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Table 1 Urine and blood biomarkers of exposure

From: Reductions in biomarkers of exposure, impacts on smoking urge and assessment of product use and tolerability in adult smokers following partial or complete substitution of cigarettes with electronic cigarettes

 

Chemical constituent

Clinical endpoint

Analysis method

LLOQb

Urine biomarkers of exposure

    

 NNAL (4-(methylnitrosamino)-1–(3-pyridyl)-1-butanol)

4-(methylnitrosamino)-1–(3-pyridyl)-1-butanone (NNK)

Cancer

LC-MS-MS

5.00 pg/mL

 3-HPMA 3-hydroxypropylmercapturic acid

Acrolein

Cancer

LC-MS-MS

20 ng/mL

 HMPMA (3-hydroxy-1-ethylpropylmercapturic acid)

Crotonaldehyde

Cancer

LC-MS-MS

20 ng/mL

 CEMA (2-cyanoethylmercapturic acid)

Acrylonitrile

Cancer

LC-MS-MS

0.275 ng/mL

 1-OHP (1-hydroxypyrene)

Pyrene

Cancer

LC-MS-MS

10.0 pg/mL

 NNN (N-Nitrosonornicotine)

NNN

Cancer

LC-MS-MS

0.200 pg/mL

 MHBMA (Monohydroxy-3-butenyl mercapturic acid)

1,3-Butadiene

Cancer

LC-MS-MS

0.100 ng/mL

 S-PMA (S-phenylmercapturic acid)

Benzene

Cancer

LC-MS-MS

0.0250 ng/mL

 Nicotine equivalentsa

 Nicotine

 Nicotine-gluc

 Cotinine

 Cotinine-gluc

 Trans-3′-hydroxycotinine

 Trans-3′-hydroxycotinine-gluc

Nicotine

Nicotine exposure

LC-MS-MS

50.0 ng/mL

50.0 ng/mL

50.0 ng/mL

200 ng/mL

50.0 ng/mL

200 ng/mL

Blood Biomarkers of Exposure

    

 Blood COHb

CO

CO Exposure

Spectrophotometric

0.50 %

 Plasma Nicotine

Nicotine

Nicotine Exposure

LC-MS-MS

0.200 ng/mL

 Plasma Cotinine

Nicotine

Nicotine Exposure

LC-MS-MS

1.00 ng/mL

 Plasma Trans-3′hydroxycotinine

Nicotine

Nicotine Exposure

LC-MS-MS

1.00 ng/mL

  1. aNicotine equivalents: calculated as the molar sum of nicotine and 5 major nicotine metabolites excreted in urine over 24 h and reported as nicotine equivalents (mg/24 h)
  2. b LLOQ Lower Limit of Quantification