Acute effects of e-cigarette vaping on pulmonary function and airway inflammation in healthy individuals and in patients with asthma

被引:35
作者
Kotoulas, Serafeim-Chrysovalantis [1 ]
Pataka, Athanasia [1 ]
Domvri, Kalliopi [2 ]
Spyratos, Dionisios [2 ]
Katsaounou, Paraskevi [3 ]
Porpodis, Konstantinos [2 ]
Fouka, Evangelia [2 ]
Markopoulou, Aikaterini [4 ]
Passa-Fekete, Katalin [1 ]
Grigoriou, Ioanna [1 ]
Kontakiotis, Theodoros [2 ]
Argyropoulou, Paraskevi [1 ]
Papakosta, Despoina [2 ]
机构
[1] Aristotle Univ Thessaloniki, Gen Hosp Thessaloniki Georgios Papanikolaou, Clin Resp Failure, Sarantaporou 42-44, Thessaloniki 54639, Greece
[2] Aristotle Univ Thessaloniki, Gen Hosp Thessaloniki Georgios Papanikolaou, Dept Pulm Med, Thessaloniki, Greece
[3] Natl & Kapodistrian Univ Athens, ICU Evangelismos Hosp 1, Sch Med, Athens, Greece
[4] Gen Hosp Thessaloniki Georgios Papanikolaou, Clin Pulm Med Natl Healthcare Syst, Thessaloniki, Greece
关键词
airway inflammation; asthma; e-cigarette; impulse oscillometry system; pulmonary function tests; EXHALED BREATH CONDENSATE; CLINICAL-PRACTICE; SMOKING; RECOMMENDATIONS; 8-ISOPROSTANE; SMOKERS; IMPACT; FENO;
D O I
10.1111/resp.13806
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Background and objective The acute effects of e-cigarettes have not been scientifically demonstrated yet. The aim of this study was to assess the acute changes in pulmonary function and airway inflammation in patients with asthma after vaping one e-cigarette. Methods Twenty-five smokers suffering from stable moderate asthma according to GINA guidelines with no other comorbidities and 25 healthy smokers matched with the baseline characteristics of the asthmatic patients were recruited. PFT, IOS, FeNO and EBC were performed before and after vaping one e-cigarette with nicotine. pH and concentrations of IL-1 beta, IL-4, IL-5, IL-6, IL-8, IL-10, IL-13, IL-17A, TNF-alpha, ISO8 and LTB4 were measured in EBC. Results FFEV1/FVC ratio and PEF were reduced in asthmatic patients after e-cigarette. Z5Hz and R5Hz, R10Hz and R20Hz increased in both groups. FeNO and EBC pH increased by 3.60 ppb (P = 0.001) and 0.15 (P = 0.014) in asthmatic patients after e-cigarette, whereas they decreased in control group by 3.28 ppb (P < 0.001) and 0.12 (P = 0.064), respectively. The concentrations of IL-10, TNF-alpha and ISO8 in EBC increased in asthmatic patients after e-cigarette and the changes in concentrations of IL-1 beta and IL-4 differed significantly between the two groups. Conclusion E-cigarette vaping resulted in acute alteration of both pulmonary function and airway inflammation in stable moderate asthmatic patients.
引用
收藏
页码:1037 / 1045
页数:9
相关论文
共 40 条
[1]   Interaction between asthma and smoking increases the risk of adult airway obstruction [J].
Aanerud, Marianne ;
Carsin, Anne-Elie ;
Sunyer, Jordi ;
Dratva, Julia ;
Gislason, Thorarinn ;
Jarvis, Deborah ;
deMarco, Roberto ;
Raherison, Chantal ;
Wjst, Matthias ;
Dharmage, Shyamali C. ;
Svanes, Cecilie .
EUROPEAN RESPIRATORY JOURNAL, 2015, 45 (03) :635-643
[2]   Relationships between adult asthma and oxidative stress markers and pH in exhaled breath condensate: a systematic review [J].
Aldakheel, F. M. ;
Thomas, P. S. ;
Bourke, J. E. ;
Matheson, M. C. ;
Dharmage, S. C. ;
Lowe, A. J. .
ALLERGY, 2016, 71 (06) :741-757
[3]   ATS/ERS recommendations for standardized procedures for the online and offline measurement of exhaled lower respiratory nitric oxide and nasal nitric oxide, 2005 [J].
American Thoracic Society ;
European Respiratory Society .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2005, 171 (08) :912-930
[4]  
[Anonymous], GLOB STRAT ASTHM MAN
[5]  
Antal-Szalmas Peter, 2013, EJIFCC, V23, P135
[6]   Electronic cigarettes increase endothelial progenitor cells in the blood of healthy volunteers [J].
Antoniewicz, Lukasz ;
Bosson, Jenny A. ;
Kuhl, Jeanette ;
Abdel-Halim, Samy M. ;
Kiessling, Anna ;
Mobarrez, Fariborz ;
Lundback, Magnus .
ATHEROSCLEROSIS, 2016, 255 :179-185
[7]   Increased nitric oxide metabolites in exhaled breath condensate after exposure to tobacco smoke [J].
Balint, B ;
Donnelly, LE ;
Hanazawa, T ;
Kharitonov, SA ;
Barnes, PJ .
THORAX, 2001, 56 (06) :456-461
[8]   Laboratory and Clinical Acute Effects of Active and Passive Indoor Group Water-Pipe (Narghile) Smoking [J].
Bentur, Lea ;
Hellou, Elias ;
Goldbart, Aviv ;
Pillar, Giora ;
Monovich, Einat ;
Salameh, Maram ;
Scherb, Inna ;
Bentur, Yedidia .
CHEST, 2014, 145 (04) :803-809
[9]   Impulse Oscillometry Interpretation and Practical Applications [J].
Bickel, Scott ;
Popler, Jonathan ;
Lesnick, Burton ;
Eid, Nemr .
CHEST, 2014, 146 (03) :841-847
[10]   Acute effects of nicotine-free and flavour-free electronic cigarette use on lung functions in healthy and asthmatic individuals [J].
Boulay, Marie-Eve ;
Henry, Cyndi ;
Bosse, Ynuk ;
Boulet, Louis-Philippe ;
Morissette, Mathieu C. .
RESPIRATORY RESEARCH, 2017, 18