Evidence map›Paper›PMID 36328456›Full record

ArticleTobacco control2022

Assessing toxicant emissions from e-liquids with DIY additives used in response to a potential flavour ban in e-cigarettes.

Ahmad El-Hellani, Eric K Soule, Mohammad Daoud, Rola Salman, Rachel El Hage, Ola Ardati, Malak El-Kaassamani, Amira Yassine, Nareg Karaoghlanian, Soha Talih and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Tobacco control, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

11 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Reactions to a Hypothetical Ban of Open-System Electronic Cigarettes Among People Who Currently Use Electronic Cigarettes.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. 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

12 authors at 2 institutions in 2 countries.

Ahmad El-HellaniDivision of Environmental Health Sciences, The Ohio State University College of Public Health, Columbus, Ohio, USA.ORCID 0000-0002-1047-0597
Eric K SouleVirginia Commonwealth University Center for the Study of Tobacco Products, Richmond, Virginia, USA.ORCID 0000-0003-2740-5633
Mohammad DaoudDepartment of Chemistry, American University of Beirut Faculty of Arts and Sciences, Beirut, Lebanon.
Rola SalmanVirginia Commonwealth University Center for the Study of Tobacco Products, Richmond, Virginia, USA.
Rachel El HageVirginia Commonwealth University Center for the Study of Tobacco Products, Richmond, Virginia, USA.
Ola ArdatiDepartment of Chemistry, American University of Beirut Faculty of Arts and Sciences, Beirut, Lebanon.
Malak El-KaassamaniDepartment of Chemistry, American University of Beirut Faculty of Arts and Sciences, Beirut, Lebanon.
Amira YassineDepartment of Chemistry, American University of Beirut Faculty of Arts and Sciences, Beirut, Lebanon.ORCID 0000-0002-8692-6183
Nareg KaraoghlanianVirginia Commonwealth University Center for the Study of Tobacco Products, Richmond, Virginia, USA.
Soha TalihVirginia Commonwealth University Center for the Study of Tobacco Products, Richmond, Virginia, USA.ORCID 0000-0002-3520-675X
Najat SalibaVirginia Commonwealth University Center for the Study of Tobacco Products, Richmond, Virginia, USA.ORCID 0000-0002-4276-1524
Alan ShihadehVirginia Commonwealth University Center for the Study of Tobacco Products, Richmond, Virginia, USA as20@aub.edu.lb.ORCID 0000-0001-6387-8564
Virginia Commonwealth University · USAmerican University of Beirut · LB

Funding

Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Daniel G. Stover · 1985 to 2026
$132.3M
Research Project 3: Modeling the Impact of Tobacco Control Policies on Polytobacco Use and Associated Health DisparitiesU54CA229974 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI David Mendez Emilien · 2018 to 2026
$39.2M
Project 4: Using a prospective cohort survey to test population-level predictions generated by Projects 1-3U54DA036105 · NIDA · VIRGINIA COMMONWEALTH UNIVERSITY · PI FAGAN, PEBBLES · 2018 to 2022
$20.8M
NCI NIH HHS P30 CA016058NCI NIH HHS U54 CA229974NIDA NIH HHS U54 DA036105
6 · The paper itself

Abstract

significanceElectronic cigarettes (e-cigarettes) aerosolise liquids that contain nicotine, propylene glycol, glycerol and appealing flavours. In the USA, regulations have limited the availability of flavoured e-cigarettes in pod-based systems, and further tightening is expected. In response, some e-cigarette users may attempt to make their e-liquids (do-it-yourself, DIY). This study examined toxicant emissions from several aerosolised DIY e-liquids.

methodsDIY additives were identified by reviewing users' responses to a hypothetical flavour ban, e-cigarette internet forums and DIY mixing internet websites. They include essential oils, cannabidiol, sucralose and ethyl maltol. E-liquids with varying concentrations and combinations of additives and tobacco and menthol flavours were prepared and were used to assess reactive oxygen species (ROS), carbonyl and phenol emissions in machine-generated aerosols.

resultsData showed that adding DIY additives to unflavoured, menthol-flavoured or tobacco-flavoured e-liquids increases toxicant emissions to levels comparable with those from commercial flavoured e-liquids. Varying additive concentrations in e-liquids did not have a consistently significant effect on the tested emissions, yet increasing power yielded significantly higher ROS, carbonyl and phenol emissions for the same additive concentration. Adding nicotine to DIY e-liquids with sucralose yielded increase in some emissions and decrease in others, with freebase nicotine-containing e-liquid giving higher ROS emissions than that with nicotine salt.

conclusionThis study showed that DIY additives can impact aerosol toxicant emissions from e-cigarettes and should be considered by policymakers when restricting commercially available flavoured e-liquids.

Indexed as

Electronic Nicotine Delivery SystemsAerosolsFlavoring AgentsHazardous SubstancesHumansMentholNicotinePhenolsReactive Oxygen SpeciesAerosolsFlavoring AgentsHazardous SubstancesMentholNicotinePhenolsReactive Oxygen SpeciesAddictionCarcinogensElectronic nicotine delivery devicesHarm ReductionToxicology

Identifiers

PMID36328456
PMCPMC9664124
OpenAlexW4308370902

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.