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For example, they are linked to: lung inflammation asthma stroke heart disease diabetes Also, bacteria exposed to nicotine-rich vapours form a biofilm coating

Significant increases in genotoxicity or expression of proteins involved in mutagenesis were found following acute exposure to nicotine e-cigarette in 6 studies 28,34-37,42 , following short-to-medium term exposure in 1 study 33 , and following non-nicotine e-cigarette exposure in 1 study 25

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Emerging nicotine analog 6-methyl nicotine increases reactive oxygen species in aerosols and cytotoxicity in human bronchial epithelial cells Felix Effah, Yehao Sun, Alan Friedman, Irfan Rahman Toxicology Letters 2