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Cancer Prevention Research
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E-Cigarettes and Cancer Risk

Boris Mravec, Miroslav Tibensky, Lubica Horvathova and Pavel Babal
Boris Mravec
1Institute of Physiology, Faculty of Medicine, Comenius University in Bratislava, Slovakia.
2Biomedical Research Center, Institute of Experimental Endocrinology, Slovak Academy of Sciences, Bratislava, Slovakia.
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  • For correspondence: boris.mravec@fmed.uniba.sk
Miroslav Tibensky
1Institute of Physiology, Faculty of Medicine, Comenius University in Bratislava, Slovakia.
2Biomedical Research Center, Institute of Experimental Endocrinology, Slovak Academy of Sciences, Bratislava, Slovakia.
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Lubica Horvathova
2Biomedical Research Center, Institute of Experimental Endocrinology, Slovak Academy of Sciences, Bratislava, Slovakia.
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Pavel Babal
3Institute of Pathology, Faculty of Medicine, Comenius University in Bratislava, Slovakia.
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DOI: 10.1158/1940-6207.CAPR-19-0346 Published February 2020
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Abstract

From the time of their introduction, the popularity of e-cigarettes (electronic nicotine-delivery systems) has been rising. This trend may reflect the general belief that e-cigarettes are a less hazardous alternative to combustible cigarettes. However, the potential cancer-related effects of increased activation of the sympathoadrenal system induced by the inhalation of nicotine, the primary component of the e-cigarettes, are completely overlooked. Therefore, the aim of this review is to describe mechanisms that may connect the use of e-cigarettes and an increased risk for cancer development, as well as their stimulatory effect on cancer progression. Available preclinical data indicate that activation of the sympathetic nervous system by nicotine inhaled from e-cigarettes may stimulate cancer development and growth by several mechanisms. This issue might be especially important for oncological patients as they may have the misconception that compared with combustible cigarettes, e-cigarettes represent a risk-free alternative.

Footnotes

  • Cancer Prev Res 2020;13:137–44

  • Received July 11, 2019.
  • Revision received August 28, 2019.
  • Accepted October 8, 2019.
  • Published first October 16, 2019.
  • ©2019 American Association for Cancer Research.
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Cancer Prevention Research: 13 (2)
February 2020
Volume 13, Issue 2
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E-Cigarettes and Cancer Risk
Boris Mravec, Miroslav Tibensky, Lubica Horvathova and Pavel Babal
Cancer Prev Res February 1 2020 (13) (2) 137-144; DOI: 10.1158/1940-6207.CAPR-19-0346

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E-Cigarettes and Cancer Risk
Boris Mravec, Miroslav Tibensky, Lubica Horvathova and Pavel Babal
Cancer Prev Res February 1 2020 (13) (2) 137-144; DOI: 10.1158/1940-6207.CAPR-19-0346
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    • Abstract
    • Introduction
    • Differences between Combustible and e-Cigarettes
    • Direct Carcinogenic Effects of e-Cigarettes
    • Indirect “Hidden” Tumor-Promoting Effects of e-Cigarettes
    • E-Cigarettes and Patients with Cancer
    • Recommendations for Clinicians
    • Future Directions
    • Conclusion
    • Disclosure of Potential Conflicts of Interest
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Cancer Prevention Research
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