Abstract

The long-term health effects of using e-cigarette, or vaping, products (EVPs; also known as e-cigarettes, electronic nicotine delivery systems, and vape pens) remain largely unknown. The inhalation of excipients, such as propylene glycol (PG) and glycerin (GLY), may have long-term health effects. In addition to the direct health effects of PG and GLY, glycerin-containing products can be contaminated with toxic ethylene glycol (EG) and diethylene glycol (DEG). To assess this issue, we developed a simple, versatile, high-throughput isotope dilution gas chromatography-tandem mass spectrometry method for quantifying these common excipients and contaminants. The method is applicable to both the liquid contents and machine-generated aerosols of EVPs. Our rigorous method validation demonstrates that the new method is specific, precise, accurate, and rugged/robust. The calibration range is linear from 0.1–7 mg for the excipients and 2.5–1,000 µg for the contaminants. These ranges encompass expected excipients levels in EVP e-liquids and their machine-generated aerosols and the relevant maximum residue safety limit of 1 mg/g, or 0.1% (w/w), for the contaminants. The calculated limits of detection for PG, GLY, EG, and DEG were determined as 0.0109 mg, 0.0132 mg, 0.250 µg, and 0.100 µg, respectively. The method was applied to the aerosol emissions analysis of 141 EVPs associated with the 2019 lung injury outbreak, and found typical levels of PG (120.28–689.35 mg/g of aerosol) and GLY (116.83–845.96 mg/g of aerosol) in all nicotine-containing products; PG (81.58–491.92 mg/g of aerosol) and GLY (303.86–823.47 mg/g of aerosol) in 13% of cannabidiol (CBD) products; PG (74.02–220.18 mg/g of aerosol) and GLY (596.43–859.81 mg/g of aerosol) in products with neither nicotine nor CBD; and none detected in tetrahydrocannabinol (THC) products. No products contained glycol contaminants above the recommended maximum residue safety limit.

Highlights

  • Since entering the United States marketplace in 2007, the product landscape and popularity of e-cigarette, or vaping, products (EVPs) has expanded considerably (Olfson et al, 2019)

  • Many e-liquids consist of mixtures with varying concentrations of propylene glycol (PG) and glycerin (GLY; known as glycerol) diluents

  • We describe here the development, validation, and application of a new, simple, sensitive, and selective isotope dilution gas chromatography-tandem mass spectrometry (ID-GC-MS/MS) method for the simultaneous quantitation and characterization of PG, GLY, ethylene glycol (EG), and diethylene glycol (DEG) in the e-liquids and machinegenerated aerosol emissions of EVP devices

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Summary

Introduction

Since entering the United States marketplace in 2007, the product landscape and popularity of e-cigarette, or vaping, products (EVPs) has expanded considerably (Olfson et al, 2019) Having evolved from their original cigarette-like appearance, a multitude of EVPs that differ in design and function are sold commercially and have gained widespread market acceptance (Gentzke et al, 2019; Huang et al, 2019). The PG/GLY mixture serves as the excipient for efficient aerosolization and transfer of the active ingredient and flavor constituents from the EVP liquid to the user via the inhaled aerosol Both PG and GLY are substances considered “generally recognized as safe” for human oral consumption by the United States Food and Drug Administration (USFDA) The EVP aerosol contains fewer known carcinogens than tobacco smoke, more data is needed to characterize their long-term health effects (National Academies of Sciences et al, 2018; Gotts et al, 2019)

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