“…Moreover, the advent of e-cigarettes and other nicotine “vaping” devices has led to the commercial promotion of these products as having reduced risk for adverse health effects associated with tobacco products. In addition to published studies pointing to dysmorphology and dysfunction of mucociliary clearance mechanisms associated with tobacco smoke exposure, there is a growing awareness of the role of the regulation of ciliary function modulation by nitric oxide (NO) (Jain et al, 1993; Jiao et al, 2011; Maniscalco et al, 2016; Ostrowski et al, 2012; Sisson et al, 2009; Vleeming et al, 2002; Wyatt, 2015; Zhou et al, 2009, 2011). While a variety of agents such as alcohol, tobacco smoke and microbiological products have been shown to affect this mechanism, there is little data to inform how NO modulation of ciliary function might be associated with e-cigarette use (Hariri et al, 2016; Sisson et al, 2009; Zhou et al, 2009).…”