Evidence map›Paper›PMID 42414837›Full record

ArticleCardiovascular toxicology2026

E-cigarette Aerosol Containing Nicotine Increases Aortic Stiffness in Young Mice.

Pireyatharsheny Mulorz, Joscha Mulorz, Agnesa Mazrekaj, Hsiang-Han Liu, Wiebke Ibing, Joshua M Spin, Lasse Bach Steffensen, Hans C Beck, Uwe Raaz, Kensuke Toyama and 3 more

Abstract read
In one paragraph

Article in Cardiovascular 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

13 authors.

Pireyatharsheny Mulorz *Division of Cardiovascular Medicine, Stanford University, Stanford, CA, USA.
Joscha Mulorz *Division of Cardiovascular Medicine, Stanford University, Stanford, CA, USA. joscha.mulorz@med.uni-duesseldorf.de.ORCID 0000-0002-7435-6558
Agnesa MazrekajClinic for Vascular and Endovascular Surgery, University Hospital Düsseldorf and Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany.
Hsiang-Han LiuClinic for Vascular and Endovascular Surgery, University Hospital Düsseldorf and Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany.
Wiebke IbingClinic for Vascular and Endovascular Surgery, University Hospital Düsseldorf and Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany.
Joshua M SpinDivision of Cardiovascular Medicine, Stanford University, Stanford, CA, USA.
Lasse Bach SteffensenDepartment of Molecular Medicine, University of Southern Denmark, Odense, Denmark.
Hans C BeckDepartment of Clinical Biochemistry, Odense University Hospital, Odense, Denmark.
Uwe RaazDepartment of Cardiology and Pneumology, University Medical Center Göttingen, Georg-August-University, Göttingen, Germany.
Kensuke ToyamaDivision of Cardiovascular Surgery, Department of Surgery, Kurume University School of Medicine, Kurume, Japan.
Hubert SchelzigClinic for Vascular and Endovascular Surgery, University Hospital Düsseldorf and Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany.
Philip S Tsao *Division of Cardiovascular Medicine, Stanford University, Stanford, CA, USA.
Markus U Wagenhäuser *Clinic for Vascular and Endovascular Surgery, University Hospital Düsseldorf and Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany.

Funding

MicroRNA Regulation of Nicotine Accelerated AAAsR01HL122939 · NHLBI · PALO ALTO VETERANS INSTIT FOR RESEARCH · PI TSAO, PHILIP S · 2014 to 2017
$1.4M
Effects of Inhaled Nicotine on Vascular miR-24 Activity and AAA FormationR56HL135654 · NHLBI · PALO ALTO VETERANS INSTIT FOR RESEARCH · PI TSAO, PHILIP S · 2017 to 2017
$300k
NHLBI NIH HHS R01 HL122939NHLBI NIH HHS R56 HL135654
6 · The paper itself

Abstract

E-cigarettes (E-cigs) are widely used especially among young people, but the effects on vascular stiffening and remodeling are poorly understood. This study evaluates the effects of short-term e-cig exposure on young vs. adult mice and the effects of e-cig derived chemicals present in plasma and urine of exposed animals on cultured endothelial cells (EC) and vascular smooth muscle cells (SMC). C57BL/6J mice of 6- and 14-weeks of age were exposed to unflavored e-cig aerosol with and without nicotine (50% propylene glycol, 50% vegetable glycerol +/- 24 mg/ml nicotine 3 weeks, puff duration of 9 s per minute, for 60 min/day) and aortic tissue subjected to in- and ex-vivo assessment of stiffness and histological evaluation. Major chemical constituents of e-cig aerosol were analyzed in plasma and urine samples, and cultured human aortic ECs and SMCs were treated with these chemicals, including acrolein, formaldehyde and nicotine. Changes in gene and protein expression were quantified, and functional ROS and MMP assays were performed. Pulse wave velocity revealed increased stiffness upon treatment with e-cig aerosol, and to a greater extent with the inclusion of nicotine (114% in 6-week-old and 112% in 14-week-old mice vs. baseline, p < 0.001), which was also observed in ex-vivo myography in aortic infrarenal and thoracic segments in 6-week-old mice after e-cig exposure. Aortic elastin content in these mice was decreased when compared to room-air controls (-24% in 6-week-old and - 36% in 14-week-old mice in thoracic aorta, p < 0.05). In vitro treatment with some of the different chemical compounds present in e-cig aerosol led to an increase in endothelial activation markers, and extracellular remodeling proteins. Wire myography showed an endothelium-independent decrease in relaxation in young murine aortas treated with nicotine. Our results indicate that short-term exposure over three weeks to e-cig aerosol leads to marked changes in murine aortic stiffness and vascular remodeling, potentially predisposing for cardiovascular disease conditions despite the superior remodeling capabilities of young animals.

Indexed as

AortaE-Cigarette VaporElectronic Nicotine Delivery SystemsMuscle, Smooth, VascularNicotineNicotinic AgonistsVapingVascular RemodelingVascular StiffnessAerosolsAge FactorsAnimalsCells, CulturedEndothelial CellsHumansMaleAerosolsE-Cigarette VaporNicotineNicotinic AgonistsReactive Oxygen SpeciesAortic stiffnessE-cigaretteElectronic cigaretteNicotineVapingVascular remodeling

Identifiers

PMID42414837
PMCPMC13342398

What OpenQuestion holds

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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.