Volatile Biomarkers in Breath Associated With Liver Cirrhosis - Comparisons of Pre- and Post-liver Transplant Breath Samples.

BACKGROUND: The burden of liver disease in the UK has risen dramatically and there is a need for improved diagnostics. AIMS: To determine which breath volatiles are associated with the cirrhotic liver and hence diagnostically useful. METHODS: A two-stage biomarker discovery procedure was used. Alveolar breath samples of 31 patients with cirrhosis and 30 healthy controls were mass spectrometrically analysed and compared (stage 1). 12 of these patients had their breath analysed after liver transplant (stage 2). Five patients were followed longitudinally as in-patients in the post-transplant period. RESULTS: Seven volatiles were elevated in the breath of patients versus controls. Of these, five showed statistically significant decrease post-transplant: limonene, methanol, 2-pentanone, 2-butanone and carbon disulfide. On an individual basis limonene has the best diagnostic capability (the area under a receiver operating characteristic curve (AUROC) is 0.91), but this is improved by combining methanol, 2-pentanone and limonene (AUROC curve 0.95). Following transplant, limonene shows wash-out characteristics. CONCLUSIONS: Limonene, methanol and 2-pentanone are breath markers for a cirrhotic liver. This study raises the potential to investigate these volatiles as markers for early-stage liver disease. By monitoring the wash-out of limonene following transplant, graft liver function can be non-invasively assessed.

Authentication of dried distilled grain with solubles (DDGS) by fatty acid and volatile profiling.

Demand for ethanol substituted fuels from the utilisation of cereal based biofuel has resulted in an over production of dried distillers grains with solubles (DDGS) that are now readily available on the animal feed market. With this rapid emerging availability comes potential variability in the nutritional value of DDGS and possible risks of feed contaminants. Subsequently, the authentication and traceability of alternative animal feed sources is of high priority. In this study and as part of the EU research project "Quality and Safety of Feeds and Food for Europe (QSAFFE FP7-KBBE-2010-4) an attempt was made to classify the geographical origin of cereal grains used in the production of DDGS material. DDGS material of wheat and corn origin were obtained from Europe, China, and the USA. Fatty acid profiles and volatile fingerprints were assessed by gas chromatography flame ionisation (GC-FID) and rapid proton transfer reaction mass spectrometry (PTR-MS) respectively. Chemometric analysis of fatty acid profiles and volatile fingerprints allowed for promising classifications of cereals used in DDGS material by geographical and botanical origin and enabled visual representation of the data. This objective analytical approach could be adapted for routine verification of cereal grains used in the production of DDGS material.