title: Possible impact of salivary influence on cytokine analysis in exhaled breath condensate.
abstract: BACKGROUND
  Exhaled breath condensate (EBC) is thought to contain substances of the lower airway epithelial lining fluid (ELF) aerosolized by turbulent flow. However, contamination by saliva may affect the EBC when collected orally.
  
  
  OBJECTIVE
  The purpose of this study was to compare the cytokine expression levels in EBC with those in saliva, and to clarify the influence of saliva on cytokine measurements of EBC.
  
  
  METHODS
  EBC and saliva samples were obtained from 10 adult subjects with stable asthma. To estimate differences in the contents of substances between EBC and saliva, the total protein concentration of each sample was measured. Further, we also measured the total protein concentration of ELF obtained from another patient group with suspected lung cancer using a micro sampling probe during bronchoscopic examination and roughly estimated the dilution of EBC by comparing the total protein concentration of EBC and ELF from those two patient groups. The cytokine expression levels of EBC and saliva from asthmatic group were assessed by a cytokine protein array.
  
  
  RESULTS
  The mean total protein concentrations in EBC, saliva and ELF were 4.6 microg/ml, 2,398 microg/ml and 14,111 microg/ml, respectively. The dilution of EBC could be estimated as 1:3000. Forty cytokines were analyzed by a cytokine protein array and each cytokine expression level of EBC was found to be different from that of saliva. Corrected by the total protein concentration, all cytokine expression levels of EBC were significantly higher than those of saliva.
  
  
  CONCLUSIONS
  These results suggest that the salivary influence on the cytokine assessment in EBC may be negligible.
authors: The Third Department of Internal Medicine, Wakayama Medical University, School of Medicine, Wakayama, Japan.
authors: T
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authors: Ichikawa
authors: K
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authors: Matsunaga
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authors: Minakata
authors: S
authors: S
authors: Yanagisawa
authors: K
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authors: Ueshima
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authors: Akamatsu
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authors: Hirano
authors: M
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authors: Nakanishi
authors: H
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authors: Sugiura
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authors: Yamagata
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authors: Ichinose