Detecting opioid metabolites in exhaled breath condensate (EBC)
Exhaled breath condensate (EBC) collection provides a promising matrix for bioanalysis of endogenous biomarkers of health and also for exogenous compounds like drugs. There is little information regarding drugs and their metabolites contained in breath, as well as their pharmacokinetics. In this present work, we use a simple and non-invasive technique to collect EBC from chronic pain patients using different analgesic opioid drugs to manage pain. Six patients received continuous infusion of morphine and hydromorphone intravenously (IV), together with other analgesic drugs (IV and orally). Repeated sampling of serum a...
Source: Journal of Breath Research - October 1, 2019 Category: Respiratory Medicine Authors: Eva Borras, Andy Cheng, Ted Wun, Kristen L Reese, Matthias Frank, Michael Schivo and Cristina E Davis Source Type: research

Breath selection methods for compact mass spectrometry breath analysis
Compact mass spectrometry (CMS) is a versatile and transportable analytical instrument that has the potential to be used in clinical settings to quickly and non-invasively detect a wide range of relevant conditions from breath samples. The purpose of this study is to optimise data preprocessing protocols by three proposed methods of breath sampling, using the CMS. It also lays out a general framework for which data processing methods can be evaluated. Methods. This paper considers data from three previous studies, each using a different breath sampling method. These include a peppermint washout study using continuous...
Source: Journal of Breath Research - September 28, 2019 Category: Respiratory Medicine Authors: Kerry Rosenthal, Dorota M Ruszkiewicz, Hayden Allen, Martin R Lindley, Matthew A Turner and Eugenie Hunsicker Source Type: research

Factors influencing breath analysis results in patients with diabetes mellitus
Breath analysis is used to detect the composition of exhaled gas. As a quick and non-invasive detection method, breath analysis provides deep insights into the progression of various kinds of diseases, especially those with metabolism disorders. Abundant information on volatile compounds in diabetic patients has been studied in numerous articles in the literature. However, exhaled gas in diabetic patients can be altered by various complications. So far, little attention has been paid to this alteration. In our paper, we found that under air pollution conditions, diabetic patients exhale more nitric oxide. Diabetic pa...
Source: Journal of Breath Research - September 4, 2019 Category: Respiratory Medicine Authors: Qing Zhou, Qiannan Wang, Bo Chen, Yi Han, Lei Cheng, Yaqian Shen, Panpan Hao and Zhongwen Zhang Source Type: research

Untargeted metabolomics of the bacterial tongue coating of intra-oral halitosis patients
Intra-oral halitosis (IOH) refers to an unpleasant odor from the oral cavity that is mainly caused by the tongue coating. Although the tongue coating microbiome is thought to play an essential role in IOH, the exact aetiology of IOH remains unclear. Here we investigated and compared the metabolic profiles of the tongue coating microbiomes of patients with IOH versus healthy control. The metabolic profiles were significantly different in IOH patients than in healthy controls. Healthy controls showed higher selenoamino acid and nicotinamide metabolism; these metabolic pathways are mainly involved in maintaining the oxi...
Source: Journal of Breath Research - August 18, 2019 Category: Respiratory Medicine Authors: Kavitha Seerangaiyan, Mukil Maruthamuthu, Arie Jan van Winkelhoff and Edwin G Winkel Source Type: research

Fraction of air coming from conductive airways has the negative balance in heat dissipation after maximal effort exercise —a physiological basis for exercise-induced bronchoconstriction
Exhaled breath temperature (EBT) has recently been used as a tool to assess the level of inflammation in airways. The newest technology can also assess EBT coming from different fractions of exhaled air (fEBT). We aimed to assess the changes in fEBT after a maximal cardio-pulmonary exercise test in healthy athletes. Forty-four healthy professional athletes (two females) were included. Their mean ( ±SD) age was 22.9 ± 4.8 years. An innovative device (FractAir ® ) was used for fEBT measurement, dividing the exhaled air into three fractions (V1, V2 and V3) coming from different parts of the lungs; the large airways...
Source: Journal of Breath Research - August 18, 2019 Category: Respiratory Medicine Authors: Dimov Petar, Labor Marina and Plavec Davor Source Type: research

Exhaled breath condensate biomarkers for lung cancer
Lung cancer is the main cause of cancer incidence and mortality worldwide and the identification of clinically useful biomarkers for lung cancer detection at both early and metastatic stage is a pressing medical need. Although many improvements have been made in the treatment and in the early screening of this cancer, most diagnosis are made at a late stage, when a lot of genetic and epigenetic changes have occurred. A promising source of biomarkers reflective of the pathogenesis of lung cancer is exhaled breath condensate (EBC), a biological fluid and a natural matrix of the respiratory tract. Molecules such as DNAs...
Source: Journal of Breath Research - August 18, 2019 Category: Respiratory Medicine Authors: Annalisa Campanella, Simona De Summa and Stefania Tommasi Source Type: research

Centralized resource for chemicals from the human volatilome in an interactive open-sourced database
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Source: Journal of Breath Research - August 13, 2019 Category: Respiratory Medicine Authors: Joachim D Pleil and Antony Williams Source Type: research

Exhaled nitric oxide in pediatric patients with respiratory disease
Measurement of nitric oxide (NO) levels in exhaled air from the upper and lower airways is currently used as a non-invasive marker of inflammation in respiratory diseases. Assessment of NO exhaled from the lower air respiratory tract is considered to be a quick method for confirmation and control of asthma in patients as well as an estimation of treatment efficiency. The main aim of this study was to determine differences between levels of exhaled nitric oxide (fractional exhaled NO; FeNO) in patients with respiratory disease as measured by an electrochemical analyzer. Measurements were taken in 352 pediatric patient...
Source: Journal of Breath Research - July 16, 2019 Category: Respiratory Medicine Authors: Marta Rachel, Marek Biesiadecki, David Aebisher and Sabina Galiniak Source Type: research

Use of carbon monoxide breath test to assess red blood cell lifespan in newly diagnosed multiple myeloma patients
To clarify the role of red blood cell (RBC) lifespan in anemia of multiple myeloma (MM), RBC lifespan was detected in 40 newly diagnosed MM patients by measuring exhaled endogenous carbon monoxide concentration. Mean RBC lifespan was significantly reduced in MM patients (63  ± 23 d) than healthy controls (116  ± 17 d). RBC lifespan in MM patients without anemia (78 ± 21 d) was also significantly lower than for healthy controls. RBC lifespan in MM patients with anemia (52  ± 18 d) was significantly lower than those without. Besides, RBC lifespan in MM patients with renal insufficiency (50  ± 16 d) was l...
Source: Journal of Breath Research - July 16, 2019 Category: Respiratory Medicine Authors: Yanfang Wang, Zhenhao Zhang, Yan Liu, Hongmei Jing, Xiaoyan Ke and Fei Dong Source Type: research

Proton transfer reaction time-of-flight mass spectrometric measurements of volatile compounds contained in peppermint oil capsules of relevance to real-time pharmacokinetic breath studies
With the growing interest in the use of breath volatiles in the health sciences, the lack of standardization for the sampling and analysis of exhaled breath is becoming a major issue leading to an absence of conformity, reproducibility and reliability in spectrometric measurements. Through the creation of a worldwide ‘peppermint consortium’, the International Association of Breath Research has set up a task force to deal with this problem. Pharmacokinetic studies are proposed, and a real-time analytical technique that is being used is proton transfer reaction-time-of-flight-mass spectrometry (PTR-ToF-MS). This pa...
Source: Journal of Breath Research - July 16, 2019 Category: Respiratory Medicine Authors: Michaela Mal ásková, Ben Henderson, Prema D Chellayah, Veronika Ruzsanyi, Paweł Mochalski, Simona M Cristescu and Chris A Mayhew Source Type: research

Flow-independent nitric oxide parameters in asthma: a systematic review and meta-analysis
Introduction . Fractional exhaled nitric oxide (F E NO) has been proposed as a non-invasive marker of inflammation in the lungs. Measuring F E NO at several flow rates enables the calculation of flow independent NO-parameters that describe the NO-exchange dynamics of the lungs more precisely. The purpose of this study was to compare the NO-parameters between asthmatics and healthy subjects in a systematic review and meta-analysis. Methods . A systematic search was performed in Ovid Medline, Web of Science, Scopus and Cochrane Library databases. All studies with asthmatic and healthy control groups with at least one N...
Source: Journal of Breath Research - July 16, 2019 Category: Respiratory Medicine Authors: Tuomas Karvonen and Lauri Lehtim äki Source Type: research

Development of low-cost hybrid multi-walled carbon nanotube-based ammonia gas-sensing strips with an integrated sensor read-out system for clinical breath analyzer applications
This work demonstrates the development of Ag@polyaniline/multi-walled carbon nanotube nanocomposite-based sensor strips and a suitable integrated electronic read-out system for the measurement of trace-level concentrations of ammonia (NH 3 ). The sensor is optimized under various operating conditions and the resulting sensor exhibited an enhanced response (32% for 2 ppm) with excellent selectivity. Stable performance was observed towards NH 3 in the presence of high concentrations of CO 2 (>40 000 ppm), simulated and real breath samples. A suitable electronic sensor read-out system has also been designed and develope...
Source: Journal of Breath Research - July 15, 2019 Category: Respiratory Medicine Authors: Sukhananazerin Abdulla, Jayaseelan Dhakshinamoorthy, Vijay Mohan, Dinesh Veeran Ponnuvelu, Venkataraman Krishnan Kallidaikuruchi, Lazar Mathew Thalakkotil and Biji Pullithadathil Source Type: research

Crowd monitoring in dairy cattle —real-time VOC profiling by direct mass spectrometry
Volatile organic compounds (VOCs) emitted from breath, faeces or skin may reflect physiological and pathological processes in vivo . Our setup employs real-time proton-transfer-reaction time-of-flight mass spectrometry (PTR-TOF-MS) to explore VOC emissions of dairy cows in stable air under field conditions. Within one herd of 596 cows, seven groups (8 –117 cows per group) were assessed. Groups differed in milk yield and health status (two contained cows with paratuberculosis, a chronic intestinal infection). Each group arrived one after another in the area of air measurement in front of the milking parlour. A custo...
Source: Journal of Breath Research - July 9, 2019 Category: Respiratory Medicine Authors: Peter Gierschner, Anne K üntzel, Petra Reinhold, Heike Köhler, Jochen K Schubert and Wolfram Miekisch Source Type: research

Feasibility and diagnostic accuracy of an electronic nose in children with asthma and cystic fibrosis
The measurement of volatile organic compounds (VOCs) in exhaled breath is a promising tool for diagnosing and monitoring various lung diseases in children. Gas chromatography mass spectrometry (GC-MS) analysis is a frequently used standard technique for VOCs analysis. However, as GC-MS is an expensive and time-consuming technique, hand-held devices or electronic noses have been developed. Recently, the Aeonose was introduced as an easy-to-use hand-held eNose capable of point-of-care testing. Although first results using this eNose in adults are promising, studies in children are lacking. We therefore performed a cros...
Source: Journal of Breath Research - May 6, 2019 Category: Respiratory Medicine Authors: Michiel A G E Bannier, Kim D G van de Kant, Quirijn J öbsis and Edward Dompeling Source Type: research

Basic characteristics and clinical value of FeNO in smoking asthmatics —a systematic review
Fractional exhaled nitric oxide (FeNO) reflects eosinophilic airway inflammation and it can be used to diagnose and phenotype asthma and predict treatment responses. However, smoking decreases FeNO and it is not clear if FeNO has clinical value in smoking subjects with asthma. We conducted a systematic review focusing on four basic characteristics and five clinical questions on using FeNO in smokers with asthma. At least two authors independently screened search results, extracted data and assessed the quality of the included studies. Data were synthesised mainly by qualitative methods. Twenty-two studies were includ...
Source: Journal of Breath Research - May 1, 2019 Category: Respiratory Medicine Authors: Anneli Ahovuo-Saloranta, P éter Csonka and Lauri Lehtimäki Source Type: research