You don’t have to light up to damage your lungs anymore.
That’s the unsettling insight from a new study out of Johns Hopkins Bloomberg School of Public Health, which found that mice exposed to e-cigarette vapor—not traditional smoke, just vapor—suffered significant lung tissue damage, weakened immune responses, and, in some cases, even death after infection.
Here’s the kicker: the e-cigarette vapor contained free radicals—those highly reactive molecules notorious for damaging DNA and speeding up cell death.
These toxins were once thought to only arise from combustion, the kind you get in cigarettes.
But apparently, the sleek little vaporizer in your pocket has its own dirty secrets.
The study was straightforward, almost alarmingly so.
Mice were exposed to a commercial brand of e-cigarette vapor for just two weeks—roughly the equivalent of light-to-moderate human use. Some were then infected with bacteria or viruses.
Those exposed to e-cigarette vapor got sick more often, got sicker, and in many cases, died faster.
Let that sink in: they weren’t exposed to cigarette smoke. Just e-cigarette vapor. And still, they ended up worse off.
The Rise of the “Safer” Cigarette
Since their debut on U.S. shelves in 2007, e-cigarettes have exploded in popularity.
Marketed as a “healthier” alternative to smoking, they’ve found their way into the hands of millions—former smokers, health-conscious experimenters, and most controversially, teenagers.
In fact, by 2013, over 250,000 teens in the U.S. who had never smoked a single cigarette were already using e-cigarettes, according to the CDC. That number has only climbed in the years since.
There’s a reason for the appeal.
E-cigarettes are often viewed as a tech-savvy, clean solution to a dirty habit. No tar. No ash. No smoke.
Just clouds of flavored vapor and a hit of nicotine, delivered via sleek devices that look more like USB drives than cancer sticks.
They’ve even been recommended to those with chronic obstructive pulmonary disease (COPD)—a group of diseases including emphysema and chronic bronchitis—as a less harmful alternative to tobacco.
After all, if there’s no smoke, there’s no fire, right?
That’s exactly what researchers at Johns Hopkins wanted to question.
Mice, Vapor, and a Surprise Twist
The team divided a group of lab mice into two primary groups:
- One group was exposed to e-cigarette vapor from the popular brand Njoy
- The other group breathed clean air
This exposure occurred over two weeks in custom-built inhalation chambers, with nicotine levels calibrated to match what a typical human e-cigarette user would experience.
Next, the researchers divided each group again into three sub-groups:
- One received nasal drops with Streptococcus pneumoniae — the bacteria behind pneumonia and sinus infections.
- Another received nasal drops containing the Influenza A virus
- The final group received no pathogens and acted as a control.
What happened next should make any vaper pause.
The mice that had inhaled e-cigarette vapor showed markedly worse outcomes. Their bodies were slower to clear the infections.
They lost more weight. And in several cases, they didn’t survive.
“Our findings suggest that e-cigarettes are not neutral in terms of the effects on the lungs,” said Dr. Shyam Biswal, professor in the Department of Environmental Health Sciences at the Bloomberg School.
“We have observed that they increase the susceptibility to respiratory infections in the mouse models.
This warrants further study in susceptible individuals, such as COPD patients… or new users of e-cigarettes who may have never used cigarettes.”
Wait… Aren’t E-Cigarettes Supposed to Be Safer?
Here’s where things get contrarian—yet compelling.
The core promise of e-cigarettes has always been harm reduction.
But this study shows that even in the absence of combustion—without a single puff of smoke—the body’s immune defenses are being compromised.
That runs directly counter to public perception.
This is where we hit the brakes on assumptions.
For years, researchers have associated the danger of traditional cigarettes with combustion byproducts—tar, carbon monoxide, and a cocktail of carcinogens formed by burning tobacco.
E-cigarettes sidestep combustion entirely by vaporizing a liquid solution.
So why were free radicals—those destructive little molecules that damage DNA and proteins—found in the vapor?
Lead researcher Thomas Sussan was just as surprised.
“We were surprised by how high that number was, considering that e-cigarettes do not produce combustion products,” he said.
To be fair, the number of free radicals found in e-cigarette vapor was about 1 percent of what you’d find in cigarette smoke.
But that’s still 10 trillion free radicals per puff—a number that shocked the team.
How are these free radicals forming without fire?
The researchers suggest that the battery-powered heating elements in e-cigarettes may be enough to create them.
Higher voltages have been shown to produce more toxins in past studies.
So even without a flame, the chemistry inside your vape pen may be cooking up more than just sweet-smelling clouds.
Immune System Disruption
Let’s talk about the real-world implications.
“E-cigarette vapor alone produced mild effects on the lungs, including inflammation and protein damage,” Sussan explained.
“However, when this exposure was followed by a bacterial or viral infection, the harmful effects… became even more pronounced.”
The exposed mice couldn’t clear infections efficiently.
Their bodies struggled to fight off both bacteria and viruses.
And when hit with Influenza A, they lost significantly more weight and experienced a higher mortality rate.
This points to a critical, previously overlooked risk: vaping might not hurt you immediately, but it could make you more vulnerable to everything else.
In the context of ongoing global health concerns—flu season, respiratory viruses, new variants—this matters more than ever.
Tiny Molecules, Big Trouble
So what are free radicals, exactly? And why are they such a big deal?
Free radicals are atoms or molecules that have an unpaired electron.
That might sound small, but it’s a chemical recipe for chaos.
These rogue particles are incredibly reactive and can damage nearly every type of cell in the human body.
They’re a natural byproduct of cellular processes and can also be introduced via:
- Pollution
- Fried foods
- Alcohol
- Pesticides
- Cigarette smoke
Or, apparently, your favorite vape flavor.
Our bodies defend themselves with antioxidants—vitamins C and E, for instance—but constant exposure to free radicals tips the scales toward oxidative stress, a state associated with cancer, heart disease, and accelerated aging.
Finding these molecules in e-cigarette vapor—even at lower concentrations—challenges the safety narrative.
The Regulatory Dilemma
So what’s being done about it?
In the U.S., the legal landscape around e-cigarettes remains fragmented and murky.
As of late 2014, 41 states had banned the sale of e-cigarettes to minors. But even that progress comes with caveats.
Seventeen of those states had simultaneously passed laws that make it harder to regulate e-cigarettes like traditional cigarettes—no heavy taxes, no public-use restrictions.
This regulatory tug-of-war is playing out around the world. In Australia, New South Wales called for an official inquiry into e-cigarettes.
Meanwhile, in the U.S., each state seems to be writing its own rulebook.
As tech journalist Jacob Kastrenakes of The Verge puts it:
“Though it’s widely expected that [e-cigarettes will] be less harmful than traditional cigarettes, it isn’t clear what the risks will be—just because the technology is so new.”
And that’s the crux of it. The novelty of e-cigarettes—the very thing that made them exciting and seemingly innovative—also makes them unpredictable.
What Happens Next?
The researchers at Johns Hopkins were clear about the next step: compare these effects directly to cigarette smoke.
That study is still pending, but the early findings already suggest we may be underestimating the long-term effects of vaping.
As more non-smokers, teens, and health-conscious individuals pick up e-cigarettes under the assumption they’re safe, the stakes are growing.
If vaping compromises your immune system, even temporarily, that’s a public health issue—not just a personal one.
The Takeaway
Let’s bring it back to the ground level.
You might think e-cigarettes are a smart alternative to smoking. And in some ways, they may be.
But if you’re inhaling vapor that contains free radicals, damaging your lung tissue, and making your body more susceptible to infections, is it really that much safer?
Not yet. Maybe not ever.
As the science continues to unfold, one thing is clear: “safer” does not mean “safe.” Especially not when it comes to something you’re inhaling into your lungs dozens of times a day.
Sources:
- Johns Hopkins Bloomberg School of Public Health
- PLOS ONE
- The Verge
- CDC
- US Today