4.6 Review

Breath Biomarkers in Diagnostic Applications

Journal

MOLECULES
Volume 26, Issue 18, Pages -

Publisher

MDPI
DOI: 10.3390/molecules26185514

Keywords

exhaled breath; breath tests; exhaled biomarkers; metabolomics; clinical practice; volatile organic compounds

Funding

  1. German Ministry of Education and Research (BMBF) [01KT1803A]
  2. ERA-NET TRANSCAN-2 project Airborne Biomarkers for Colorectal Cancer (ABC-Cancer)

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The detection of chemical compounds in exhaled breath presents an opportunity to determine physiological state, diagnose disease or assess environmental exposure. Despite some challenges, exhaled breath is desirable for metabolomics applications due to its non-invasiveness, convenience, and practical availability. Tests targeting endogenous or exogenous gas-phase compounds in breath are currently established for practical and clinical use.
The detection of chemical compounds in exhaled human breath presents an opportunity to determine physiological state, diagnose disease or assess environmental exposure. Recent advancements in metabolomics research have led to improved capabilities to explore human metabolic profiles in breath. Despite some notable challenges in sampling and analysis, exhaled breath represents a desirable medium for metabolomics applications, foremost due to its non-invasive, convenient and practically limitless availability. Several breath-based tests that target either endogenous or exogenous gas-phase compounds are currently established and are in practical and/or clinical use. This review outlines the concept of breath analysis in the context of these unique tests and their applications. The respective breath biomarkers targeted in each test are discussed in relation to their physiological production in the human body and the development and implementation of the associated tests. The paper concludes with a brief insight into prospective tests and an outlook of the future direction of breath research.

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