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Drug delivery related to metabolites in human breath – rst results of long term clinical studies using MCC/IMS * Korea InsƟtute of Science and Technology Europe ForschungsgesellschaŌ mbH (KIST Europe) Campus E 7 1 - 66123 Saarbrücken - Germany phone + 49 (0) 681 9382 229 - fax + 49 (0) 681 9382 240 hƩp://www.kist-europe/r_cd_jibb.html hƩp://www.kist-europe.com hƩp://www.kist-europe.de Contact: PD Dr. Jörg Ingo Baumbach Head of Department Microuidics and Clinical DiagnosƟcs [email protected] Part of a IMS-Chromatogram of human breath * Kor * Kor * Kor * Kor * Kor * Kor * Kor * Kor * Kor * Kor * Kor *K * Kor Korea In ea In ea In ea In ea In ea In ea In ea In a In ea In ea In ea ea In a sƟtu sƟtu sƟtu sƟtu sƟtu sƟtu sƟtu sƟtu sƟtu sƟtu sƟtu Ɵtu sƟtu sƟtu Ɵt te of te of te of te of te o te of e of te of te of te of te of e o e of eo te of Scie Scie Scie Scie Scie Scie Scie Scie Scie c Scie cience a nce a nce a nce a nce a nce a nce a nce a nce a ce nce a e ea e and Te nd Te nd Te nd Te d Te nd Te nd Te nd Te d Te nd Te nd T nd Te nd Te nd chnol chnol c chnol chnol chnol chnol chnol chnol chnol o ol o chnol ol ol chnol o ol c l hno ogy E ogy E ogy E ogy E ogy E ogy ogy E ogy E ogy E ogy E ogy E ogy E ogy E ogy E o ogy Europe urope uro urop urope urop urop urope r urope urope pe pe pe urope urope pe pe e rope rope e e e Fors Fors Fors Fors Fors Fors Fors Fors Fors Fors ors Fors ors Fors or F F F F F chung chung chung chung chung chung chung chung chung chung chung chung chung chung g chungsges sges sge sgese sg g sgese sges sgese sgese sgese sgese sgese sgese sgese es se se s se g se e llsch llsch llsch llsch llsch lsch llsc llsc llsc llsch lsch llsch h llsch h h h h lsch haŌ m aŌ m aŌ m aŌ m aŌ m aŌ m aŌ m aŌ m aŌ m m Ō m m Ō m m m m Ō bH (K bH ( bH (K bH (K H (K H (K H H bH (K H H H (K K H H ( H (K H bH (K H H H (K ( IST E IST E IST E IST E IST E ST E IST E ST E ST ST IST E ST E ST E ST E E ST E ST E T ST IST E urope urope urope urope urope rope urope urope ope pe pe e rope ope pe e rop urope p ) ) ) ) ) ) ) ) ) ) ) ) b b b b b b b k k k k b b k hƩp: hƩp: hƩp: hƩp: hƩp: hƩp h hƩp: hƩp: hƩp: Ʃp: hƩp: hƩp: p: Ʃp hƩp: p: hƩp: hƩp: hƩp: hƩp Ʃp h //www //ww //www //www //www /www //www //www www www //www //www //www //www //www //www /www w //www // //www //www //www / w ww w .kist .kist .kis .kis .kist .kist .kist .kist .kis .kis .kist .kis .kis is .kist .kis i .ki .kis .kis s s .kis kis .kis i -euro -e -euro -euro -euro euro euro euro euro euro euro euro euro euro euro uro eur euro - -euro e pe/r_ pe/r pe/r_ pe/r_ pe/r_ pe/r_ pe/r pe/r_ e/r e/r_ pe/r_ e/r e/r e pe/r_ pe/r_ pe/r_ / pe/r pe/r pe/r_ pe/r_ pe/ p r p r pe/ cd_ji cd_ji cd_ji cd_ji cd_ji d cd_ji cd_ji cd_ji cd_ji c cd ji cd_ cd_ji cd_ji d_ji cd_ i d_ji ji ji c _ji i i jibb.ht bb.ht bb.ht bb.ht bb.ht bb.ht bb. bb bb. bb.h bb.h bb. bb. bb.ht .ht ht bb.ht bb. bb b . .h h b h m m m ml ml ml ml ml ml ml ml ml ml m ml m ml m m h h h h h h h h // // // // / / / / / / / / / / / / / k k k k k k k Conta Conta Conta Conta Conta on onta Conta ont ont ont Conta ont Conta on Conta Conta Conta Conta o ont t n o o ct: ct: ct: ct: ct c ct ct: ct: ct: t ct PD PD PD PD PD PD PD D PD D PD D PD PD PD P PD P PD D D Dr J Dr. J Dr. J Dr Dr. Dr r. 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Westho1 , P. LiƩerst 1 , S. Maddula 2 , J.I. Baumbach 2,3 1 Lung Clinic Hemer, Theo-Funccius-Str. 1, 58675 Hemer, Germany 2 KIST Europe, Department Microuidics and Clinical DiagnosƟcs, Campus E 71, 66123 Saarbrücken, Germany 3 B&S AnalyƟk, BioMedicalCenter Dortmund, OƩo-Hahn-Str. 15, 44227 Dortmund, Germany Acknowledgements The nancial support of the Ministry of EducaƟon, Science and Technology (MEST) of the Republic Korea is acknowledged thankfully. Part of the work on this paper has been supported by Deutsche For- schungsgemeinschaŌ (DFG) within the CollaboraƟ- ve Research Center (Sonderforschungsbereich) SFB 876 „Providing InformaƟon by Resource-Constrai- ned Analysis“, project TB1 “Resource-Constrained Analysis of Spectrometry Data“. In addiƟon, the work was supported partly by the German Federal Ministry of Economics and Tech- nology based on a decision of the German Bundes- tag within the project KF2368102AKO. The experimental work described was carried out partly at ISAS Dortmund, Germany. 0 62 124 186 248 40 60 80 100 120 140 160 0 62 124 186 248 0,002 0,004 0,006 0,008 0,010 0,012 0,014 0,016 GAG GAG / a.u. IMS - Peak height Signal height / a.u. 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The e The e The e The e The e The e The e The e The e The e The e The e The e The e he e he The e xperi xperi xper xperi xperi xperi xperi xperi xperi xperi xpe xperi xperi xperi xperi e menta menta menta menta menta menta menta menta menta menta menta menta menta menta n a t l wor l wor l wor l wor l wor l wor l wor l wor l wor l wor l wor l wor l wor wor o l wor o k des k des k des k des k des k de k des k des k des k des k des k des k des k des d k cribe cribe cribe cribe cribe cribe cribe cribe cribe cribe cribe ribe cribe cribe cribed was d was d was d was d was d was d was d was d was d was d was d was d was d d was d was d d was carr carr carr carr carr carr carr carr carr carr carr carr carr carr arr c ied o ied o ied o ied o ied o ied o ied o ied o ed o ied o ed o ied o ied o ied out ut ut ut ut ut ut ut ut ut ut ut ut ut partl partl partl partl partl partl partl partl partl partl partl partl partl partl partl rtl t y at y at y at y at y at y at y at y at y at y at y at y at t y at y at y at ISAS ISAS ISAS ISAS SAS ISAS ISAS ISAS ISAS ISAS ISAS ISAS ISAS ISAS SAS ISAS S ISAS Dortm Dortm Dortm Dortm Dortm Dortm Dortm Dortm Dortm Dortm Dortm Dortm Dortm Dortm ortm Do D und, und, und, und, und, und, und, und, und, und, und, und und, und, und, n nd d Germa Germa Germa Germa Germa Germa Germa Germa Germa Germa Germa Germa Germa Germa Germany. ny. ny. ny. ny. ny. ny. ny. ny. ny. ny. n ny ny. 40 60 80 100 186 248 186 248 GAG / a.u d The concentraƟons were higher than the concentraƟons of all paƟents ever tested with MCC/IMS. Furthermore, a peak P-77.2/0.601 was found, which decreased aŌer few weeks of therapy and needs further biochemical characterisaƟon. Parallel GC/MSD invesƟgaƟons suggest (S)-(+)-6-Methyl- 1-octanol[110453-78-6], Cyclohexanone, 5-methyl-2-(1- methylethyl)- [10458-14-7], Benzaldehyde, 2,5-dimethyl- [5779-94-2], Ethanone, 1-(4-methylphenyl)- [122-00-9], Dodecane [112-40-3] or Decanal [112-31-2]. These preliminary data show that breath analysis in paƟents with metabolic disorders might give further informaƟon about metabolism, especially under enzyme replace- ment therapy. PaƟent Father Mother GAG Part Part Part Part Part art r P PaƟe PaƟe PaƟe PaƟe PaƟe e e ent nt nt nt n n n Hunter disease is a mucopolysaccharidosis for which enzyme replacement therapy with idursulfase has been oered for 3 ye- ars. Therapy can be monitored by the urinary concentraƟon of dermatan sulfate and heparin sul- fate. A 38-year-old male person suering from Hun- ter disease has been treated with idursulfase for a year, showing dramaƟc clinical improvement. AddiƟonally, the paƟent had breath analysis using MCC/IMS every week before enzyme replacement. The paƟent showed increasing concentraƟons of a peak P-1.5/0.547 which is rela- ted to acetone [67-64-1] over the Ɵme. Mothe Moth Mothe Mothe Moth t r Fathe Fathe th h athe Fathe athe er r r r r r r r - - - - - - - - n n n n- - a a y yea ar, a al l l l l ly y y y y y ,

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Page 1: Drug delivery related to metabolites in human breath – fi ... · Drug delivery related to metabolites in human breath – fi rst results of long term clinical studies using MCC/IMS

Drug delivery related to metabolites in human breath – fi rst results of long term clinical studies using MCC/IMS

* Korea Ins tute of Science and Technology Europe Forschungsgesellscha mbH (KIST Europe)Campus E 7 1 - 66123 Saarbrücken - Germany

phone + 49 (0) 681 9382 229 - fax + 49 (0) 681 9382 240

h p://www.kist-europe/r_cd_jibb.htmlh p://www.kist-europe.comh p://www.kist-europe.de

Contact: PD Dr. Jörg Ingo Baumbach Head of Department Microfl uidics and Clinical Diagnos cs [email protected]

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Part of a IMS-Chromatogram of human breath

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M. Westhoff 1, P. Li erst1, S. Maddula2, J.I. Baumbach2,3

1 Lung Clinic Hemer, Theo-Funccius-Str. 1, 58675 Hemer, Germany2 KIST Europe, Department Microfl uidics and Clinical Diagnos cs, Campus E 71, 66123 Saarbrücken, Germany

3 B&S Analy k, BioMedicalCenter Dortmund, O o-Hahn-Str. 15, 44227 Dortmund, Germany

Acknowledgements

The fi nancial support of the Ministry of Educa on, Science and Technology (MEST) of the Republic

Korea is acknowledged thankfully. Part of the work on this paper has been supported by Deutsche For-schungsgemeinscha (DFG) within the Collabora -ve Research Center (Sonderforschungsbereich) SFB 876 „Providing Informa on by Resource-Constrai-ned Analysis“, project TB1 “Resource-Constrained

Analysis of Spectrometry Data“.

In addi on, the work was supported partly by the German Federal Ministry of Economics and Tech-

nology based on a decision of the German Bundes-tag within the project KF2368102AKO.

The experimental work described was carried out partly at ISAS Dortmund, Germany.

0 62 124 186 24840

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0 62 124 186 248

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0,004

0,006

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0,016

GAG

GA

G /

a.u.

IMS - Peak height

Sig

nal h

eigh

t / a

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Time / d

Hunter Disease

Peak P-77.2/0.601

IMS

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40

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The concentra ons were higher than the concentra ons of

all pa ents ever tested with MCC/IMS. Furthermore, a peak P-77.2/0.601 was found,

which decreased a er few weeks of therapy and needs further biochemical characterisa on.

Parallel GC/MSD inves ga ons suggest (S)-(+)-6-Methyl-1-octanol[110453-78-6], Cyclohexanone, 5-methyl-2-(1-methylethyl)- [10458-14-7], Benzaldehyde, 2,5-dimethyl-

[5779-94-2], Ethanone, 1-(4-methylphenyl)- [122-00-9], Dodecane [112-40-3] or Decanal [112-31-2].

These preliminary data show that breath analysis in pa ents with metabolic disorders might give

further informa on about metabolism, especially under enzyme replace-

ment therapy.

Pa ent Father Mother

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Hunter disease is a mucopolysaccharidosis for

which enzyme replacement therapy with idursulfase has been off ered for 3 ye-

ars. Therapy can be monitored by the urinary concentra on of dermatan sulfate and heparin sul-fate. A 38-year-old male person suff ering from Hun-ter disease has been treated with idursulfase for a year, showing drama c clinical improvement. Addi onally,

the pa ent had breath analysis using MCC/IMS every week before enzyme replacement. The

pa ent showed increasing concentra ons of a peak P-1.5/0.547 which is rela-

ted to acetone [67-64-1] over the me.

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