PMID- 29481290 OWN - NLM STAT- MEDLINE DCOM- 20190902 LR - 20240207 IS - 1535-4970 (Electronic) IS - 1073-449X (Print) IS - 1073-449X (Linking) VI - 198 IP - 1 DP - 2018 Jul 1 TI - Chronic E-Cigarette Exposure Alters the Human Bronchial Epithelial Proteome. PG - 67-76 LID - 10.1164/rccm.201710-2033OC [doi] AB - RATIONALE: E-cigarettes vaporize propylene glycol/vegetable glycerin (PG/VG), nicotine, and flavorings. However, the long-term health effects of exposing lungs to vaped e-liquids are unknown. OBJECTIVES: To determine the effects of chronic vaping on pulmonary epithelia. METHODS: We performed research bronchoscopies on healthy nonsmokers, cigarette smokers, and e-cigarette users (vapers) and obtained bronchial brush biopsies and lavage samples from these subjects for proteomic investigation. We further employed in vitro and murine exposure models to support our human findings. MEASUREMENTS AND MAIN RESULTS: Visual inspection by bronchoscopy revealed that vaper airways appeared friable and erythematous. Epithelial cells from biopsy samples revealed approximately 300 proteins that were differentially expressed in smoker and vaper airways, with only 78 proteins being commonly altered in both groups and 113 uniquely altered in vapers. For example, CYP1B1 (cytochrome P450 family 1 subfamily B member 1), MUC5AC (mucin 5 AC), and MUC4 levels were increased in vapers. Aerosolized PG/VG alone significantly increased MUC5AC protein in human airway epithelial cultures and in murine nasal epithelia in vivo. We also found that e-liquids rapidly entered cells and that PG/VG reduced membrane fluidity and impaired protein diffusion. CONCLUSIONS: We conclude that chronic vaping exerts marked biological effects on the lung and that these effects may in part be mediated by the PG/VG base. These changes are likely not harmless and may have clinical implications for the development of chronic lung disease. Further studies will be required to determine the full extent of vaping on the lung. FAU - Ghosh, Arunava AU - Ghosh A AD - 1 Marsico Lung Institute. FAU - Coakley, Raymond C AU - Coakley RC AD - 1 Marsico Lung Institute. FAU - Mascenik, Teresa AU - Mascenik T AD - 1 Marsico Lung Institute. FAU - Rowell, Temperance R AU - Rowell TR AD - 1 Marsico Lung Institute. AD - 2 Department of Cell Biology and Physiology. FAU - Davis, Eric S AU - Davis ES AD - 1 Marsico Lung Institute. FAU - Rogers, Keith AU - Rogers K AD - 1 Marsico Lung Institute. FAU - Webster, Megan J AU - Webster MJ AD - 1 Marsico Lung Institute. FAU - Dang, Hong AU - Dang H AD - 1 Marsico Lung Institute. FAU - Herring, Laura E AU - Herring LE AD - 3 UNC Proteomics Core Facility, Department of Pharmacology. FAU - Sassano, M Flori AU - Sassano MF AD - 1 Marsico Lung Institute. FAU - Livraghi-Butrico, Alessandra AU - Livraghi-Butrico A AD - 1 Marsico Lung Institute. FAU - Van Buren, Scott K AU - Van Buren SK AD - 4 Department of Biostatistics, and. FAU - Graves, Lee M AU - Graves LM AD - 3 UNC Proteomics Core Facility, Department of Pharmacology. FAU - Herman, Melissa A AU - Herman MA AD - 3 UNC Proteomics Core Facility, Department of Pharmacology. FAU - Randell, Scott H AU - Randell SH AD - 1 Marsico Lung Institute. AD - 2 Department of Cell Biology and Physiology. FAU - Alexis, Neil E AU - Alexis NE AD - 5 Center for Environmental Medicine Asthma and Lung Biology, University of North Carolina at Chapel Hill, North Carolina. FAU - Tarran, Robert AU - Tarran R AD - 1 Marsico Lung Institute. AD - 2 Department of Cell Biology and Physiology. LA - eng GR - P30 CA016086/CA/NCI NIH HHS/United States GR - P50 CA180890/CA/NCI NIH HHS/United States GR - P50 HL120100/HL/NHLBI NIH HHS/United States GR - R01 HL135642/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Am J Respir Crit Care Med JT - American journal of respiratory and critical care medicine JID - 9421642 RN - 0 (Proteome) RN - 6M3C89ZY6R (Nicotine) SB - IM CIN - Am J Respir Crit Care Med. 2018 Jul 1;198(1):6-7. PMID: 29518342 CIN - Am J Respir Crit Care Med. 2018 Nov 15;198(10):1351-1352. PMID: 30153039 CIN - Am J Respir Crit Care Med. 2018 Nov 15;198(10):1350-1351. PMID: 30153045 MH - Adult MH - Bronchi/*drug effects MH - *Electronic Nicotine Delivery Systems MH - Epithelial Cells/*drug effects MH - Female MH - Humans MH - Lung/*drug effects MH - Male MH - Middle Aged MH - Nicotine/*adverse effects MH - Proteome/*drug effects MH - *Smokers PMC - PMC6034122 OTO - NOTNLM OT - chronic obstructive pulmonary disease OT - mucin OT - tobacco OT - vaping EDAT- 2018/02/27 06:00 MHDA- 2019/09/03 06:00 PMCR- 2019/07/01 CRDT- 2018/02/27 06:00 PHST- 2018/02/27 06:00 [pubmed] PHST- 2019/09/03 06:00 [medline] PHST- 2018/02/27 06:00 [entrez] PHST- 2019/07/01 00:00 [pmc-release] AID - 10.1164/rccm.201710-2033OC [doi] PST - ppublish SO - Am J Respir Crit Care Med. 2018 Jul 1;198(1):67-76. doi: 10.1164/rccm.201710-2033OC.