Vaping Additives Negatively Impact The Stability and Lateral Film Organization of Lung Surfactant Model Systems

Abstract

Aims: Inhalation of vaping additives has recently been shown to impair respiratory function, leading to e-cigarette or vaping product use associated with lung injuries. This work was designed to understand the impact of additives (vitamin E, vitamin E acetate, tetrahydrocannabinol and cannabidiol) on model lung surfactants. Materials & methods: Lipid monofilms at the air–water interface and Brewster angle microscopy were used to assess the impact of vaping additives on model lung surfactant films. Results & conclusion: The addition of 5 mol % of vaping additives, and even more so mixtures of vitamins and cannabinoids, negatively impacts lipid packing and film stability, induces material loss upon cycling and significantly reduces functionally relevant lipid domains. This range of detrimental effects could affect proper lung function.

Plain language summary

The increasing use of vaping products in young adults and the emergence of associated lung injuries have resulted in significant health concerns for healthcare professionals and the public alike. These detrimental effects were linked to additives such as vitamin E and cannabinoids. The deep lung is composed of many small compartments, where oxygen is taken up into the body. The ultimate barrier between the outer gas phase and the lung cells is a layer composed of mainly lipids and some proteins, the lung surfactant. The authors present data for lung surfactant models based on the composition of human lung surfactant. The selected components reflect key lung surfactant roles, stability upon exhalation and fast spreading after inhalation. Additives have recently been shown to impair respiratory function, leading to e-cigarette or vaping product use associated lung injuries. This work was designed to understand the impact of additives (vitamin E, vitamin E acetate, tetrahydrocannabinol and cannabidiol) on model lung surfactants. All tested additives, and more so their mixtures, clearly affected the lung surfactant model in terms of stability and elasticity, which impairs its ability to perform the aforementioned roles. Lipid monofilms at the air–water interface and Brewster angle microscopy were used to assess the impact of vaping additives on model lung surfactant films. The addition of 5 mol % of vaping additives, and even more so mixtures of vitamins and cannabinoids, negatively impacts lipid packing and film stability, induces material loss upon cycling and significantly reduces functionally relevant lipid domains. This range of detrimental effects could affect proper lung function.

Graphical abstract

Keywords::

• biophysical characterization
• detrimental effects Brewster angle microscopy
• isotherms at air-water interface
• lung surfactant model system
• monolayers
• vaping additives

Supplementary data

To view the supplementary data that accompany this paper please visit the journal website at: www.tandfonline.com/doi/suppl/10.2217/nnm-2021-0298

Financial & competing interests disclosure

Funding was provided by an NSERC discovery grant to EJ Prenner. The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed.

No writing assistance was utilized in the production of this manuscript.

Additional information

Funding

Funding was provided by an NSERC discovery grant to EJ Prenner. The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed.