Biomedical Engineering Reference
In-Depth Information
Table 2 Oxidant = Antioxidant Biomarkers in Exhaled Breath Condensate and
Their Measurements
Values in EBC
Biomarker
Analysis
Non-smoker
Smoker
COPD
Reactive
oxygen
species
Hydrogen peroxide,
mM
Spectroscopy,
fluorometry,
chemiluminescence
0.01-0.09
0.10-0.75
0.2-2.6
Reactive
nitrogen
species
Nitrite, mM
Electrometry
0.64
0.44-2.4
2.6
Nitrite and nitrate, mM Spectroscopy
20.2
20.2-29.2
Nitrotyrosine, ng = mL
ELISA
0.66-6.3
7.2
Nitrosothiols, mM C = MS, HPLC
0.1-0.46
0.24
Lipid peroxidation
products
TBARS, mM
Colorimetry, ELISA
0.48
Malondialdehydes,
nmol = L
Enzyme
immunoassay
(EIA), GC = MS,
HPLC
17.2-19.4
nmol = Lby
LC = MS
57.2 by
LC = MS
F 2 -Isoprostanes,
pg = mL
Liquid
chromatography-
tandem mass
spectrometry
(LC = MS)
3.9-15.8 by
EIA and
7 4by
GC = MS
24.0
42.5
Antioxidant
Glutathione, nM
Spectrophotometry,
HPLC, liquid
chromatography-
tandem mass
spectrometry
——
14.1
H 2 O 2 in EBC is unknown but may in part derive from the release of O 2 -
from alveolar macrophages. Smokers and patients with COPD have higher
levels of exhaled H 2 O 2 than non-smokers, and levels are even higher during
exacerbations of COPD (25-27). However, H 2 O 2 levels vary considerably in
healthy young non-smokers and smokers from 0.01 to 0.09 mM and 0.10 to
0.75 mM, respectively (28). This variation (60-80%) in H 2 O 2 concentrations
may be attributed to different storage conditions and = or analytical techni-
ques used for EBC H 2 O 2 assay. Thus the variability of the measurement
of exhaled H 2 O 2 due to its highly volatile nature, along with the presence
of other confounding factors, e.g., increased generation of ROS by cigarette
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