Cigarettes, potentially safer alternatives to combustible
cigarettes,
have been reported to increase the health risk for long-term users,
so accumulating information about their potential toxicity is of great
concern. However, toxicological evaluations of e-cigarette aerosols
are limited, which may be attributed to the lack of a simple and efficient
extraction method. Here, we developed a high-speed centrifugal method
for extracting e-cigarette aerosol collected mass (ACM) and prepared
ACM samples of 26 representative e-cigarettes, and 10 samples were
further selected based on their cytotoxicity for systematic toxicological
assessments. The average extraction efficiency of ACM, primary aerosol
components, and typical carbonyls exceeded 85%. The toxicological
evaluation showed that the IC50 value range of e-cigarettes
for cytotoxicity was 2–52 mg/mL ACM, all e-cigarettes can induce
the risk of DNA damage, mitochondrial depolarization, and c-Jun-related
signal disturbances; most e-cigarettes significantly caused disturbance
of oxidative stress balance. E-cigarettes with higher cytotoxicity
appeared to cause a higher degree of damage, while no e-cigarette
promoted mutagenicity and cytochrome c release. The toxicity difference
among e-cigarettes using nicotine equivalent was significantly lower
than that of ACM. This study provides a novel extraction method and
a comprehensive in vitro toxicity risk profile of e-cigarette aerosols.