Evidence map›Paper›PMID 28515485›Full record

ArticleScientific reports2017

E-cigarettes induce toxicological effects that can raise the cancer risk.

Donatella Canistro, Fabio Vivarelli, Silvia Cirillo, Clara Babot Marquillas, Annamaria Buschini, Mirca Lazzaretti, Laura Marchi, Vladimiro Cardenia, Maria Teresa Rodriguez-Estrada, Maura Lodovici and 13 more

Abstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

97 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Lung Damage Caused by Heated Tobacco Products and Electronic Nicotine Delivery Systems: A Systematic Review.International journal of environmental research and public health · 2021
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Review
  6. E‑Cigarettes Generate Gas Phase Ions.Environment & health (Washington, D.C.) · 2026
    Article
  7. Toxicity and Appeal of Flavoured E-Cigarettes and Flavour Ban Outcomes: A Narrative Review.International journal of environmental research and public health · 2026
    Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. E-cigarette: a safe tool or a risk factor for oral cancer? A systematic review.Journal of clinical and experimental dentistry · 2025
    Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article

37 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors.

Donatella CanistroDepartment of Pharmacy and Biotechnology, Alma Mater Studiorum-University of Bologna, Via Irnerio 48, 40126, Bologna, Italy. donatella.canistro@unibo.it.ORCID 0000-0002-6378-1698
Fabio VivarelliDepartment of Pharmacy and Biotechnology, Alma Mater Studiorum-University of Bologna, Via Irnerio 48, 40126, Bologna, Italy.ORCID 0000-0002-8734-0985
Silvia CirilloDepartment of Pharmacy and Biotechnology, Alma Mater Studiorum-University of Bologna, Via Irnerio 48, 40126, Bologna, Italy.
Clara Babot MarquillasDepartment of Pharmacy and Biotechnology, Alma Mater Studiorum-University of Bologna, Via Irnerio 48, 40126, Bologna, Italy.
Annamaria BuschiniDepartment of Life Sciences, University of Parma, Parco Area delle Scienze 11A, 43124, Parma, Italy.ORCID 0000-0002-9877-2767
Mirca LazzarettiDepartment of Life Sciences, University of Parma, Parco Area delle Scienze 11A, 43124, Parma, Italy.
Laura MarchiDepartment of Life Sciences, University of Parma, Parco Area delle Scienze 11A, 43124, Parma, Italy.
Vladimiro CardeniaInter-Departmental Centre for Agri-Food Industrial Research, Alma Mater Studiorum-University of Bologna, Via Quinto Bucci 336, 47521, Cesena, Italy.ORCID 0000-0001-8869-8674
Maria Teresa Rodriguez-EstradaInter-Departmental Centre for Agri-Food Industrial Research, Alma Mater Studiorum-University of Bologna, Via Quinto Bucci 336, 47521, Cesena, Italy.ORCID 0000-0001-6406-4183
Maura LodoviciDepartment of Neurofarba, Section of Pharmacology and Toxicology, University of Florence, Florence, Italy.
Caterina CiprianiDepartment of Neurofarba, Section of Pharmacology and Toxicology, University of Florence, Florence, Italy.
Antonello LorenziniDepartment of Biomedical and Neuromotor Sciences, Alma Mater Studiorum-University of Bologna, Via Irnerio 48, 40126, Bologna, Italy.
Eleonora CrocoDepartment of Biomedical and Neuromotor Sciences, Alma Mater Studiorum-University of Bologna, Via Irnerio 48, 40126, Bologna, Italy.
Silvia MarchionniDepartment of Biomedical and Neuromotor Sciences, Alma Mater Studiorum-University of Bologna, Via Irnerio 48, 40126, Bologna, Italy.ORCID 0000-0002-5793-1178
Paola FranchiDepartment of Chemistry "G. Ciamician", Alma Mater Studiorum-University of Bologna, Via S. Giacomo 11, 40126, Bologna, Italy.
Marco LucariniDepartment of Chemistry "G. Ciamician", Alma Mater Studiorum-University of Bologna, Via S. Giacomo 11, 40126, Bologna, Italy.
Vincenzo LongoDepartment of Agricultural Biology and Biotechnology, CNR, Via Moruzzi 1, 56124, Pisa, Italy.
Clara Maria Della CroceDepartment of Agricultural Biology and Biotechnology, CNR, Via Moruzzi 1, 56124, Pisa, Italy.
Andrea VornoliDepartment of Agricultural Biology and Biotechnology, CNR, Via Moruzzi 1, 56124, Pisa, Italy.
Annamaria ColacciCenter for Environmental Toxicology, Environmental Protection and Health Prevention Agency Emilia-Romagna Region (ER-EPA), Bologna, Italy.
Monica VaccariCenter for Environmental Toxicology, Environmental Protection and Health Prevention Agency Emilia-Romagna Region (ER-EPA), Bologna, Italy.
Andrea SaponeDepartment of Pharmacy and Biotechnology, Alma Mater Studiorum-University of Bologna, Via Irnerio 48, 40126, Bologna, Italy.
Moreno PaoliniDepartment of Pharmacy and Biotechnology, Alma Mater Studiorum-University of Bologna, Via Irnerio 48, 40126, Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Electronic cigarettes (e-cigs) are devices designed to deliver nicotine in a vaping solution rather than smoke and without tobacco combustion. Perceived as a safer alternative to conventional cigarettes, e-cigs are aggressively marketed as lifestyle-choice consumables, thanks to few restrictions and a lack of regulatory guidelines. E-cigs have also gained popularity among never-smokers and teenagers, becoming an emergent public health issue. Despite the burgeoning worldwide consumption of e-cigs, their safety remains largely unproven and it is unknown whether these devices cause in vivo toxicological effects that could contribute to cancer. Here we demonstrate the co-mutagenic and cancer-initiating effects of e-cig vapour in a rat lung model. We found that e-cigs have a powerful booster effect on phase-I carcinogen-bioactivating enzymes, including activators of polycyclic aromatic hydrocarbons (PAHs), and increase oxygen free radical production and DNA oxidation to 8-hydroxy-2'-deoxyguanosine. Furthermore, we found that e-cigs damage DNA not only at chromosomal level in peripheral blood, such as strand breaks in leucocytes and micronuclei formation in reticulocytes, but also at gene level such as point mutations in urine. Our results demonstrate that exposure to e-cigs could endanger human health, particularly among younger more vulnerable consumers.

Indexed as

Electronic Nicotine Delivery SystemsAnimalsAntioxidantsDNA DamageGas Chromatography-Mass SpectrometryLungMaleNeoplasmsOxidation-ReductionRatsReactive Oxygen SpeciesRisk AssessmentRisk FactorsVolatile Organic CompoundsAntioxidantsReactive Oxygen SpeciesVolatile Organic Compounds

Identifiers

PMID28515485
PMCPMC5435699

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.