Evidence map›Paper›PMID 30358437›Full record

ArticleAmerican journal of physiology. Lung cellular and molecular physiology2019

Acute pulmonary effects of aerosolized nicotine.

Shama Ahmad, Iram Zafar, Nithya Mariappan, Maroof Husain, Chih-Chang Wei, Nilam Vetal, Isam A Eltoum, Aftab Ahmad

Open access · bronzeAbstract read
In one paragraph

Article in American journal of physiology. Lung cellular and molecular physiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 5% of its field
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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Longitudinal Electronic Cigarette Exposures Impair Respiratory Function and Structure in the Female Apoe-/- Mouse.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Article
  4. Article
  5. The respiratory epithelium in the era of vaping: insights fromEuropean respiratory review : an official journal of the European Respiratory Society · 2025
    Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. The Lung in Rheumatoid Arthritis-Friend or Enemy?International journal of molecular sciences · 2024
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Child Labor in Family Tobacco Farms in Southern Brazil: Occupational Exposure and Related Health Problems.International journal of environmental research and public health · 2021
    Article
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

8 authors at 1 institution in 1 country.

Shama AhmadDepartment of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham , Birmingham, Alabama.ORCID 0000-0003-1049-5054
Iram ZafarDepartment of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham , Birmingham, Alabama.
Nithya MariappanDepartment of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham , Birmingham, Alabama.
Maroof HusainDepartment of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham , Birmingham, Alabama.
Chih-Chang WeiDepartment of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham , Birmingham, Alabama.
Nilam VetalDepartment of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham , Birmingham, Alabama.
Isam A EltoumDepartment of Pathology, University of Alabama at Birmingham , Birmingham, Alabama.
Aftab AhmadDepartment of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham , Birmingham, Alabama.ORCID 0000-0003-0686-0987
University of Alabama at Birmingham · US

Funding

Extracellular RNA as therapeutic target after toxic chemical inhalationU01ES025069 · NIEHS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI AHMAD, AFTAB · 2014 to 2019
$2.5M
Hypoxic factors in pulmonary hypertensionR01HL114933 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI AHMAD, AFTAB · 2014 to 2018
$1.5M
Targeting cardiopulmonary calpains to mitigate toxicity of halogen gases.U01ES028182 · NIEHS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI AHMAD, SHAMA, DELL'ITALIA, LOUIS J. · 2017 to 2019
$1.3M
NHLBI NIH HHS R01 HL114933NIEHS NIH HHS U01 ES025069NIEHS NIH HHS U01 ES028182
6 · The paper itself

Abstract

Nicotine is a highly addictive principal component of both tobacco and electronic cigarette that is readily absorbed in blood. Nicotine-containing electronic cigarettes are promoted as a safe alternative to cigarette smoking. However, the isolated effects of inhaled nicotine are largely unknown. Here we report a novel rat model of aerosolized nicotine with a particle size (~1 μm) in the respirable diameter range. Acute nicotine inhalation caused increased pulmonary edema and lung injury as measured by enhanced bronchoalveolar lavage fluid protein, IgM, lung wet-to-dry weight ratio, and high-mobility group box 1 (HMGB1) protein and decreased lung E-cadherin protein. Immunohistochemical analysis revealed congested blood vessels and increased neutrophil infiltration. Lung myeloperoxidase mRNA and protein increased in the nicotine-exposed rats. Complete blood counts also showed an increase in neutrophils, white blood cells, eosinophils, and basophils. Arterial blood gas measurements showed an increase in lactate. Lungs of nicotine-inhaling animals revealed increased mRNA levels of IL-1A and CXCL1. There was also an increase in IL-1α protein. In in vitro air-liquid interface cultures of airway epithelial cells, there was a dose dependent increase in HMGB1 release with nicotine treatment. Air-liquid cultures exposed to nicotine also resulted in a dose-dependent loss of barrier as measured by transepithelial electrical resistance and a decrease in E-cadherin expression. Nicotine also caused a dose-dependent increase in epithelial cell death and an increase in caspase-3/7 activities. These results show that the nicotine content of electronic cigarettes may have adverse pulmonary and systemic effects.

Indexed as

Blood-Air BarrierVapingAerosolsAnimalsCaspase 3Caspase 7Chemokine CXCL1HMGB1 ProteinImmunoglobulin MInterleukin-1alphaLeukocyte CountMaleNeutrophil InfiltrationNeutrophilsNicotineParticle SizeAerosolsCasp3 protein, ratCasp7 protein, ratCaspase 3Caspase 7Chemokine CXCL1Cxcl1 protein, ratHbp1 protein, ratHMGB1 ProteinImmunoglobulin MInterleukin-1alphaNicotineaerosollung injurynicotinepulmonary edemarats

Identifiers

PMID30358437
PMCPMC6383503
OpenAlexW2898133136

What OpenQuestion holds

Textmetadata
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.