Research
Peer-reviewed research conducted using Gram laboratory equipment. Studies spanning cardiovascular toxicology, pulmonary injury, addiction science, analytical chemistry, and public health.
Public-health impact
The Gotts & Matthay lab at UCSF aerosolized vitamin E acetate with the Gram Universal Vaping Machine and reproduced the lung injury in living models. This study produced definitive evidence that pinpointed the cause of the EVALI outbreak.
Vaping illness deaths rise to 34 as public health officials hunt for cause of outbreak
Dose-Dependent Pulmonary Toxicity of Aerosolized Vitamin E Acetate →
Aerosolized Vitamin E Acetate Causes Oxidative Injury →
Conditions Leading to Ketene Formation in Vaping Devices →
Archives of Toxicology (2026)
PMID: 42228131 · DOI: 10.1007/s00204-026-04460-6
A Gram Universal Vaping Machine was used to generate the e-cigarette aerosol for combined vaping-plus-silica exposures in mice, where it modulated silica-induced lung fibrosis — co-exposure modeling on a single platform.
Nicotine & Tobacco Research (2026)
PMID: 42139075 · DOI: 10.1093/ntr/ntae102
A Gram Universal Vaping Machine was used to expose rats, via nose cone, to nine weeks of aerosol from SURGE — a coil-free, “ultrasonic” e-cigarette — alongside JUUL and clean air. Despite having no heating coil, SURGE impaired cardiac function as much as coil-based JUUL and emitted even higher carbonyls, showing that coil-free vaping is not inherently safer.
Journal of Applied Physiology, 137(3):690–704
PMID: 39088647 · DOI: 10.1152/japplphysiol.00337.2024
A Gram Universal Vaping Machine was used to deliver e-cigarette aerosol for in-utero and direct (“double-hit”) offspring exposures across multiple developmental stages. The combined exposure caused the worst cerebrovascular and neurocognitive deficits, even without nicotine.
The Journal of Physiology, 602(17):4271–4289
PMID: 39106241 · DOI: 10.1113/JP286493
A Gram Universal Vaping Machine was used to expose pregnant rats to e-cigarette aerosol across specific gestational windows, pinpointing mid-to-late gestation as the critical window for offspring vascular harm.
Chemical Research in Toxicology, 37(8):1415–1427
PMID: 39078936 · DOI: 10.1021/acs.chemrestox.4c00190
A Gram Universal Vaping Machine was used to aerosolize vitamin E acetate — the additive behind the 2019 vaping crisis — across a range of battery powers and puff counts. It showed that vaping VEA generates ketene, a highly toxic gas, with output climbing steeply at higher voltages: a 3.7 V battery produced ~76× more ketene than 2.6 V.
Frontiers in Immunology, 15:1444020
PMID: 39221247 · DOI: 10.3389/fimmu.2024.1444020
A Gram Universal Vaping Machine was used to generate the e-cigarette aerosol used to expose mice in this cancer-immunology study, where exposure drove immunosuppression and tumor metastasis — an effect reversible with anti-CTLA4.
Journal of Allergy and Clinical Immunology, 153(1):320–329.e8
PMID: 37678576 · DOI: 10.1016/j.jaci.2023.08.025
A Gram Universal Vaping Machine was used to generate the e-cigarette vapor condensate applied to human neutrophils. The exposure rendered these immune cells dysfunctional, driving filamentous-actin accumulation that crippled their ability to migrate and clear infection.
Journal of the American Heart Association, 12(23):e032969
PMID: 38014661 · DOI: 10.1161/JAHA.123.032969
A Gram Universal Vaping Machine was used to expose rats to aerosol from marijuana leaf vaporizers, extending standardized vascular testing to cannabis devices and showing that vaporized cannabis leaf acutely impaired endothelial function.
Arteriosclerosis, Thrombosis, and Vascular Biology, 43(12):2369–2371
PMID: 37795616 · DOI: 10.1161/ATVBAHA.123.319514
A Gram Universal Vaping Machine was used to generate the cigarette-smoke and e-cigarette-aerosol exposures for this mechanistic vascular study, which traced the harm to RAGE signaling — a potentially druggable pathway.
Drug Testing and Analysis, 15(10):1091–1098
PMID: 35851853 · DOI: 10.1002/dta.3343
A Gram Universal Vaping Machine was used to aerosolize drugs of abuse blended with nicotine, characterizing how efficiently such mixtures deliver from e-cigarette hardware — analytical and forensic emissions work.
Toxicology and Applied Pharmacology, 474:116631
PMID: 37468077 · DOI: 10.1016/j.taap.2023.116631
A Gram Universal Vaping Machine was used to expose mice to e-cigarette aerosol from pure VG versus PG and at 5 versus 30 W, with precise control of e-liquid and power variables, and found that smaller resistance arteries are impaired first.
Journal of Toxicology and Environmental Health, Part A, 86(8):246–262
PMID: 36859793 · DOI: 10.1080/15287394.2023.2182229
A Gram Universal Vaping Machine was used to generate controlled, nicotine-free e-cigarette aerosol and deliver repeatable whole-body exposures to live mice for a secondhand-exposure study, where it increased pulmonary neutrophil recruitment — a clean demonstration of the UVM's reproducible in-vivo inhalation testing.
Frontiers in Immunology, 14:1076772
PMID: 36999019 · DOI: 10.3389/fimmu.2023.1076772
A Gram Universal Vaping Machine was used to deliver controlled daily inhalation exposures of e-cigarette aerosol, with and without nicotine, to live mice over nine days for a peer-reviewed influenza study. Aerosolized nicotine impaired viral clearance and worsened lung injury — the kind of reproducible, long-run in-vivo exposure the UVM is built for.
Heart Rhythm, 20(1):76–86
PMID: 36603937 · DOI: 10.1016/j.hrthm.2022.09.021
A Gram Universal Vaping Machine was used to generate aerosol and smoke from a range of tobacco and marijuana products and exposed rats for cardiac electrophysiology testing, where exposure raised atrial and ventricular arrhythmia risk across every product type.
Archives of Toxicology, 96(12):3363–3371
PMID: 36195745 · DOI: 10.1007/s00204-022-03388-x
A Gram Universal Vaping Machine was used to deliver 1,800+ controlled puffs to age e-cigarette coils, then expose mice to the resulting aerosol. The aged coils generated harmful aldehydes and caused acute lung injury — automated device-lifecycle testing the UVM handles end to end.
Arteriosclerosis, Thrombosis, and Vascular Biology, 42:1324–1332
PMID: 36288292 · DOI: 10.1161/ATVBAHA.122.318051
A Gram Universal Vaping Machine was used to generate the controlled cigarette-smoke exposures for live rats in this mechanistic cardiovascular study, delivering reproducible whole smoke on demand. It showed that acute endothelial dysfunction is driven by airway-irritation vagal signaling, not by any single smoke constituent.
Arteriosclerosis, Thrombosis, and Vascular Biology, 42(11):1333–1350
PMID: 36288290 · DOI: 10.1161/ATVBAHA.121.317749
A Gram Universal Vaping Machine was used to deliver automated, repeatable e-cigarette dosing over time for this long-term vascular study, which found that chronic vaping impaired endothelial function at both the arterial and cellular levels.
American Journal of Physiology-Lung Cellular and Molecular Physiology, 323(2):L152–L164
PMID: 35670478 · DOI: 10.1152/ajplung.00503.2021
A Gram Universal Vaping Machine was used to generate the e-cigarette aerosol used to expose primary human alveolar type 2 cells — the cells that keep the lung working. The aerosol directly injured them in this controlled in-vitro study.
Nicotine & Tobacco Research, 24(7):1055–1062
PMID: 35100430 · DOI: 10.1093/ntr/ntac019
A Gram Universal Vaping Machine was used to run a head-to-head comparison across the entire vapor landscape — e-cigarettes (with and without nicotine), JUUL, an IQOS heated-tobacco device, a coil-free ultrasonic device, and combustible cigarettes — exposing rats under one standardized protocol. Every product impaired vascular function comparably — exactly the apples-to-apples, multi-product testing the UVM is built for.
American Journal of Physiology-Lung Cellular and Molecular Physiology, 322(6):L771–L783
PMID: 35318859 · DOI: 10.1152/ajplung.00482.2021
A follow-up to the studies that demonstrated vitamin E acetate (VEA) causes EVALI-like lung injury: a Gram Universal Vaping Machine was used to aerosolize VEA to expose live mice and alveolar macrophages, revealing the mechanism — oxidative injury, immune-cell death, and impaired clearance, made worse alongside influenza. More UVM-generated proof behind the cause of the 2019 vaping crisis.
Expert Opinion on Drug Delivery, 18(7):979–989
PMID: 33576695 · DOI: 10.1080/17425247.2021.1890714
A Gram Universal Vaping Machine and its control software (validated per CORESTA No. 81) were used to generate e-cigarette aerosol to map free-base nicotine yield, showing it is governed by concentration, flavors, PG:VG ratio, salt type, and power — precise, standards-compliant analytical aerosol generation.
Addictive Behaviors, 113:106659
PMID: 33031497 · DOI: 10.1016/j.addbeh.2020.106659
A Bluetooth-enabled Gram Smart Vaporizer was used to capture objective, in-the-field puff data from 18 young-adult users over 30 days, revealing they took roughly twice as many puffs as they self-reported.
American Journal of Respiratory Cell and Molecular Biology, 63(6):748–757
PMID: 32822237 · DOI: 10.1165/rcmb.2020-0209OC
This is the study that helped crack the 2019 vaping crisis. As EVALI hospitalized thousands with sudden, severe lung injury, a Gram Universal Vaping Machine was used to generate the aerosolized vitamin E acetate (VEA) that let the Gotts & Matthay lab at UCSF put the prime suspect to the test in live mice and human lung cells — producing direct, dose-dependent proof that inhaled VEA causes the injury. Landmark experimental evidence identifying the cause of EVALI, generated on the UVM.
Circulation Research, 127(Suppl 1):A236
DOI: 10.1161/res.127.suppl_1.236
A Gram Universal Vaping Machine, as part of its cardiovascular research program, was used to expose rats to individual aldehyde gases (acrolein, acetaldehyde), which impaired FMD — isolating reactive carbonyls as drivers of smoke harm. Presented at AHA Scientific Sessions 2020.
Neuropsychopharmacology (Nature), 45(11):1909–1919
PMID: 32544927 · DOI: 10.1038/s41386-020-0734-8
A Gram Universal Vaping Machine was used to power an operant nicotine-vapor self-administration model, letting rats voluntarily dose to human-like blood-nicotine levels. Daily self-administration produced validated addiction-like behavior and physiology — a sophisticated behavioral application of the UVM.
RSC Advances, 10:21535–21544
DOI: 10.1039/D0RA02138E
A Gram Universal Vaping Machine was used to aerosolize polyphenol-dosed e-liquids to test a harm-reduction additive strategy, showing that polyphenols cut toxic carbonyls while producing non-toxic byproducts — precise, repeatable emissions chemistry.
Tobacco Regulatory Science, 6(1):30–37
PMID: 31930162 · DOI: 10.18001/TRS.6.1.4
A Gram Universal Vaping Machine was used to deliver standardized JUUL, e-cigarette, and cigarette exposures to rats in this cardiovascular comparison, where JUUL impaired endothelial function comparably to cigarette smoke.
Chemical Research in Toxicology, 32(10):2053–2062
PMID: 31515993 · DOI: 10.1021/acs.chemrestox.9b00214
A Gram Universal Vaping Machine was used to aerosolize e-liquids for capture on disposable fiber filters — the emissions-capture workflow behind Gram's PTFE filter consumables. The fiber traps caught ~94% of vaporized mass and out-collected Cambridge filter pads.
Nicotine & Tobacco Research, 21(10):1339–1346
PMID: 29878179 · DOI: 10.1093/ntr/nty093
Bluetooth-enabled Gram Smart Vaporizer devices were used to log eight weeks of objective, real-world use by daily smokers attempting to switch, surfacing three distinct smoking-to-vaping transition patterns.
Tobacco Control, 28(Suppl 1):s13–s19
PMID: 30206183 · DOI: 10.1136/tobaccocontrol-2018-054325
A Gram Universal Vaping Machine was used to expose live rats, via nose cone, to aerosol from single IQOS HeatSticks versus cigarette smoke, and found that IQOS impaired vascular function comparably to cigarettes.
Nicotine & Tobacco Research, 19(10):1224–1231
PMID: 27281605 · DOI: 10.1093/ntr/ntw147
The independent, peer-reviewed validation of the Gram Universal Vaping Machine itself: it reproducibly aerosolizes e-liquids under programmable conditions, with low puff-to-puff variability and output that scales linearly with power — establishing the UVM as a reliable platform for nicotine and toxicant-delivery research.
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