Background: Many volatile organic compounds are present in exhaled breath and may represent by-products of endogenous biological processes. Ethanol is produced via alcoholic fermentation of glucose by gut bacteria and yeast, while acetone derives from oxidations of free fatty acids, influenced by glucose metabolism. We hypothesized that the integrated analysis of breath ethanol and acetone would provide a good approximation of the blood glucose profile during a glucose load.Methods: We collected simultaneous exhaled breath gas, ambient air, and serum glucose and insulin samples from 10 healthy volunteers at baseline and during an oral glucose tolerance test (OGTT) (ingestion of 75 g of glucose followed by 120 min of sampling). Gas samples were analyzed by gas chromatography/mass spectrometry.Results: Mean glucose values displayed a typical OGTT pattern (rapid increase, peak values at 30-60 min, and gradual return to near baseline by 120 min). Breath ethanol displayed a similar pattern early in the test, with peak values at 30 min; this was followed by a fast return to basal levels by 60 min. Breath acetone decreased progressively below basal levels, with lowest readings obtained at 120 min. A multiple regression analysis of glucose, ethanol, and acetone was used to estimate glucose profiles that correlated with measured glucose values with an average individual correlation coefficient of 0.70, and not lower than 0.41 in any subject.Conclusion: The integrated analysis of multiple exhaled gases may serve as a marker of blood glucose levels. Further studies are needed to assess the usefulness of this method in different populations.

Recent technical advances allow detection of several hundred volatile organic compounds (VOCs) in human exhaled air, many of which reflect unidentified endogenous pathways. Our group has previously estimated plasma glucose levels in healthy adults during a standard oral glucose tolerance test via exhaled VOC analysis. As a result of the metabolic characteristics of hyperglycemia in the diabetic (low insulin and increased free fatty acids and ketones), we hypothesized that different exhaled VOC profiles may be present in children with type 1 diabetes mellitus (T1DM) during spontaneous hyperglycemia. Exhaled methyl nitrate strongly correlated specifically with the acute, spontaneous hyperglycemia of T1DM children. Eighteen experiments were conducted among 10 T1DM children. Plasma glucose and exhaled gases were monitored during either constant euglycemia (n ‫؍‬ 5) or initial hyperglycemia with gradual correction (n ‫؍‬ 13); all subjects received i.v. insulin and glucose as needed. Gas analysis was performed on 1.9-liter breath samples via gas chromatography using electron capture, flame ionization, and mass selective detection. Among the Ϸ100 measured exhaled gases, the kinetic profile of exhaled methyl nitrate, commonly present in room air in the range of 5-10 parts per trillion, was most strongly statistically correlated with that of plasma glucose (P ‫؍‬ 0.003-0.001). Indeed, the kinetic profiles of the two variables paralleled each other in 16 of 18 experiments, including repeat subjects who at different times displayed either euglycemia or hyperglycemia.exhaled gases ͉ volatile organic compounds ͉ gas chromatography ͉ plasma glucose T he analysis of volatile organic compounds (VOCs) has been recognized for decades as a diagnostic tool with great potential for application to human breath, and several attempts have been made to use this technique for metabolic monitoring. However, intrinsic difficulties in measurement and analysis have resulted in inconsistent results, severely limiting its practical applicability.Recent advances in VOC analytical technology may have reduced the impact of these technical issues, lowering detection limit of measurable gas concentrations, and increasing the repeatability and stability of measurements. Indeed, in recent years a rising number of studies centered on exhaled VOC clinical applications have been generated (1-5). Most studies, however, are focused on the detection of single disease markers, i.e., exhaled gas profiles constantly present in definite groups of patients, independent of their moment-by-moment metabolic changes. We believe that this approach, while having the potential of detecting important diagnostic markers, greatly underutilizes exhaled gas analysis. Exhaled gas profiles are likely involved in endogenous metabolic processes and are, therefore, constantly changing in response to the extremely complex human endogenous biochemical milieu. The extreme versatility of exhaled gas analysis (combining simultaneous measurements of 100 or more exhaled gases in each ...

Abstract. We present results from the Intercontinental Chemical Transport Experiment -Phase B (INTEX-B) aircraft mission conducted in spring 2006. By analyzing the mixing ratios of volatile organic compounds (VOCs) measured during the second part of the field campaign, together with kinematic back trajectories, we were able to identify five plumes originating from China, four plumes from other Asian regions, and three plumes from the United States. To identify specific tracers for the different air masses we characterized their VOC composition and we compared their background levels with those obtained during the 2004 INTEX-A mission. The Chinese and other Asian air masses were significantly enhanced in carbonyl sulfide (OCS) and methyl chloride (CH 3 Cl), while all CFC replacement compounds were elevated in US plumes, particularly HFC-134a.Although elevated mixing ratios of Halon-1211 were measured in some Chinese plume samples, several measurements at background levels were also observed. After analyzing the VOC distribution and correlations within the Chinese pollution plumes and applying principal component analysis (PCA), we suggest the use of a suite of species, rather than a single gas, as specific tracers of Chinese air masses (namely OCS, CH 3 Cl, 1,2-dichloroethane, ethyl chloride, and Halon-1211). In an era of constantly changing halocarbon usage patterns, this suite of gases best reflects new emission characteristics from China.

[1] An extensive set of carbonyl sulfide (OCS) observations were made as part of the NASA Intercontinental Chemical Transport Experiment-North America (INTEX-NA) study, flown from 1 July to 14 August 2004 mostly over the eastern United States and Canada. These data show that summertime OCS mixing ratios at low altitude were dominated by surface drawdown and were highly correlated with CO 2 . Although local plumes were observed on some low-altitude flight legs, anthropogenic OCS sources were small compared to this sink.

We present results from the Intercontinental Chemical Transport Experiment-Phase B (INTEX-B) aircraft mission conducted in spring 2006. By analyzing the mixing ratios of volatile organic compounds (VOCs) measured during the second part of the field campaign, together with kinematic back trajectories, we were able to identify five plumes originating from China, four plumes from other Asian regions, and three plumes from the United States. To identify specific tracers for the different air masses we characterized their VOC composition and we compared their background levels with those obtained during the 2004 INTEX-A mission. The Chinese and other Asian air masses were significantly enhanced in carbonyl sulfide (OCS) and methyl chloride (CH 3 Cl), while all CFC replacement compounds were elevated in US plumes, particularly HFC-134a. Although elevated mixing ratios of Halon-1211 were measured in some Chinese plume samples, several measurements at background levels were also observed. After analyzing the VOC distribution and correlations within the Chinese pollution plumes and applying principal component analysis (PCA), we suggest the use of a suite of species, rather than a single gas, as specific tracers of Chinese air masses (namely OCS, CH 3 Cl, 1,2-dichloroethane, ethyl chloride, and Halon-1211). In an era of constantly changing halocarbon usage patterns, this suite of gases best reflects new emission characteristics from China.