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Altered uterine artery protein signature and function following E-cigarette exposure in pregnancy

Alexander Juusela, Vishal D. Naik, A. Carabulea, J. Janeski, Hong Jiang, Saravanan Venkatachalam, J. Ramadoss

American journal of translational research, 2025

3 citations

Abstract

OBJECTIVE

Over the past decade e-cigarette (e-cig) usage has become a growing public health concern, especially during pregnancy as many perceive e-cigs as a safer alternative to combustible cigarettes. Although human and animal models exhibit altered uterine artery Doppler velocimetry and waveform abnormalities following traditional smoking and buccal nicotine exposure, the effects of e-cig aerosols on pregnancy are incompletely researched and understood. We hypothesized that an altered uterine artery proteomic signature, accompanied by functional deficits, will be caused by e-cig vaping during pregnancy.

METHODS

In a validated timed pregnant Sprague-Dawley rat model system, a custom-engineered vaping system comprising a commercial atomizer and vape unit was utilized to generate and deliver e-cig aerosols that mimic the aerosols produced by commercial e-cigs, once daily, to pregnant dams.

RESULTS

Mean fetal weight, crown-rump length, and placental weight were significantly lower in the E-Cig group than those in the pair-fed Control group. Mass spectrometry followed by proteomic analysis detected a total of 2129 proteins; 36 significantly altered proteins were mostly related to immune system and vasodilation. Principal component analysis validated the protein signature. The uterine arteries of e-cig exposed rats demonstrated impaired concentration-dependent acetylcholine-induced uterine artery relaxation. Supplementation of N(ω)-nitro-L-arginine methyl ester (L-NAME)…

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