Sampling airway surface liquid: non-volatiles in the exhaled breath condensate

Lung. 2004;182(4):241-50. doi: 10.1007/s00408-004-2506-3.

Abstract

Exhaled breath condensate (EBC) samples contain molecules that have no appreciable vapor pressure; such molecules likely derive from droplets of airway fluid. We analyzed EBC gathered from a total of 62 healthy volunteers in order to quantify the volume of airway liquid that was the source of the non-volatiles; saliva was analyzed as a reference secretion. EBC urea averaged 0.52 +/- 0.12 micromol/L (n = 18), an 8,600-fold dilution from predicted blood urea nitrogen levels. Protein averaged 2.3 +/- 0.3 microg/ml (n = 31), three orders of magnitude less than in saliva (1.4 +/- 0.1 mg/ml, n = 15). EBC ammonia was 6.6 +/- 0.6 mmol/L (1/15 that of saliva) and EBC ammonium ion was 0.90 +/- 0.19 micromol/L, concentrations that are incompatible with an 8,600-fold dilution from a biological source. Thus, urea-derived dilution factors may be used to interpret EBC non-volatile molecules, but not EBC volatiles.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Albumins / metabolism
  • Ammonia / metabolism
  • Breath Tests / methods*
  • Exhalation / physiology*
  • Female
  • Humans
  • Male
  • Proteins / metabolism
  • Reference Values
  • Respiratory Function Tests
  • Specimen Handling / methods
  • Surface Properties
  • Urea / metabolism*

Substances

  • Albumins
  • Proteins
  • Ammonia
  • Urea