Electronic cigarette (e-cigarette) vapour is gaining popularity as an alternative to tobacco smoking and can induce acute lung injury. However, the specific role of nicotine in e-cigarette vapour and its long-term effects on the airways, lung parenchyma and vasculature remain unclear. We found thatin vitroexposure to nicotine-containing e-cigarette vapour extract (ECVE) or nicotine-free extract (NF ECVE) induced changes in gene expression of epithelial cells and pulmonary arterial smooth muscle cells (PASMC), but preferentially ECVE caused functional alterations (e.g.decrease of human or mouse PASMC proliferation by 29.3±5.3% or 44.3±8.4%, respectively). Additionally, acute inhalation of nicotine-containing e-cigarette vapour (ECV) but not nicotine-free vapour (NF ECV) increased pulmonary endothelial permeability in isolated lungs. Long-term,in vivoexposure of mice to ECV for 8 months significantly increased the number of inflammatory cells, in particular lymphocytes compared to control and NF ECV in the bronchoalveolar lavage (BAL, ECV: 853.4±150.8, control: 37.0±21.1, NF ECV: 198.6±94.9 cells·mL−1) and in lung tissue (ECV: 25.7±3.3, control: 4.8±1.1, NF ECV: 14.1±2.2 cells·mm−3). BAL-cytokines were predominantly increased by ECV. Moreover, ECV caused significant changes in lung structure and function (e.g.increase in airspace by 17.5±1.4% compared to control), similar to mild tobacco smoke-induced alterations, which also could be detected in the NF ECV group, albeit to a lesser degree. In contrast, the pulmonary vasculature was not significantly affected by ECV or NF ECV. In conclusion, NF ECV components induce cell-type specific effects and mild pulmonary alterations, while inclusion of nicotine induces significant endothelial damage, inflammation and parenchymal alterations.