Biomarkers of Electronic Nicotine Delivery Systems (ENDS) use

This perspective summarizes available evidence on biomarkers of exposure in electronic nicotine delivery system (ENDS) users to aid the overall assessment of the health consequences of using ENDS. Identification of novel biomarkers of exposure specific to ENDS use remains challenging because chemica...

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Main Author: Maciej L. Goniewicz
Format: Article
Language:English
Published: Elsevier 2023-06-01
Series:Addiction Neuroscience
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2772392523000172
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author Maciej L. Goniewicz
author_facet Maciej L. Goniewicz
author_sort Maciej L. Goniewicz
collection DOAJ
description This perspective summarizes available evidence on biomarkers of exposure in electronic nicotine delivery system (ENDS) users to aid the overall assessment of the health consequences of using ENDS. Identification of novel biomarkers of exposure specific to ENDS use remains challenging because chemicals emitted from ENDS devices have many familiar sources. The biomarker levels of many tobacco-related toxicants measured in biological samples collected from ENDS users did not differ significantly from non-users, except for nicotine metabolites and a small number of biomarkers of exposure to volatile organic compounds and tobacco-specific tobacco nitrosamines. Several studies have shown that while exposed to nicotine, long-term exclusive ENDS users showed significantly lower levels of toxicant biomarkers than cigarette smokers. Studies have also shown that concurrent users of ENDS and combustible cigarettes (‘dual users’) are not reducing overall exposure to harmful toxicants compared to exclusive cigarette smokers. Because of an absence of validated ENDS-specific biomarkers, we recommend combining several biomarkers to differentiate tobacco product user groups in population-based studies and monitor ENDS compliance in randomized controlled trials. Using a panel of biomarkers would provide a better understanding of health effects related to ENDS use.
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spelling doaj.art-118f0c5d366d4fcc8bb75e3138bb16552023-04-13T04:27:31ZengElsevierAddiction Neuroscience2772-39252023-06-016100077Biomarkers of Electronic Nicotine Delivery Systems (ENDS) useMaciej L. Goniewicz0Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Elam and Carlton Streets, Buffalo NY 14226, United StatesThis perspective summarizes available evidence on biomarkers of exposure in electronic nicotine delivery system (ENDS) users to aid the overall assessment of the health consequences of using ENDS. Identification of novel biomarkers of exposure specific to ENDS use remains challenging because chemicals emitted from ENDS devices have many familiar sources. The biomarker levels of many tobacco-related toxicants measured in biological samples collected from ENDS users did not differ significantly from non-users, except for nicotine metabolites and a small number of biomarkers of exposure to volatile organic compounds and tobacco-specific tobacco nitrosamines. Several studies have shown that while exposed to nicotine, long-term exclusive ENDS users showed significantly lower levels of toxicant biomarkers than cigarette smokers. Studies have also shown that concurrent users of ENDS and combustible cigarettes (‘dual users’) are not reducing overall exposure to harmful toxicants compared to exclusive cigarette smokers. Because of an absence of validated ENDS-specific biomarkers, we recommend combining several biomarkers to differentiate tobacco product user groups in population-based studies and monitor ENDS compliance in randomized controlled trials. Using a panel of biomarkers would provide a better understanding of health effects related to ENDS use.http://www.sciencedirect.com/science/article/pii/S2772392523000172Electronic Nicotine Delivery SystemsENDSE-cigarettesVapingBiomarkersExposure
spellingShingle Maciej L. Goniewicz
Biomarkers of Electronic Nicotine Delivery Systems (ENDS) use
Addiction Neuroscience
Electronic Nicotine Delivery Systems
ENDS
E-cigarettes
Vaping
Biomarkers
Exposure
title Biomarkers of Electronic Nicotine Delivery Systems (ENDS) use
title_full Biomarkers of Electronic Nicotine Delivery Systems (ENDS) use
title_fullStr Biomarkers of Electronic Nicotine Delivery Systems (ENDS) use
title_full_unstemmed Biomarkers of Electronic Nicotine Delivery Systems (ENDS) use
title_short Biomarkers of Electronic Nicotine Delivery Systems (ENDS) use
title_sort biomarkers of electronic nicotine delivery systems ends use
topic Electronic Nicotine Delivery Systems
ENDS
E-cigarettes
Vaping
Biomarkers
Exposure
url http://www.sciencedirect.com/science/article/pii/S2772392523000172
work_keys_str_mv AT maciejlgoniewicz biomarkersofelectronicnicotinedeliverysystemsendsuse