Fila Libor, Musil Jaromír
Univerzita Karlova v Praze, 2. lékarská fakulta, Pneumologická klinika FN Motol, Praha.
Cas Lek Cesk. 2010;149(4):173-7.
Examination of exhaled breath condensate belongs to experimental methods that are used in many pulmonary diseases and it can take part in the study of their pathophysiology. Its contribution to diagnostics and to monitoring of response to treatment is also evaluated. Many biomarkers of inflammation and oxidative stress were studied in exhaled breath condensate in cystic fibrosis. Examination of pH of exhaled breath condensate is considered to be useful in evaluation of inflammatory acidification of airways, together with evaluation of response to antibiotic treatment of pulmonary exacerbation, due to immediately accessible result. Other important biomarkers include 8-isoprostane and 3-nitrotyrosine as markers of oxidative stress (both with negative correlation with pulmonary function) and leukotriene B4 as marker of neutrophilic inflammation. Opposite to other pulmonary diseases, hydrogen peroxide does not belong to useful markers of oxidative stress in cystic fibrosis, due to abundant reduced thiols and glutathione peroxidase in sputum of these patients. Attempts to detect bacterial DNA in exhaled breath condensate in cystic fibrosis also failed. In spite of mentioned progress, examination of exhaled breath condensate remains a research method and it has not been introduced into clinical practice.
呼出气冷凝物检测属于用于多种肺部疾病的实验方法,它可参与这些疾病病理生理学的研究。其对诊断以及治疗反应监测的作用也在评估之中。在囊性纤维化患者的呼出气冷凝物中,对许多炎症和氧化应激生物标志物进行了研究。由于结果可即时获取,呼出气冷凝物pH检测被认为有助于评估气道的炎性酸化以及对肺部加重期抗生素治疗的反应。其他重要的生物标志物包括作为氧化应激标志物的8-异前列腺素和3-硝基酪氨酸(两者均与肺功能呈负相关)以及作为嗜中性粒细胞炎症标志物的白三烯B4。与其他肺部疾病不同,由于囊性纤维化患者痰液中存在大量还原型硫醇和谷胱甘肽过氧化物酶,过氧化氢不属于囊性纤维化中氧化应激的有用标志物。在囊性纤维化患者的呼出气冷凝物中检测细菌DNA的尝试也未成功。尽管有上述进展,呼出气冷凝物检测仍然是一种研究方法,尚未引入临床实践。