Lärstad M A E, Torén K, Bake B, Olin A-C
Department of Occupational and Environmental Medicine, The Sahlgrenska Academy at Göteborg University, Göteborg, Sweden.
Acta Physiol (Oxf). 2007 Jan;189(1):87-98. doi: 10.1111/j.1748-1716.2006.01624.x.
Exhaled ethane, pentane and isoprene have been proposed as biomarkers of oxidative stress. The objectives were to explore whether ethane, pentane and isoprene are produced within the airways and to explore the effect of different sampling parameters on analyte concentrations.
The flow dependency of the analyte concentrations, the concentrations in dead-space and alveolar air after breath-holding and the influence of inhaling purified air on analyte concentrations were investigated. The analytical method involved thermal desorption from sorbent tubes and gas chromatography. The studied group comprised 13 subjects with clinically stable asthma and 14 healthy controls.
Ethane concentrations decreased slightly, but significantly, at higher flow rates in subjects with asthma (P = 0.0063) but not in healthy controls. Pentane levels were increased at higher flow rates both in healthy and asthmatic subjects (P = 0.022 and 0.0063 respectively). Isoprene levels were increased at higher flow rates, but only significantly in healthy subjects (P = 0.0034). After breath-holding, no significant changes in ethane levels were observed. Pentane and isoprene levels increased significantly after 20 s of breath-holding. Inhalation of purified air before exhalation resulted in a substantial decrease in ethane levels, a moderate decrease in pentane levels and an increase in isoprene levels.
The major fractions of exhaled ethane, pentane and isoprene seem to be of systemic origin. There was, however, a tendency for ethane to be flow rate dependent in asthmatic subjects, although to a very limited extent, suggesting that small amounts of ethane may be formed in the airways.
呼出的乙烷、戊烷和异戊二烯已被提议作为氧化应激的生物标志物。目的是探讨乙烷、戊烷和异戊二烯是否在气道内产生,并探讨不同采样参数对分析物浓度的影响。
研究了分析物浓度的流量依赖性、屏气后死腔和肺泡气中的浓度以及吸入净化空气对分析物浓度的影响。分析方法包括从吸附管进行热解吸和气相色谱法。研究组包括13名临床稳定的哮喘患者和14名健康对照者。
哮喘患者中,较高流速下乙烷浓度略有但显著下降(P = 0.0063),而健康对照者中无此现象。健康人和哮喘患者在较高流速下戊烷水平均升高(分别为P = 0.022和0.0063)。异戊二烯水平在较高流速下升高,但仅在健康受试者中显著升高(P = 0.0034)。屏气后,未观察到乙烷水平有显著变化。屏气20秒后,戊烷和异戊二烯水平显著升高。呼气前吸入净化空气导致乙烷水平大幅下降,戊烷水平适度下降,异戊二烯水平升高。
呼出的乙烷、戊烷和异戊二烯的主要部分似乎来源于全身。然而,哮喘患者中乙烷有随流速变化的趋势,尽管程度非常有限,这表明气道中可能会形成少量乙烷。