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面向呼吸科临床医生和研究人员的呼出气检测简明综述

A Concise Review of Exhaled Breath Testing for Respiratory Clinicians and Researchers.

作者信息

Wang Ran, Davis Michael D

机构信息

Manchester University NHS Foundation Trust, Manchester, United Kingdom.

Division of Immunology, Immunity to Infection and Respiratory Medicine at the University of Manchester, School of Biological Sciences, The University of Manchester, Manchester, United Kingdom.

出版信息

Respir Care. 2024 Apr 22;69(5):613-620. doi: 10.4187/respcare.11651.

DOI:10.4187/respcare.11651
PMID:38199760
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11147617/
Abstract

Exhaled breath contains an extensive reservoir of biomolecules. The collection of exhaled breath is noninvasive and low risk. Therefore, its testing is an appealing strategy for the discovery of biomarkers of respiratory diseases. In this concise review, we summarize the evidence of exhaled breath tests for airways diseases and respiratory infections. An overview of breath collection methods in both individuals who are spontaneously breathing and those receiving mechanical ventilation is outlined. We also highlight the challenges in exhaled breath testing and areas for future research.

摘要

呼出气体中含有大量的生物分子。收集呼出气体是非侵入性的且风险较低。因此,对其进行检测是发现呼吸系统疾病生物标志物的一种有吸引力的策略。在这篇简要综述中,我们总结了呼出气体检测用于气道疾病和呼吸道感染的证据。概述了自主呼吸个体和接受机械通气个体的呼气收集方法。我们还强调了呼出气体检测中的挑战以及未来研究的领域。

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本文引用的文献

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Inflammatory cytokines can be monitored in exhaled breath particles following segmental and inhalation endotoxin challenge in healthy volunteers.在健康志愿者中,经节段性和吸入性内毒素挑战后,可在呼出气颗粒中监测到炎症细胞因子。
Sci Rep. 2022 Apr 4;12(1):5620. doi: 10.1038/s41598-022-09399-z.
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European Respiratory Society guidelines for the diagnosis of asthma in adults.欧洲呼吸学会成人哮喘诊断指南。
Eur Respir J. 2022 Sep 7;60(3). doi: 10.1183/13993003.01585-2021. Print 2022 Sep.
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The potential of volatile organic compounds-based breath analysis for COVID-19 screening: a systematic review & meta-analysis.基于挥发性有机化合物的呼气分析在 COVID-19 筛查中的应用潜力:系统评价与荟萃分析。
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Breath and plasma metabolomics to assess inflammation in acute stroke.呼吸和血浆代谢组学评估急性脑卒中的炎症反应。
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Volatile organic compounds (VOCs) in exhaled breath as a marker of hypoxia in multiple chemical sensitivity.呼出气中的挥发性有机化合物(VOCs)作为多种化学敏感性缺氧的标志物。
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Untargeted Molecular Analysis of Exhaled Breath as a Diagnostic Test for Ventilator-Associated Lower Respiratory Tract Infections (BreathDx).呼出气非靶向分子分析作为呼吸机相关性下呼吸道感染(BreathDx)的诊断检测手段
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Breath Biopsy and Discovery of Exclusive Volatile Organic Compounds for Diagnosis of Infectious Diseases.呼气活检与发现用于诊断传染病的独特挥发性有机化合物。
Front Cell Infect Microbiol. 2021 Jan 7;10:564194. doi: 10.3389/fcimb.2020.564194. eCollection 2020.
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Volatile Organic Compounds in Exhaled Breath as Fingerprints of Lung Cancer, Asthma and COPD.呼出气中的挥发性有机化合物作为肺癌、哮喘和慢性阻塞性肺疾病的生物标志物
J Clin Med. 2020 Dec 24;10(1):32. doi: 10.3390/jcm10010032.
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Exhaled breath condensate biomarkers in critically ill, mechanically ventilated patients.机械通气危重症患者呼出气冷凝液生物标志物。
J Breath Res. 2020 Nov 12;15(1):016011. doi: 10.1088/1752-7163/abc235.
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Fractional exhaled breath temperature in patients with asthma, chronic obstructive pulmonary disease, or systemic sclerosis compared to healthy controls.与健康对照相比,哮喘、慢性阻塞性肺疾病或系统性硬化症患者的呼出气分数温度。
Eur Clin Respir J. 2020 Apr 12;7(1):1747014. doi: 10.1080/20018525.2020.1747014. eCollection 2020.