Chronic Obstructive Pulmonary Disease (COPD) UF Health The role of pulmonary vascular endothelium in chronic obstructive pulmonary disease (COPD): Does endothelium play a role in the onset and progression of COPD? Chronic Obstructive Pulmonary Disease (COPD) A new study published in Nicotine & Tobacco Research found that those using e cigarettes alone were more than twice as likely to develop COPD than people who didn't use any tobacco products, Smoking, Vaping and Increased Risk of COPD E cigarette use tied to increased COPD, asthma risk MDedge