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In a mouse model of electronic cigarette exposure, platelets that were exposed to electronic cigarettes were more hyperactive, with a greater propensity towards aggregation induced by dense alpha granules secretion, and activation of alphaIIb-beta3 receptors and protein kinase B-extracellular signal-regulated kinase pathways.83 Moreover, these cells were also less sensitive to prostacyclin-induced inhibition when compared with clean air-exposed cells