Evidence map›Paper›PMID 38609098›Full record

ReviewThe European respiratory journal2024

The paradox of the safer cigarette: understanding the pulmonary effects of electronic cigarettes.

Kassandra Allbright, John Villandre, Laura E Crotty Alexander, Michael Zhang, Kambez H Benam, John Evankovich, Melanie Königshoff, Divay Chandra

Open access · greenAbstract readReview
In one paragraph

Review in The European respiratory journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
13.7field-weighted citation impact, top 1% 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

28 citing papers in PubMed, 42 citations in OpenAlex.

  1. Continuous associations of the brief Wisconsin Inventory of Smoking Dependence Motives with transitions between cigarette and e-cigarette use.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Article
  2. Vaping-related lung disease: a narrative review.Journal of thoracic disease · 2026
    Review
  3. Article
  4. Article
  5. Toxicity and Appeal of Flavoured E-Cigarettes and Flavour Ban Outcomes: A Narrative Review.International journal of environmental research and public health · 2026
    Review
  6. Article
  7. Urinary Tobacco and Nicotine Exposure Biomarkers as Predictors of Transitions between Cigarette and e-Cigarette Use in the Exhale Longitudinal Cohort Study.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Observational
  8. Article
  9. Article
  10. E-cigarette liquids alter the biogenesis and properties ofFrontiers in cellular and infection microbiology · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Review
  17. Review
  18. Review
  19. Article
  20. 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 2 institutions in 1 country.

Kassandra AllbrightDepartment of Medicine and the Electronic Cigarette Research Initiative, University of Pittsburgh, Pittsburgh, PA, USA.ORCID https://orcid.org/0009-0006-8147-8947
John VillandreDepartment of Medicine and the Electronic Cigarette Research Initiative, University of Pittsburgh, Pittsburgh, PA, USA.
Laura E Crotty AlexanderVA San Diego Healthcare System, San Diego, CA, USA.
Michael ZhangDepartment of Medicine and the Electronic Cigarette Research Initiative, University of Pittsburgh, Pittsburgh, PA, USA.ORCID https://orcid.org/0000-0003-1992-2550
Kambez H BenamDepartment of Medicine and the Electronic Cigarette Research Initiative, University of Pittsburgh, Pittsburgh, PA, USA.ORCID https://orcid.org/0000-0001-9117-3959
John EvankovichDepartment of Medicine and the Electronic Cigarette Research Initiative, University of Pittsburgh, Pittsburgh, PA, USA.
Melanie KönigshoffDepartment of Medicine and the Electronic Cigarette Research Initiative, University of Pittsburgh, Pittsburgh, PA, USA.ORCID https://orcid.org/0000-0001-9414-5128
Divay ChandraDepartment of Medicine and the Electronic Cigarette Research Initiative, University of Pittsburgh, Pittsburgh, PA, USA DIC15@pitt.edu.
University of Pittsburgh · USUniversity of California San Diego · US

Funding

Translational Training Program in Pulmonary Biology and MedicineT32HL007563 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Melanie Koenigshoff · 1985 to 2026
$12.3M
Role of FBXO24 mediated ubiquitination of FoxP1 protein in the pathogenesis and treatment of COPDR01HL153400 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CHANDRA, DIVAY · 2020 to 2024
$2.3M
Non-canonical WNT signaling in emphysema and lung regenerationR01HL141380 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KOENIGSHOFF, MELANIE · 2019 to 2022
$2.1M
NHLBI NIH HHS R01 HL141380NHLBI NIH HHS R01 HL153400NHLBI NIH HHS T32 HL007563
6 · The paper itself

Abstract

Electronic cigarette (e-cigarette) use continues to rise globally. E-cigarettes have been presented as safer alternatives to combustion cigarettes that can mitigate the harm associated with tobacco products; however, the degree to which e-cigarette use itself can lead to morbidity and mortality is not fully defined. Herein we describe how e-cigarettes function; discuss the current knowledge of the effects of e-cigarette aerosol on lung cell cytotoxicity, inflammation, antipathogen immune response, mucociliary clearance, oxidative stress, DNA damage, carcinogenesis, matrix remodelling and airway hyperresponsiveness; and summarise the impact on lung diseases, including COPD, respiratory infection, lung cancer and asthma. We highlight how the inclusion of nicotine or flavouring compounds in e-liquids can impact lung toxicity. Finally, we consider the paradox of the safer cigarette: the toxicities of e-cigarettes that can mitigate their potential to serve as a harm reduction tool in the fight against traditional cigarettes, and we summarise the research needed in this underinvestigated area.

Indexed as

Electronic Nicotine Delivery SystemsLungDNA DamageHarm ReductionHumansLung DiseasesNicotineOxidative StressTobacco ProductsVapingNicotine

Identifiers

PMID38609098
PMCPMC12077657
OpenAlexW4394751615

What OpenQuestion holds

Textmetadata
LicenceTDM
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.