Volatile Organic Compound Assessment as a Screening Tool for Early Detection of Gastrointestinal Diseases

Gastrointestinal (GI) diseases have a high prevalence throughout the United States. Screening and diagnostic modalities are often expensive and invasive, and therefore, people do not utilize them effectively. Lack of proper screening and diagnostic assessment may lead to delays in diagnosis, more ad...

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Main Authors: Costa Dalis, Fikir M. Mesfin, Krishna Manohar, Jianyun Liu, W. Christopher Shelley, John P. Brokaw, Troy A. Markel
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Microorganisms
Subjects:
Online Access:https://www.mdpi.com/2076-2607/11/7/1822
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author Costa Dalis
Fikir M. Mesfin
Krishna Manohar
Jianyun Liu
W. Christopher Shelley
John P. Brokaw
Troy A. Markel
author_facet Costa Dalis
Fikir M. Mesfin
Krishna Manohar
Jianyun Liu
W. Christopher Shelley
John P. Brokaw
Troy A. Markel
author_sort Costa Dalis
collection DOAJ
description Gastrointestinal (GI) diseases have a high prevalence throughout the United States. Screening and diagnostic modalities are often expensive and invasive, and therefore, people do not utilize them effectively. Lack of proper screening and diagnostic assessment may lead to delays in diagnosis, more advanced disease at the time of diagnosis, and higher morbidity and mortality rates. Research on the intestinal microbiome has demonstrated that dysbiosis, or unfavorable alteration of organismal composition, precedes the onset of clinical symptoms for various GI diseases. GI disease diagnostic research has led to a shift towards non-invasive methods for GI screening, including chemical-detection tests that measure changes in volatile organic compounds (VOCs), which are the byproducts of bacterial metabolism that result in the distinct smell of stool. Many of these tools are expensive, immobile benchtop instruments that require highly trained individuals to interpret the results. These attributes make them difficult to implement in clinical settings. Alternatively, electronic noses (E-noses) are relatively cheaper, handheld devices that utilize multi-sensor arrays and pattern recognition technology to analyze VOCs. The purpose of this review is to (1) highlight how dysbiosis impacts intestinal diseases and how VOC metabolites can be utilized to detect alterations in the microbiome, (2) summarize the available VOC analytical platforms that can be used to detect aberrancies in intestinal health, (3) define the current technological advancements and limitations of E-nose technology, and finally, (4) review the literature surrounding several intestinal diseases in which headspace VOCs can be used to detect or predict disease.
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spelling doaj.art-854a398b0423459089387178c8b80f022023-11-18T20:36:56ZengMDPI AGMicroorganisms2076-26072023-07-01117182210.3390/microorganisms11071822Volatile Organic Compound Assessment as a Screening Tool for Early Detection of Gastrointestinal DiseasesCosta Dalis0Fikir M. Mesfin1Krishna Manohar2Jianyun Liu3W. Christopher Shelley4John P. Brokaw5Troy A. Markel6Department of Surgery, Indiana University School of Medicine, Indianapolis, IN 46202, USADepartment of Surgery, Indiana University School of Medicine, Indianapolis, IN 46202, USADepartment of Surgery, Indiana University School of Medicine, Indianapolis, IN 46202, USADepartment of Surgery, Indiana University School of Medicine, Indianapolis, IN 46202, USADepartment of Surgery, Indiana University School of Medicine, Indianapolis, IN 46202, USADepartment of Surgery, Indiana University School of Medicine, Indianapolis, IN 46202, USADepartment of Surgery, Indiana University School of Medicine, Indianapolis, IN 46202, USAGastrointestinal (GI) diseases have a high prevalence throughout the United States. Screening and diagnostic modalities are often expensive and invasive, and therefore, people do not utilize them effectively. Lack of proper screening and diagnostic assessment may lead to delays in diagnosis, more advanced disease at the time of diagnosis, and higher morbidity and mortality rates. Research on the intestinal microbiome has demonstrated that dysbiosis, or unfavorable alteration of organismal composition, precedes the onset of clinical symptoms for various GI diseases. GI disease diagnostic research has led to a shift towards non-invasive methods for GI screening, including chemical-detection tests that measure changes in volatile organic compounds (VOCs), which are the byproducts of bacterial metabolism that result in the distinct smell of stool. Many of these tools are expensive, immobile benchtop instruments that require highly trained individuals to interpret the results. These attributes make them difficult to implement in clinical settings. Alternatively, electronic noses (E-noses) are relatively cheaper, handheld devices that utilize multi-sensor arrays and pattern recognition technology to analyze VOCs. The purpose of this review is to (1) highlight how dysbiosis impacts intestinal diseases and how VOC metabolites can be utilized to detect alterations in the microbiome, (2) summarize the available VOC analytical platforms that can be used to detect aberrancies in intestinal health, (3) define the current technological advancements and limitations of E-nose technology, and finally, (4) review the literature surrounding several intestinal diseases in which headspace VOCs can be used to detect or predict disease.https://www.mdpi.com/2076-2607/11/7/1822electronic nosedysbiosisvolatile organic compoundgastrointestinal diseases
spellingShingle Costa Dalis
Fikir M. Mesfin
Krishna Manohar
Jianyun Liu
W. Christopher Shelley
John P. Brokaw
Troy A. Markel
Volatile Organic Compound Assessment as a Screening Tool for Early Detection of Gastrointestinal Diseases
Microorganisms
electronic nose
dysbiosis
volatile organic compound
gastrointestinal diseases
title Volatile Organic Compound Assessment as a Screening Tool for Early Detection of Gastrointestinal Diseases
title_full Volatile Organic Compound Assessment as a Screening Tool for Early Detection of Gastrointestinal Diseases
title_fullStr Volatile Organic Compound Assessment as a Screening Tool for Early Detection of Gastrointestinal Diseases
title_full_unstemmed Volatile Organic Compound Assessment as a Screening Tool for Early Detection of Gastrointestinal Diseases
title_short Volatile Organic Compound Assessment as a Screening Tool for Early Detection of Gastrointestinal Diseases
title_sort volatile organic compound assessment as a screening tool for early detection of gastrointestinal diseases
topic electronic nose
dysbiosis
volatile organic compound
gastrointestinal diseases
url https://www.mdpi.com/2076-2607/11/7/1822
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