Since itscommercial development, theuseofmoderne-cigaretteshascontinued togrowamongpeoplewho haveneversmoked, formersmokerswhohaveswitchedtoe-cigarettes,andusersofbothconventional cigarettes ande-cigarettes.Withthisincreaseinusecomesgrowingknowledgeoftheirritant, toxic,and potentiallycarcinogenic effectsonthelungs.Thesubstancesinhaledine-cigarettescontainavarietyofsubstances, includingadditivessuch asvegetableglycerinandpropyleneglycol, aswell as avorings, nicotine, andvitaminEacetate.Whenheated, glycerinandpropyleneglycol formavaporandactascarriersofnicotineand avorings.Thekeyriskfactorforvaping relatedrespiratoryillnessesistheuseofe-cigarettesorsimilarproducts.However,thepathogenesisofsuchillnesses remainsunclear.Manydifferentpathological ndingshavebeenreportedassociatedwithsuchdiseases, including acutelunginjury, diffuse alveolar injury, diffuse alveolar hemorrhage, organi ing pneumonia, acuteeosinophilicpneumonia, lipoidpneumonia, andrespiratorybronchiolitic interstitial lungdisease. Inaddition, it hasbeenmentioned that lipopolysaccharidemaycausevaping-relateddisease. Inthisreview,wesearchedscienti cdatabasessuchas Cyberleninka,RINTSDatabase, ubMed,Cochrane,Lancet inRussianandEnglishfortheperiodfrom2019 to2024. Afterreviewingtheliterature,weidenti edanewroleforthemaincomponentofthee-cigarette-glycerol inenhancing endotoxin-inducedinjurythroughactivationofneutrophilchemotaxisand brosis.Thiseffect ismediatedbyincreased expressionofadhesionmolecules and brogenesis.Theseresultsprovideimportantevidencethatthiscomponentof thee-cigarettehasaspeci cpro-in ammatoryeffect.Correspondingauthorcontact information:MaryanenkoSo ia avlovna, rst-year resident inthespecialty«Therapy ;OrdenTrudovogoKrasnogo nameniMeditsinskiyinstitute namedS.I.GeorgievskyofVernadskjyCFU.
e-cigarette,acutelunginjury,vegetableglycerin, li o olysaccharide,va ing
1. Layden J. E., Ghinai I., Pray I., Kimball A., Layer M., Tenforde M. W.,Navon L., Hoots B., Salvatore P. P., Elderbrook M., Haupt T., Kanne J., Patel M.T., Saathoff-Huber L., King B. A., Schier J. G., Mikosz C. A., Meiman J.
2. Sapru S., Vardhan M., Li Q., Guo Y., Li X., Saxena D. E-cigarettes use in the United States: reasons for use, perceptions, and effects on health. BMC Public Health. 2020;20(1):1518. doihttps://doi.org/10.1186/s12889-020-09572-x
3. Hajek P., Etter J. F., Benowitz N., Eissenberg T., McRobbie H. Electronic cigarettes: review of use, content, safety, effects on smokers and potential for harm and benefit. Addiction. 2014 Nov;109(11):1801-10.
4. Wolf M., Richards J. Acute Eosinophilic Pneumonia Due to Vaping-Associated Lung Injury. J Crit Care Med (Targu Mures). 2020 Nov 7;6(4):259-262 doihttps://doi.org/10.2478/jccm-2020-0037
5. O'Callaghan M., Boyle N., Fabre A., Keane M. P., McCarthy C. Vaping-Associated Lung Injury: A Review. Medicina (Kaunas). 2022 Mar 10;58(3):412.doihttps://doi.org/10.3390/medicina58030412.
6. Su V. Y., Chen W. C., Yu W. K., Wu H. H., Chen H., Yang K. Y. The main e-cigarette component vegetable glycerin enhances neutrophil migration and fibrosis in endotoxin-induced lung injury via p38 MAPK activation. Respir
7. Hage R., Fretz V., Schuurmans M. M. Electronic cigarettes and vaping associated pulmonary illness (VAPI): A narrative review. Pulmonology. 2020 Sep-Oct;26(5):291-303. doihttps://doi.org/10.1016/j.pulmoe.2020.02.009.
8. Szponar B., Pehrson C., Larsson L. Bacterial and fungal markers in tobacco smoke. Sci Total Environ. 2012 Nov 1;438:447-51. doihttps://doi.org/10.1016/j.scitotenv.2012.08.067.
9. Fessler M. B., Carnes M. U., Salo P. M., Wilkerson J., Cohn R. D., King D., Hoppin J. A., Sandler D. P., Travlos G., London S. J., Thorne P. S., Zeldin D.C. House Dust Endotoxin and Peripheral Leukocyte Counts: Results from
10. Lee M. S., Allen J. G., Christiani D. C. Endotoxin and [Formula: see text] Contamination in Electronic Cigarette Products Sold in the United States.Environ Health Perspect. 2019 Apr;127(4):047008. doihttps://doi.org/10.1289/EHP3469.



