Myocardial Infarction Injury Is Exacerbated by Nicotine in Vape Aerosol Exposure

Background Vaping is touted as a safer alternative to traditional cigarette smoking, but the full spectrum of harm reduction versus comparable risk remains unresolved. Elevated bioavailability of nicotine in vape aerosol together with known risks of nicotine exposure may result in previously unchara...

Full description

Saved in:
Bibliographic Details
Main Authors: Clarissa Savko, Carolina Esquer, Claudia Molinaro, Sophie Rokaw, Abraham G. Shain, Faid Jaafar, Morgan K. Wright, Joy A. Phillips, Tyler Hopkins, Sama Mikhail, Abigail Rieder, Ariana Mardani, Barbara Bailey, Mark A. Sussman
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
Subjects:
Online Access:https://www.ahajournals.org/doi/10.1161/JAHA.124.038012
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849471335733919744
author Clarissa Savko
Carolina Esquer
Claudia Molinaro
Sophie Rokaw
Abraham G. Shain
Faid Jaafar
Morgan K. Wright
Joy A. Phillips
Tyler Hopkins
Sama Mikhail
Abigail Rieder
Ariana Mardani
Barbara Bailey
Mark A. Sussman
author_facet Clarissa Savko
Carolina Esquer
Claudia Molinaro
Sophie Rokaw
Abraham G. Shain
Faid Jaafar
Morgan K. Wright
Joy A. Phillips
Tyler Hopkins
Sama Mikhail
Abigail Rieder
Ariana Mardani
Barbara Bailey
Mark A. Sussman
author_sort Clarissa Savko
collection DOAJ
description Background Vaping is touted as a safer alternative to traditional cigarette smoking, but the full spectrum of harm reduction versus comparable risk remains unresolved. Elevated bioavailability of nicotine in vape aerosol together with known risks of nicotine exposure may result in previously uncharacterized cardiovascular consequences of vaping. The objective of this study is to assess the impact of nicotine exposure via vape aerosol inhalation upon myocardial response to infarction injury. Methods and Results Flavored vape juice containing nicotine (5 mg/mL) or vehicle alone (0 mg) was delivered using identical 4‐week treatment protocols. Mice were subjected to acute myocardial infarction injury and evaluated for outcomes of cardiac structure and function. Findings reveal that nicotine exposure leads to worse outcomes with respect to contractile performance regardless of sex. Nonmyocyte interstitial cell accumulation following infarction significantly increased with exposure to vape aerosol alone, but a comparable increase was not present when nicotine was included. Conclusions Myocardial function after infarction is significantly decreased after exposure to nicotine vape aerosol irrespective of sex. Comparable loss of contractile function was not observed in mice exposed to vape aerosol alone, highlighting the essential role of nicotine in loss of contractile function. Increased vimentin immunoreactivity was observed in the vape alone group compared with control and vape nicotine. The correlation between vaping, interstitial cell responses, and cardiac remodeling leading to impaired contractility warrants further investigation. Public health experts seeking to reduce vaping‐related health risks should consider messaging that highlights the increased cardiovascular risk especially with nicotine‐containing aerosols.
format Article
id doaj-art-037a56cad1b5402a8cfeee6ab032f1e3
institution Kabale University
issn 2047-9980
language English
publishDate 2025-01-01
publisher Wiley
record_format Article
series Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
spelling doaj-art-037a56cad1b5402a8cfeee6ab032f1e32025-08-20T03:24:52ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802025-01-0114110.1161/JAHA.124.038012Myocardial Infarction Injury Is Exacerbated by Nicotine in Vape Aerosol ExposureClarissa Savko0Carolina Esquer1Claudia Molinaro2Sophie Rokaw3Abraham G. Shain4Faid Jaafar5Morgan K. Wright6Joy A. Phillips7Tyler Hopkins8Sama Mikhail9Abigail Rieder10Ariana Mardani11Barbara Bailey12Mark A. Sussman13SDSU Integrated Regenerative Research Institute and Biology Department San Diego State University San Diego CASDSU Integrated Regenerative Research Institute and Biology Department San Diego State University San Diego CASDSU Integrated Regenerative Research Institute and Biology Department San Diego State University San Diego CASDSU Integrated Regenerative Research Institute and Biology Department San Diego State University San Diego CASDSU Integrated Regenerative Research Institute and Biology Department San Diego State University San Diego CASDSU Integrated Regenerative Research Institute and Biology Department San Diego State University San Diego CASDSU Integrated Regenerative Research Institute and Biology Department San Diego State University San Diego CASDSU Integrated Regenerative Research Institute and Biology Department San Diego State University San Diego CASDSU Integrated Regenerative Research Institute and Biology Department San Diego State University San Diego CASDSU Integrated Regenerative Research Institute and Biology Department San Diego State University San Diego CASDSU Integrated Regenerative Research Institute and Biology Department San Diego State University San Diego CASDSU Integrated Regenerative Research Institute and Biology Department San Diego State University San Diego CASDSU Department of Mathematics San Diego State University San Diego CASDSU Integrated Regenerative Research Institute and Biology Department San Diego State University San Diego CABackground Vaping is touted as a safer alternative to traditional cigarette smoking, but the full spectrum of harm reduction versus comparable risk remains unresolved. Elevated bioavailability of nicotine in vape aerosol together with known risks of nicotine exposure may result in previously uncharacterized cardiovascular consequences of vaping. The objective of this study is to assess the impact of nicotine exposure via vape aerosol inhalation upon myocardial response to infarction injury. Methods and Results Flavored vape juice containing nicotine (5 mg/mL) or vehicle alone (0 mg) was delivered using identical 4‐week treatment protocols. Mice were subjected to acute myocardial infarction injury and evaluated for outcomes of cardiac structure and function. Findings reveal that nicotine exposure leads to worse outcomes with respect to contractile performance regardless of sex. Nonmyocyte interstitial cell accumulation following infarction significantly increased with exposure to vape aerosol alone, but a comparable increase was not present when nicotine was included. Conclusions Myocardial function after infarction is significantly decreased after exposure to nicotine vape aerosol irrespective of sex. Comparable loss of contractile function was not observed in mice exposed to vape aerosol alone, highlighting the essential role of nicotine in loss of contractile function. Increased vimentin immunoreactivity was observed in the vape alone group compared with control and vape nicotine. The correlation between vaping, interstitial cell responses, and cardiac remodeling leading to impaired contractility warrants further investigation. Public health experts seeking to reduce vaping‐related health risks should consider messaging that highlights the increased cardiovascular risk especially with nicotine‐containing aerosols.https://www.ahajournals.org/doi/10.1161/JAHA.124.038012heartmyocardial infarctionnicotinevape aerosolvaping
spellingShingle Clarissa Savko
Carolina Esquer
Claudia Molinaro
Sophie Rokaw
Abraham G. Shain
Faid Jaafar
Morgan K. Wright
Joy A. Phillips
Tyler Hopkins
Sama Mikhail
Abigail Rieder
Ariana Mardani
Barbara Bailey
Mark A. Sussman
Myocardial Infarction Injury Is Exacerbated by Nicotine in Vape Aerosol Exposure
Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
heart
myocardial infarction
nicotine
vape aerosol
vaping
title Myocardial Infarction Injury Is Exacerbated by Nicotine in Vape Aerosol Exposure
title_full Myocardial Infarction Injury Is Exacerbated by Nicotine in Vape Aerosol Exposure
title_fullStr Myocardial Infarction Injury Is Exacerbated by Nicotine in Vape Aerosol Exposure
title_full_unstemmed Myocardial Infarction Injury Is Exacerbated by Nicotine in Vape Aerosol Exposure
title_short Myocardial Infarction Injury Is Exacerbated by Nicotine in Vape Aerosol Exposure
title_sort myocardial infarction injury is exacerbated by nicotine in vape aerosol exposure
topic heart
myocardial infarction
nicotine
vape aerosol
vaping
url https://www.ahajournals.org/doi/10.1161/JAHA.124.038012
work_keys_str_mv AT clarissasavko myocardialinfarctioninjuryisexacerbatedbynicotineinvapeaerosolexposure
AT carolinaesquer myocardialinfarctioninjuryisexacerbatedbynicotineinvapeaerosolexposure
AT claudiamolinaro myocardialinfarctioninjuryisexacerbatedbynicotineinvapeaerosolexposure
AT sophierokaw myocardialinfarctioninjuryisexacerbatedbynicotineinvapeaerosolexposure
AT abrahamgshain myocardialinfarctioninjuryisexacerbatedbynicotineinvapeaerosolexposure
AT faidjaafar myocardialinfarctioninjuryisexacerbatedbynicotineinvapeaerosolexposure
AT morgankwright myocardialinfarctioninjuryisexacerbatedbynicotineinvapeaerosolexposure
AT joyaphillips myocardialinfarctioninjuryisexacerbatedbynicotineinvapeaerosolexposure
AT tylerhopkins myocardialinfarctioninjuryisexacerbatedbynicotineinvapeaerosolexposure
AT samamikhail myocardialinfarctioninjuryisexacerbatedbynicotineinvapeaerosolexposure
AT abigailrieder myocardialinfarctioninjuryisexacerbatedbynicotineinvapeaerosolexposure
AT arianamardani myocardialinfarctioninjuryisexacerbatedbynicotineinvapeaerosolexposure
AT barbarabailey myocardialinfarctioninjuryisexacerbatedbynicotineinvapeaerosolexposure
AT markasussman myocardialinfarctioninjuryisexacerbatedbynicotineinvapeaerosolexposure