Exhaled Molecular Fingerprinting in Diagnosis and Monitoring: Validating Volatile Promises

Medical diagnosis and phenotyping increasingly incorporate information from complex biological samples. This has promoted the development and clinical application of non-invasive metabolomics in exhaled air (breathomics). In respiratory medicine, expired volatile organic compounds (VOCs) are associa...

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Veröffentlicht in:Trends in molecular medicine 2015-10, Vol.21 (10), p.633-644
Hauptverfasser: Boots, Agnes W, Bos, Lieuwe D, van der Schee, Marc P, van Schooten, Frederik-Jan, Sterk, Peter J
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container_issue 10
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container_title Trends in molecular medicine
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creator Boots, Agnes W
Bos, Lieuwe D
van der Schee, Marc P
van Schooten, Frederik-Jan
Sterk, Peter J
description Medical diagnosis and phenotyping increasingly incorporate information from complex biological samples. This has promoted the development and clinical application of non-invasive metabolomics in exhaled air (breathomics). In respiratory medicine, expired volatile organic compounds (VOCs) are associated with inflammatory, oxidative, microbial, and neoplastic processes. After recent proof of concept studies demonstrating moderate to good diagnostic accuracies, the latest efforts in breathomics are focused on optimization of sensor technologies and analytical algorithms, as well as on independent validation of clinical classification and prediction. Current research strategies are revealing the underlying pathophysiological pathways as well as clinically-acceptable levels of diagnostic accuracy. Implementing recent guidelines on validating molecular signatures in medicine will enhance the clinical potential of breathomics and the development of point-of-care technologies.
doi_str_mv 10.1016/j.molmed.2015.08.001
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subjects Animals
Biomarkers
Breath
diagnosis
eNose
Exhalation
GC-MS
Humans
Metabolomics
Molecular Diagnostic Techniques
Pathology
Respiration Disorders - diagnosis
Volatile Organic Compounds
title Exhaled Molecular Fingerprinting in Diagnosis and Monitoring: Validating Volatile Promises
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