Daniel Gallart-Mateu*a,
Esther Fuentes-Ferragudb,
Clara Coscollà
b and
Miguel de la Guardia
a
aDepartment of Analytical Chemistry, University of Valencia, Jeroni Munoz Building, 50th Dr. Moliner St., 46100 Burjassot, Valencia, Spain. E-mail: daniel.gallart@uv.es
bFoundation for the Promotion of Health and Biomedical Research in the Valencian Region, FISABIO-Public Health, Av. Catalunya, 21, Valencia 46020, Spain
First published on 18th August 2025
The effect of heat-not-burn (HnB) tobacco in smoking practices has been evaluated in outdoor scenarios by using gas sensors. The data obtained confirmed that the use of HnB tobacco has a minimal impact on ambient suspended particles, that is, PM10 and PM2.5 levels, resulting in approximately half the effect of combustion tobacco, in line with harm reduction principles. In addition, using HnB products outdoors did not lead to high levels of VOCs in the surrounding air nor in the breath of people who use them, whether directly or through passive exposure. This contrasts sharply with the increased levels found in the breath of both active and passive users of traditional tobacco cigarettes. On the other hand, liquid chromatography high resolution mass spectrometry (LC-HRMS) analysis of HnB passive volunteers' exhaled breath extracts showed typical compounds of tobacco manufacturing products.
Tobacco smoke is linked to pathological conditions, such as neoplastic transformations, cardiovascular dysfunction, and pulmonary impairment.3 For instance, smoking contributes to systemic inflammation and the generation of reactive oxygen species, increasing the progression of health disorders.3,4 Since 2009, multiple governmental and transnational regulatory bodies have intensified efforts to surveil and regulate the constituents of tobacco-related products.5,6 In 2017, and to date, the U.S. Food and Drug Administration (FDA) has released a comprehensive inventory of 20 harmful and potentially harmful constituents (HPHCs) found in tobacco and its combustion byproducts. These include nicotine and related alkaloids, carbon monoxide, tobacco-specific nitrosamines (TSNAs), polycyclic aromatic hydrocarbons (PAHs), volatile organic compounds (VOCs), aromatic amines with carcinogenic potential, and trace metals.6 Table S1 indicates representative HPHCs identified in tobacco and tobacco smoke together with their associated disease outcomes.
Tobacco dependence arises from the rapid translocation of nicotine to the central nervous system (CNS), where it produces intense neuropharmacological reinforcement.5 Nevertheless, the extensive pathological outcomes associated with smoking are due to smoke and the toxicants generated during the burning of tobacco. So, there is a social need to reduce drastically the number of smokers, by avoiding the recruitment of new consumers and offering a way out to reluctant tobacco smokers. In addition to traditional systems to facilitate the ingestion of nicotine by oral or dermal methods, new inhaling systems—like e-cigarettes and heat-not-burn tobacco—have raised harm-reduction possibilities in an attractive format for smokers.
The concentration of nicotine in low-temperature aerosols remains significant,7 but the overall load of harmful and carcinogenic agents is lower than in cigarette smoke.8 However, analytical studies examining the aerosol profiles of these new devices have identified the presence of harmful substances, such as reactive carbonyl species, tobacco-specific nitrosamines, acrolein, and acrylamide.7–11 Also, toxicological compounds have been detected in some e-liquids used for vaping.10,12,13,14 Consequently, the vapors emitted by electronic nicotine systems could constitute a significant non-occupational vector, and it is important to evaluate their use both indoors and in the open air.
In HnB products, inserts are heated by electrical induction at sub-combustion temperatures (<300 °C), thereby avoiding the pyrolysis of organic substrates and resulting in the emission of an inhalable aerosol consisting predominantly of water vapor (76%), propan-1,2-diol (glycerol, 10%), and nicotine alkaloids (3%).15 Marketed as a smoke-free innovation, HnB technologies are promoted to preserve the sensory experience of tobacco smoking while minimizing particulate emissions, ash residue, and olfactory impact.16 Despite their limited visible emissions and the enforcement of comprehensive smoke-free regulations in numerous jurisdictions,17–20 exposure to environmental aerosols from these systems must be controlled. Empirical studies have demonstrated the presence of potential risk during HnB use in indoor ambient air,21–25 with VOC values close to 50 ppm and particulate matter (PM) concentration in the range between 6.5 and 8.1 μg m−3.23–25 Regarding outdoors, there is increased concern regarding the use of nicotine delivery systems, even leading to the proposal of laws to ban them in such spaces, including HnB systems.26 However, there are no precedents in the literature regarding their effect on passive smokers when they are exposed to HnB second-hand vapor/smoke in outdoor scenarios.
The aim of this work is to evaluate, using portable sensing devices, the concentrations of classical parameters such as PM and VOCs in the exhaled breath of smokers and non-smokers exposed to second-hand HnB vapors in outdoor scenarios. Similarly, nicotine concentration in the exhaled breath of tobacco and HnB users and passive smokers were determined. Additionally, untargeted analysis of the exhaled breath of tobacco and HnB users and passive smokers was performed in order to identify non-studied compounds.
Two identical IQOS ILUMA HnB devices manufactured by Philip Morris Inc. (Neuchâtel, Switzerland), were obtained from the local market and employed following the instructions. TEREA type HnB sticks, from Smartcore Induction Systems®, were used.
PM and VOCs were measured in exhaled breath by placing the sensor probes 1.5 cm from each volunteer's mouth for 1 minute (see Fig. 1B). Measurements were conducted first for the active participants, followed by the passive person located in front, then the passive person placed to the left and finally the passive person placed to the right, and measurements were made both before and after each session, in all cases using the same procedure. In all cases, ambient conditions, such as wind speed and humidity, were not controlled, in order to reproduce real-life exposure situations. Moreover, to perform ambient measurements, gas sensors were placed in the center of the table equidistant from all participants in each experiment. This measurement process was carried out during the entire time required for the consumption of a traditional tobacco cigarette or an HnB stick. The exhaled breath after consumption was recorded in the same sampling order and the same conditions were employed for the initial measurements.
VOCs | PM10 | PM2.5 | |
---|---|---|---|
Working range | 0–30 ppm | 0–1 mg m−3 | 0–1 mg m−3 |
Sensor type | Photoionization detector | Laser particle counter | Laser particle counter |
Minimum detection limit | 0.01 ppm | 0.001 mg m−3 | 0.001 mg m−3 |
Accuracy of factory calibration | <±0.02 ppm + 10% | ±(0.005 mg m−3 + 15% of reading) | ±(0.005 mg m−3 + 15% of reading) |
Resolution | 0.01 ppm | 0.001 mg m−3 | 0.001 mg m−3 |
Response time | 30 s | 5 s | 5 s |
Temperature working range | 0–40 °C | 0–40 °C | 0–40 °C |
Relative humidity working range | 0–95% | 0–90% non-condensating | 0–90% non-condensating |
A data set concerning the concentration of the evaluated parameters in ambient air, the exhaled breath of smokers and HnB users before tobacco/HnB consumption and the exhaled breath of active and passive smokers after smoking/exposition processes were recorded, together with data from the ambient air during the tobacco/HnB consumption.
A set of 244 and 436 total measurements were recorded for ambient air in the case of traditional tobacco and HnB use, respectively. Regarding traditional tobacco, measurements from 55 active smokers and 145 passive smokers were evaluated, before and after the smoking practice. For HnB, 98 and 292 measurements were made in the case of active and passive users before HnB use, respectively, while 196 and 292 measurements were obtained for active and passive HnB smokers after HnB use. In addition, data for temperature, wind and humidity were recorded to study the sampling process.
The exhaled breath from each puff from an active HnB consumer was collected in the ethanol trap. The resulting solution was treated in the aforementioned way before being analyzed through chromatography. The same was done for an active classical smoker after the total consumption of a cigarette.
In all cases, the glass material was decontaminated before each sampling. The decontamination procedure was as follows: the material was cleaned in an ultrasound bath and gently soaked with solvents of different polarity, from methanol to hexane, in order to remove any possible contaminants. Once the material was cleaned, the last hexane fraction was analyzed by GC-MS in order to ensure that the material was free of contaminants. Furthermore, the clean glass material was then heat-treated at 300 °C for 24 hours in order to remove any trace of organic compound. Silicone tubes were replaced by new ones before each sampling in order to avoid any possible cross-contamination from previous assays.
The analysis of exhaled compounds, including nicotine, was performed using an Agilent 7890A series gas chromatograph equipped with a 5975C inert XL EI/CI MSD mass detector (Palo Alto, CA, USA) and a ZB-5MS column (30 m × 0.25 mm × 0.25 mm). For the chromatographic separation, 1 μL of each concentrated collected sample solution was injected in the splitless mode at 250 °C, using a constant helium flow rate of 1.1 mL min−1 as the carrier gas. Chromatographic separation was achieved with the following oven program: an initial temperature of 70 °C followed by an increase to 230 °C at a rate of 25 °C min−1, maintaining this temperature for 3 minutes. Subsequently, the temperature was increased to 250 °C at a rate of 10 °C min−1, which was held for 10 minutes. Transfer line, ion source, and quadrupole temperatures were set at 280 °C, 276 °C, and 150 °C, respectively. The detection of the analytes by MS was carried out in electron impact (EI) mode, using an ionization energy of 70 eV. The analysis was performed in full scan mode, monitoring the m/z value of 84.1 for nicotine.
The determination of nicotine by ultra-high performance liquid chromatography-tandem mass spectrometry (UHPLC-MS/MS) was performed using a Vanquish UHPLC system (Thermo Scientific, Bremen, Germany) equipped with a quaternary pump, a refrigerated autosampler (10 °C) and a column compartment (40 °C). For chromatographic separation, a Kinetex® C18 column (100.0 × 2.1 mm, 1.72.6 μm) was employed. The UHPLC system was coupled to a Finnigan TSQ Quantum Ultra triple quadrupole mass spectrometer with electrospray ionization (ESI), from Thermo Fisher Scientific (Bremen, Germany). Subsequently, 10 μL of extracts were injected into the UHPLC system. The mobile phases consisted of an aqueous solution containing 0.1% formic acid (A) and methanol with 0.1% formic acid (B). The eluent gradient profile was as follows: 0 min: 20% B, 8 min: 95% B, 12 min: 95% B, 13 min: 95% B, 22 min: 20% B, and the flow rate was set at 0.3 mL min−1. The triple quadrupole mass spectrometer was operated in positive ESI mode, using the following parameters: spray voltage of 3 kV, sheath gas pressure of 10 a.u., auxiliary gas pressure of 15 a.u., and capillary temperature of 280 °C. The monitored ion transitions were 163 m/z (quantifier ion), and 132 and 130 m/z (ion qualifiers) for nicotine, and 167 m/z (ion quantifier) and 132 m/z (ion qualifier) for deuterated nicotine as internal standard. Data processing was conducted using Xcalibur™ version 2.2.
To quantify the amount of nicotine in the exhaled breath, 1 mg mL−1 (−)-nicotine from Sigma-Aldrich (St. Louis, MO, USA), 100 μg per mL nicotine-d4 standard solution in acetonitrile from Sigma-Aldrich (St. Louis, MO, USA) and ethanol for LC-MS (Scharlau, Barcelona, Spain) were employed to prepare calibration solutions in the range from 1 ng mL−1 to 100 ng mL−1.
The analysis of extracts was performed using a SCIEX TripleTOF™ 6600plus UHPLC/MS/MS System (Framingham, MA, U.S.A.) A UHPLC Exion LC AD from SCIEX (Framingham, MA, U.S.A.) was equipped with a micro volume binary pump, a refrigerated autosampler (4 °C) and a column compartment. For chromatographic separation, a Kinetex® XB-C18 (2.1 × 100 mm, 1.7 μm) column from Phenomenex (Torrance, CA, U.S.A.) was employed. The UHPLC system was coupled to a SCIEX TripleTOF™ 6600 plus time-of-flight mass spectrometer with ESI in the positive mode, from Sciex (Framingham, MA, U.S.A.). Then, 10 μL of extracts were injected into the UHPLC system. The mobile phases consisted of an aqueous solution containing 0.2% formic acid and 2 mM ammonium formate (A), and an aqueous solution containing acetonitrile with 0.2% formic acid and 2 mM ammonium formate (B). The eluent gradient profile was as follows: 0 min: 10% B, 5 min: 10% B, 12 min: 95% B, 20 min: 95% B, 20.1 min: 10% B and 23 min: 10% B. The flow rate was set at 0.4 mL min−1. The data acquisition was performed in positive mode, over a mass range of 100–700 m/z. Mass spectrometer conditions were as follows: (i) 60 psi ion source gas 1, 60 psi ion source gas 2, 40 psi for curtain gas, ion spray voltage 5500 V and thermostatting at 450 °C. The accumulation time was set to 240 ms. Automated calibration was performed using an external calibrant delivery system (CDS) which infuses calibration solution prior to sample introduction. The MS used data independent acquisition (DIA) mode with: survey scan type (TOF-MS) and dependent scan type (product ion) using 35 V of collision energy. Data was qualitatively evaluated using PeakView™ software and the identification criterion followed for non-target analysis was a match with the spectral libraries.
Traditional tobacco | Increased concentration after practice | ||||||
---|---|---|---|---|---|---|---|
N | VOCs (ppm) | PM10 (mg m−3) | PM2.5 (mg m−3) | ΔVOCs (ppm) | ΔPM10 (mg m−3) | ΔPM2.5 (mg m−3) | |
a N: number of independent measurements. | |||||||
Before | 57 | 0.116 ± 0.047 | 0.016 ± 0.004 | 0.007 ± 0.007 | 0.778 | 0.511 | 0.359 |
After | 187 | 0.894 ± 0.751 | 0.543 ± 0.333 | 0.366 ± 0.221 | p < 0.05 | p > 0.05 | p > 0.05 |
HnB | Increased concentration after practice | ||||||
---|---|---|---|---|---|---|---|
N | VOCs (ppm) | PM10 (mg m−3) | PM2.5 (mg m−3) | ΔVOCs (ppm) | ΔPM10 (mg m−3) | ΔPM2.5 (mg m−3) | |
Before | 80 | 0.124 ± 0.053 | 0.019 ± 0.006 | 0.004 ± 0.003 | 0.000 | 0.315 | 0.167 |
After | 356 | 0.121 ± 0.042 | 0.333 ± 0.238 | 0.170 ± 0.135 | p < 0.05 | p > 0.05 | p > 0.05 |
Traditional tobacco | |||||||
---|---|---|---|---|---|---|---|
Active smokers' breath | Increased concentration after practice | ||||||
N | VOCs (ppm) | PM10 (mg m−3) | PM2.5 (mg m−3) | ΔVOCs (ppm) | ΔPM10 (mg m−3) | ΔPM2.5 (mg m−3) | |
a N: number of independent measurements. | |||||||
Before | 55 | 0.121 ± 0.088 | 0.020 ± 0.007 | 0.017 ± 0.014 | 0.219 | 0.040 | 0.039 |
After | 55 | 0.339 ± 0.189 | 0.061 ± 0.059 | 0.056 ± 0.024 | p > 0.05 | p < 0.05 | p < 0.05 |
Passive smokers breath | Increased concentration after practice | ||||||
---|---|---|---|---|---|---|---|
N | VOCs (ppm) | PM10 (mg m−3) | PM2.5 (mg m−3) | ΔVOCs (ppm) | ΔPM10 (mg m−3) | ΔPM2.5 (mg m−3) | |
Before | 145 | 0.141 ± 0.038 | 0.018 ± 0.017 | 0.004 ± 0.003 | 0.052 | 0.0076 | 0.018 |
After | 145 | 0.193 ± 0.077 | 0.026 ± 0.013 | 0.023 ± 0.021 | p < 0.05 | p < 0.05 | p < 0.05 |
HnB tobacco | |||||||
---|---|---|---|---|---|---|---|
Active users breath | Increased concentration after practice | ||||||
N | VOCs (ppm) | PM10 (mg m−3) | PM2.5 (mg m−3) | ΔVOCs (ppm) | ΔPM10 (mg m−3) | ΔPM2.5 (mg m−3) | |
Before | 98 | 0.154 ± 0.067 | 0.017 ± 0.005 | 0.004 ± 0.005 | 0.000 | 0.003 | 0.003 |
After | 196 | 0.151 ± 0.072 | 0.020 ± 0.006 | 0.007 ± 0.007 | p < 0.05 | p < 0.05 | p < 0.05 |
Passive users breath | Increased concentration after practice | ||||||
---|---|---|---|---|---|---|---|
N | VOCs (ppm) | PM10 (mg m−3) | PM2.5 (mg m−3) | ΔVOCs (ppm) | ΔPM10 (mg m−3) | ΔPM2.5 (mg m−3) | |
Before | 292 | 0.133 ± 0.054 | 0.028 ± 0.051 | 0.010 ± 0.028 | 0.000 | 0.000 | 0.000 |
After | 292 | 0.134 ± 0.048 | 0.027 ± 0.046 | 0.009 ± 0.024 | p < 0.05 | p < 0.05 | p < 0.05 |
The study of the breath of passive smokers gave no evidence of difference as a function of their relative position. Thus, the increased amount of target analytes was calculated from data from all passive participants. The exhaled breath of active traditional tobacco smokers showed an increment (exhaled concentrations after smoking practices minus those found before) with a VOC concentration of 0.219 ppm, while the concentrations of PM10 and PM2.5 remained practically constant, with average values of 0.04 ± 0.06 and 0.039 ± 0.043 mg m−3. The concentration values were found to be of the same order of magnitude as those obtained by Gallart-Mateu et al. (2021) in the exhaled breath of smokers in indoor scenarios.21
A similar situation was found for the exhaled breath of passive traditional tobacco smokers after smoking practices, and a non-substantial increase was detected in all measured parameters. The averaged data found from 145 measurements performed for passive smokers were 0.052 ± 0.086 ppm for VOCs, 0.008 ± 0.022 mg m−3 for PM10 and 0.018 ± 0.021 mg m−3 for PM2.5, where the high standard deviation values are probably due to the change in ambient conditions of open air. Nevertheless, those values involve a severe reduction compared with those found for passive smokers in indoor scenarios21 and the PM2.5 concentrations found in outdoor scenarios.28
On the other hand, the use of an HnB stick provided no differences in VOCs between the concentrations detected before and after the use of this device for any of the subjects or with the concentration in the ambient air before its use. Furthermore, similar situations were detected for VOCs, PM2.5 and PM10 levels present in the breath of HnB passive users, which were practically nonexistent before HnB practice.
μgnicotine exhaled | Standard deviation | RSD (%) | |
---|---|---|---|
Extract from 1 minute passive exhaled breath | 2.77 | 0.05 | 16 |
Extract from 1 minute active exhaled breath | 5.7 | 0.7 | 13 |
Extract from the whole HNB stick exhaled breath | 10.3 | 0.7 | 7 |
Extract of a whole traditional cigarette exhaled breath | 44.9 | 3.2 | 7 |
As can be seen in Table 4, the amount of nicotine exhaled by a passive HnB smoker in 1 minute is approximately half the amount found in the breath exhaled by an active HnB user, showing an average of 2.77 ± 0.05 μg of nicotine in the exhaled breath after HnB passive exposition, while the active HnB user showed 5.7 ± 0.7 μg nicotine in the exhaled breath after HnB use. On the other hand, analysis of the extract from the exhaled breath from a whole HnB stick revealed an average value of 10.3 ± 0.7 μg nicotine, approximately four times higher than that found in the passive HnB smoker and twice as high as that in the active smoker after HnB stick consumption. From a comparison with the nicotine exhaled by a traditional tobacco smoker, an HnB user exhales approximately four times less nicotine than a traditional tobacco smoker. It must be taken into consideration that the aforementioned results correspond to absolute values not corrected by previous contents determined in the breath before tobacco consumption.
m/z | Retention time (min) | Spectral match | Similarity (%) | Peak intensity | Mass error (ppm) | Presence/possible cause |
---|---|---|---|---|---|---|
163.1237 | 0.61 | Nicotine | 98.2 | High | 0.6 | Tobacco active principle |
193.0500 | 7.43 | Scopoletin | 96.3 | High | 0.4 | Active principle from tobacco |
197.0814 | 9.54 | Methyl β-orcinolcarboxylate | 98.4 | High | 0.8 | Flavouring agent |
230.2494 | 9.69 | Lauryldimethylamine | 97.8 | High | −1.2 | Tobacco anti-suckering thermal decomposition product |
177.0550 | 9.87 | 7-Hydroxy-4-methylcoumarin | 58.6 | Low | 11 | Derived from coumarin, present on leaves |
223.0972 | 9.87 | Diethyl phthalate | 98.8 | High | 1 | Present on leaves and device |
288.2542 | 10.33 | Lauryl diethanolamide | 97.8 | High | −0.9 | Moisturizing agent |
327.0789 | 11.05 | Triphenyl phosphate | 74.5 | Medium | 7.2 | OPEs in tobacco leaves |
313.1446 | 11.52 | Benzyl-butyl-phthalate | 98.8 | High | −0.8 | Present on leaves and device |
149.0236 | 11.61 | Anethole | 58.4 | Low | 13 | Flavouring agent |
273.1856 | 11.73 | Galaxolidone | 87.7 | Medium | 6.4 | Flavouring agent |
179.0703 | 12.62 | 4-Methoxycinnamic acid | 91.0 | High | 2.1 | Pesticide contamination |
335.2230 | 12.88 | Dihexyl phthalate | 93.1 | High | 1.1 | Present on leaves and device |
391.2857 | 13.88 | Dioctyl phthalate | 87.9 | Medium | −5.3 | Present on leaves and device |
279.1599 | 14.07 | Di-n-butyl phthalate | 98.9 | High | 1.3 | Present on leaves and device |
Similar chromatographic profiles were obtained for the exhaled breath from classical tobacco smokers, HnB users and passive HnB smokers, where the intensity of the chromatogram peaks were higher in the case of classical tobacco extract than those obtained in active HnB exhaled breath or passive HnB. Considering this fact, different tobacco principles have been identified in all extracts analyzed, such as nicotine, scopoletin or 7-hydroxy-4-methylcoumarin, the last being derived from coumarin and present on tobacco leaves.29 In the same way, different tobacco plant contaminants were tentatively identified. This is the case for phthalates, which can be found in tobacco leaves30 and in exhaled breath after smoking.31 Other compounds detected, such as lauryldimethylamine, triphenyl phosphate and 4-methoxycinnamic acid, are related to contamination of tobacco leaves, especially as thermal decomposition products from tobacco anti-suckering treatments,32 organophosphate esters (OPEs) in tobacco leaves33 and pesticide-related contamination,34 respectively.
Other compounds, such as methyl β-orcinolcarboxylate, anethole and galaxolidone, were tentatively identified, being employed as flavouring agents,35 while the presence of lauryl diethanolamide could be justified by its use as a moisturizing agent in the treatment of tobacco leaves.
Preliminary studies using GC-MS and UHPLC-MS/MS evidenced the absence of additional molecules at measurable concentration levels in HnB users' breath, as also confirmed by a large reduction in the amount of nicotine in the exhaled breath of active HnB smokers.
Supplementary information contains: the potentially harmful compounds found in tobacco and tobacco smoke (Table S1) and a picture of the ethanol trap employed to collect the exhaled (Fig. S1). See DOI: https://doi.org/10.1039/d5ay00954e.
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