| 1. |
- Bake, Björn, 1939, et al.
(författare)
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Exhaled particles and small airways
- 2019
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Ingår i: Respiratory Research. - : Springer Science and Business Media LLC. - 1465-993X. ; 20
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundOriginally, studies on exhaled droplets explored properties of airborne transmission of infectious diseases. More recently, the interest focuses on properties of exhaled droplets as biomarkers, enabled by the development of technical equipment and methods for chemical analysis. Because exhaled droplets contain nonvolatile substances, particles is the physical designation. This review aims to outline the development in the area of exhaled particles, particularly regarding biomarkers and the connection with small airways, i e airways with an internal diameter<2mm.Main bodyGeneration mechanisms, sites of origin, number concentrations of exhaled particles and the content of nonvolatile substances are studied. Exhaled particles range in diameter from 0.01 and 1000m depending on generation mechanism and site of origin. Airway reopening is one scientifically substantiated particle generation mechanism. During deep expirations, small airways close and the reopening process produces minute particles. When exhaled, these particles have a diameter of <4m. A size discriminating sampling of particles <4m and determination of the size distribution, allows exhaled particle mass to be estimated. The median mass is represented by particles in the size range of 0.7 to 1.0m. Half an hour of repeated deep expirations result in samples in the order of nanogram to microgram. The source of these samples is the respiratory tract ling fluid of small airways and consists of lipids and proteins, similarly to surfactant. Early clinical studies of e g chronic obstructive pulmonary disease and asthma, reported altered particle formation and particle composition.ConclusionThe physical properties and content of exhaled particles generated by the airway reopening mechanism offers an exciting noninvasive way to obtain samples from the respiratory tract lining fluid of small airways. The biomarker potential is only at the beginning to be explored.
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| 2. |
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| 3. |
- Almstrand, Ann-Charlotte, et al.
(författare)
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Airway monitoring by collection and mass spectrometric analysis of exhaled particles.
- 2009
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Ingår i: Analytical chemistry. - : American Chemical Society (ACS). - 1520-6882 .- 0003-2700. ; 81:2, s. 662-8
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Tidskriftsartikel (refereegranskat)abstract
- We describe a new method for simultaneously collecting particles in exhaled air for subsequent chemical analysis and measuring their size distribution. After forced exhalation, particles were counted and collected in spots on silicon wafers with a cascade impactor. Several phospholipids were identified by time-of-flight secondary ion mass spectrometric analysis of the collected spots, suggesting that the particles originated from the lower airways. The amount of particles collected in ten exhalations was sufficient for characterizing the phospholipid composition. The feasibility of the technique in respiratory research is demonstrated by analysis of the phospholipid composition of exhaled particles from healthy controls, patients with asthma, and patients with cystic fibrosis. We believe this technology will be useful for monitoring patients with respiratory disease and has a high potential to detect new biomarkers in exhaled air.
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| 4. |
- Almstrand, Ann-Charlotte, et al.
(författare)
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Effect of Airway Opening on Production of Exhaled Particles.
- 2010
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Ingår i: Journal of applied physiology. - : American Physiological Society. - 1522-1601 .- 8750-7587. ; 108:3, s. 584-588
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Tidskriftsartikel (refereegranskat)abstract
- The technique of sampling exhaled air is attractive because it is non-invasive, and so allows repeated sampling with ease and no risk for the patient. Knowledge of the biomarkers' origin is important in order to correctly understand and interpret the data. Endogenous particles, formed in the airways, are exhaled and reflect chemical composition of the respiratory tract lining fluid. However, the formation mechanisms and formation sites of these particles are unknown. We hypothesize that airway opening following airway closure cause production of airborne particles that are exhaled. The objective of this study was to examine production of exhaled particles following varying degrees of airway closure. 10 healthy volunteers performed 3 different breathing manoeuvres in which the initial lung volume preceding an inspiration to total lung capacity was varied between functional residual capacity (FRC) and residual volume (RV). Exhaled particle number concentrations in the size interval 0.30-2.0 mum were recorded. Number concentrations of exhaled particles showed a 2-18 fold increase after exhalations to RV compared to exhalations where no airway closure was shown (8500 (810-28000) vs. 1300 (330-13000) particles/expired litre, p=0.012). The difference was most noticeable for the smaller size range of particles (<1 mum). There were significant correlations between particle concentrations for the different manoeuvres. Our results show that airway reopening following airway closure is an important mechanism for formation of endogenous exhaled particles and that these particles originate from the terminal bronchioles. Key words: exhaled particles, airway closure, breath.
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| 5. |
- Bake, Björn, 1939, et al.
(författare)
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Exhaled Particles After a Standardized Breathing Maneuver
- 2017
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Ingår i: Journal of Aerosol Medicine and Pulmonary Drug Delivery. - : Mary Ann Liebert Inc. - 1941-2711 .- 1941-2703. ; 30:4, s. 267-273
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Tidskriftsartikel (refereegranskat)abstract
- Background: Particles in exhaled air (PEx) provide samples of respiratory tract lining fluid from small airways and offer a new opportunity to monitor pathological changes. The exhaled particles are produced by reopening of closed small airways and contain surfactant. The amount of PEx varies by orders of magnitude among subjects. A standardized breathing pattern reduces the variation, but it remains large and the reasons are unknown. The aim of the present study was to assess to what extent sex, age, body size, and spirometry results explain the interindividual variation of PEx among healthy middle-aged subjects. Methods: The PExA((R)) instrument was used to measure PEx in 126 healthy middle-aged nonsmoking subjects participating in the European Respiratory Community Health Survey (ERCS-III). The subjects performed a standardized breathing maneuver involving expiration to residual volume, a breath-hold of 3 seconds, a full inspiration, and then a full expiration into the PExA instrument. PEx number concentrations were expressed per exhalation and per exhaled liter. Age and anthropometric and spirometric variables were analyzed as potential predictors. Results: PEx/L was consistently and negatively associated to lung size-related variables and accordingly lower in men than in women. PEx/Exhalation was similar in women and men. Increasing age was associated with increasing PEx. Reference equations are presented based on age, weight, and spirometry variables and independent of sex. These predictors explained 28%-29% of the interindividual variation. Conclusions: The interindividual variation of PEx after a standardized breathing maneuver is large and the considered predictors explain a minor part only.
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| 6. |
- Bredberg, Anna, et al.
(författare)
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Analysis of manganese and iron in exhaled endogenous particles
- 2014
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Ingår i: Journal of Analytical Atomic Spectrometry. - 0267-9477 .- 1364-5544. ; 29, s. 730-735
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Tidskriftsartikel (refereegranskat)abstract
- Background: Many full-time welders experience some sort of respiratory disorder e.g., asthma, bronchitis and metal fume fever. Thus, welding aerosols are thought to cause airway inflammation. There is a need for markers of welding aerosols in exposure assessments, and as most welding aerosols contain manganese and iron, these metals may possibly be used as an indicator. We have previously developed a novel non-invasive technique to collect endogenous particles in exhaled air (PEx). This study is designed to i) develop a method for analysis of manganese and iron in PEx and ii) investigate whether the manganese and/or iron content of PEx changes after exposure to welding aerosols. Methods: Nine individuals were experimentally exposed to welding fumes. PEx was collected at three time points for each individual; before, after and 24 hour after exposure. Analyses of PEx samples were performed using Inductively Coupled Plasma Mass Spectrometry (ICP-MS). Results: Four out of nine individuals showed an increase in manganese and iron levels after exposure to welding aerosols. The mean manganese and iron concentration increased from,
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| 7. |
- Emanuelsson, Eva U., et al.
(författare)
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Influence of Humidity, Temperature, and Radicals on the Formation and Thermal Properties of Secondary Organic Aerosol (SOA) from Ozonolysis of β-Pinene
- 2013
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Ingår i: Journal of Physical Chemistry A. - : American Chemical Society (ACS). - 1089-5639 .- 1520-5215. ; 117:40, s. 10346-10358
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Tidskriftsartikel (refereegranskat)abstract
- The influence of water and radicals on SOAs produced by β-pinene ozonolysis was investigated at 298 and 288 K using a laminar flow reactor. A volatility tandem differential mobility analyzer (VTDMA) was used to measure the evaporation of the SOA, enabling the parametrization of its volatility properties. The parameters extracted included the temperature at which 50% of the aerosol had evaporated (TVFR0.5) and the slope factor (SVFR). An increase in SVFR indicates a broader distribution of vapor pressures for the aerosol constituents. Reducing the reaction temperature increased SVFR and decreased TVFR0.5 under humid conditions but had less effect on TVFR0.5 under dry conditions. In general, higher water concentrations gave lower TVFR0.5 values, more negative SVFR values, and a reduction in total SOA production. The radical conditions were changed by introducing OH scavengers to generate systems with and without OH radicals and with different [HO2]/[RO2] ratios. The presence of a scavenger and lower [HO2]/[RO2] ratio reduced SOA production. Observed changes in SVFR values could be linked to the more complex chemistry that occurs in the absence of a scavenger and indicated that additional HO2 chemistry gives products with a wider range of vapor pressures. Updates to existing ozonolysis mechanisms with routes that describe the observed responses to water and radical conditions for monoterpenes with endocyclic and exocyclic double bonds are discussed.
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| 8. |
- Emilsson, Össur Ingi, et al.
(författare)
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Respiratory symptoms, sleep-disordered breathing and biomarkers in nocturnal gastroesophageal reflux
- 2016
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Ingår i: Respiratory Research. - : Springer Science and Business Media LLC. - 1465-993X .- 1465-9921. ; 17
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Tidskriftsartikel (refereegranskat)abstract
- Background: Nocturnal gastroesophageal reflux (nGER) is associated with respiratory symptoms and sleep-disordered breathing (SDB), but the pathogenesis is unclear. We aimed to investigate the association between nGER and respiratory symptoms, exacerbations of respiratory symptoms, SDB and airway inflammation. Methods: Participants in the European Community Respiratory Health Survey III in Iceland with nGER symptoms (n = 48) and age and gender matched controls (n = 42) were studied by questionnaires, exhaled breath condensate (EBC), particles in exhaled air (PEx) measurements, and a home polygraphic study. An exacerbation of respiratory symptoms was defined as an episode of markedly worse respiratory symptoms in the previous 12 months. Results: Asthma and bronchitis symptoms were more common among nGER subjects than controls (54 % vs 29 %, p = 0.01; and 60 % vs 26 %, p < 0.01, respectively), as were exacerbations of respiratory symptoms (19 % vs 5 %, p = 0.04). Objectively measured snoring was more common among subjects with nGER than controls (snores per hour of sleep, median (IQR): 177 (79-281) vs 67 (32-182), p = 0.004). Pepsin (2.5 ng/ml (0.8-5.8) vs 0.8 ng/ml (0.8-3.6), p = 0.03), substance P (741 pg/ml (626-821) vs 623 pg/ml (562-676), p < 0.001) and 8-isoprostane (3.0 pg/ml (2.7-3.9) vs 2.6 pg/ml (2.2-2.9), p = 0.002) in EBC were higher among nGER subjects than controls. Albumin and surfactant protein A in PEx were lower among nGER subjects. These findings were independent of BMI. Conclusion: In a general population sample, nGER is associated with symptoms of asthma and bronchitis, as well as exacerbations of respiratory symptoms. Also, nGER is associated with increased respiratory effort during sleep. Biomarker measurements in EBC, PEx and serum indicate that micro-aspiration and neurogenic inflammation are plausible mechanisms.
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| 9. |
- Fischer, Andreas, et al.
(författare)
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Chemistry and indoor air quality in a multi-storey wooden passive (low energy) building : Formation of peroxyacetyl nitrate
- 2014
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Ingår i: Indoor + Built Environment. - : SAGE Publications Ltd. - 1420-326X .- 1423-0070. ; 23:3, s. 485-496
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Tidskriftsartikel (refereegranskat)abstract
- Indoor air measurements were conducted in one unoccupied apartment of a 'near-zero-energy' residential building with a unique, wooden construction. Ozone, NO2, fine particles and volatile organic compounds, formaldehyde, acetaldehyde and peroxyacetyl nitrate (PAN) were measured under 'as is' conditions and after intentional intervention by adding ozone to simulate an ambient air ozone episode. Undisturbed concentrations were: O 3 5-10 ppb, NO2 5-8 ppb, fine particles 2000-5000 cm -3, formaldehyde 35 ± 5 μg/m3, PAN 0.3 ppb. During intervention, O3 was 50-60 ppb, NO2 15-20 ppb, fine particles 20,000-25,000 cm-3, formaldehyde 44 ± 2 μg/m3 and PAN 0.7-1 ppb. It was shown that chemical reactions had taken place in the indoor air. Ozone-initiated chemistry produced various aldehydes, PAN and, as a direct response to increased ozone concentrations, also fine particles. Calculations made by a simple model of PAN formation showed that an air change rate of around 0.2 h-1 would provide optimum conditions for PAN formation in a setting comparable to that of the investigated apartment. This air change rate is well below the Swedish national minimum of 0.5 h-1. Further, the calculations show that the non-photochemical PAN formation could be a consequence of mixing ozone and nitrogen dioxide with terpenes and acetaldehyde.
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| 10. |
- Fischer, Andreas, et al.
(författare)
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Ozone removal by occupants in a classroom
- 2013
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Ingår i: Atmospheric Environment. - : Elsevier BV. - 1352-2310 .- 1873-2844. ; 81, s. 11-17
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Tidskriftsartikel (refereegranskat)abstract
- Ozone concentrations were measured in a classroom with and without occupants, with the purpose to quantify effects on indoor O3 concentrations. The teacher and 24 11-year old pupils each removed O3 at a rate, first order in O3, corresponding to a rate constant of (2.5±0.6)×10-5s-1 in the present locality and to a deposition velocity of 0.45cms-1. The O3-removal caused by the occupants was approximately 2.6 times larger than that of the available surfaces belonging to the classroom and its furniture. Observation of 6-methyl-5-hepten-2-one and 4-oxopentanal at maximum concentrations of 0.2ppb and 0.7ppb, respectively, suggested squalene from human skin oil as a reactive, ozone-consuming substance. There are indications of a source of 4-oxopentanal in the classroom, even some time after the pupils left for the day. The work presented is important for a proper description of indoor exposure, both to ozone itself and some of its reaction products when trying to quantify relations between exposure and health effects.
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