Evidence map›Paper›PMID 42021672›Full record

ArticleInhalation toxicology2026

Exposure to electronic cigarette aerosols triggers alterations in genomic DNA methylation that impacts cancer pathways in mice.

Christina Awada, Catherine B Klein, Terry Gordon, Amna Raja, Kent E Pinkerton, Morgan Poindexter, Emma Karey, Arul Veerappan, Judith T Zelikoff

Abstract read
In one paragraph

Article in Inhalation toxicology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Christina AwadaDivision of Environmental Medicine, New York University Grossman School of Medicine, New York, NY, USA.ORCID 0000-0002-0384-3893
Catherine B KleinDivision of Environmental Medicine, New York University Grossman School of Medicine, New York, NY, USA.
Terry GordonDivision of Environmental Medicine, New York University Grossman School of Medicine, New York, NY, USA.
Amna RajaDivision of Environmental Medicine, New York University Grossman School of Medicine, New York, NY, USA.
Kent E PinkertonCenter for Health and the Environment, University of California, Davis, Davis, CA, USA.
Morgan PoindexterCenter for Health and the Environment, University of California, Davis, Davis, CA, USA.
Emma KareyDivision of Environmental Medicine, New York University Grossman School of Medicine, New York, NY, USA.
Arul VeerappanDivision of Environmental Medicine, New York University Grossman School of Medicine, New York, NY, USA.
Judith T ZelikoffDivision of Environmental Medicine, New York University Grossman School of Medicine, New York, NY, USA.ORCID 0000-0002-1510-2080

Funding

TRAINING PROGRAM IN ENVIRONMENTAL TOXICOLOGYT32ES007324 · NIEHS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI CUDDAPAH, SURESH · 1999 to 2025
$5.8M
The adverse chronic effects of e-cigarettes: puff profiles, sex, genetics, and flavorings as modifying factorsR01CA239253 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI GORDON, TERRY · 2018 to 2022
$1.5M
NCI NIH HHS R01 CA239253NIEHS NIH HHS T32 ES007324
6 · The paper itself

Abstract

objectiveThe aim of this laboratory study was to characterize the effects of sub-chronic electronic cigarette (E-cig) aerosol exposures on genome-wide DNA methylation in mice to begin to elucidate the pathophysiology of E-cig-related pulmonary diseases and cancer. MATERIALS AND

methodsMale C57BL/6 and FVBN mice were randomly assigned to one of two treatment groups (n = 6 per group) and exposed daily to either filtered air or a 50:50 mixture of propylene glycol and vegetable glycerol containing 24 mg/mL nicotine (+Nic). Whole-body inhalation exposures were conducted for 3 h/d, 5 d/week, for a total of 1-month. Sequences for ∼285 000 CpG probes were aligned to the mouse genome, and mixed linear models were used to model DNA methylation levels (β values). These evaluations were followed by ingenuity pathway analysis (IPA), Kyoto Encyclopedia of Genes and Genomes (KEGG), and Gene Ontology (GO) analysis. RESULTS AND DISCUSSION: E-cig inhalation exposure induced significant DNA methylation changes in adult male mice, with a notable impact on cancer-related pathways. A total of 2300 genes in C57BL/6 mice and 6732 genes in FVBN mice were hypomethylated, while 1673 and 5529 genes were hypermethylated, respectively. KEGG and GO analyses highlighted key pathways such as Wnt/β-catenin signaling and proteoglycans in cancer, suggesting that E-cig aerosol exposure could disrupt critical genomic regulation and potentially promote carcinogenesis. These in vivo findings underscore the potential cancer-promoting effects of E-cig aerosols through epigenetic modifications.

conclusionsFindings from this study provide compelling evidence that sub-chronic E-cig exposure induces genomic DNA methylation changes linked to cancer pathways in two strains of adult male mice, highlighting the serious adverse consequences of E-cig use and strain-specific response differences.

Indexed as

DNA MethylationElectronic Nicotine Delivery SystemsNicotineAerosolsAnimalsGlycerolInhalation ExposureMaleMiceMice, Inbred C57BLPropylene GlycolAerosolsGlycerolNicotinePropylene Glycolcancer epigeneticsDNA methylationElectronic cigarettesinhalation toxicologylung epigenome

Identifiers

PMID42021672
PMCPMC13629434

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Registered trials

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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.