A chemometric study on human breath mass spectra for biomarker identification in cystic fibrosis

Alveolar breath samples from a small case-control study population have been collected and measured via ion-molecule reaction mass spectrometry, and a constructive statistical approach to the identification of volatile biomarkers has been formulated by applying multivariate statistical methods on the mass spectra. The nature of the data is such that the number of variables largely exceeds the observations, representing a typical experimental scenario when breath analysis is conducted using mass spectrometry. Principal components analysis has been performed on the high dimensional dataset of molecular abundances, providing evidence of case separation and reducing the number of functional discriminators by almost 90%. Afterwards, a deductive approach based on a binary regression was conducted on the reduced dataset, providing an entirely reliable case discrimination model exclusively depending on the concentrations in the breath mixture of 3 out of a total of 97 metabolites.

[1]  Karl Pearson F.R.S. LIII. On lines and planes of closest fit to systems of points in space , 1901 .

[2]  Bogusław Buszewski,et al.  Human exhaled air analytics: biomarkers of diseases. , 2007, Biomedical chromatography : BMC.

[3]  D. Panagiotakos,et al.  Logistic Regression and Linear Discriminant Analyses in Evaluating Factors Associated with Asthma Prevalence among 10- to 12-Years-Old Children: Divergence and Similarity of the Two Statistical Methods , 2009, International journal of pediatrics.

[4]  Massimo Corradi,et al.  Biomarkers of Neutrophilic Inflammation in Exhaled Air of Cystic Fibrosis Children with Bacterial Airway Infections , 2005, Pediatric pulmonology.

[5]  Bernhard Pfeifer,et al.  A new ensemble-based algorithm for identifying breath gas marker candidates in liver disease using ion molecule reaction mass spectrometry , 2009, Bioinform..

[6]  D. Blake,et al.  Breath sulfides and pulmonary function in cystic fibrosis. , 2005, Proceedings of the National Academy of Sciences of the United States of America.

[7]  E. Wouters,et al.  Development of accurate classification method based on the analysis of volatile organic compounds from human exhaled air. , 2008, Journal of chromatography. B, Analytical technologies in the biomedical and life sciences.

[8]  Daniel Halmer,et al.  Online recording of ethane traces in human breath via infrared laser spectroscopy. , 2003, Journal of applied physiology.

[9]  M. Mürtz,et al.  Tunable carbon monoxide overtone laser sideband system for precision spectroscopy from 2.6 to 4.1 microm. , 1998, Optics letters.

[10]  K. Uehara,et al.  Carbonyl sulfide detection with a thermoelectrically cooled midinfrared quantum cascade laser. , 2003, Optics letters.

[11]  D. Collett Modelling Binary Data , 1991 .

[12]  David Smith,et al.  Detection of volatile compounds emitted by Pseudomonas aeruginosa using selected ion flow tube mass spectrometry , 2005, Pediatric pulmonology.

[13]  R. Pezzilli,et al.  Hydrogen Sulfide, Nitric Oxide and a Molecular Mass 66 u Substance in the Exhaled Breath of Chronic Pancreatitis Patients , 2007, Pancreatology.

[14]  Q. Jöbsis,et al.  Biomarkers in exhaled breath condensate indicate presence and severity of cystic fibrosis in children , 2008, Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology.

[15]  J. Swenberg,et al.  A mass spectrometric method to simultaneously measure a biomarker and dilution marker in exhaled breath condensate. , 2008, Rapid communications in mass spectrometry : RCM.

[16]  A. B. Robinson,et al.  Quantitative analysis of urine vapor and breath by gas-liquid partition chromatography. , 1971, Proceedings of the National Academy of Sciences of the United States of America.

[17]  D. Klemp,et al.  Volatile organic compounds in the exhaled breath of young patients with cystic fibrosis , 2006, European Respiratory Journal.

[18]  P. Španěl,et al.  The challenge of breath analysis for clinical diagnosis and therapeutic monitoring. , 2007, The Analyst.

[19]  Olaf Tietje,et al.  Volatile biomarkers of pulmonary tuberculosis in the breath. , 2007, Tuberculosis.

[20]  W. Miekisch,et al.  Diagnostic potential of breath analysis--focus on volatile organic compounds. , 2004, Clinica chimica acta; international journal of clinical chemistry.

[21]  David Smith,et al.  Time variation of ammonia, acetone, isoprene and ethanol in breath: a quantitative SIFT-MS study over 30 days. , 2003, Physiological measurement.

[22]  E. Yung,et al.  Clinical and Technical Factors Affecting pH and Other Biomarkers in Exhaled Breath Condensate , 2006, Pediatric pulmonology.

[23]  Philipp Lirk,et al.  Mass spectrometric profile of exhaled breath—field study by PTR-MS , 2005, Respiratory Physiology & Neurobiology.

[24]  H. Akaike A new look at the statistical model identification , 1974 .

[25]  S. Praun,et al.  OCCUPATIONAL EXPOSURE ASSESSMENT THROUGH ANALYSIS OF HUMAN BREATH AND AMBIENT AIR USING IMR-MASS SPECTROMETRY , 2005 .

[26]  A. Ceccarini,et al.  Breath analysis: trends in techniques and clinical applications , 2005 .

[27]  E. M. Gaspar,et al.  Organic metabolites in exhaled human breath--a multivariate approach for identification of biomarkers in lung disorders. , 2009, Journal of chromatography. A.

[28]  P. Montuschi Exhaled breath condensate analysis in patients with COPD. , 2005, Clinica chimica acta; international journal of clinical chemistry.

[29]  P. Barnes,et al.  Biomarkers of some pulmonary diseases in exhaled breath , 2002, Biomarkers : biochemical indicators of exposure, response, and susceptibility to chemicals.

[30]  H. White,et al.  Logistic regression in the medical literature: standards for use and reporting, with particular attention to one medical domain. , 2001, Journal of clinical epidemiology.

[31]  J. Hunt,et al.  Exhaled breath condensate: an evolving tool for noninvasive evaluation of lung disease. , 2002, The Journal of allergy and clinical immunology.

[32]  Gerard Wysocki,et al.  Pulsed quantum-cascade laser-based sensor for trace-gas detection of carbonyl sulfide. , 2004, Applied optics.

[33]  John Yearwood,et al.  A new scoring system in Cystic Fibrosis: statistical tools for database analysis – a preliminary report , 2008, BMC Medical Informatics Decis. Mak..

[34]  B. Manly Multivariate Statistical Methods : A Primer , 1986 .