title: Electronic cigarettes: overview of chemical composition and exposure estimation.
abstract: BACKGROUND
  Electronic cigarettes (e-cigarettes) are advertised to tobacco users as a tool to decrease cigarette consumption and to reduce toxic exposure associated with conventional tobacco smoking. Little is known about the compounds contained in such products, their exposure and long-term health effects.
  
  
  METHODS
  NMR spectroscopy was used to ascertain the content of several constituents of e-cigarette liquids including nicotine, solvents and some bioactive flavour compounds. Risk assessment was based on probabilistic exposure estimation and comparison with toxicological thresholds using the margin of exposure (MOE) approach.
  
  
  RESULTS
  In 54 samples of e-cigarette liquids, the average nicotine content was 11 mg/ml. Only 18 from 23 samples were confirmed as nicotine-free samples and in one e-cigarette liquid nicotine was not detected while being declared on the labelling. Major compounds of e-cigarette liquids include glycerol (average 37 g/100 g), propylene glycol (average 57 g/100 g) and ethylene glycol (average 10 g/100 g). Furthermore, 1,3-propanediol, thujone and ethyl vanillin were detected in some samples. The average exposure for daily users was estimated as 0.38 mg/kg bw/day for nicotine, 8.9 mg/kg bw/day for glycerol, 14.5 mg/kg bw/day for 1,2-propanediol, 2.1 mg/kg bw/day for ethylene glycol, and below 0.2 mg/kg bw/day for the other compounds. The MOE was below 0.1 for nicotine, but all other compounds did not reach MOE values below 100 except ethylene glycol and 1,2-propanediol.
  
  
  CONCLUSIONS
  NMR spectroscopy is a useful and rapid method to simultaneously detect several ingredients in e-cigarette liquids. From all compounds tested, only nicotine may reach exposures that fall into a high risk category with MOE <1. Therefore, e-cigarette liquid products should be subjected to regulatory control to ensure consistent nicotine delivery. Solvents with more favourable toxicological profiles should be used instead of ethylene glycol and 1,2-propanediol, which may fall into a risk category with MOE < 100.
authors.affiliation: Chemisches und Veterinäruntersuchungsamt (CVUA) Sigmaringen, Fidelis-Graf-Straße 1, 72488 Sigmaringen, Germany.
authors.forename: Jürgen
authors.initials: J
authors.lastname: Hahn
authors.affiliation: Chemisches und Veterinäruntersuchungsamt (CVUA) Karlsruhe, Weissenburger Strasse 3, 76187 Karlsruhe, Germany.|Institute of Chemistry, Saratov State University, Astrakhanskaya Street 83, 410012 Saratov, Russia.|Bruker Biospin GmbH, Silberstreifen, 76287 Rheinstetten, Germany.
authors.forename: Yulia B
authors.initials: YB
authors.lastname: Monakhova
authors.affiliation: Chemisches und Veterinäruntersuchungsamt (CVUA) Karlsruhe, Weissenburger Strasse 3, 76187 Karlsruhe, Germany.
authors.forename: Julia
authors.initials: J
authors.lastname: Hengen
authors.affiliation: Chemisches und Veterinäruntersuchungsamt (CVUA) Karlsruhe, Weissenburger Strasse 3, 76187 Karlsruhe, Germany.
authors.forename: Matthias
authors.initials: M
authors.lastname: Kohl-Himmelseher
authors.affiliation: Chemisches und Veterinäruntersuchungsamt (CVUA) Karlsruhe, Weissenburger Strasse 3, 76187 Karlsruhe, Germany.
authors.forename: Jörg
authors.initials: J
authors.lastname: Schüssler
authors.affiliation: Chemisches und Veterinäruntersuchungsamt (CVUA) Sigmaringen, Fidelis-Graf-Straße 1, 72488 Sigmaringen, Germany.
authors.forename: Harald
authors.initials: H
authors.lastname: Hahn
authors.affiliation: Chemisches und Veterinäruntersuchungsamt (CVUA) Karlsruhe, Weissenburger Strasse 3, 76187 Karlsruhe, Germany.
authors.forename: Thomas
authors.initials: T
authors.lastname: Kuballa
authors.affiliation: Chemisches und Veterinäruntersuchungsamt (CVUA) Karlsruhe, Weissenburger Strasse 3, 76187 Karlsruhe, Germany.
authors.forename: Dirk W
authors.initials: DW
authors.lastname: Lachenmeier
keywords: Electronic cigarettes; Electronic nicotine delivery systems; Nicotine; Risk assessment