PROJECT SUMMARY
Title: Exosomal epigenetic biomarkers associated with flavored electronic cigarette use in adults
This project addresses two scientific interest areas as defined in RFA-OD-19-021: 1) Utilize both blood and
urine specimens to analyze biomarkers of tobacco exposure not currently measured by other national
studies; 2) Examine differences in exosomal epigenetic biomarkers associated with exposure to
tobacco products. E-cigarette, a handheld electronic device simulating the feeling of tobacco smoking, gains
global popularity during the past few years especially in youth and young adults, largely due to various e-liquid
flavors. However, the health risks of e-cigarette use, especially long-term health risks, are unclear. E-liquid
usually contains propylene glycol and/or vegetable glycerin as well as nicotine and flavoring chemicals. Our
previous experimental studies on lung epithelial cells and monocytes exposed to different flavoring chemicals
or e-cigarette flavors without nicotine have shown different cytotoxicity. Our preliminary data showed that there
were significant differences in exosomal epigenetic biomarkers (microRNAs and long non-coding RNAs)
between non-users and e-cigarette users using human plasma samples. However, how e-liquid flavors
(flavoring chemicals) lead to the changes in exosomal epigenetic biomarkers during the e-cigarette initiation,
exposure, and cessation is largely unknown. Considering the crucial regulatory functions of micoRNAs and
long non-coding RNAs and their association with diseases, it is critical to evaluate their changes and
associated biological pathways during the flavored e-cigarette initiation, exposure and cessation to help
understand health risks associated with e-cigarette use. The overarching goal of the proposed study is to
identify exosomal epigenetic biomarkers (including microRNAs and long non-coding RNAs) associated
with flavored e-cigarettes. We have requested both longitudinal urine specimens (PATH Wave 1 study
conducted from 2013 to 2014 and Wave 2 study conducted from 2014 to 2015) and cross-sectional blood
specimen (PATH Wave 1 study) from Population Assessment of Tobacco and Health (PATH) Study
biorepositories. The samples are available from PATH based upon the Biospecimen Availability Report (BAR
ID: 2019-005-BAR-2) received from PATH Study Biospecimen Access Program. We will link these
biospecimens with PATH survey data through unique subject IDs. To achieve our goal, we will examine both
blood and urinary exosomal epigenetic biomarkers (microRNAs and long non-coding RNAs) and associated
biological pathways related to flavored e-cigarettes use (such as fruit flavor) (Aim 1), as well as the within-
subject alterations in exosomal epigenetic biomarkers and associated biological pathways during the e-
cigarette initiation and cessation (Aim 2). In addition, based on the identified key miRNAs and lncRNAs from
aim 1 and aim 2 comparisons, we will conduct innovative experiments. We will expose those miRNAs and
lncRNAs to primary human bronchial epithelial cells (HBEC) and small airway epithelial cells (SAEC) from non-
smoker adults to determine their toxicity/inflammatory response for regulatory science. Outcomes for
Regulatory Science: Assessment of health risks of the flavored e-cigarettes through identification of
microRNAs and long non-coding RNAs associated with e-cigarette exposure from PATH Wave 1 and Wave 2
blood and urine specimens will provide crucial information on relative toxicity of e-cigarette flavorings, which
would provide evidence to support the FDA’s regulatory efforts.