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Toxicological Aspects Associated with Consumption from Electronic Nicotine Delivery System (ENDS): Focus on Heavy
Silvia Granata1, Fabio Vivarelli1, Camilla Morosini1
1Department of Pharmacy and Biotechnology, Alma Mater Studiorum-University of Bologna, Via Irnerio 48, 40126 Bologna, Italy.
Electronic Nicotine Delivery Systems (ENDSs), including e-cigarettes and heated tobacco products, may release toxic heavy metals like arsenic and lead. This review examines the potential cancer risks associated with heavy metal exposure from ENDS consumption.
Area of Science:
- Toxicology
- Environmental Health
- Public Health
Background:
- Tobacco smoking is a leading global cause of preventable death.
- Electronic Nicotine Delivery Systems (ENDSs) are increasingly used for smoking cessation.
- ENDSs include liquid e-cigarettes (e-cigs) and heated tobacco products (HTPs).
Purpose of the Study:
- To review the toxicological aspects of heavy metal exposure from ENDS consumption.
- To focus on the carcinogenic risk posed by heavy metals found in ENDSs.
- To inform public health strategies regarding ENDS safety.
Main Methods:
- Literature review of existing studies on heavy metals in ENDSs.
- Analysis of toxicological data related to heavy metal exposure.
- Assessment of carcinogenesis risk from identified metals.
Main Results:
- Heavy metals such as arsenic, cadmium, chromium, nickel, copper, and lead have been detected in ENDS.
- These metals can migrate from heating elements or be adsorbed from tobacco.
- Evidence indicates potential health risks, including cancer, from exposure.
Conclusions:
- Heavy metal contamination in ENDSs presents a significant toxicological concern.
- Further research is needed to fully understand the long-term health effects, particularly cancer risks.
- Regulatory oversight and consumer awareness regarding ENDS safety are crucial.
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