Phase-resolved real-time breath analysis during exercise by means of smart processing of PTR-MS data
Separation of inspiratory, mixed expired and alveolar air is indispensable for reliable analysis of VOC breath biomarkers. Time resolution of direct mass spectrometers often is not sufficient to reliably resolve the phases of a breathing cycle. To realise fast on-line breath monitoring by means of d...
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          | Published in | Analytical and bioanalytical chemistry Vol. 401; no. 7; pp. 2079 - 2091 | 
|---|---|
| Main Authors | , , , , , , | 
| Format | Journal Article | 
| Language | English | 
| Published | 
        Berlin/Heidelberg
          Springer-Verlag
    
        01.10.2011
     Springer  | 
| Subjects | |
| Online Access | Get full text | 
| ISSN | 1618-2642 1618-2650 1618-2650  | 
| DOI | 10.1007/s00216-011-5173-2 | 
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| Abstract | Separation of inspiratory, mixed expired and alveolar air is indispensable for reliable analysis of VOC breath biomarkers. Time resolution of direct mass spectrometers often is not sufficient to reliably resolve the phases of a breathing cycle. To realise fast on-line breath monitoring by means of direct MS utilising low-fragmentation soft ionisation, a data processing algorithm was developed to identify inspiratory and alveolar phases from MS data without any additional equipment. To test the algorithm selected breath biomarkers (acetone, isoprene, acetaldehyde and hexanal) were determined by means of quadrupole proton transfer reaction mass spectrometry (PTR-MS) in seven healthy volunteers during exercise on a stationary bicycle. The results were compared to an off-line reference method consisting of controlled alveolar breath sampling in Tedlar® bags, preconcentration by solid-phase micro extraction (SPME), separation and identification by GC-MS. Based on the data processing method, quantitative attribution of biomarkers to inspiratory, alveolar and mixed expiratory phases was possible at any time during the experiment, even under respiratory rates up to 60/min. Alveolar concentrations of the breath markers, measured by PTR-MS ranged from 130 to 2,600 ppb (acetone), 10 to 540 ppb (isoprene), 2 to 31 ppb (acetaldehyde), whereas the concentrations of hexanal were always below the limit of detection (LOD) of 3 ppb. There was good correlation between on-line PTR-MS and SPME-GC-MS measurements during phases with stable physiological parameters but results diverged during rapid changes of heart rate and minute ventilation. This clearly demonstrates the benefits of breath-resolved MS for fast on-line monitoring of exhaled VOCs.
Figure
Experimental setup showing bicycle ergometer and analytical pathways: Right side PTR-MS: identification of respiratory phases by means of the new algorithm. Left side: confirmation of PTR-MS data for exhaled isoprene by means of GC-MS analysis | 
    
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| AbstractList | Separation of inspiratory, mixed expired and alveolar air is indispensable for reliable analysis of VOC breath biomarkers. Time resolution of direct mass spectrometers often is not sufficient to reliably resolve the phases of a breathing cycle. To realise fast on-line breath monitoring by means of direct MS utilising low-fragmentation soft ionisation, a data processing algorithm was developed to identify inspiratory and alveolar phases from MS data without any additional equipment. To test the algorithm selected breath biomarkers (acetone, isoprene, acetaldehyde and hexanal) were determined by means of quadrupole proton transfer reaction mass spectrometry (PTR-MS) in seven healthy volunteers during exercise on a stationary bicycle. The results were compared to an off-line reference method consisting of controlled alveolar breath sampling in Tedlar? bags, preconcentration by solid-phase micro extraction (SPME), separation and identification by GC-MS. Based on the data processing method, quantitative attribution of biomarkers to inspiratory, alveolar and mixed expiratory phases was possible at any time during the experiment, even under respiratory rates up to 60/min. Alveolar concentrations of the breath markers, measured by PTR-MS ranged from 130 to 2,600 ppb (acetone), 10 to 540 ppb (isoprene), 2 to 31 ppb (acetaldehyde), whereas the concentrations of hexanal were always below the limit of detection (LOD) of 3 ppb. There was good correlation between on-line PTR-MS and SPME-GC-MS measurements during phases with stable physiological parameters but results diverged during rapid changes of heart rate and minute ventilation. This clearly demonstrates the benefits of breath-resolved MS for fast on-line monitoring of exhaled VOCs. Separation of inspiratory, mixed expired and alveolar air is indispensable for reliable analysis of VOC breath biomarkers. Time resolution of direct mass spectrometers often is not sufficient to reliably resolve the phases of a breathing cycle. To realise fast on-line breath monitoring by means of direct MS utilising low-fragmentation soft ionisation, a data processing algorithm was developed to identify inspiratory and alveolar phases from MS data without any additional equipment. To test the algorithm selected breath biomarkers (acetone, isoprene, acetaldehyde and hexanal) were determined by means of quadrupole proton transfer reaction mass spectrometry (PTR-MS) in seven healthy volunteers during exercise on a stationary bicycle. The results were compared to an off-line reference method consisting of controlled alveolar breath sampling in Tedlar® bags, preconcentration by solid-phase micro extraction (SPME), separation and identification by GC-MS. Based on the data processing method, quantitative attribution of biomarkers to inspiratory, alveolar and mixed expiratory phases was possible at any time during the experiment, even under respiratory rates up to 60/min. Alveolar concentrations of the breath markers, measured by PTR-MS ranged from 130 to 2,600 ppb (acetone), 10 to 540 ppb (isoprene), 2 to 31 ppb (acetaldehyde), whereas the concentrations of hexanal were always below the limit of detection (LOD) of 3 ppb. There was good correlation between on-line PTR-MS and SPME-GC-MS measurements during phases with stable physiological parameters but results diverged during rapid changes of heart rate and minute ventilation. This clearly demonstrates the benefits of breath-resolved MS for fast on-line monitoring of exhaled VOCs.Separation of inspiratory, mixed expired and alveolar air is indispensable for reliable analysis of VOC breath biomarkers. Time resolution of direct mass spectrometers often is not sufficient to reliably resolve the phases of a breathing cycle. To realise fast on-line breath monitoring by means of direct MS utilising low-fragmentation soft ionisation, a data processing algorithm was developed to identify inspiratory and alveolar phases from MS data without any additional equipment. To test the algorithm selected breath biomarkers (acetone, isoprene, acetaldehyde and hexanal) were determined by means of quadrupole proton transfer reaction mass spectrometry (PTR-MS) in seven healthy volunteers during exercise on a stationary bicycle. The results were compared to an off-line reference method consisting of controlled alveolar breath sampling in Tedlar® bags, preconcentration by solid-phase micro extraction (SPME), separation and identification by GC-MS. Based on the data processing method, quantitative attribution of biomarkers to inspiratory, alveolar and mixed expiratory phases was possible at any time during the experiment, even under respiratory rates up to 60/min. Alveolar concentrations of the breath markers, measured by PTR-MS ranged from 130 to 2,600 ppb (acetone), 10 to 540 ppb (isoprene), 2 to 31 ppb (acetaldehyde), whereas the concentrations of hexanal were always below the limit of detection (LOD) of 3 ppb. There was good correlation between on-line PTR-MS and SPME-GC-MS measurements during phases with stable physiological parameters but results diverged during rapid changes of heart rate and minute ventilation. This clearly demonstrates the benefits of breath-resolved MS for fast on-line monitoring of exhaled VOCs. Separation of inspiratory, mixed expired and alveolar air is indispensable for reliable analysis of VOC breath biomarkers. Time resolution of direct mass spectrometers often is not sufficient to reliably resolve the phases of a breathing cycle. To realise fast on-line breath monitoring by means of direct MS utilising low-fragmentation soft ionisation, a data processing algorithm was developed to identify inspiratory and alveolar phases from MS data without any additional equipment. To test the algorithm selected breath biomarkers (acetone, isoprene, acetaldehyde and hexanal) were determined by means of quadrupole proton transfer reaction mass spectrometry (PTR-MS) in seven healthy volunteers during exercise on a stationary bicycle. The results were compared to an off-line reference method consisting of controlled alveolar breath sampling in Tedlar® bags, preconcentration by solid-phase micro extraction (SPME), separation and identification by GC-MS. Based on the data processing method, quantitative attribution of biomarkers to inspiratory, alveolar and mixed expiratory phases was possible at any time during the experiment, even under respiratory rates up to 60/min. Alveolar concentrations of the breath markers, measured by PTR-MS ranged from 130 to 2,600 ppb (acetone), 10 to 540 ppb (isoprene), 2 to 31 ppb (acetaldehyde), whereas the concentrations of hexanal were always below the limit of detection (LOD) of 3 ppb. There was good correlation between on-line PTR-MS and SPME-GC-MS measurements during phases with stable physiological parameters but results diverged during rapid changes of heart rate and minute ventilation. This clearly demonstrates the benefits of breath-resolved MS for fast on-line monitoring of exhaled VOCs. Figure Experimental setup showing bicycle ergometer and analytical pathways: Right side PTR-MS: identification of respiratory phases by means of the new algorithm. Left side: confirmation of PTR-MS data for exhaled isoprene by means of GC-MS analysis Separation of inspiratory, mixed expired and alveolar air is indispensable for reliable analysis of VOC breath biomarkers. Time resolution of direct mass spectrometers often is not sufficient to reliably resolve the phases of a breathing cycle. To realise fast on-line breath monitoring by means of direct MS utilising low-fragmentation soft ionisation, a data processing algorithm was developed to identify inspiratory and alveolar phases from MS data without any additional equipment. To test the algorithm selected breath biomarkers (acetone, isoprene, acetaldehyde and hexanal) were determined by means of quadrupole proton transfer reaction mass spectrometry (PTR-MS) in seven healthy volunteers during exercise on a stationary bicycle. The results were compared to an off-line reference method consisting of controlled alveolar breath sampling in Tedlar® bags, preconcentration by solid-phase micro extraction (SPME), separation and identification by GC-MS. Based on the data processing method, quantitative attribution of biomarkers to inspiratory, alveolar and mixed expiratory phases was possible at any time during the experiment, even under respiratory rates up to 60/ min. Alveolar concentrations of the breath markers, measured by PTR-MS ranged from 130 to 2,600 ppb (acetone), 10 to 540 ppb (isoprene), 2 to 31 ppb (acetaldehyde), whereas the concentrations of hexanal were always below the limit of detection (LOD) of 3 ppb. There was good correlation between on-line PTR-MS and SPME-GC-MS measurements during phases with stable physiological parameters but results diverged during rapid changes of heart rate and minute ventilation. This clearly demonstrates the benefits of breath-resolved MS for fast on-line monitoring of exhaled VOCs. Keywords PTR-MS * Data processing algorithm * Stationary bicycle * Breath analysis * SPME-GC-MS Separation of inspiratory, mixed expired and alveolar air is indispensable for reliable analysis of VOC breath biomarkers. Time resolution of direct mass spectrometers often is not sufficient to reliably resolve the phases of a breathing cycle. To realise fast on-line breath monitoring by means of direct MS utilising low-fragmentation soft ionisation, a data processing algorithm was developed to identify inspiratory and alveolar phases from MS data without any additional equipment. To test the algorithm selected breath biomarkers (acetone, isoprene, acetaldehyde and hexanal) were determined by means of quadrupole proton transfer reaction mass spectrometry (PTR-MS) in seven healthy volunteers during exercise on a stationary bicycle. The results were compared to an off-line reference method consisting of controlled alveolar breath sampling in Tedlar® bags, preconcentration by solid-phase micro extraction (SPME), separation and identification by GC-MS. Based on the data processing method, quantitative attribution of biomarkers to inspiratory, alveolar and mixed expiratory phases was possible at any time during the experiment, even under respiratory rates up to 60/min. Alveolar concentrations of the breath markers, measured by PTR-MS ranged from 130 to 2,600 ppb (acetone), 10 to 540 ppb (isoprene), 2 to 31 ppb (acetaldehyde), whereas the concentrations of hexanal were always below the limit of detection (LOD) of 3 ppb. There was good correlation between on-line PTR-MS and SPME-GC-MS measurements during phases with stable physiological parameters but results diverged during rapid changes of heart rate and minute ventilation. This clearly demonstrates the benefits of breath-resolved MS for fast on-line monitoring of exhaled VOCs.  | 
    
| Audience | Academic | 
    
| Author | Zimmermann, Ralf Schwoebel, Henny Miekisch, Wolfram Schubert, Roland Sklorz, Martin Kischkel, Sabine Schubert, Jochen K.  | 
    
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/21706328$$D View this record in MEDLINE/PubMed | 
    
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| Keywords | Data processing algorithm SPME-GC-MS Stationary bicycle PTR-MS Breath analysis  | 
    
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| PublicationTitleAbbrev | Anal Bioanal Chem | 
    
| PublicationTitleAlternate | Anal Bioanal Chem | 
    
| PublicationYear | 2011 | 
    
| Publisher | Springer-Verlag Springer  | 
    
| Publisher_xml | – name: Springer-Verlag – name: Springer  | 
    
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| References_xml | – volume: 4 start-page: 619 issue: 5 year: 2004 end-page: 629 ident: CR1 article-title: Breath analysis in critically ill patients: potential and limitations publication-title: Expert Rev Mol Diagn doi: 10.1586/14737159.4.5.619 – volume: 123 start-page: 691 issue: 2 year: 1984 end-page: 696 ident: CR14 article-title: In vitro biosynthesis of isoprene from mevalonate utilizing a rat liver cytosolic fraction publication-title: Biochem Biophys Res Commun doi: 10.1016/0006-291X(84)90284-5 – volume: 90 start-page: 486 issue: 2 year: 2001 end-page: 492 ident: CR4 article-title: CO -controlled sampling of alveolar gas in mechanically ventilated patients publication-title: J Appl Physiol – volume: 77 start-page: 7408 issue: 22 year: 2005 end-page: 7414 ident: CR9 article-title: Single photon ionization time-of-flight mass spectrometry with a pulsed electron beam pumped excimer VUV lamp for on-line gas analysis: setup and first results on cigarette smoke and human breath 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end-page: 1385 ident: CR15 article-title: Acid-catalyzed formation of isoprene from a mevalonate-derived product using a rat liver cytosolic fraction publication-title: J Biol Chem – volume: 411 start-page: 1637 issue: 21–22 year: 2010 end-page: 1644 ident: CR19 article-title: Breath biomarkers for lung cancer detection and assessment of smoking related effects—confounding variables, influence of normalization and statistical algorithms publication-title: Clin Chim Acta doi: 10.1016/j.cca.2010.06.005 – ident: CR20 – volume: 3 start-page: 027004 issue: 2 year: 2009 ident: CR26 article-title: On-line breath analysis with PTR-TOF publication-title: J Breath Res doi: 10.1088/1752-7155/3/2/027004 – volume: 132 start-page: 390 issue: 5 year: 2007 ident: 5173_CR11 publication-title: Analyst doi: 10.1039/B700542N – volume: 38 start-page: 1269 issue: 12 year: 2004 ident: 5173_CR17 publication-title: Free Radic Res doi: 10.1080/10715760400013763 – volume: 10 start-page: 211 issue: 1 year: 2010 ident: 5173_CR24 publication-title: Sens J IEEE doi: 10.1109/JSEN.2009.2035757 – volume: 28 start-page: 73 issue: 1 year: 2007 ident: 5173_CR36 publication-title: Physiol Meas doi: 10.1088/0967-3334/28/1/007 – volume: 123 start-page: 691 issue: 2 year: 1984 ident: 5173_CR14 publication-title: Biochem Biophys Res Commun doi: 10.1016/0006-291X(84)90284-5 – volume: 3 start-page: 027004 issue: 2 year: 2009 ident: 5173_CR26 publication-title: J Breath Res doi: 10.1088/1752-7155/3/2/027004 – volume: 149–150 start-page: 609 year: 1995 ident: 5173_CR12 publication-title: Int J Mass Spectrom Ion Process doi: 10.1016/0168-1176(95)04294-U – volume: 109 start-page: 861 issue: 3 year: 2009 ident: 5173_CR18 publication-title: Chem Rev doi: 10.1021/cr800364q – volume: 61 start-page: 375 issue: 3 year: 2000 ident: 5173_CR35 publication-title: Am Ind Hyg Assoc J – volume: 610 start-page: 451 year: 2010 ident: 5173_CR8 publication-title: Method mol biol doi: 10.1007/978-1-60327-029-8_27 – volume: 14 start-page: 499 issue: 6 year: 2006 ident: 5173_CR21 publication-title: Technol Health Care doi: 10.1111/j.1365-2524.2006.00638.x – volume: 77 start-page: 7408 issue: 22 year: 2005 ident: 5173_CR9 publication-title: Anal Chem doi: 10.1021/ac051194+ – volume: 28 start-page: 330 issue: 4 year: 2000 ident: 5173_CR34 publication-title: Analusis doi: 10.1051/analusis:2000123 – volume: 173 start-page: 191 issue: 3 year: 1998 ident: 5173_CR10 publication-title: Int J Mass Spectrom Ion Process doi: 10.1016/S0168-1176(97)00281-4 – volume: 810 start-page: 269 issue: 2 year: 2004 ident: 5173_CR32 publication-title: J Chromatogr B doi: 10.1016/S1570-0232(04)00657-9 – ident: 5173_CR20 doi: 10.1183/1025448x.00018509 – volume: 347 start-page: 25 issue: 1–2 year: 2004 ident: 5173_CR3 publication-title: Clin Chim Acta doi: 10.1016/j.cccn.2004.04.023 – volume: 91 start-page: 762 issue: 2 year: 2001 ident: 5173_CR29 publication-title: J Appl Physiol doi: 10.1152/jappl.2001.91.2.762 – volume: 189 start-page: 87 issue: 1 year: 2007 ident: 5173_CR6 publication-title: Acta Physiol doi: 10.1111/j.1748-1716.2006.01624.x – volume: 260 start-page: 1382 issue: 3 year: 1985 ident: 5173_CR15 publication-title: J Biol Chem doi: 10.1016/S0021-9258(18)89601-6 – volume: 90 start-page: 486 issue: 2 year: 2001 ident: 5173_CR4 publication-title: J Appl Physiol doi: 10.1152/jappl.2001.90.2.486 – volume: 3 start-page: 027006 issue: 2 year: 2009 ident: 5173_CR23 publication-title: J Breath Res doi: 10.1088/1752-7155/3/2/027006 – volume: 132 start-page: 153 issue: 2 year: 2007 ident: 5173_CR5 publication-title: Analyst doi: 10.1039/B608608J – volume: 26 start-page: 223 issue: 2 year: 2007 ident: 5173_CR13 publication-title: Mass Spectrom Rev doi: 10.1002/mas.20119 – volume: 10 start-page: 138 issue: 2–3 year: 2005 ident: 5173_CR2 publication-title: Biomarkers doi: 10.1080/13547500500050259 – volume: 19 start-page: 647 issue: 5 year: 2005 ident: 5173_CR16 publication-title: Rapid Commun Mass Spectrom doi: 10.1002/rcm.1834 – volume: 254 start-page: 85 issue: 1–2 year: 2006 ident: 5173_CR27 publication-title: Int J Mass Spectrom doi: 10.1016/j.ijms.2006.05.021 – volume: 5 start-page: 151 issue: 2–3 year: 2000 ident: 5173_CR28 publication-title: Redox Report doi: 10.1179/135100000101535537 – volume: 46 start-page: 676 issue: 7 year: 1996 ident: 5173_CR7 publication-title: J Air Waste Manag Assoc doi: 10.1080/10473289.1996.10467502 – volume: 2 start-page: 026007 issue: 2 year: 2008 ident: 5173_CR22 publication-title: J Breath Res doi: 10.1088/1752-7155/2/2/026007 – volume: 2 start-page: 046001 issue: 4 year: 2008 ident: 5173_CR33 publication-title: J Breath Res doi: 10.1088/1752-7155/2/4/046001 – volume: 411 start-page: 1637 issue: 21–22 year: 2010 ident: 5173_CR19 publication-title: Clin Chim Acta doi: 10.1016/j.cca.2010.06.005 – volume: 113 start-page: 278 issue: 1–3 year: 1996 ident: 5173_CR30 publication-title: Toxicology doi: 10.1016/0300-483X(96)03457-9 – volume: 267 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| SubjectTerms | Acetaldehyde Acetone Adult Algorithms Analytical Chemistry Biochemistry Biomarkers - analysis Breath Tests - instrumentation Breath Tests - methods Characterization and Evaluation of Materials Chemistry Chemistry and Materials Science Data processing Exercise - physiology Exhalation Food Science Gas Chromatography-Mass Spectrometry Humans Laboratory Medicine Male Mass spectrometry Monitoring Monitoring/Environmental Analysis On-line systems Organic Chemicals - analysis Original Paper Phase Transition Phases Protons Separation Solid Phase Microextraction Volatile organic compounds Young Adult  | 
    
| Title | Phase-resolved real-time breath analysis during exercise by means of smart processing of PTR-MS data | 
    
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