Exhaled volatilome analysis as a useful tool to discriminate asthma with other coexisting atopic diseases in women of childbearing age

Abstract The prevalence of asthma is considerably high among women of childbearing age. Most asthmatic women also often have other atopic disorders. Therefore, the differentiation between patients with atopic diseases without asthma and asthmatics with coexisting diseases is essential to avoid under...

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Main Authors: Rosa A. Sola-Martínez, Gema Lozano-Terol, Julia Gallego-Jara, Eva Morales, Esther Cantero-Cano, Manuel Sanchez-Solis, Luis García-Marcos, Pedro Jiménez-Guerrero, José A. Noguera-Velasco, Manuel Cánovas Díaz, Teresa de Diego Puente, the NELA study group
Format: Article
Language:English
Published: Nature Portfolio 2021-07-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-021-92933-2
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author Rosa A. Sola-Martínez
Gema Lozano-Terol
Julia Gallego-Jara
Eva Morales
Esther Cantero-Cano
Manuel Sanchez-Solis
Luis García-Marcos
Pedro Jiménez-Guerrero
José A. Noguera-Velasco
Manuel Cánovas Díaz
Teresa de Diego Puente
the NELA study group
author_facet Rosa A. Sola-Martínez
Gema Lozano-Terol
Julia Gallego-Jara
Eva Morales
Esther Cantero-Cano
Manuel Sanchez-Solis
Luis García-Marcos
Pedro Jiménez-Guerrero
José A. Noguera-Velasco
Manuel Cánovas Díaz
Teresa de Diego Puente
the NELA study group
author_sort Rosa A. Sola-Martínez
collection DOAJ
description Abstract The prevalence of asthma is considerably high among women of childbearing age. Most asthmatic women also often have other atopic disorders. Therefore, the differentiation between patients with atopic diseases without asthma and asthmatics with coexisting diseases is essential to avoid underdiagnosis of asthma and to design strategies to reduce symptom severity and improve quality of life of patients. Hence, we aimed for the first time to conduct an analysis of volatile organic compounds in exhaled breath of women of childbearing age as a new approach to discriminate between asthmatics with other coexisting atopic diseases and non-asthmatics (with or without atopic diseases), which could be a helpful tool for more accurate asthma detection and monitoring using a noninvasive technique in the near future. In this study, exhaled air samples of 336 women (training set (n = 211) and validation set (n = 125)) were collected and analyzed by thermal desorption coupled with gas chromatography-mass spectrometry. ASCA (ANOVA (analysis of variance) simultaneous component analysis) and LASSO + LS (least absolute shrinkage and selection operator + logistic regression) were employed for data analysis. Fifteen statistically significant models (p-value < 0.05 in permutation tests) that discriminated asthma with other coexisting atopic diseases in women of childbearing age were generated. Acetone, 2-ethyl-1-hexanol and a tetrahydroisoquinoline derivative were selected as discriminants of asthma with other coexisting atopic diseases. In addition, carbon disulfide, a tetrahydroisoquinoline derivative, 2-ethyl-1-hexanol and decane discriminated asthma disease among patients with other atopic disorders. Results of this study indicate that refined metabolomic analysis of exhaled breath allows asthma with other coexisting atopic diseases discrimination in women of reproductive age.
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spelling doaj.art-082180fcfc1142d2bc21a7d6576996a02022-12-21T19:25:08ZengNature PortfolioScientific Reports2045-23222021-07-0111111710.1038/s41598-021-92933-2Exhaled volatilome analysis as a useful tool to discriminate asthma with other coexisting atopic diseases in women of childbearing ageRosa A. Sola-Martínez0Gema Lozano-Terol1Julia Gallego-Jara2Eva Morales3Esther Cantero-Cano4Manuel Sanchez-Solis5Luis García-Marcos6Pedro Jiménez-Guerrero7José A. Noguera-Velasco8Manuel Cánovas Díaz9Teresa de Diego Puente10the NELA study groupDepartment of Biochemistry and Molecular Biology B and Immunology, University of MurciaDepartment of Biochemistry and Molecular Biology B and Immunology, University of MurciaDepartment of Biochemistry and Molecular Biology B and Immunology, University of MurciaBiomedical Research Institute of Murcia, IMIB-ArrixacaBiomedical Research Institute of Murcia, IMIB-ArrixacaBiomedical Research Institute of Murcia, IMIB-ArrixacaBiomedical Research Institute of Murcia, IMIB-ArrixacaRegional Atmospheric Modelling Group, Department of Physics, University of MurciaDepartment of Biochemistry and Molecular Biology B and Immunology, University of MurciaDepartment of Biochemistry and Molecular Biology B and Immunology, University of MurciaDepartment of Biochemistry and Molecular Biology B and Immunology, University of MurciaAbstract The prevalence of asthma is considerably high among women of childbearing age. Most asthmatic women also often have other atopic disorders. Therefore, the differentiation between patients with atopic diseases without asthma and asthmatics with coexisting diseases is essential to avoid underdiagnosis of asthma and to design strategies to reduce symptom severity and improve quality of life of patients. Hence, we aimed for the first time to conduct an analysis of volatile organic compounds in exhaled breath of women of childbearing age as a new approach to discriminate between asthmatics with other coexisting atopic diseases and non-asthmatics (with or without atopic diseases), which could be a helpful tool for more accurate asthma detection and monitoring using a noninvasive technique in the near future. In this study, exhaled air samples of 336 women (training set (n = 211) and validation set (n = 125)) were collected and analyzed by thermal desorption coupled with gas chromatography-mass spectrometry. ASCA (ANOVA (analysis of variance) simultaneous component analysis) and LASSO + LS (least absolute shrinkage and selection operator + logistic regression) were employed for data analysis. Fifteen statistically significant models (p-value < 0.05 in permutation tests) that discriminated asthma with other coexisting atopic diseases in women of childbearing age were generated. Acetone, 2-ethyl-1-hexanol and a tetrahydroisoquinoline derivative were selected as discriminants of asthma with other coexisting atopic diseases. In addition, carbon disulfide, a tetrahydroisoquinoline derivative, 2-ethyl-1-hexanol and decane discriminated asthma disease among patients with other atopic disorders. Results of this study indicate that refined metabolomic analysis of exhaled breath allows asthma with other coexisting atopic diseases discrimination in women of reproductive age.https://doi.org/10.1038/s41598-021-92933-2
spellingShingle Rosa A. Sola-Martínez
Gema Lozano-Terol
Julia Gallego-Jara
Eva Morales
Esther Cantero-Cano
Manuel Sanchez-Solis
Luis García-Marcos
Pedro Jiménez-Guerrero
José A. Noguera-Velasco
Manuel Cánovas Díaz
Teresa de Diego Puente
the NELA study group
Exhaled volatilome analysis as a useful tool to discriminate asthma with other coexisting atopic diseases in women of childbearing age
Scientific Reports
title Exhaled volatilome analysis as a useful tool to discriminate asthma with other coexisting atopic diseases in women of childbearing age
title_full Exhaled volatilome analysis as a useful tool to discriminate asthma with other coexisting atopic diseases in women of childbearing age
title_fullStr Exhaled volatilome analysis as a useful tool to discriminate asthma with other coexisting atopic diseases in women of childbearing age
title_full_unstemmed Exhaled volatilome analysis as a useful tool to discriminate asthma with other coexisting atopic diseases in women of childbearing age
title_short Exhaled volatilome analysis as a useful tool to discriminate asthma with other coexisting atopic diseases in women of childbearing age
title_sort exhaled volatilome analysis as a useful tool to discriminate asthma with other coexisting atopic diseases in women of childbearing age
url https://doi.org/10.1038/s41598-021-92933-2
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