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The mitochondrial electron transport chain (ETC) is the main energy generation system in the eukaryotic cells. However, mitochondria also produce cytotoxic reactive oxygen species (ROS) due to the large electron flow during oxidative phosphorylation. While Complex I is one of the primary sources of superoxide radicals, ROS production by Complex II is uncommon and may only be observed in cancer cells with mutated complexes.
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Related Experiment Video

Updated: Jan 11, 2026

Generation of Electronic Cigarette Aerosol by a Third-Generation Machine-Vaping Device: Application to Toxicological Studies
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Mitochondrial dysfunction induced by E-cigarettes.

Ardie Barry Sailis1, Muhamad Alfakri Bin Mat Noh2, Leo Bey Fen3

  • 1Department of Pharmaceutical Life Sciences, Faculty of Pharmacy, Universiti Malaya, Kuala Lumpur 50603, Malaysia.

Toxicology
|November 15, 2025
PubMed
Summary

E-cigarette use causes mitochondrial dysfunction via harmful chemicals, leading to cell damage and systemic health issues. Further research is needed to understand the long-term effects of vaping on mitochondria.

Keywords:
electronic cigaretteelectronic nicotine delivery systemsmitochondrial diseasesmitochondrial dysfunctionoxidative stress

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Area of Science:

  • Biochemistry
  • Toxicology
  • Cell Biology

Background:

  • E-cigarette constituents, including reactive oxygen species (ROS), aldehydes, metals, and flavorings, are implicated in cellular damage.
  • Mitochondrial dysfunction is a growing concern linked to various chronic health conditions.

Purpose of the Study:

  • To review the mechanisms by which e-cigarette use induces mitochondrial dysfunction.
  • To highlight the link between mitochondrial impairment and systemic health consequences of vaping.

Main Methods:

  • Literature review of preclinical (in vitro and animal) studies on e-cigarette toxicity.
  • Analysis of the impact of e-cigarette components on mitochondrial function and cellular processes.

Main Results:

  • E-cigarette exposure leads to mitochondrial DNA damage, impaired oxidative phosphorylation, and disrupted calcium homeostasis.
  • Observed effects include increased oxidative stress, inflammation, programmed cell death, altered mitochondrial morphology, reduced ATP production, and elevated ROS.
  • Specific flavorings and metals exacerbate these detrimental effects.

Conclusions:

  • Mitochondrial dysfunction is a critical mechanism underlying e-cigarette toxicity.
  • Vaping-associated mitochondrial impairment may contribute to respiratory, cardiovascular, and metabolic disorders.
  • Longitudinal human studies are essential to fully understand the long-term health implications.