In an April 2024 report by Concordia University it was said,

  • “We can see that the presence of vitamin E changes the functional properties of the surfactant,”

  • “Oxygen is exchanged for carbon dioxide across the pulmonary surfactant, so if the surfactant properties are altered, so can be the ability for gas to be exchanged. And if the surface tension is changed, that affects the work of breathing. So combined, these changes make breathing more difficult. We think this is the molecular basis contributing to the shortness of breath and reduced oxygen levels seen in people suffering from EVALI.”

  • “Many of the components in these solutions are approved by the United States Food and Drug Administration for other uses,”

  • “But the high heating rates needed to vaporize these components can cause further chemical reactions to occur. The components that are actually being inhaled may not be the ones in the original e-liquid.”

  • “Understanding the impact of vaping additives on lung surfactant is vital, particularly for younger generations who are more influenced by vaping trends,”

  • “This research reveals critical insights into the potential short- and long-term consequences of vaping, empowering young individuals to make informed choices about their health and well-being.”