Evidence map›Paper›PMID 38783714›Full record

ReviewNicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco2024

A Review of the Toxicity of Ingredients in e-Cigarettes, Including Those Ingredients Having the FDA's "Generally Recognized as Safe (GRAS)" Regulatory Status for Use in Food.

Nada O F Kassem, Robert M Strongin, Andrea M Stroup, Marielle C Brinkman, Ahmad El-Hellani, Hanno C Erythropel, Arash Etemadi, Vernat Exil, Maciej L Goniewicz, Noura O Kassem and 8 more

Abstract readReview
In one paragraph

Review in Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. 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

18 authors.

Nada O F KassemHealth Promotion and Behavioral Science, San Diego State University, San Diego, CA, USA.ORCID 0000-0002-5403-7234
Robert M StronginDepartment of Chemistry, Portland State University, Portland, OR, USA.
Andrea M StroupBehavioral Health and Health Policy Practice, Westat, Rockville, MD, USA.ORCID 0000-0003-2895-460X
Marielle C BrinkmanCollege of Public Health, The Ohio State University, Columbus, OH, USA.
Ahmad El-HellaniCenter for Tobacco Research, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.ORCID 0000-0002-1047-0597
Hanno C ErythropelDepartment of Chemical and Environmental Engineering, Yale University, New Haven, CT, USA.ORCID 0000-0003-3443-9794
Arash EtemadiMetabolic Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, NIH, Bethesda, MD, USA.ORCID 0000-0002-3458-1072
Vernat ExilSchool of Medicine, St. Louis University, St. Louis, MO, USA.
Maciej L GoniewiczDepartment of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.ORCID 0000-0001-6748-3068
Noura O KassemHealth Promotion and Behavioral Science, San Diego State University, San Diego, CA, USA.
Theodore P KlupinskiBattelle, Columbus, OH, USA.
Sandy LilesHealth Promotion and Behavioral Science, San Diego State University, San Diego, CA, USA.
Thivanka MuthumalageSchool of Health Sciences, Purdue University, West Lafayette, IN, USA.
Alexandra NoëlComparative Biomedical Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA, USA.
David H PeytonDepartment of Chemistry, Portland State University, Portland, OR, USA.
Qixin WangDepartment of Environmental Medicine, University of Rochester Medical Center, Rochester, NY, USA.ORCID 0000-0001-9051-8388
Irfan RahmanDepartment of Environmental Medicine, University of Rochester Medical Center, Rochester, NY, USA.ORCID 0000-0003-2274-2454
Luis G ValerioDivision of Nonclinical Science (DNCS), Office of Science/Center for Tobacco Products, U.S. Food and Drug Administration, Silver Spring, MD, USA.

Funding

VISUAL INDICES OF NEUROTOXICITYP30ES001247 · NIEHS · UNIVERSITY OF ROCHESTER · PI B Paige Lawrence · 1985 to 2026
$42.8M
Yale Center for the Study of Tobacco Product Use and Addiction (YCSTP) Project 2: Addictive Threshold of Nicotine and the Impact of SweetenersU54DA036151 · NIDA · YALE UNIVERSITY · PI SUCHITRA KRISHNAN-SARIN, STEPHANIE S O'MALLEY · 2018 to 2026
$41.6M
Leadership and Logistics CoreU54DA046060 · NIDA · WESTAT, INC. · PI Jeanne Rosenthal · 2018 to 2026
$28.1M
Upper Gastrointestinal Cancer StudiesZIACP000185 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI ABNET, CHRISTIAN · 2009 to 2025
$25.6M
Research Training and Education Core (Core D) P50HL120163 · NHLBI · AMERICAN HEART ASSOCIATION · PI BHATNAGAR, ARUNI, ROBERTSON, ROSE MARIE · 2013 to 2017
$20.1M
WNY Center for Research on Flavored Tobacco Products (CRoFT)U54CA228110 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI O'CONNOR, RICHARD J · 2018 to 2022
$19.8M
ConProject-006U54HL120163 · NHLBI · AMERICAN HEART ASSOCIATION · PI BHATNAGAR, ARUNI, ROBERTSON, ROSE MARIE · 2018 to 2022
$18.8M
Toxicant Production and Mitigation in the Electronic-Cigarette Reaction VesselR01ES025257 · NIEHS · PORTLAND STATE UNIVERSITY · PI STRONGIN, ROBERT M · 2015 to 2019
$3.6M
Evaluation and Comparison of Impacts of Flavored Waterpipe Tobacco and Electronic Waterpipe E-Liquid Formulation Variations on Toxicant Yields and Particle Size Distribution in Mainstream EmissionsR01ES033016 · NIEHS · BATTELLE CENTERS/PUB HLTH RES & EVALUATN · PI KLUPINSKI, THEODORE P. · 2021 to 2023
$1.4M
Waterpipe tobacco additives and their effect on human puffing behavior, toxicant exposures, pulmonary function, and appealR01CA255563 · NCI · OHIO STATE UNIVERSITY · PI BRINKMAN, MARIELLE CAVANAUGH, WAGENER, THEODORE LEE · 2020 to 2022
$1.3M
Nicotine flux, a potentially powerful tool for regulating nicotine delivery from electronic cigarettes: significance of nicotine flux to the rate of nicotine delivery and subjective effectsR01DA052565 · NIDA · AMERICAN UNIVERSITY OF BEIRUT · PI EL HELLANI, AHMAD, TALIH, SOHA · 2022 to 2024
$1.3M
Pulmonary toxicological evaluation and chemical interactions of menthol, mint, and tobacco flavored e-cigarette productsR00ES033835 · NIEHS · PURDUE UNIVERSITY · PI MUTHUMALAGE, THIVANKA MUDALIGE · 2023 to 2025
$747k
American Heart Association Tobacco Center for Regulatory Science HL120163-06Center for Coordination of Analytics, Science, Enhancement, and LogisticsFDA HHS UC2 FD007229NCI NIH HHS R01 CA255563NCI NIH HHS R21 CA263809NCI NIH HHS U54 CA228110NHLBI NIH HHS P50 HL120163NHLBI NIH HHS U54 HL120163NIDA NIH HHS R01 DA052565NIDA NIH HHS U54 DA036151NIDA NIH HHS U54 DA046060NIEHS NIH HHS K99 ES033835NIEHS NIH HHS P30 ES001247NIEHS NIH HHS R00 ES033835NIEHS NIH HHS R01 ES025257NIEHS NIH HHS R01 ES033016NIEHS NIH HHS R03 ES029441NIH HHS R01ES025257Tobacco-Related Disease Research Program T30IR0894
6 · The paper itself

Abstract

Some firms and marketers of electronic cigarettes (e-cigarettes; a type of electronic nicotine delivery system (ENDS)) and refill liquids (e-liquids) have made claims about the safety of ingredients used in their products based on the term "GRAS or Generally Recognized As Safe" (GRAS). However, GRAS is a provision within the definition of a food additive under section 201(s) (21 U.S.C. 321(s)) of the U.S. Federal Food Drug and Cosmetic Act (FD&C Act). Food additives and GRAS substances are by the FD&C Act definition intended for use in food, thus safety is based on oral consumption; the term GRAS cannot serve as an indicator of the toxicity of e-cigarette ingredients when aerosolized and inhaled (ie, vaped). There is no legal or scientific support for labeling e-cigarette product ingredients as "GRAS." This review discusses our concerns with the GRAS provision being applied to e-cigarette products and provides examples of chemical compounds that have been used as food ingredients but have been shown to lead to adverse health effects when inhaled. The review provides scientific insight into the toxicological evaluation of e-liquid ingredients and their aerosols to help determine the potential respiratory risks associated with their use in e-cigarettes.

Indexed as

Electronic Nicotine Delivery SystemsUnited States Food and Drug AdministrationFood AdditivesHumansUnited StatesFood Additives

Identifiers

PMID38783714
PMCPMC11494494

What OpenQuestion holds

Textmetadata
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.