Dosimetry in the lungs of α-particles (210Po) and β-particles (210Pb) present in the tobacco smoke of conventional cigarettes and heated tobacco products

New insights in tobacco radiotoxicity: on the research of 210Po in modern heated tobacco product-radioactivity, distribution, and dose assessment

The purpose of the study was to assess the radiological risk to users and the environment related to the Glo system used to heat tobacco. The concentration of 210Po, radioactivity per cartridge, and radiation dose assessment were evaluated. For comparison purposes, to present the exposure scale, the same analyses were also performed for several traditional cigarettes. The tests were carried out on an alpha spectrometer equipped with a PIPS detector. After examining 60 samples, the concentration of 210Po was found in tobacco that was a filling of Neo cartridges and in traditional cigarettes. 210Po concentrations [in mBq∙g-1] in heated tobacco were higher than in unheated. After heating, a little release of polonium (mBq per cartridge) was observed. The research was also done taking into account the flavor of the Neo cartridges and cartridges from different packages. The 210Po concentrations in heated Neo cartridges were greater than 30 mBq∙g-1 and in traditional cigarettes up to 50 mBq∙g-1. The estimated annual effective dose for Neo cartridges was lower than that for traditional smoking. However, it cannot be concluded that the use of Neo cartridges is healthier and does not affect the environment. What is disturbing is the increase in the number of cartridges used daily, resulting in the creation of waste containing 210Po and, of course, a higher effective dose received by the user.

The Product Science of Electrically Heated Tobacco Products: An Updated Narrative Review of the Scientific Literature

Heated tobacco products represent a novel category of tobacco products in which a tobacco consumable is heated to a temperature that releases nicotine from the tobacco leaf but not to a temperature sufficient to cause combustion. Heated tobacco products may therefore have the potential to be a less harmful alternative for adult smokers who would otherwise continue to smoke cigarettes, as their use should result in exposure to substantially fewer and lower levels of toxicants. This update represents a two-year extension to our previous narrative review, which covered peer-reviewed journal articles published up to August 31, 2021. The scientific evidence published between 2021 and 2023 continues to indicate that aerosols produced from heated tobacco products contain fewer and substantially lower levels of harmful and potentially harmful constituents and that these observed reductions consistently translate to reduced biological effects in both in vitro and in vivo toxicological studies. Biomarker and clinical data from studies in which product use is controlled within a clinical setting continue to suggest changes in levels of biomarkers of exposure, biomarkers of potential harm, and clinical endpoints indicating the potential for reduced harm with switching to exclusive use of heated tobacco products in adult smokers. Overall, the available peer-reviewed scientific evidence continues to indicate that heated tobacco products offer promise as a potentially less harmful alternative to cigarettes, and as such, the conclusions of our original narrative review remain valid.

Toxicological Aspects Associated with Consumption from Electronic Nicotine Delivery System (ENDS): Focus on Heavy Metals Exposure and Cancer Risk

Tobacco smoking remains one of the leading causes of premature death worldwide. Electronic Nicotine Delivery Systems (ENDSs) are proposed as a tool for smoking cessation. In the last few years, a growing number of different types of ENDSs were launched onto the market. Despite the manufacturing differences, ENDSs can be classified as "liquid e-cigarettes" (e-cigs) equipped with an atomizer that vaporizes a liquid composed of vegetable glycerin (VG), polypropylene glycol (PG), and nicotine, with the possible addition of flavorings; otherwise, the "heated tobacco products" (HTPs) heat tobacco sticks through contact with an electronic heating metal element. The presence of some metals in the heating systems, as well as in solder joints, involves the possibility that heavy metal ions can move from these components to the liquid, or they can be adsorbed into the tobacco stick from the heating blade in the case of HTPs. Recent evidence has indicated the presence of heavy metals in the refill liquids and in the mainstream such as arsenic (As), cadmium (Cd), chromium (Cr), nickel (Ni), copper (Cu), and lead (Pb). The present review discusses the toxicological aspects associated with the exposition of heavy metals by consumption from ENDSs, focusing on metal carcinogenesis risk.