。

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