Real-Time Quantification of Amino Acids in the Exhalome by Secondary Electrospray Ionization-Mass Spectrometry: A Proof-of-Principle Study

Amino acids are frequently determined in clinical chemistry. However, current analysis methods are time-consuming, invasive, and suffer from artifacts during sampling, sample handling, and sample preparation. We hypothesized in this proof-of-principle study that plasma concentrations of amino acids...

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Veröffentlicht in:Clinical chemistry (Baltimore, Md.) Md.), 2016-09, Vol.62 (9), p.1230-1237
Hauptverfasser: García-Gómez, Diego, Gaisl, Thomas, Bregy, Lukas, Cremonesi, Alessio, Sinues, Pablo Martinez-Lozano, Kohler, Malcolm, Zenobi, Renato
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container_end_page 1237
container_issue 9
container_start_page 1230
container_title Clinical chemistry (Baltimore, Md.)
container_volume 62
creator García-Gómez, Diego
Gaisl, Thomas
Bregy, Lukas
Cremonesi, Alessio
Sinues, Pablo Martinez-Lozano
Kohler, Malcolm
Zenobi, Renato
description Amino acids are frequently determined in clinical chemistry. However, current analysis methods are time-consuming, invasive, and suffer from artifacts during sampling, sample handling, and sample preparation. We hypothesized in this proof-of-principle study that plasma concentrations of amino acids can be estimated by measuring their concentrations in exhaled breath. A novel breath analysis technique described here allows such measurements to be carried out in real-time and noninvasively, which should facilitate efficient diagnostics and give insights into human physiology. The amino acid profiles in 37 individuals were determined by ion-exchange HPLC in blood plasma and simultaneously in breath by secondary electrospray ionization coupled to high-resolution mass spectrometry. Participants were split into training and test sets to validate the analytical accuracy. Longitudinal profiles in 3 individuals were additionally obtained over a 12-h period. Concentrations of 8 slightly volatile amino acids (A, V, I, G, P, K, F, Orn) could be determined in exhaled breath with a CV of
doi_str_mv 10.1373/clinchem.2016.256909
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However, current analysis methods are time-consuming, invasive, and suffer from artifacts during sampling, sample handling, and sample preparation. We hypothesized in this proof-of-principle study that plasma concentrations of amino acids can be estimated by measuring their concentrations in exhaled breath. A novel breath analysis technique described here allows such measurements to be carried out in real-time and noninvasively, which should facilitate efficient diagnostics and give insights into human physiology. The amino acid profiles in 37 individuals were determined by ion-exchange HPLC in blood plasma and simultaneously in breath by secondary electrospray ionization coupled to high-resolution mass spectrometry. Participants were split into training and test sets to validate the analytical accuracy. Longitudinal profiles in 3 individuals were additionally obtained over a 12-h period. Concentrations of 8 slightly volatile amino acids (A, V, I, G, P, K, F, Orn) could be determined in exhaled breath with a CV of &lt;10%. Exhalome validation studies yielded high accuracies for each of these amino acids, on average only 3% less compared to plasma concentrations (95% CI ±13%). Higher variations were found only for amino acids with a low plasma concentration. This study demonstrates for the first time that amino acids can be quantified in the human breath and that their concentrations correlate with plasma concentrations. 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source Oxford University Press Journals All Titles (1996-Current); MEDLINE
subjects Amino acids
Amino Acids - analysis
Aqueous solutions
Biomarkers
Breath Tests
Chromatography, High Pressure Liquid
Diabetes
Disease
Exhalation
Funding
Humans
Ionization
Liquid chromatography
Mass spectrometry
Metabolism
Metabolites
Methods
Sample preparation
Sample size
Scientific imaging
Spectrometry, Mass, Electrospray Ionization
Time Factors
title Real-Time Quantification of Amino Acids in the Exhalome by Secondary Electrospray Ionization-Mass Spectrometry: A Proof-of-Principle Study
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