Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 5 de 5
Filter
Add more filters










Database
Language
Publication year range
1.
J Pers Med ; 11(4)2021 Apr 16.
Article in English | MEDLINE | ID: mdl-33923419

ABSTRACT

Myristic acid is identified as a metabolite with the highest diagnostic sensitivity and specificity in the metabolome of patients with bacteraemia. Its significant decrease has been observed in patients with septic shock not responding to treatment. Another study has reported a close correlation of myristic acid levels with the outcome of severe trauma patients. Myristic acid concentrations were investigated in a cohort of septic patients and patients with Systemic Inflammatory Response Syndrome (SIRS) in 5 consecutive days following diagnosis and compared to healthy controls. The study population groups-Sepsis 34, SIRS 31, and Healthy Control 120 patients were included. Serum samples were analyzed using gas chromatography and mass spectrometry. The myristic acid levels in the Sepsis Group and SIRS Group were found to be significantly higher when compared to healthy controls. The serum concentration of myristic acid in septic patients with bacteraemia was higher than in septic patients without bacteraemia. Most patients with sepsis and SIRS had the highest levels of myristic acid within 24 h after an established diagnosis. Myristic acid should be considered as a new candidate marker of severe inflammation and sepsis. A simplified analysis and sufficient body of validated data are necessary steps towards the introduction of this metabolite into routine clinical practice.

2.
Prague Med Rep ; 120(2-3): 103-106, 2019.
Article in English | MEDLINE | ID: mdl-31586509

ABSTRACT

Myristic acid was identified as a metabolite with the highest diagnostic sensitivity and specificity in the metabolome of patients with bacteraemia. Subsequently, its significant decrease was observed in patients in septic shock not responding to treatment. In our study we have captured myristic acid serum level kinetics in 96 hours following accidental intravenous self-administration of eubiotic Hylak forte causing infection-like systemic inflammatory response syndrome (SIRS). To our knowledge, this is the first time the kinetics of myristic acid levels is presented in a septic patient. Myristic acid was evaluated in comparison with other inflammatory biomarkers and with its level in a control group of healthy subjects. Myristic acid levels during septic response were significantly elevated in comparison with the control group. The peak level was recorded almost immediately after the insult with a gradual decrease within 96 hours. Myristic acid appears to be a promising biomarker in sepsis diagnostics, further research by our group into this topic is ongoing.


Subject(s)
Myristic Acid/metabolism , Sepsis/metabolism , Biomarkers/analysis , Biomarkers/metabolism , Humans , Inflammation/metabolism , Kinetics , Shock, Septic/metabolism , Syndrome
3.
J Breath Res ; 8(3): 037109, 2014 Sep.
Article in English | MEDLINE | ID: mdl-25189108

ABSTRACT

The objective of this experimental study was to discover volatile metabolites present in exhaled breath that could be used as biomarkers of gastro-esophageal reflux disease, GERD, one of the most common causes of chronic cough. An in vitro model based on pork tissue samples exposed to a challenge by artificial gastric fluid was used to identify specific volatile compounds to be chosen for quantification in directly exhaled breath of GERD patients and controls using selected ion flow tube mass spectrometry, SIFT-MS. GC/MS analyses of the headspace of this in vitro model indicated that the only volatile compound significantly increased was acetic acid. End expiratory concentration of acetic acid measured by SIFT-MS in mouth exhaled breath of 22 GERD patients (median 85 ppbv) was found to be significantly higher than that in breath of a control group (median 48 ppbv). Breath acetic acid may be useful for non-invasive diagnostics of GERD and other conditions resulting in the lowering of pH of the lining of the airways.


Subject(s)
Acetic Acid/analysis , Breath Tests/methods , Exhalation , Gastroesophageal Reflux/diagnosis , Gastroesophageal Reflux/metabolism , Acetone/analysis , Adolescent , Adult , Aged , Animals , Child , Child, Preschool , Female , Gas Chromatography-Mass Spectrometry , Humans , Ions , Male , Meat , Middle Aged , ROC Curve , Swine , Time Factors , Volatilization , Young Adult
4.
Ann Allergy Asthma Immunol ; 102(2): 103-9, 2009 Feb.
Article in English | MEDLINE | ID: mdl-19230459

ABSTRACT

BACKGROUND: Allergic rhinitis and bronchial asthma can coexist and affect each other. OBJECTIVE: To investigate the relationship between the postseasonal increase in the concentration of leukotriene (LT) B4 and LTE4 in exhaled breath condensate (EBC) and bronchial responsiveness to methacholine (BRM) in patients with seasonal allergic rhinitis (SAR). METHODS: In 28 patients with SAR and 50 healthy study patients, the leukotrienes were measured in EBC during and after the pollen season by gas chromatography/mass spectrometry. The BRM was determined after the pollen season. RESULTS: In 7 patients with SAR, significantly increased concentrations of both the leukotrienes were found in EBC during and 5 months after the pollen season. The following seasonal and postseasonal median values were measured in patients with SAR in comparison with control patients: LTB4: 131 and 90 pg/mL vs 80 and 79 pg/mL, P < .001 and P = .03, respectively; LTE4: 122 and 86 pg/mL vs 76 and 74 pg/mL, P < .001 and P = .02, respectively. Five months after the pollen season, the concentrations of LTB4 and LTE4 decreased with respect to their seasonal values (90 and 86 pg/mL, respectively, P < .001, for both leukotrienes). In 7 patients with SAR and leukotriene levels exceeding the reference limits, significantly increased BRM was also found (LTB4: P = .02; LTE4: P = .002). CONCLUSIONS: The seasonal and postseasonal increases in LTB4 and LTE4 concentrations in EBC of the patients with SAR correlated significantly with the later increase in BMR. This relationship could provide a useful predictive parameter for early inflammatory processes in the lower airways of patients with allergic rhinitis.


Subject(s)
Anti-Asthmatic Agents/therapeutic use , Asthma/drug therapy , Bronchi/drug effects , Leukotriene B4/analysis , Leukotriene E4/analysis , Methacholine Chloride , Rhinitis, Allergic, Seasonal/drug therapy , Adult , Exhalation , Female , Humans , Male , Methacholine Chloride/pharmacology , Methacholine Chloride/therapeutic use , Middle Aged , Reference Standards , Young Adult
5.
Rapid Commun Mass Spectrom ; 22(18): 2844-50, 2008 Sep.
Article in English | MEDLINE | ID: mdl-18712707

ABSTRACT

Collection of exhaled breath condensate (EBC) is a relatively simple noninvasive method of breath analysis; however, no data have been reported that would relate concentration of volatile compounds in EBC to their gaseous concentrations in exhaled air. The aim of the study was to investigate which volatile compounds are present in EBC and how their concentrations relate to results of direct breath analysis. Thus, samples of EBC were collected in a standard way from several subjects and absolute levels of several common volatile breath metabolites (ammonia, acetone, ethanol, methanol, propanol, isoprene, hydrogen cyanide, formaldehyde and acetaldehyde) were then determined in their headspace using selected ion flow tube mass spectrometry (SIFT-MS). Results are compared with those from on-line breath analyses carried out immediately before collecting the EBC samples. It has been demonstrated that SIFT-MS can be used to quantify the concentrations of volatiles in EBC samples and that, for methanol, ammonia, ethanol and acetone, the EBC concentrations correlate with the direct breath levels. However, the EBC concentrations of isoprene, formaldehyde, acetaldehyde, hydrogen cyanide and propanol do not correlate with direct breath measurements.


Subject(s)
Breath Tests/instrumentation , Flow Injection Analysis/instrumentation , Hydrocarbons, Aromatic/analysis , Specimen Handling/instrumentation , Spectrometry, Mass, Electrospray Ionization/instrumentation , Breath Tests/methods , Equipment Design , Equipment Failure Analysis , Flow Injection Analysis/methods , Humans , Reproducibility of Results , Sensitivity and Specificity , Specimen Handling/methods , Spectrometry, Mass, Electrospray Ionization/methods , Volatilization
SELECTION OF CITATIONS
SEARCH DETAIL
...