Evidence map›Paper›PMID 41661298›Full record

ArticleLung2026

Repetitive Exposure to Nicotine-Free Vaping Impairs Airway Defences and Delays Recovery.

Randy Suryadinata, Vicki Bennett-Wood, Meghan McKinnon, Moya Vandeleur, Philip Robinson

Abstract read
In one paragraph

Article in Lung, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

5 authors.

Randy SuryadinataDepartment of Respiratory & Sleep Medicine, The Royal Children's Hospital Melbourne, Parkville, Australia.ORCID 0000-0002-1177-375X
Vicki Bennett-WoodDepartment of Respiratory & Sleep Medicine, The Royal Children's Hospital Melbourne, Parkville, Australia.ORCID 0000-0001-7870-3599
Meghan McKinnonDepartment of Anatomical Pathology, The Royal Children's Hospital Melbourne, Parkville, Australia.ORCID 0000-0003-4214-2130
Moya VandeleurDepartment of Respiratory & Sleep Medicine, The Royal Children's Hospital Melbourne, Parkville, Australia.ORCID 0009-0003-8142-7849
Philip RobinsonDepartment of Respiratory & Sleep Medicine, The Royal Children's Hospital Melbourne, Parkville, Australia. Phil.robinson@rch.org.au.ORCID 0000-0001-6129-9075

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeE-cigarette use, or vaping, is increasing in prevalence, especially among adolescents. There is a paucity of information on the impact of e-cigarette aerosols on lung health, particularly to the airway protective components. In this study, disruptions to airway protective functions in response to increasing repetitive exposure to nicotine-free e-cigarette aerosols were examined. The recovery capability of the airway defence was also investigated.

methodsCultured primary nasal airway cells from five healthy individuals were exposed to repetitive exposures to e-cigarette aerosols. Cilia function was analysed via high-speed video microscopy, while epithelial barrier integrity was assessed through trans-epithelial electrical resistance measurements and immunofluorescence. Cytokine secretion was assessed using multiplex screening.

resultsSignificant impairment in cilia function and epithelial barrier integrity was observed after 24 or more vaping exposures. Cilia beating frequency declined by 18.6% (6.78 ± 0.23 Hz) after 24 sessions and by 53.0% (3.91 ± 0.27 Hz) after 60 sessions (p < 0.01). Trans-epithelial electrical resistance values dropped by 45.6% (315.37 ± 13.38 Ωcm²) after 24 sessions and by 77.4% (131.29 ± 6.84 Ωcm²) after 60 sessions (p < 0.01). Nicotine-free aerosols disrupted Occludin-1 and ZO-1 expression but not E-cadherin. Cytokine analysis showed increased secretion of IL-1ra, IL-6, FGF-basic, IFN-γ, and VEGF following 36 vaping sessions. Recovery experiments indicated cilia function normalised within 48 h, while epithelial barrier required up to 72 h.

conclusionRepetitive vaping progressively impairs airway protective functions in vitro. While cilia function and epithelial integrity recover in the short term, the delay may increase susceptibility to infections.

Indexed as

CiliaElectronic Nicotine Delivery SystemsNasal MucosaVapingAdultAerosolsCells, CulturedCytokinesE-Cigarette VaporElectric ImpedanceFemaleHumansInterleukin-6MaleNicotineOccludinAerosolsCytokinesE-Cigarette VaporInterleukin-6NicotineOccludinAir-liquid interfaceAirway epithelial barrierCilia beat frequencyNicotine-free e-liquidTight junction complexesVaping

Identifiers

PMID41661298
PMCPMC12886217

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.