Oxner Micah, Trang Allyson, Mehta Jhalak, Forsyth Christopher, Swanson Barbara, Keshavarzian Ali, Bhushan Abhinav
Department of Biomedical Engineering, Illinois Institute of Technology, Chicago, IL 60616, USA.
Department of Internal Medicine, Division of Digestive Diseases and Nutrition, Section of Gastroenterology, Rush Medical College, Chicago, IL 60612, USA.
BME Front. 2023 Jan 10;4:0002. doi: 10.34133/bmef.0002. eCollection 2023.
A variety of volatile organic compounds (VOCs) are produced and emitted by the human body every day. The identity and concentration of these VOCs reflect an individual's metabolic condition. Information regarding the production and origin of VOCs, however, has yet to be congruent among the scientific community. This review article focuses on the recent investigations of the source and detection of biological VOCs as a potential for noninvasive discrimination between healthy and diseased individuals. Analyzing the changes in the components of VOC profiles could provide information regarding the molecular mechanisms behind disease as well as presenting new approaches for personalized screening and diagnosis. VOC research has prioritized the study of cancer, resulting in many research articles and reviews being written on the topic. This review summarizes the information gained about VOC cancer studies over the past 10 years and looks at how this knowledge correlates with and can be expanded to new and upcoming fields of VOC research, including neurodegenerative and other noninfectious diseases. Recent advances in analytical techniques have allowed for the analysis of VOCs measured in breath, urine, blood, feces, and skin. New diagnostic approaches founded on sensor-based techniques allow for cheaper and quicker results, and we compare their diagnostic dependability with gas chromatography- and mass spectrometry-based techniques. The future of VOC analysis as a clinical practice and the challenges associated with this transition are also discussed and future research priorities are summarized.
人体每天都会产生并释放多种挥发性有机化合物(VOCs)。这些VOCs的种类和浓度反映了个体的代谢状况。然而,关于VOCs的产生和来源的信息在科学界尚未达成一致。这篇综述文章聚焦于近期对生物VOCs的来源及检测的研究,其作为一种在健康个体和患病个体之间进行无创鉴别的潜力。分析VOCs谱图成分的变化可以提供有关疾病背后分子机制的信息,并为个性化筛查和诊断提供新方法。VOC研究优先关注癌症,因此有许多关于该主题的研究文章和综述。这篇综述总结了过去10年中关于VOC癌症研究获得的信息,并探讨了这些知识如何与VOC研究的新领域及新兴领域相关联,以及如何将其扩展到这些领域,包括神经退行性疾病和其他非传染性疾病。分析技术的最新进展使得对呼气、尿液、血液、粪便和皮肤中测量的VOCs进行分析成为可能。基于传感器技术的新诊断方法能够提供更便宜、更快速的结果,我们将其诊断可靠性与基于气相色谱和质谱的技术进行了比较。还讨论了VOC分析作为临床实践的未来以及与这种转变相关的挑战,并总结了未来的研究重点。