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

J Breath Res. 2011 Dec;5(4):046002. doi: 10.1088/1752-7155/5/4/046002. Epub 2011 Jun 23.

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.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • 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

Substances

  • Acetophenones
  • Biomarkers
  • 2-aminoacetophenone