Table 3—

Summary of the data available in chronic obstructive pulmonary disease(COPD) patients for each exhaled breath condensate (EBC) biomarker with respect to diagnosis, disease severity/phenotype, monitoring of exacerbations and therapeutic intervention

EBC biomarkerDiagnosisDisease severity/phenotypeExacerbation monitoringTherapeutic intervention
pHpH reduced in COPD 20, 37pH correlates with sputum neutrophilia 37pH correlates with FEV1 37 or has no correlation with FEV1 20No dataNo data
LTB4LTB4 increased in COPD 43, 54LTB4 correlates with sputum neutrophilia 37Increased LTB4 during exacerbations 13Increased LTB4 with ibuprofen 65
PGE2PGE2 increased in COPD 43No dataNo dataReduced PGE2 with ibuprofen 65
CytokinesIL-6, TNF-α and IL-10 are increased in COPD 63, 66IL-6 correlates with smoking history and FEV1 66Increased levels (multiplex array) during exacerbations 67No data
H2O2H2O2 increased in COPD 68, 69H2O2 correlates with FEV1, sputum neutrophilia and dyspnoea score 27Increased H2O2 during exacerbations 14, 68Reduced H2O2 with N-acetylcysteine 70; conflicting data in steroid studies 71, 72
8-isoprostane8-isoprostane increased in COPD 27, 58, 73No correlation with smoking, sputum cells or dyspnoea score 27, 58; 8-isoprostane increased in severe COPD 73Increased 8-isoprostane during exacerbations 13No data
NO metabolitesNO2- and RS-NO increased in COPD 73No dataNo dataNo data
  • FEV1: forced expiratory volume in one second; LT: leukotriene; PG: prostaglandin; IL: interleukin; TNF: tumour necrosis factor; H2O2: hydrogen peroxide; NO2-: nitrite; RS-NO: nitrosothiols; NO: nitric oxide.