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辐射损伤早期小鼠呼出气特征性挥发性有机化合物分析及诊断价值OACSTPCD

Identification and diagnostic value of characteristic volatile organic compounds in exhaled breath of mice with early stage radiation injury

中文摘要英文摘要

目的 探索辐射损伤早期小鼠呼出气特征性挥发性有机化合物(VOC)成分变化及诊断价值.方法 应用热脱附-气相色谱-质谱(TD-GC/MS)技术分析受800 cGy 60Co γ射线照射小鼠呼出气中的VOC,筛查辐射损伤早期特征性VOC,建立诊断模型.结果 小鼠30d存活率为4.2%,辐射损伤后7h特征性VOC差异显著,共筛选出30个辐射损伤早期相关的差异性代谢物.通过受试者工作特征曲线(ROC)评价小鼠辐照后呼出气差异性代谢物的诊断价值,单个化合物的曲线下面积(AUC)>0.8,经Fisher判别分析筛选呼出气9种潜在生物标志物构建诊断模型,其敏感度和特异性均接近100%.结论 呼出气VOC分析有望为辐射损伤早期筛查和治疗提供一种非侵入性的诊断手段.

Objective To investigate the characteristic volatile organic compounds(VOCs)in exhaled breath and their diagnostic value in mice with early stage radiation injury.Methods The thermal desorption gas chromatography-mass spectrometry(TD-GC/MS)technique was used to analyze VOCs in exhaled breath of irradiated mice by 60Coγ-ray with 800 cGy.The characteristic VOCs in the early stage of radiation injury were identified,and a diagnostic model was established.Results The 30-day survival rate of mice was 4.2%.There were significant differences in characteristic VOCs at 7 hours after radiation injury,and thirty characteristic VOCs related to early-stage radiation injury were identified.The diagnostic value of differential metabolites in mice after irradiation was evaluated via the ROC curve,and the area under the ROC curve(AUC)of a single compound exceeded 0.8.The diagnostic model was constructed by screening 9 potential biomarkers of exhalation through Fisher discriminant analysis,and its sensitivity and specificity were close to 100%.Conclusion Analysis of VOCs in exhaled breath is expected to provide a non-invasive diagnostic method for early screening and diagnosis of radiation injury.

肖炳坤;缪潇瑶;李志恒;郑晓飞;黄荣清

军事科学院军事医学研究院辐射医学研究所,北京 100850

临床医学

挥发性有机化合物辐射损伤呼出气热脱附-气质联用诊断模型

volatile organic compoundsradiation injuryexhaled breaththermal desorption gas chromatography-mass spectrometrydiagnostic model

《军事医学》 2024 (002)

88-94 / 7

10.7644/j.issn.1674-9960.2024.02.002

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