Short-term exposure to JUUL electronic cigarettes can worsen ischemic stroke outcome

Abstract Background The short and long-term health effects of JUUL electronic cigarette (e-Cig) are largely unknown and warrant extensive research. We hypothesized that JUUL exposure could cause cerebrovascular toxicities impacting the progression and outcome of ischemic stroke comparable to tobacco...

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Main Authors: Ali Ehsan Sifat, Sabrina Rahman Archie, Saeideh Nozohouri, Heidi Villalba, Yong Zhang, Sejal Sharma, Yashwardhan Ghanwatkar, Bhuvaneshwar Vaidya, David Mara, Luca Cucullo, Thomas J. Abbruscato
Format: Article
Language:English
Published: BMC 2022-09-01
Series:Fluids and Barriers of the CNS
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Online Access:https://doi.org/10.1186/s12987-022-00371-7
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author Ali Ehsan Sifat
Sabrina Rahman Archie
Saeideh Nozohouri
Heidi Villalba
Yong Zhang
Sejal Sharma
Yashwardhan Ghanwatkar
Bhuvaneshwar Vaidya
David Mara
Luca Cucullo
Thomas J. Abbruscato
author_facet Ali Ehsan Sifat
Sabrina Rahman Archie
Saeideh Nozohouri
Heidi Villalba
Yong Zhang
Sejal Sharma
Yashwardhan Ghanwatkar
Bhuvaneshwar Vaidya
David Mara
Luca Cucullo
Thomas J. Abbruscato
author_sort Ali Ehsan Sifat
collection DOAJ
description Abstract Background The short and long-term health effects of JUUL electronic cigarette (e-Cig) are largely unknown and warrant extensive research. We hypothesized that JUUL exposure could cause cerebrovascular toxicities impacting the progression and outcome of ischemic stroke comparable to tobacco smoke (TS) exposure. Methods We exposed male C57 mice to TS/JUUL vapor for 14 days. LCMS/MS was used to measure brain and plasma nicotine and cotinine level. Transient middle cerebral artery occlusion (tMCAO) followed by reperfusion was used to mimic ischemic stroke. Plasma levels of IL-6 and thrombomodulin were assessed by enzyme-linked immunosorbent assay. At the same time, western blotting was used to study blood–brain barrier (BBB) tight junction (TJ) proteins expression and key inflammatory and oxidative stress markers. Results tMCAO upregulated IL-6 and decreased plasma thrombomodulin levels. Post-ischemic brain injury following tMCAO was significantly worsened by JUUL/TS pre-exposure. TJ proteins expression was also downregulated by JUUL/TS pre-exposure after tMCAO. Like TS, exposure to JUUL downregulated the expression of the antioxidant Nrf2. ICAM-1 was upregulated in mice subjected to tMCAO following pre-exposure to TS or JUUL, with a greater effect of TS than JUUL. Conclusions These results suggest that JUUL exposure could negatively impact the cerebrovascular system, although to a lesser extent than TS exposure.
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spelling doaj.art-696451fbefe141c0944ab743d35851582022-12-22T03:46:36ZengBMCFluids and Barriers of the CNS2045-81182022-09-0119111510.1186/s12987-022-00371-7Short-term exposure to JUUL electronic cigarettes can worsen ischemic stroke outcomeAli Ehsan Sifat0Sabrina Rahman Archie1Saeideh Nozohouri2Heidi Villalba3Yong Zhang4Sejal Sharma5Yashwardhan Ghanwatkar6Bhuvaneshwar Vaidya7David Mara8Luca Cucullo9Thomas J. Abbruscato10Department of Pharmaceutical Sciences, School of Pharmacy, Texas Tech University Health Sciences CenterDepartment of Pharmaceutical Sciences, School of Pharmacy, Texas Tech University Health Sciences CenterDepartment of Pharmaceutical Sciences, School of Pharmacy, Texas Tech University Health Sciences CenterDepartment of Pharmaceutical Sciences, School of Pharmacy, Texas Tech University Health Sciences CenterDepartment of Pharmaceutical Sciences, School of Pharmacy, Texas Tech University Health Sciences CenterDepartment of Pharmaceutical Sciences, School of Pharmacy, Texas Tech University Health Sciences CenterDepartment of Pharmaceutical Sciences, School of Pharmacy, Texas Tech University Health Sciences CenterDepartment of Pharmaceutical Sciences, School of Pharmacy, Texas Tech University Health Sciences CenterDepartment of Pharmaceutical Sciences, School of Pharmacy, Texas Tech University Health Sciences CenterOakland University William Beaumont School of Medicine, O’ Dowd HallDepartment of Pharmaceutical Sciences, School of Pharmacy, Texas Tech University Health Sciences CenterAbstract Background The short and long-term health effects of JUUL electronic cigarette (e-Cig) are largely unknown and warrant extensive research. We hypothesized that JUUL exposure could cause cerebrovascular toxicities impacting the progression and outcome of ischemic stroke comparable to tobacco smoke (TS) exposure. Methods We exposed male C57 mice to TS/JUUL vapor for 14 days. LCMS/MS was used to measure brain and plasma nicotine and cotinine level. Transient middle cerebral artery occlusion (tMCAO) followed by reperfusion was used to mimic ischemic stroke. Plasma levels of IL-6 and thrombomodulin were assessed by enzyme-linked immunosorbent assay. At the same time, western blotting was used to study blood–brain barrier (BBB) tight junction (TJ) proteins expression and key inflammatory and oxidative stress markers. Results tMCAO upregulated IL-6 and decreased plasma thrombomodulin levels. Post-ischemic brain injury following tMCAO was significantly worsened by JUUL/TS pre-exposure. TJ proteins expression was also downregulated by JUUL/TS pre-exposure after tMCAO. Like TS, exposure to JUUL downregulated the expression of the antioxidant Nrf2. ICAM-1 was upregulated in mice subjected to tMCAO following pre-exposure to TS or JUUL, with a greater effect of TS than JUUL. Conclusions These results suggest that JUUL exposure could negatively impact the cerebrovascular system, although to a lesser extent than TS exposure.https://doi.org/10.1186/s12987-022-00371-7CerebrovascularBlood–brain barrierVapingOxidativeInflammationEndothelium
spellingShingle Ali Ehsan Sifat
Sabrina Rahman Archie
Saeideh Nozohouri
Heidi Villalba
Yong Zhang
Sejal Sharma
Yashwardhan Ghanwatkar
Bhuvaneshwar Vaidya
David Mara
Luca Cucullo
Thomas J. Abbruscato
Short-term exposure to JUUL electronic cigarettes can worsen ischemic stroke outcome
Fluids and Barriers of the CNS
Cerebrovascular
Blood–brain barrier
Vaping
Oxidative
Inflammation
Endothelium
title Short-term exposure to JUUL electronic cigarettes can worsen ischemic stroke outcome
title_full Short-term exposure to JUUL electronic cigarettes can worsen ischemic stroke outcome
title_fullStr Short-term exposure to JUUL electronic cigarettes can worsen ischemic stroke outcome
title_full_unstemmed Short-term exposure to JUUL electronic cigarettes can worsen ischemic stroke outcome
title_short Short-term exposure to JUUL electronic cigarettes can worsen ischemic stroke outcome
title_sort short term exposure to juul electronic cigarettes can worsen ischemic stroke outcome
topic Cerebrovascular
Blood–brain barrier
Vaping
Oxidative
Inflammation
Endothelium
url https://doi.org/10.1186/s12987-022-00371-7
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