Monell Chemical Senses Center, 3500 Market Street, Philadelphia, PA, USA.
Chem Senses. 2021 Jan 1;46. doi: 10.1093/chemse/bjab030.
Alterations of the volatile metabolome (the collection of volatiles present in secretions and other emanations) that occur in response to inflammation can be detected by conspecifics and chemometric analyses. Using a model system where mouse urinary metabolites are altered by treatment with lipopolysaccharide (found in the outer cell membrane of gram-negative bacteria), we hypothesized that alteration of body odor volatiles will vary according to the pathogen responsible for inducing the inflammation. We tested this hypothesis by treating mice with different immunogens that engage different immune signaling pathways. Results suggest that alterations of body odor volatiles resulting from inflammation do contain detailed information about the type of pathogen that instigated the inflammation and these differences are not merely dependent on the severity of the inflammatory event. These results are encouraging for the future of differential medical diagnosis of febrile diseases by analysis of the volatile metabolome. In particular, our data support the possibility that bacterial infections can be differentiated from viral infections such that antibiotic drug stewardship could be drastically improved by reducing unneeded treatments with antibiotics.
挥发性代谢组(分泌物和其他散发物中存在的挥发性物质的集合)在炎症反应中发生的变化可以被同种生物检测到,并通过化学计量学分析。我们使用了一种模型系统,其中小鼠尿液代谢物因用脂多糖(革兰氏阴性菌外细胞膜中发现的物质)处理而发生改变,我们假设体臭挥发性物质的改变将根据引发炎症的病原体而有所不同。我们通过用不同的免疫原处理小鼠来验证这一假设,这些免疫原激活不同的免疫信号通路。结果表明,炎症引起的体臭挥发性物质的改变确实包含有关引发炎症的病原体类型的详细信息,而且这些差异不仅仅取决于炎症事件的严重程度。这些结果为通过分析挥发性代谢组对发热性疾病进行差异化医学诊断的未来提供了希望。特别是,我们的数据支持这样一种可能性,即可以区分细菌感染和病毒感染,从而通过减少不必要的抗生素治疗,极大地改善抗生素药物管理。