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Potential sources of 2-aminoacetophenone to confound the Pseudomonas aeruginosa breath test, including analysis of a food challenge study.

Abstract
2-Aminoacetophenone can be detected in the breath of Pseudomonas aeruginosa colonized cystic fibrosis patients; however, low levels were also detected in a small proportion of healthy subjects. It was hypothesized that food, beverages, cosmetics or medications could be a source of contamination of 2-aminoacetophenone in breath. To determine the potential confounding of these products on 2-aminoacetophenone breath analysis, screening for this volatile was performed in the laboratory by gas chromatography/mass spectrometry and a food challenge study carried out. 2-Aminoacetophenone was detected in four of the 78 samples tested in vitro: corn chips and canned tuna (high pmol mol(-1)) and egg white and one of the three beers (low pmol mol(-1)). No 2-aminoacetophenone was detected in the CF medication or cosmetics tested. Twenty-eight out of 30 environmental air samples were negative for 2-aminoacetophenone (below 50 pmol mol(-1)). A challenge study with ten healthy subjects was performed to determine if 2-aminoacetophenone from corn chips was detectable on the breath after consumption. Analysis of mixed breath samples reported that the levels of 2-aminoacetophenone were immediately elevated after corn chip consumption, but after 2 h the level of 2-aminoacetophenone had reduced back to the 'baseline' for each subject.
AuthorsAmy Scott-Thomas, John Pearson, Stephen Chambers
JournalJournal of breath research (J Breath Res) Vol. 5 Issue 4 Pg. 046002 (Dec 2011) ISSN: 1752-7163 [Electronic] England
PMID21701048 (Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Acetophenones
  • Biomarkers
  • 2-aminoacetophenone
Topics
  • Acetophenones (analysis)
  • Biomarkers (analysis)
  • Breath Tests (methods)
  • Cystic Fibrosis (microbiology)
  • Food Contamination (analysis)
  • Gas Chromatography-Mass Spectrometry (methods)
  • Humans
  • Pseudomonas Infections (diagnosis)
  • Pseudomonas aeruginosa (chemistry)
  • Sensitivity and Specificity

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