This study investigated the pro-inflammatory and pro-oxidative effects of popular electronic cigarette aerosols (ECAs) compared with conventional cigarette smoke (CS) in the cultured human alveolar epithelial cell line (A549). Using cytotoxicity assays and four ECAs, substantial differences in biological impact were observed. CS exposure led to significant declines in cell viability and pronounced morphological changes, consistent with the presence of toxic combustion byproducts. Most ECAs caused negligible cytotoxicity except for the tobacco-flavoured variant, which demonstrated marked toxicity. DNA damage and altered cell cycle profiles were minor. Oxidative stress analysis revealed stable superoxide dismutase activity but notable glutathione depletion, especially with watermelon- and strawberry-flavoured ECAs, and unaltered mitochondrial transmembrane potential, indicating the importance of individual flavour additives in cellular antioxidant defence. Inflammatory markers, such as TNF-α, NF-κB, and IL-6, were differentially elevated across the CS and ECA groups, with IL-6 consistently increased, underscoring its role in regulating epithelial cells. Advanced double fluorescence analysis revealed increased cellular heterogeneity and inflammation, which was distinct for all ECA flavours. Overall, the findings demonstrate considerable heterogeneity in biological effects among ECA flavourings and propose a simple ECA biomonitoring model. The results emphasise the necessity for individualised toxicity assessments, especially regarding subclinical inflammation and potential long-term health outcomes.

This study investigated the proinflammatory and prooxidative effects of popular electronic cigarette (EC) aerosols compared with conventional cigarette smoke (CS) in cultured human alveolar epithelial cell line (A549). Using cytotoxicity assays and four EC extracts, substantial differences in biological impact were observed. CS exposure led to significant declines in cell viability and pronounced morphological changes, consistent with the presence of toxic combustion byproducts. Most EC extracts caused negligible cytotoxicity except for the tobacco-flavoured variant, which demonstrated marked toxicity. DNA damage and altered cell cycle profiles were minor. Oxidative stress analysis revealed stable superoxide dismutase activity but notable glutathione depletion, especially with watermelon and strawberry-flavoured ECs, indicating the importance of individual flavour additives in cellular antioxidant defence. Inflammatory markers such as TNF-α, NF-κB, and IL-6 were differentially elevated across CS and EC groups, with IL-6 consistently increased, underscoring its role in epithelial cell regulation. Advanced double fluorescence analysis highlighted increased cellular heterogeneity and inflammation, distinct for all EC flavours. Overall, the findings demonstrate considerable heterogeneity in biological effects among EC flavourings and propose a simple biomonitoring model. The results emphasise the necessity for individualised toxicity assessments, especially regarding potential long-term health outcomes.

Fine inhalable particulate matter (PM) triggers an inflammatory response in the airways and activates mononuclear cells, mediators of tissue homeostasis, and tumour-promoting inflammation. We have assessed ex vivo responses of human monocytes and monocyte-derived macrophages to standardised air pollutants: carbon black, urban dust, and nanoparticulate carbon black, focusing on their pro-inflammatory and DNA-damaging properties. None of the PM (100 μg/mL/24 h) was significantly toxic to the cells, aside from inducing oxidative stress, fractional DNA damage, and inhibiting phagocytosis. TNFα was only slightly increased. PM nanoparticles increase the expression and activate DNA-damage–related histone H2A.X as well as pro-inflammatory NF-κB. We have shown that the urban dust stimulates the pathway of DNA damage/repair via the selective post-translational phosphorylation of H2A.X while nanoparticulate carbon black increases inflammation via activation of NF-κB. Moreover, the inflammatory response to lipopolysaccharide was significantly stronger in macrophages pre-exposed to urban dust or nanoparticulate carbon black. Our data show that airborne nanoparticles induce PM-specific, epigenetic alterations in the subsets of cultured mononuclear cells, which may be quantified using binary fluorescence scatterplots. Such changes intercede with inflammatory signalling and highlight important molecular and cell-specific epigenetic mechanisms of tumour-promoting inflammation.

Electronic cigarettes (ECs) are promoted as a safer alternative to traditional cigarettes, yet their impact on immune cells remains incompletely understood. This study investigates the activation of human primary adherent and non-adherent monocytes exposed ex vivo to aerosols from four flavored ECs (classic tobacco, menthol, watermelon, and strawberry) compared to cigarette smoke (CS) and nicotine alone. EC aerosols (ECEs) induced modest cytotoxicity, oxidative stress, and superoxide dismutase activity compared to CS, with high cell response heterogeneity indicating subpopulation-specific effects. Adherent monocytes showed elevated integrin expression (CD11a, CD11b), ICAM-1 (CD54), TNFα, and oxidative stress versus non-adherent cells, amplified by ECE. Dual fluorescence flow cytometry (green DCF for ROS and red for anti-TNFα Ab) revealed shifts toward pro-inflammatory/oxidative quadrants, particularly upper-right high-intensity relatively small subsets with macrophage M1-like CD68 expression in adherent cells. ECEs reduced phagocytosis in adherent monocytes, mimicking CS effects, probably driven by non-nicotine components. Strawberry flavor (ECE 4) elicited the strongest TNFα induction. These findings demonstrate EC-induced subclinical inflammation via selective monocyte activation, potentially contributing to chronic cardiopulmonary risks despite significantly lower overall toxicity than CS.

Electronic cigarettes are widely promoted as a less harmful alternative to conventional cigarettes, but their cellular effects remain incompletely defined and may vary by flavouring composition. This study examined the effects of four flavoured e-cigarette aerosols, cigarette smoke, and nicotine on human THP-1 monocytic cells, focusing on cytotoxicity, oxidative stress, inflammatory activation, adhesion, and phagocytic function. Cells were exposed for 24 hours to conditioned media generated using a standardised puffing protocol and then analysed by microscopy, trypan blue exclusion, flow cytometry, and dual-fluorescence scatterplot analysis. Cigarette smoke-conditioned medium produced the greatest acute toxicity, significantly increasing cell death, membrane damage, and DNA fragmentation. In contrast, the tested e-cigarette aerosol-conditioned media and nicotine alone produced little overt cytotoxicity under the same experimental conditions. However, e-cigarette exposures increased cell adhesion and were associated with formulation- and cell subpopulation–dependent changes in CD11a, CD11b, and CD54 expression. E-cigarettes increased intracellular DCF-associated oxidative fluorescence and TNF expression, with the watermelon and strawberry formulations producing the strongest responses. Nicotine alone did not reproduce these pro inflammatory/pro oxidant effects to the same extent as the full aerosol. Instead, in non adherent cells, nicotine behaved more like an antioxidant/anti inflammatory agent, while in adherent cells, it showed a tendency toward pro oxidant/pro inflammatory behaviour, though generally weaker than cigarette smoke and e cigarette aerosols. These effects indicate that other aerosol components substantially contribute to biological activity, and the effect may be bimodal. Phagocytosis was reduced in selected groups, suggesting that some exposures may impair this cellular function. Bivariate fluorescence revealed exposure-dependent differences in the relationship between oxidative stress and TNF expression, with cigarette smoke producing the most pronounced disruption. Overall, these findings support the potential utility of bivariate fluorescence analysis as a complementary in vitro approach for detecting and comparing oxidative and inflammatory cellular responses to different e-cigarette aerosols.