Abstract

The widespread use of electronic cigarettes (e-cig) is a serious public health concern; however, mechanisms by which e-cig impair the function of airway epithelial cells—the direct target of e-cig smoke—are not fully understood. Here we report transcriptomic changes, including decreased expression of many ribosomal genes, in airway epithelial cells in response to e-cig exposure. Using RNA-seq we identify over 200 differentially expressed genes in air–liquid interface cultured primary normal human bronchial epithelial (NHBE) exposed to e-cig smoke solution from commercial e-cig cartridges. In particular, exposure to e-cig smoke solution inhibits biological pathways involving ribosomes and protein biogenesis in NHBE cells. Consistent with this effect, expression of corresponding ribosomal proteins and subsequent protein biogenesis are reduced in the cells exposed to e-cig. Gas chromatography/mass spectrometry (GC/MS) analysis identified the presence of five flavoring chemicals designated as ‘high priority’ in regard to respiratory health, and methylglyoxal in e-cig smoke solution. Together, our findings reveal the potential detrimental effect of e-cig smoke on ribosomes and the associated protein biogenesis in airway epithelium. Our study calls for further investigation into how these changes in the airway epithelium contribute to the current epidemic of lung injuries in e-cig users.

Highlights

  • The widespread use of electronic cigarettes (e-cig) is a serious public health concern; mechanisms by which e-cig impair the function of airway epithelial cells—the direct target of e-cig smoke—are not fully understood

  • In addition to these flavoring chemicals, we identified the presence of methylglyoxal, an alpha dicarbonyl that is structurally related to diacetyl which can form after propylene glycol is heated in e-cig[28]

  • Human airway epithelium is the first line of defense in the lung and is the direct target of external chemicals, little is known about how chemicals in e-cig smoke may impair the lung epithelium and its function

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Summary

Introduction

The widespread use of electronic cigarettes (e-cig) is a serious public health concern; mechanisms by which e-cig impair the function of airway epithelial cells—the direct target of e-cig smoke—are not fully understood. The recent cases of lung injuries are characterized by non-infectious pneumonia-like symptoms with widely varying severity and types of i­nflammation[3,4,5,19] This heterogeneity likely stems from the combinational effects of multiple chemicals and toxins in e-cig f­luid[19]. Recent studies reported adverse impact of e-cig on airway e­ pithelium[20,21,22,23,24,25,26], the underlying mechanisms are not fully understood To fill these knowledge gaps, this study was aimed to identify transcriptomic changes and impacted biological pathways in human airway epithelium exposed to e-cig smoke solution from commercial e-cig products. We analyzed flavoring chemicals and dicarbonyls in the e-cig smoke solution using Gas chromatography/mass spectrometry (GC/MS)

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