PT  - JOURNAL ARTICLE
AU  - MB Schleiss
AU  - O Holz
AU  - M Behnke
AU  - K Richter
AU  - H Magnussen
AU  - RA Jorres
TI  - The concentration of hydrogen peroxide in exhaled air depends on expiratory flow rate
AID  - 10.1034/j.1399-3003.2000.16f16.x
DP  - 2000 Dec 01
TA  - European Respiratory Journal
PG  - 1115--1118
VI  - 16
IP  - 6
4099  - http://erj.ersjournals.com/content/16/6/1115.short
4100  - http://erj.ersjournals.com/content/16/6/1115.full
SO  - Eur Respir J2000 Dec 01; 16
AB  - Hydrogen peroxide (H2O2) is known to be detectable in exhaled air. The present study aimed to determine whether the concentration of exhaled H2O2 depends on expiratory flow rate in order to make inferences on the site of its production within the lung. Breath condensate was collected in cooled Teflon tubes, at three different expiratorv flow rates, in 15 healthy or mild asthmatic subjects. Tests were repeated 2-5 times to assess reproducibility. Mean+/-SEM concentrations of H2O2 at flow rates of 140, 69 and 48 mL.s(-1) were 0.12+/-0.02, 0.19+/-0.02 and 0.32+/-0.03 microM, respectively. These values differed significantly from each other (p<0.001). For comparison, average coefficients of variability within repeated measurements at each of the three flow rates were 68, 62 and 82%, respectively. These data demonstrate that the concentration of exhaled hydrogen peroxide depends on expiratory flow rate. Since flow dependence is an indicator of production within the airways, this result suggests that, to a large extent, the exhaled hydrogen peroxide originates within the airways. However, even under strictly controlled conditions, a high degree of variability persists, which may limit the usefulness of exhaled hydrogen peroxide as a marker of airway inflammation.