A contemporary review of nephrotoxicity and e-cigarette use

Since the advent of e-cigarettes (e-cigs) as alternatives to conventional cigarette smoking, there has been a dramatic increase in their use especially among adolescents and young adults. Vaping aerosols produced by e-cigs contain a variety of toxic and carcinogenic compounds, such as volatile organic compounds (VOCs), formaldehyde and acrolein, and metals including lead and nickel. General health effects of e-cig use range from respiratory health issues, hypertension and cardiovascular disease, as well as gastrointestinal problems and cognitive and nervous system decline. Unfortunately, there remains very limited information about e-cig use and its association with renal health, despite the fact that chronic kidney disease (CKD) affects about 37 million Americans. It has been reported that cigarette smoking causes the progression of CKD, and that nicotine, a constituent of both conventional cigarettes and e-cig devices, causes renal toxicity by promoting inflammation and injury through oxidative stress-mediated pathways. This contemporary review will discuss the results of current epidemiological and experimental toxicology literature (2016–2022), as well as possible mechanisms of e-cig-induced renal injury.