Volatile organic compound breath signatures of children with cystic fibrosis by real-time SESI-HRMS

Early pulmonary infection and inflammation result in irreversible lung damage and are major contributors to cystic fibrosis (CF)-related morbidity. An easy to apply and noninvasive assessment for the timely detection of disease-associated complications would be of high value. We aimed to detect vola...

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Main Authors: Ronja Weber, Naemi Haas, Astghik Baghdasaryan, Tobias Bruderer, Demet Inci, Srdjan Micic, Nathan Perkins, Renate Spinas, Renato Zenobi, Alexander Moeller, Paediatric Exhalomics Group:, Christoph Berger, Christian Bieli, Martin Hersberger, Katharina Heschl, Andreas Jung, Malcolm Kohler, Simona Müller, Tina Schürmann, Florian Singer, Bettina Streckenbach, Jakob Usemann
Format: Article
Language:English
Published: European Respiratory Society 2020-01-01
Series:ERJ Open Research
Online Access:http://openres.ersjournals.com/content/6/1/00171-2019.full
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author Ronja Weber
Naemi Haas
Astghik Baghdasaryan
Tobias Bruderer
Demet Inci
Srdjan Micic
Nathan Perkins
Renate Spinas
Renato Zenobi
Alexander Moeller
Paediatric Exhalomics Group:
Astghik Baghdasaryan
Christoph Berger
Christian Bieli
Tobias Bruderer
Naemi Haas
Martin Hersberger
Katharina Heschl
Demet Inci
Andreas Jung
Malcolm Kohler
Srdjan Micic
Alexander Moeller
Simona Müller
Nathan Perkins
Tina Schürmann
Florian Singer
Renate Spinas
Bettina Streckenbach
Jakob Usemann
Ronja Weber
Renato Zenobi
author_facet Ronja Weber
Naemi Haas
Astghik Baghdasaryan
Tobias Bruderer
Demet Inci
Srdjan Micic
Nathan Perkins
Renate Spinas
Renato Zenobi
Alexander Moeller
Paediatric Exhalomics Group:
Astghik Baghdasaryan
Christoph Berger
Christian Bieli
Tobias Bruderer
Naemi Haas
Martin Hersberger
Katharina Heschl
Demet Inci
Andreas Jung
Malcolm Kohler
Srdjan Micic
Alexander Moeller
Simona Müller
Nathan Perkins
Tina Schürmann
Florian Singer
Renate Spinas
Bettina Streckenbach
Jakob Usemann
Ronja Weber
Renato Zenobi
author_sort Ronja Weber
collection DOAJ
description Early pulmonary infection and inflammation result in irreversible lung damage and are major contributors to cystic fibrosis (CF)-related morbidity. An easy to apply and noninvasive assessment for the timely detection of disease-associated complications would be of high value. We aimed to detect volatile organic compound (VOC) breath signatures of children with CF by real-time secondary electrospray ionisation high-resolution mass spectrometry (SESI-HRMS). A total of 101 children, aged 4–18 years (CF=52; healthy controls=49) and comparable for sex, body mass index and lung function were included in this prospective cross-sectional study. Exhaled air was analysed by a SESI-source linked to a high-resolution time-of-flight mass spectrometer. Mass spectra ranging from m/z 50 to 500 were recorded. Out of 3468 m/z features, 171 were significantly different in children with CF (false discovery rate adjusted p-value of 0.05). The predictive ability (CF versus healthy) was assessed by using a support-vector machine classifier and showed an average accuracy (repeated cross-validation) of 72.1% (sensitivity of 77.2% and specificity of 67.7%). This is the first study to assess entire breath profiles of children with SESI-HRMS and to extract sets of VOCs that are associated with CF. We have detected a large set of exhaled molecules that are potentially related to CF, indicating that the molecular breath of children with CF is diverse and informative.
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spelling doaj.art-17a6523ae30c446ea7fc885f4ee62d102022-12-22T00:13:36ZengEuropean Respiratory SocietyERJ Open Research2312-05412020-01-016110.1183/23120541.00171-201900171-2019Volatile organic compound breath signatures of children with cystic fibrosis by real-time SESI-HRMSRonja Weber0Naemi Haas1Astghik Baghdasaryan2Tobias Bruderer3Demet Inci4Srdjan Micic5Nathan Perkins6Renate Spinas7Renato Zenobi8Alexander Moeller9Paediatric Exhalomics Group:Astghik BaghdasaryanChristoph BergerChristian BieliTobias BrudererNaemi HaasMartin HersbergerKatharina HeschlDemet InciAndreas JungMalcolm KohlerSrdjan MicicAlexander MoellerSimona MüllerNathan PerkinsTina SchürmannFlorian SingerRenate SpinasBettina StreckenbachJakob UsemannRonja WeberRenato Zenobi Division of Respiratory Medicine and Childhood Research Center, University Children's Hospital Zürich, Zürich, Switzerland Division of Respiratory Medicine and Childhood Research Center, University Children's Hospital Zürich, Zürich, Switzerland Division of Respiratory Medicine and Childhood Research Center, University Children's Hospital Zürich, Zürich, Switzerland Division of Respiratory Medicine and Childhood Research Center, University Children's Hospital Zürich, Zürich, Switzerland Division of Respiratory Medicine and Childhood Research Center, University Children's Hospital Zürich, Zürich, Switzerland Division of Respiratory Medicine and Childhood Research Center, University Children's Hospital Zürich, Zürich, Switzerland Division of Clinical Chemistry and Biochemistry, University Children's Hospital Zürich, Zürich, Switzerland Division of Respiratory Medicine and Childhood Research Center, University Children's Hospital Zürich, Zürich, Switzerland ETH Zürich, Dept of Chemistry and Applied Bioscience, Zürich, Switzerland Division of Respiratory Medicine and Childhood Research Center, University Children's Hospital Zürich, Zürich, Switzerland Early pulmonary infection and inflammation result in irreversible lung damage and are major contributors to cystic fibrosis (CF)-related morbidity. An easy to apply and noninvasive assessment for the timely detection of disease-associated complications would be of high value. We aimed to detect volatile organic compound (VOC) breath signatures of children with CF by real-time secondary electrospray ionisation high-resolution mass spectrometry (SESI-HRMS). A total of 101 children, aged 4–18 years (CF=52; healthy controls=49) and comparable for sex, body mass index and lung function were included in this prospective cross-sectional study. Exhaled air was analysed by a SESI-source linked to a high-resolution time-of-flight mass spectrometer. Mass spectra ranging from m/z 50 to 500 were recorded. Out of 3468 m/z features, 171 were significantly different in children with CF (false discovery rate adjusted p-value of 0.05). The predictive ability (CF versus healthy) was assessed by using a support-vector machine classifier and showed an average accuracy (repeated cross-validation) of 72.1% (sensitivity of 77.2% and specificity of 67.7%). This is the first study to assess entire breath profiles of children with SESI-HRMS and to extract sets of VOCs that are associated with CF. We have detected a large set of exhaled molecules that are potentially related to CF, indicating that the molecular breath of children with CF is diverse and informative.http://openres.ersjournals.com/content/6/1/00171-2019.full
spellingShingle Ronja Weber
Naemi Haas
Astghik Baghdasaryan
Tobias Bruderer
Demet Inci
Srdjan Micic
Nathan Perkins
Renate Spinas
Renato Zenobi
Alexander Moeller
Paediatric Exhalomics Group:
Astghik Baghdasaryan
Christoph Berger
Christian Bieli
Tobias Bruderer
Naemi Haas
Martin Hersberger
Katharina Heschl
Demet Inci
Andreas Jung
Malcolm Kohler
Srdjan Micic
Alexander Moeller
Simona Müller
Nathan Perkins
Tina Schürmann
Florian Singer
Renate Spinas
Bettina Streckenbach
Jakob Usemann
Ronja Weber
Renato Zenobi
Volatile organic compound breath signatures of children with cystic fibrosis by real-time SESI-HRMS
ERJ Open Research
title Volatile organic compound breath signatures of children with cystic fibrosis by real-time SESI-HRMS
title_full Volatile organic compound breath signatures of children with cystic fibrosis by real-time SESI-HRMS
title_fullStr Volatile organic compound breath signatures of children with cystic fibrosis by real-time SESI-HRMS
title_full_unstemmed Volatile organic compound breath signatures of children with cystic fibrosis by real-time SESI-HRMS
title_short Volatile organic compound breath signatures of children with cystic fibrosis by real-time SESI-HRMS
title_sort volatile organic compound breath signatures of children with cystic fibrosis by real time sesi hrms
url http://openres.ersjournals.com/content/6/1/00171-2019.full
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