“…These findings are consistent with the reduced biological activity and reductions in some biomarkers of effect for the aerosols from non-combusted tobacco products where the tobacco is heated, but not burnt [ [48] , [49] , [50] , [51] , [52] , [53] , [54] ]. Further, the available repeated inhalation toxicity data evaluating heated tobacco products is limited but does allow some inferences to be made about the tumorigenicity of these products in comparison to combustible cigarettes, as discussed below.…”
“…These findings are consistent with the reduced biological activity and reductions in some biomarkers of effect for the aerosols from non-combusted tobacco products where the tobacco is heated, but not burnt [ [48] , [49] , [50] , [51] , [52] , [53] , [54] ]. Further, the available repeated inhalation toxicity data evaluating heated tobacco products is limited but does allow some inferences to be made about the tumorigenicity of these products in comparison to combustible cigarettes, as discussed below.…”
“…In the recent years, tobacco heating products and electronic cigarettes have gained popularity as a healthier alternative to smoking conventional cigarettes as well. Despite these newer products being less toxic than the conventional cigarettes [ 3 , 127 ], their ability to lessen health risks is still highly questionable. Thus, forthcoming investigations should also include toxicological evaluations of these newer alternatives in the larynx.…”
Section: Discussionmentioning
confidence: 99%
“…Long-term inhalation or exposure to cigarette smoke (CS) affects multiple organ sites within the body and leads to a multitude of benign and malignant diseases. This is not surprising as the smoke produced from burning a cigarette contains more than 7000 harmful toxicants in both gaseous and particulate phases, including at least 70 carcinogenic substances [ 2 , 3 ]. The respiratory tract is a primary target for such toxicants [ 4 ].…”
“…The CHO cells were maintained using the same methods as NCI-H292 cells. The experimental design complied with the OECD Guideline 487, and the experimental method was adjusted following previously described methods. − We coated the glass-bottomed 96-well culture plates with 50 μL of poly- d -lysine (Beyotime, Shanghai, China) for at least 2 h, after which each well was seeded with 10 000 cells and the plates were incubated at 37 °C for 24 h. Based on the IC 50 obtained by the CCK-8 analysis, five different concentrations of the test THP extracts were selected for this assay. The cells were subjected to three treatment conditions: (1) 4 h + S9, (2) 4 h – S9, and (3) 24 h – S9.…”
Harmful and potentially harmful constituents (HPHCs) in tobacco smoke are thought to be responsible for the increased health risks. Tobacco heating products (THPs) heat tobacco instead of burning it to achieve significantly fewer toxicants than conventional cigarettes. To assess the toxicity of THP aerosols, it is often desirable to extract the main constituents using a solvent method. In this study, we developed a high-speed centrifugal method for extracting the total particulate matter (TPM) from THPs to quantitatively compare the toxicity of different THPs and conventional cigarettes. Its TPM extraction efficiency exceeded 85%, and the primary aerosol components and typical HPHCs were comparable to those of the solvent method. The TPMs extracted from five THPs were subjected to 14 in vitro toxicology assessments, and the results were compared with those of a 3R4F reference cigarette. Physical separation can improve biases from solvent selectivity and potential interactions between solvent and aerosol constituents. By eliminating solvent influence, the extraction method could achieve high-dose exposures, enabling the toxicity comparison of different THPs. The relative toxicity of the THPs differed under different dosage units, including the TPM concentration, nicotine equivalent, and puff number.
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