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Electronic nicotine delivery system use and expectorated sputum microbiota in Lebanese adults: A Pilot Study


ABSTRACT: Electronic nicotine delivery systems (ENDS) are increasingly used worldwide, but their effects on respiratory microbial communities remain understudied. This pilot cross-sectional study compared the expectorated sputum microbiota of Lebanese adult ENDS users and non-ENDS users. Sputum samples were collected from 15 ENDS users and 15 non-ENDS users without chronic respiratory illness or recent antibiotic exposure. Samples were analyzed using 16S rRNA V3-V4 amplicon sequencing. Overall microbial richness, diversity, and evenness did not differ significantly between groups. In addition, presence/absence-based community composition showed no significant group-level separation. Both groups shared broadly similar dominant bacterial profiles with Bacillota, Pseudomonadota, and Bacteroidota among the most abundant phyla. Moreover, there was substantial overlap at the genus level. Despite these broad similarities, selective taxonomic differences were observed at finer resolutions including increased relative abundance of Nanosynbacter and decreased abundance of a putative Rothia species-level taxon among ENDS users after FDR correction. Actinomyces showed a nominal increase in ENDS users, but this did not remain significant after FDR correction. These findings suggest that ENDS use was not associated with broad sputum microbiota disruption in this cohort but may be associated with selective shifts in specific bacterial taxa.

ORGANISM(S): Homo sapiens

PROVIDER: GSE342083 | GEO | 2026/08/01

REPOSITORIES: GEO

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