Breath biomarkers in idiopathic pulmonary fibrosis:A systematic review 11 Medical and Health Sciences

Hayton, Conal, Terrington, Dayle, Wilson, Andrew M., Chaudhuri, Nazia, Leonard, Colm and Fowler, Stephen J. (2019) Breath biomarkers in idiopathic pulmonary fibrosis:A systematic review 11 Medical and Health Sciences. Respiratory Research, 20 (1). pp. 1-16. ISSN 1465-9921

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Abstract

Background: Exhaled biomarkers may be related to disease processes in idiopathic pulmonary fibrosis (IPF) however their clinical role remains unclear. We performed a systematic review to investigate whether breath biomarkers discriminate between patients with IPF and healthy controls. We also assessed correlation with lung function, ability to distinguish diagnostic subgroups and change in response to treatment. Methods: MEDLINE, EMBASE and Web of Science databases were searched. Study selection was limited to adults with a diagnosis of IPF as per international guidelines. Results: Of 1014 studies screened, fourteen fulfilled selection criteria and included 257 IPF patients. Twenty individual biomarkers discriminated between IPF and controls and four showed correlation with lung function. Meta-analysis of three studies indicated mean (± SD) alveolar nitric oxide (CalvNO) levels were significantly higher in IPF (8.5 ± 5.5 ppb) than controls (4.4 ± 2.2 ppb). Markers of oxidative stress in exhaled breath condensate, such as hydrogen peroxide and 8-isoprostane, were also discriminatory. Two breathomic studies have isolated discriminative compounds using mass spectrometry. There was a lack of studies assessing relevant treatment and none assessed differences in diagnostic subgroups. Conclusions: Evidence suggests CalvNO is higher in IPF, although studies were limited by small sample size. Further breathomic work may identify biomarkers with diagnostic and prognostic potential.

Item Type: Article
Uncontrolled Keywords: breath tests,exhaled breath condensate,idiopathic pulmonary fibrosis,nitric oxide,volatile organic compounds,pulmonary and respiratory medicine ,/dk/atira/pure/subjectarea/asjc/2700/2740
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
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Depositing User: LivePure Connector
Date Deposited: 25 Jan 2019 12:30
Last Modified: 08 May 2020 23:55
URI: https://ueaeprints.uea.ac.uk/id/eprint/69686
DOI: 10.1186/s12931-019-0971-8

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