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1.
Plant Cell Environ ; 2024 Sep 09.
Artículo en Inglés | MEDLINE | ID: mdl-39248643

RESUMEN

Traditional leaf gas exchange experiments have focused on net CO2 exchange (Anet). Here, using California poplar (Populus trichocarpa), we coupled measurements of net oxygen production (NOP), isoprene emissions and δ18O in O2 to traditional CO2/H2O gas exchange with chlorophyll fluorescence, and measured light, CO2 and temperature response curves. This allowed us to obtain a comprehensive picture of the photosynthetic redox budget including electron transport rate (ETR) and estimates of the mean assimilatory quotient (AQ = Anet/NOP). We found that Anet and NOP were linearly correlated across environmental gradients with similar observed AQ values during light (1.25 ± 0.05) and CO2 responses (1.23 ± 0.07). In contrast, AQ was suppressed during leaf temperature responses in the light (0.87 ± 0.28), potentially due to the acceleration of alternative ETR sinks like lipid synthesis. Anet and NOP had an optimum temperature (Topt) of 31°C, while ETR and δ18O in O2 (35°C) and isoprene emissions (39°C) had distinctly higher Topt. The results confirm a tight connection between water oxidation and ETR and support a view of light-dependent lipid synthesis primarily driven by photosynthetic ATP/NADPH not consumed by the Calvin-Benson cycle, as an important thermotolerance mechanism linked with high rates of (photo)respiration and CO2/O2 recycling.

2.
MethodsX ; 10: 101986, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36654532

RESUMEN

Stem respiration is a quantitatively important, but poorly understood component of ecosystem carbon cycling in terrestrial ecosystems. However, a dynamic stem gas exchange system for quantifying real-time stem carbon dioxide (CO2) efflux (Es) is not commercially available resulting in limited observations based on the static method where air is recirculated through a stem enclosure. The static method has limited temporal resolution, suffers from condensation issues, requires a leak-free enclosure, which is often difficult to verify in the field, and requires physically removing the chamber or flushing it with ambient air before starting each measurement.•With the goal of improving our quantitative understanding of biophysical, physiological, biochemical, and environmental factors that influence diurnal Es patterns, here we present a custom system for quantifying real-time stem Es in remote tropical forests.•The system is low cost, lightweight, and waterproof with low power requirements (1.2-2.4 W) for real-time monitoring of stem Es using a 3D printed dynamic stem chamber and a 12V car battery. The design offers control over the flow rate through the stem chamber, eliminates the need for a pump to introduce air into the chamber, and water condensation issues by removing water vapor prior to CO2 analysis.•Following a simple CO2 infrared gas analyzer (IRGA) calibration and match procedure with a 400-ppm standard, we quantified diurnal Es observations over a 24-hours period during the summer growing season from an ash tree (Fraxinus sp.) in Fort Collins, Colorado. The results are consistent with previous laboratory and field studies that show Es can be suppressed during the day relative to the night.

3.
Plant Cell Environ ; 45(12): 3429-3444, 2022 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-36222152

RESUMEN

Growth suppression and defence signalling are simultaneous strategies that plants invoke to respond to abiotic stress. Here, we show that the drought stress response of poplar trees (Populus trichocarpa) is initiated by a suppression in cell wall derived methanol (MeOH) emissions and activation of acetic acid (AA) fermentation defences. Temperature sensitive emissions dominated by MeOH (AA/MeOH <30%) were observed from physiologically active leaves, branches, detached stems, leaf cell wall isolations and whole ecosystems. In contrast, drought treatment resulted in a suppression of MeOH emissions and strong enhancement in AA emissions together with volatiles acetaldehyde, ethanol, and acetone. These drought-induced changes coincided with a reduction in stomatal conductance, photosynthesis, transpiration, and leaf water potential. The strong enhancement in AA/MeOH emission ratios during drought (400%-3500%) was associated with an increase in acetate content of whole leaf cell walls, which became significantly 13 C2 -labelled following the delivery of 13 C2 -acetate via the transpiration stream. The results are consistent with both enzymatic and nonenzymatic MeOH and AA production at high temperature in hydrated tissues associated with accelerated primary cell wall growth processes, which are downregulated during drought. While the metabolic source(s) require further investigation, the observations are consistent with drought-induced activation of aerobic fermentation driving high rates of foliar AA emissions and enhancements in leaf cell wall O-acetylation. We suggest that atmospheric AA/MeOH emission ratios could be useful as a highly sensitive signal in studies investigating environmental and biological factors influencing growth-defence trade-offs in plants and ecosystems.


Asunto(s)
Ésteres , Populus , Ésteres/metabolismo , Ecosistema , Estrés Fisiológico , Populus/metabolismo , Sequías , Hojas de la Planta/metabolismo , Metanol/metabolismo , Pared Celular/metabolismo , Agua/metabolismo , Ácido Acético/metabolismo
4.
Plants (Basel) ; 11(16)2022 Aug 09.
Artículo en Inglés | MEDLINE | ID: mdl-36015384

RESUMEN

Although apparent light inhibition of leaf day respiration is a widespread reported phenomenon, the mechanisms involved, including utilization of alternate respiratory pathways and substrates and light inhibition of TCA cycle enzymes are under active investigation. Recently, acetate fermentation was highlighted as a key drought survival strategy mediated through protein acetylation and jasmonate signaling. Here, we evaluate the light-dependence of acetate transport and assimilation in Populus trichocarpa trees using the dynamic xylem solution injection (DXSI) method developed here for continuous studies of C1 and C2 organic acid transport and light-dependent metabolism. Over 7 days, 1.0 L of [13C]formate and [13C2]acetate solutions were delivered to the stem base of 2-year old potted poplar trees, while continuous diurnal observations were made in the canopy of CO2, H2O, and isoprene gas exchange together with δ13CO2. Stem base injection of 10 mM [13C2]acetate induced an overall pattern of canopy branch headspace 13CO2 enrichment (δ13CO2 +27‱) with a diurnal structure in δ13CO2 reaching a mid-day minimum followed by a maximum shortly after darkening where δ13CO2 values rapidly increased up to +12‱. In contrast, 50 mM injections of [13C]formate were required to reach similar δ13CO2 enrichment levels in the canopy with δ13CO2 following diurnal patterns of transpiration. Illuminated leaves of detached poplar branches pretreated with 10 mM [13C2]acetate showed lower δ13CO2 (+20‱) compared to leaves treated with 10 mM [13C]formate (+320‱), the opposite pattern observed at the whole plant scale. Following dark/light cycles at the leaf-scale, rapid, strong, and reversible enhancements in headspace δ13CO2 by up to +60‱ were observed in [13C2]acetate-treated leaves which showed enhanced dihydrojasmonic acid and TCA cycle intermediate concentrations. The results are consistent with acetate in the transpiration stream as an effective activator of the jasmonate signaling pathway and respiratory substrate. The shorter lifetime of formate relative to acetate in the transpiration stream suggests rapid formate oxidation to CO2 during transport to the canopy. In contrast, acetate is efficiently transported to the canopy where an increased allocation towards mitochondrial dark respiration occurs at night. The results highlight the potential for an effective integration of acetate into glyoxylate and TCA cycles and the light-inhibition of citrate synthase as a potential regulatory mechanism controlling the diurnal allocation of acetate between anabolic and catabolic processes.

5.
Rapid Commun Mass Spectrom ; 35(7): e9047, 2021 Apr 15.
Artículo en Inglés | MEDLINE | ID: mdl-33434952

RESUMEN

RATIONALE: Secondary electrospray ionization (SESI) in a water spray environment at atmospheric pressure involves the reactions of hydrated hydronium reagent ions, H3 O+ (H2 O)n , with trace analyte compounds in air samples. Understanding the formation and dehydration of reagent and analyte ions is the foundation for meaningful quantification of trace compounds by SESI-mass spectrometry (MS). METHODS: A numerical model based on gas-phase ion thermochemistry is developed that describes equilibria in H3 O+ (H2 O)n reagent cluster ion distributions and ligand switching reactions with polar NH3 molecules leading to equilibrated hydrated ammonium ions NH4 + (H2 O)m . The model predictions are compared with experimental results obtained using a cylindrical SESI source coupled to an ion-trap mass spectrometer via a heated ion transfer capillary. Non-polar isoprene, C5 H8 , was used to further probe the nature of the reagent ions. RESULTS: Equilibrium distributions of H3 O+ (H2 O)n ions and their reactions with NH3 molecules have been characterized by the model in the near-atmospheric pressure SESI source. NH3 analyte molecules displace H2 O ligands from the H3 O+ (H2 O)n ions at the collisional rate forming NH4 + (H2 O)m ions, which travel through the heated ion transfer capillary losing H2 O molecules. The data for variable NH3 concentrations match the model predictions and the C5 H8 test substantiates the notion of dehydration in the heated capillary. CONCLUSIONS: Large cluster ions formed in the SESI region are dehydrated to H3 O+ (H2 O)1,2,3 and NH4 + (H2 O)1,2 while passing through the heated capillary, and considerable diffusion losses also occur. This phenomenon is also predicted for other polar analyte molecules, A, that can undergo similar switching reactions, thus forming AH+ and AH+ (H2 O)m analyte ions.

7.
Isotopes Environ Health Stud ; 54(4): 435-445, 2018 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-29688034

RESUMEN

Helicobacter pylori causes several gastrointestinal diseases and may also contribute to the development of type 2 diabetes (T2D). Several studies suggest that there might be a potential link between H. pylori infection and T2D, but it still remains the subject of debate. Here, we first report the cumulative effect of H. pylori infection and T2D by exploiting the excretion kinetics of 13C/12C and 18O/16O isotope ratios of exhaled breath CO2 in response to an oral dose of 13C-enriched glucose in individuals with T2D and non-diabetic controls (NDC) harbouring the H. pylori infection. Using a high-resolution integrated cavity output spectroscopy (ICOS) technique in the infrared region, we observed that the isotopic fractionations of 13C and 18O in breath CO2 are distinctly altered in H. pylori infected T2D patients as well as in H. pylori infected NDC. Several optimal diagnostic cut-off points of 13C and 18O isotopes of breath CO2 were also determined which exhibited the diagnostic sensitivity and specificity of ∼97 % and thus suggesting that breath 13C and 18O isotopes might be considered as potential biomarkers for the non-invasive assessment of the gastric pathogen prior to the onset of T2D. This may open a new diagnostic strategy for treating these common diseases in an alternative way.


Asunto(s)
Pruebas Respiratorias/métodos , Isótopos de Carbono/análisis , Diabetes Mellitus Tipo 2/diagnóstico , Infecciones por Helicobacter/diagnóstico , Isótopos de Oxígeno/análisis , Adulto , Biomarcadores/análisis , Femenino , Helicobacter pylori/fisiología , Humanos , Cinética , Masculino , Persona de Mediana Edad
8.
J Breath Res ; 12(2): 026005, 2018 01 09.
Artículo en Inglés | MEDLINE | ID: mdl-28947681

RESUMEN

Nitric oxide (NO) plays a key role in the development of peptic ulcer disease (PUD). Conversely, the gastric pathogen Helicobacter pylori colonizes the human stomach and contributes to the development of non-ulcer dyspepsia (NUD) and PUD. However, the underlying relation between molecular NO in exhaled breath and H. pylori-associated NUD and PUD remains largely unknown. Here, we found that the excretion kinetics of NO profiles in exhaled breath are altered markedly in H. pylori-infected NUD and PUD subjects. In our observations, PUD led to considerably higher enrichments of NO in exhaled breath compared to NUD, thus revealing a potential link between exhaled NO and ulcer and non-ulcer complications. Our findings therefore suggest that molecular NO in exhaled breath could be used as a potential biomarker for non-invasive diagnosis and selective differentiation of NUD from PUD. Our observations also highlight that alterations of NO in the gastric environment can play an important role in the pathogenesis of peptic ulcers and thus may provide a new strategy for precise evolution of the actual disease state without the need for endoscopic biopsy, even after the eradication of H. pylori infection.


Asunto(s)
Dispepsia/diagnóstico , Espiración , Óxido Nítrico/análisis , Úlcera Péptica/diagnóstico , Biomarcadores/análisis , Pruebas Respiratorias , Dispepsia/complicaciones , Infecciones por Helicobacter/diagnóstico , Helicobacter pylori/fisiología , Humanos , Cinética , Úlcera Péptica/complicaciones , Curva ROC , Reproducibilidad de los Resultados
9.
Anal Bioanal Chem ; 409(1): 193-200, 2017 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-27747374

RESUMEN

The 13C-urea breath test (13C-UBT), developed a few decades ago, is widely used as a non-invasive diagnostic method to detect only the presence of the gastric pathogen Helicobacter pylori infection; however, the actual disease state, i.e. whether the person harbouring H. pylori has peptic ulcer disease (PUD) or non-ulcerous dyspepsia (NUD), is still poorly understood. Nevertheless, the present 13C-UBT has numerous limitations, drawbacks and pitfalls owing to the ingestion of 13C-labelled external urea. Here, we show that H. pylori is able to utilize the natural 13C and 18O-urea inherently present in the gastric juice in humans for its urease activity which has never been explored before. In vitro measurements of isotopic fractionations of gastric juice urea provide new insights into the actual state of the infection of PUD or NUD. We also provide evidence of the unusual 13C and 18O-isotopic fractionations of breath CO2 that are distinctively altered in individuals with PUD encompassing both gastric and duodenal ulcers as well as with NUD by the enzymatic activity of H. pylori in the gastric niche without oral administration of any 13C-enriched external urea. This deepens our understanding of the UBT exploiting the natural 13C and 18O-gastric juice urea in the pathogenesis of H. pylori infection, reveals the actual disease state of PUD or NUD and thus offers novel opportunities for a simple, robust, cost-effective and non-toxic global strategy devoid of any 13C-enriched urea for treating these common diseases by a single breath test. Graphical Abstract Urea breath test without any external urea.


Asunto(s)
Dispepsia/diagnóstico , Jugo Gástrico/química , Infecciones por Helicobacter/diagnóstico , Helicobacter pylori/aislamiento & purificación , Úlcera Péptica/diagnóstico , Urea/análisis , Adolescente , Adulto , Anciano , Pruebas Respiratorias , Isótopos de Carbono/análisis , Femenino , Humanos , Masculino , Persona de Mediana Edad , Isótopos de Oxígeno/análisis , Adulto Joven
10.
J Breath Res ; 10(2): 026010, 2016 May 10.
Artículo en Inglés | MEDLINE | ID: mdl-27163246

RESUMEN

There is a pressing need to develop a novel early-detection strategy for the precise evolution of small intestinal bacterial overgrowth (SIBO) in irritable bowel syndrome (IBS) patients. The current method based on a hydrogen breath test (HBT) for the detection of SIBO is highly controversial. HBT has many limitations and drawbacks. It often fails to indentify SIBO when IBS individuals have 'non-hydrogen-producing' colonic bacteria. Here, we show that hydrogen sulphide (H2S) in exhaled breath is distinctly altered for diarrhea-predominant IBS individuals with positive and negative SIBO by the activity of intestinal sulphate-reducing bacteria. Subsequently, by analyzing the excretion kinetics of breath H2S, we found a missing link between breath H2S and SIBO when HBT often fails to diagnose SIBO. Moreover, breath H2S can track the precise evolution of SIBO, even after the eradication of bacterial overgrowth. Our findings suggest that the changes in H2S in the bacterial environment may contribute to the pathogenesis of SIBO and the breath H2S as a potential biomarker for non-invasive, rapid and precise assessment of SIBO without the endoscopy-based microbial culture of jejunal aspirates, and thus may open new perspectives into the pathophysiology of SIBO in IBS subjects.


Asunto(s)
Infecciones Bacterianas/diagnóstico , Pruebas Respiratorias/métodos , Sulfuro de Hidrógeno/análisis , Intestino Delgado/microbiología , Síndrome del Colon Irritable/diagnóstico , Adulto , Infecciones Bacterianas/microbiología , Biomarcadores/análisis , Espiración , Femenino , Humanos , Síndrome del Colon Irritable/microbiología , Masculino , Persona de Mediana Edad
11.
Sci Rep ; 5: 10936, 2015 Jun 03.
Artículo en Inglés | MEDLINE | ID: mdl-26039789

RESUMEN

The gastric pathogen Helicobacter pylori utilize glucose during metabolism, but the underlying mechanisms linking to oxygen-18 ((18)O) and carbon-13 ((13)C)-isotopic fractionations of breath CO2 during glucose metabolism are poorly understood. Using the excretion dynamics of (18)O/(16)O and (13)C/(12)C-isotope ratios of breath CO2, we found that individuals with Helicobacter pylori infections exhibited significantly higher isotopic enrichments of (18)O in breath CO2 during the 2h-glucose metabolism regardless of the isotopic nature of the substrate, while no significant enrichments of (18)O in breath CO2 were manifested in individuals without the infections. In contrast, the (13)C-isotopic enrichments of breath CO2 were significantly higher in individuals with Helicobacter pylori compared to individuals without infections in response to (13)C-enriched glucose uptake, whereas a distinguishable change of breath (13)C/(12)C-isotope ratios was also evident when Helicobacter pylori utilize natural glucose. Moreover, monitoring the (18)O and (13)C-isotopic exchange in breath CO2 successfully diagnosed the eradications of Helicobacter pylori infections following a standard therapy. Our findings suggest that breath (12)C(18)O(16)O and (13)C(16)O(16)O can be used as potential molecular biomarkers to distinctively track the pathogenesis of Helicobacter pylori and also for eradication purposes and thus may open new perspectives into the pathogen's physiology along with isotope-specific non-invasive diagnosis of the infection.


Asunto(s)
Dióxido de Carbono/metabolismo , Isótopos de Carbono/metabolismo , Espiración , Infecciones por Helicobacter/diagnóstico , Infecciones por Helicobacter/microbiología , Helicobacter pylori/metabolismo , Isótopos de Oxígeno/metabolismo , Adulto , Pruebas Respiratorias , Estudios de Casos y Controles , Femenino , Glucosa/metabolismo , Infecciones por Helicobacter/tratamiento farmacológico , Humanos , Masculino , Persona de Mediana Edad , Modelos Biológicos , Curva ROC
12.
Sci Rep ; 5: 8137, 2015 Jan 30.
Artículo en Inglés | MEDLINE | ID: mdl-25633556

RESUMEN

Carbonic anhydrase (CA), a well-characterized metalloenzyme, is associated with oxygen-18 ( (18)O)-isotopic fractionations of CO2. To investigate how CA activity links the (18)O of breath CO2 to pre-diabetes (PD) and type 2 diabetes (T2D) during metabolism, we studied pre- and post-dose CA activities in erythrocytes with simultaneous monitoring of (18)O/ (16)O-isotope ratios of breath CO2 and thereafter elucidated potential metabolic pathways underlying CA alteration in the pathogenesis of T2D. Here we show that the post-dose CA activity in both T2D and PD was markedly enhanced, whereas the non-diabetic controls (NDC) exhibited a considerable reduction in post-dose CA activity when compared with their basal CA activities. However, T2D and PD exhibited isotopic enrichments of (18)O in breath CO2, while a marked depletion of (18)O in CO2 was manifested in NDC. Thus, the isotopic enrichments and depletions of (18)O in breath CO2 were well correlated with the changes in CA activities for controls, PD and T2D. Our findings suggest the changes in CA activities in erythrocytes may contribute to the pathogenesis of T2D and the breath C (18)O (16)O regulated by the CA activity as a potential biomarker for non-invasive assessment of T2D, and thus may open a new method for treating T2D.


Asunto(s)
Pruebas Respiratorias/métodos , Dióxido de Carbono/metabolismo , Anhidrasas Carbónicas/metabolismo , Diabetes Mellitus Tipo 2/diagnóstico , Eritrocitos/enzimología , Estado Prediabético/diagnóstico , Adulto , Biomarcadores/metabolismo , Estudios de Casos y Controles , Diabetes Mellitus Tipo 2/sangre , Ayuno/sangre , Femenino , Prueba de Tolerancia a la Glucosa , Humanos , Insulina/sangre , Masculino , Redes y Vías Metabólicas , Isótopos de Oxígeno , Estado Prediabético/sangre , Estado Prediabético/enzimología
13.
Anal Bioanal Chem ; 406(22): 5405-12, 2014 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-24939135

RESUMEN

We report for the first time the excretion kinetics of the percentage dose of (13)C recovered/h ((13)C-PDR %/h) and cumulative PDR, i.e. c-PDR (%) to accomplish the highest diagnostic accuracy of the (13)C-urea breath test ((13)C-UBT) for the detection of Helicobacter pylori infection without any risk of diagnostic errors using an optical cavity-enhanced integrated cavity output spectroscopy (ICOS) method. An optimal diagnostic cut-off point for the presence of H. pylori infection was determined to be c-PDR (%) = 1.47 % at 60 min, using the receiver operating characteristic curve (ROC) analysis to overcome the "grey zone" containing false-positive and false-negative results of the (13)C-UBT. The present (13)C-UBT exhibited 100 % diagnostic sensitivity (true-positive rate) and 100 % specificity (true-negative rate) with an accuracy of 100 % compared with invasive endoscopy and biopsy tests. Our c-PDR (%) methodology also manifested both diagnostic positive and negative predictive values of 100 %, demonstrating excellent diagnostic accuracy. We also observed that the effect of endogenous CO2 production related to basal metabolic rates in individuals was statistically insignificant (p = 0.78) on the diagnostic accuracy. However, the presence of H. pylori infection was indicated by the profound effect of urea hydrolysis rate (UHR). Our findings suggest that the current c-PDR (%) is a valid and sufficiently robust novel approach for an accurate, specific, fast and noninvasive diagnosis of H. pylori infection, which could routinely be used for large-scale screening purposes and diagnostic assessment, i.e. for early detection and follow-up of patients.


Asunto(s)
Pruebas Respiratorias , Dióxido de Carbono/química , Isótopos de Carbono/química , Infecciones por Helicobacter/diagnóstico , Adulto , Anciano , Calibración , Reacciones Falso Positivas , Femenino , Helicobacter pylori , Humanos , Hidrólisis , Cinética , Masculino , Persona de Mediana Edad , Valor Predictivo de las Pruebas , Curva ROC , Reproducibilidad de los Resultados , Sensibilidad y Especificidad , Espectrofotometría , Urea/química , Adulto Joven
14.
J Breath Res ; 8(3): 036001, 2014 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-24946152

RESUMEN

We report, for the first time, the clinical feasibility of a novel residual gas analyzer mass spectrometry (RGA-MS) method for accurate evaluation of the (13)C-glucose breath test ((13)C-GBT) in the diagnosis of pre-diabetes (PD) and type 2 diabetes mellitus (T2D). In T2D or PD, glucose uptake is impaired and results in blunted isotope enriched (13)CO2 production in exhaled breath samples. Using the Receiver operating characteristics (ROC) curve analysis, an optimal diagnostic cut-off point of the (13)CO2/(12)CO2 isotope ratios expressed as the delta-over-baseline (DOB) value, was determined to be δDOB(13)C‰ = 28.81‰ for screening individuals with non-diabetes controls (NDC) and pre-diabetes (PD), corresponding to a sensitivity of 100% and specificity of 94.4%. We also determined another optimal diagnostic cut-off point of δDOB(13)C‰ = 19.88‰ between individuals with PD and T2D, which exhibited 100% sensitivity and 95.5% specificity. Our RGA-MS methodology for the (13)C-GBT also manifested a typical diagnostic positive and negative predictive value of 96% and 100%, respectively. The diagnostic accuracy, precision and validity of the results were also confirmed by high-resolution optical cavity enhanced integrated cavity output spectroscopy (ICOS) measurements. The δDOB(13)C‰ values measured with RGA-MS method, correlated favourably (R(2) = 0.979) with those determined by the laser based ICOS method. Moreover, we observed that the effects of endogenous CO2 production related to basal metabolic rates in individuals were statistically insignificant (p = 0.37 and 0.73) on the diagnostic accuracy. Our findings suggest that the RGA-MS is a valid and sufficiently robust method for the (13)C-GBT which may serve as an alternative non-invasive point-of-care diagnostic tool for routine clinical practices as well as for large-scale diabetes screening purposes in real-time.


Asunto(s)
Pruebas Respiratorias/instrumentación , Pruebas Respiratorias/métodos , Diabetes Mellitus Tipo 2/diagnóstico , Glucosa , Espectrometría de Masas/instrumentación , Estado Prediabético/diagnóstico , Adulto , Anciano , Dióxido de Carbono/metabolismo , Isótopos de Carbono , Estudios de Casos y Controles , Femenino , Humanos , Modelos Lineales , Masculino , Persona de Mediana Edad , Curva ROC
15.
J Breath Res ; 8(1): 016005, 2014 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-24566134

RESUMEN

A residual gas analyzer (RGA) coupled with a high vacuum chamber is described for the non-invasive diagnosis of the Helicobacter pylori (H. pylori) infection through ¹³C-urea breath analysis. The present RGA-based mass spectrometry (MS) method is capable of measuring high-precision ¹³CO2 isotope enrichments in exhaled breath samples from individuals harboring the H. pylori infection. The system exhibited 100% diagnostic sensitivity, and 93% specificity alongside positive and negative predictive values of 95% and 100%, respectively, compared with invasive endoscopy-based biopsy tests. A statistically sound diagnostic cut-off value for the presence of H. pylori was determined to be 3.0‰ using a receiver operating characteristic curve analysis. The diagnostic accuracy and validity of the results are also supported by optical off-axis integrated cavity output spectroscopy measurements. The δ¹³(DOB)C‰ values of both methods correlated well (R² = 0.9973 at 30 min). The RGA-based instrumental setup described here is simple, robust, easy-to-use and more portable and cost-effective compared to all other currently available detection methods, thus making it a new point-of-care medical diagnostic tool for the purpose of large-scale screening of the H. pylori infection in real time. The RGA-MS technique should have broad applicability for ¹³C-breath tests in a wide range of biomedical research and clinical diagnostics for many other diseases and metabolic disorders.


Asunto(s)
Pruebas Respiratorias/instrumentación , Pruebas Respiratorias/métodos , Infecciones por Helicobacter/diagnóstico , Helicobacter pylori/fisiología , Espectrometría de Masas/instrumentación , Adulto , Anciano , Dióxido de Carbono/metabolismo , Isótopos de Carbono , Espiración , Femenino , Infecciones por Helicobacter/metabolismo , Humanos , Masculino , Persona de Mediana Edad , Curva ROC , Análisis de Regresión , Sensibilidad y Especificidad , Análisis Espectral , Urea/análisis , Adulto Joven
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