“Other than the observation of type II alveolar pneumocyte hyperplasia [8], vacuolization [9], multinucleation [10], and intraalveolar lipid-laden macrophages [11], we still do not have a comprehensive understanding on what the injury exactly is.”

#EVALI #pathophysiology
“diagnosis of exclusion”

“..thanks to global efforts to strengthen regulations against e-cigarettes, it is likely that we might not be able to fully characterize the disease before the epidemic is finally over..”

“healthy e-cigarette users without EVALI.” *No THC control
#EVALI
I)..gel-liquid crystalline phase transition
ii)..deposition lipid droplet of macrophages
iii)..diacylglycerol kinase & protein kinase C signaling pathway w/ an antidiabetic regulatory role
iv)..xenobiotic-sensing pregnane X receptor signaling
v)..lateral phase separation
“...line-active property of the vitamin deserves academic attention. Although toxic byproducts of heating Vitamin E acetate have recently garnered...interest...there is yet lacking amount of evidence that pinpoints toxic byproducts as the pathological driving force for #EVALI.”
✨Many thanks to @Brandon75311349 for sharing this study on possible mechanisms of injury in EVALI ✨
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