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Ibrahim W, Wilde MJ, Cordell RL, Richardson M, Salman D, Free RC, Zhao B, Singapuri A, Hargadon B, Gaillard EA, Suzuki T, Ng LL, Coats T, Thomas P, Monks PS, Brightling CE, Greening NJ, Siddiqui S. Visualization of exhaled breath metabolites reveals distinct diagnostic signatures for acute cardiorespiratory breathlessness. Sci Transl Med 2022; 14:eabl5849. [PMID: 36383685 PMCID: PMC7613858 DOI: 10.1126/scitranslmed.abl5849] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Acute cardiorespiratory breathlessness accounts for one in eight of all emergency hospitalizations. Early, noninvasive diagnostic testing is a clinical priority that allows rapid triage and treatment. Here, we sought to find and replicate diagnostic breath volatile organic compound (VOC) biomarkers of acute cardiorespiratory disease and understand breath metabolite network enrichment in acute disease, with a view to gaining mechanistic insight of breath biochemical derangements. We collected and analyzed exhaled breath samples from 277 participants presenting acute cardiorespiratory exacerbations and aged-matched healthy volunteers. Topological data analysis phenotypes differentiated acute disease from health and acute cardiorespiratory exacerbation subtypes (acute heart failure, acute asthma, acute chronic obstructive pulmonary disease, and community-acquired pneumonia). A multibiomarker score (101 breath biomarkers) demonstrated good diagnostic sensitivity and specificity (≥80%) in both discovery and replication sets and was associated with all-cause mortality at 2 years. In addition, VOC biomarker scores differentiated metabolic subgroups of cardiorespiratory exacerbation. Louvain clustering of VOCs coupled with metabolite enrichment and similarity assessment revealed highly specific enrichment patterns in all acute disease subgroups, for example, selective enrichment of correlated C5-7 hydrocarbons and C3-5 carbonyls in heart failure and selective depletion of correlated aldehydes in acute asthma. This study identified breath VOCs that differentiate acute cardiorespiratory exacerbations and associated subtypes and metabolic clusters of disease-associated VOCs.
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Affiliation(s)
- Wadah Ibrahim
- Department of Respiratory Sciences, University of Leicester, Leicester, LE1 7RH UK
- Institute for Lung Health, NIHR Leicester Biomedical Research Centre (Respiratory theme), Glenfield Hospital, Groby Road, Leicester LE3 9QP
| | - Michael J. Wilde
- School of Chemistry, University of Leicester, Leicester, LE1 7RH UK
- School of Geography, Earth and Environmental Sciences, University of Plymouth, Plymouth, PL4 8AA, UK
- joint corresponding authorship. (M.J.W.); (S.S.)
| | | | - Matthew Richardson
- Department of Respiratory Sciences, University of Leicester, Leicester, LE1 7RH UK
- Institute for Lung Health, NIHR Leicester Biomedical Research Centre (Respiratory theme), Glenfield Hospital, Groby Road, Leicester LE3 9QP
| | - Dahlia Salman
- Department of Chemistry, Loughborough University, Loughborough, LE11 3TT UK
| | - Robert C. Free
- Department of Respiratory Sciences, University of Leicester, Leicester, LE1 7RH UK
- Institute for Lung Health, NIHR Leicester Biomedical Research Centre (Respiratory theme), Glenfield Hospital, Groby Road, Leicester LE3 9QP
| | - Bo Zhao
- Leverhulme Centre for Demographic Science, University of Oxford, Oxford, OX1 1JD United Kingdom
- Nuffield College, University of Oxford, Oxford, OX1 1NF United Kingdom
| | - Amisha Singapuri
- Department of Respiratory Sciences, University of Leicester, Leicester, LE1 7RH UK
- Institute for Lung Health, NIHR Leicester Biomedical Research Centre (Respiratory theme), Glenfield Hospital, Groby Road, Leicester LE3 9QP
| | - Beverley Hargadon
- Department of Respiratory Sciences, University of Leicester, Leicester, LE1 7RH UK
- Institute for Lung Health, NIHR Leicester Biomedical Research Centre (Respiratory theme), Glenfield Hospital, Groby Road, Leicester LE3 9QP
| | - Erol A. Gaillard
- Department of Respiratory Sciences, University of Leicester, Leicester, LE1 7RH UK
- Institute for Lung Health, NIHR Leicester Biomedical Research Centre (Respiratory theme), Glenfield Hospital, Groby Road, Leicester LE3 9QP
| | - Toru Suzuki
- Department of Cardiovascular Sciences, University of Leicester, Cardiovascular Research Centre, Glenfield General Hospital, Leicester, LE3 9QP UK
- Leicester NIHR Biomedical Research Centre (Cardiovascular theme), Glenfield Hospital, Groby Road, Leicester LE3 9QP
- The Institute of Medical Science, The University of Tokyo Shirokane-dai, Minato-ku 4-6-1, 108-8639 Tokyo, Japan
| | - Leong L. Ng
- Department of Cardiovascular Sciences, University of Leicester, Cardiovascular Research Centre, Glenfield General Hospital, Leicester, LE3 9QP UK
- Leicester NIHR Biomedical Research Centre (Cardiovascular theme), Glenfield Hospital, Groby Road, Leicester LE3 9QP
| | - Tim Coats
- Emergency Medicine Academic Group, Department of Cardiovascular Sciences, University of Leicester, University Road, Leicester LE1 7RH, UK
| | - Paul Thomas
- Department of Chemistry, Loughborough University, Loughborough, LE11 3TT UK
| | - Paul S. Monks
- School of Chemistry, University of Leicester, Leicester, LE1 7RH UK
| | - Christopher E. Brightling
- Department of Respiratory Sciences, University of Leicester, Leicester, LE1 7RH UK
- Institute for Lung Health, NIHR Leicester Biomedical Research Centre (Respiratory theme), Glenfield Hospital, Groby Road, Leicester LE3 9QP
| | - Neil J. Greening
- Department of Respiratory Sciences, University of Leicester, Leicester, LE1 7RH UK
- Institute for Lung Health, NIHR Leicester Biomedical Research Centre (Respiratory theme), Glenfield Hospital, Groby Road, Leicester LE3 9QP
| | - Salman Siddiqui
- Department of Respiratory Sciences, University of Leicester, Leicester, LE1 7RH UK
- Institute for Lung Health, NIHR Leicester Biomedical Research Centre (Respiratory theme), Glenfield Hospital, Groby Road, Leicester LE3 9QP
- National Heart and Lung Institute, Imperial College, London, SW3 6LY UK
- joint corresponding authorship. (M.J.W.); (S.S.)
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Xu L, Qian R, Zhao J, Yang W, Gao J, Wang Q, Zhu Y, Zhuo S. Efficient identification of raw and ripe tung oil using headspace GC-MS. RAPID COMMUNICATIONS IN MASS SPECTROMETRY : RCM 2021; 35:e9156. [PMID: 34182592 DOI: 10.1002/rcm.9156] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/13/2021] [Revised: 06/23/2021] [Accepted: 06/25/2021] [Indexed: 06/13/2023]
Abstract
To differentiate between the raw type and ripe type of tung oil, it is important to distinguish between the types of tung oil before its application. In the present work, an efficient headspace gas chromatography-mass spectrometry (HS-GC-MS) method was developed for identifying eight samples T1-T8, including the raw tung oil and ripe tung oil. The HS-GC-MS experiments results showed that octanoic acid existed only in ripe tung oil of T2, T4, T6, T8, not in raw tung oil of T1, T3, T5, T7. Combined with structural characterization by tandem mass spectrometry, octanoic acid was screened as an effective marker for distinguishing between raw tung oil and ripe tung oil. Then, the HS-GC-MS method was applied into the putty samples of X1 (raw tung oil with lime) and X2 (ripe tung oil with lime) and successfully identified the samples X1 mixed with raw tung oil and X2 mixed with ripe tung oil. The further validations results suggested that the detection limit of our HS-GC-MS method could reach 1.05 mg/L for octanoic acid, whereas the detection limit of derivative gas chromatography-mass spectrometry (DR-GC-MS) method was 2.74 mg/L for methyl octanoate. The investigation results can also provide the useful information and technical support for the selection of restoration materials and technology in ancient buildings.
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Affiliation(s)
- Ling Xu
- National Center for Inorganic Mass Spectrometry in Shanghai, Shanghai Institute of Ceramics, Chinese Academy of Sciences, Shanghai, China
- Center of Materials Science and Optoelectronics Engineering, University of Chinese Academy of Sciences, Beijing, China
| | - Rong Qian
- National Center for Inorganic Mass Spectrometry in Shanghai, Shanghai Institute of Ceramics, Chinese Academy of Sciences, Shanghai, China
- Center of Materials Science and Optoelectronics Engineering, University of Chinese Academy of Sciences, Beijing, China
| | - Jing Zhao
- Ancient Ceramics Research Center, Shanghai Institute of Ceramics, Chinese Academy of Sciences, Shanghai, China
| | - Weifeng Yang
- National Center for Inorganic Mass Spectrometry in Shanghai, Shanghai Institute of Ceramics, Chinese Academy of Sciences, Shanghai, China
- Center of Materials Science and Optoelectronics Engineering, University of Chinese Academy of Sciences, Beijing, China
| | - Jie Gao
- National Center for Inorganic Mass Spectrometry in Shanghai, Shanghai Institute of Ceramics, Chinese Academy of Sciences, Shanghai, China
- Center of Materials Science and Optoelectronics Engineering, University of Chinese Academy of Sciences, Beijing, China
| | - Qun Wang
- National Center for Inorganic Mass Spectrometry in Shanghai, Shanghai Institute of Ceramics, Chinese Academy of Sciences, Shanghai, China
- Center of Materials Science and Optoelectronics Engineering, University of Chinese Academy of Sciences, Beijing, China
| | - Yueqin Zhu
- National Center for Inorganic Mass Spectrometry in Shanghai, Shanghai Institute of Ceramics, Chinese Academy of Sciences, Shanghai, China
- Center of Materials Science and Optoelectronics Engineering, University of Chinese Academy of Sciences, Beijing, China
| | - Shangjun Zhuo
- National Center for Inorganic Mass Spectrometry in Shanghai, Shanghai Institute of Ceramics, Chinese Academy of Sciences, Shanghai, China
- Center of Materials Science and Optoelectronics Engineering, University of Chinese Academy of Sciences, Beijing, China
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Lawson J, Beauchamp J. Pursuing breath research in unprecedented circumstances-report from the Breath Biopsy Conference 2020. J Breath Res 2021; 15. [PMID: 34107459 DOI: 10.1088/1752-7163/ac09d3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2021] [Accepted: 06/09/2021] [Indexed: 12/17/2022]
Abstract
The global outbreak of Sars-CoV-2 commencing early in 2020 had a dramatic impact on breath research, imposing abrupt restrictions but also presenting unforeseen opportunities. Taking place against the background of the COVID-19 pandemic, the 2020 Breath Biopsy Conference provided the breath research community with a platform to showcase and discuss the latest findings, including COVID-19 related research. As with most conferences under the present circumstance, it differed from its predecessor meetings by shifting to a virtual format, but retained its broad scope and interactive nature. The conference centred on four key themes, featuring applications of volatile organic compounds, breath biomarkers for liver disease, study design and data analytics, and, notably this year, breath-based endeavours to detect COVID-19 infection. This meeting report summarizes the events of the conference and spotlights selected contributions.
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Affiliation(s)
- Jonathan Lawson
- Owlstone Medical Ltd, 183 Cambridge Science Park, Milton Road, Cambridge, CB4 0GJ, United Kingdom
| | - Jonathan Beauchamp
- Fraunhofer Institute for Process Engineering and Packaging IVV, Freising, Germany
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