Table 2.
Advantages | Disadvantages | Region sampled | Inflammatory biomarkers | |
---|---|---|---|---|
Sputum | Well established Non-invasive |
Requires immediate processing Difficult in young children |
Most affected large airways | Cell counts Cytokines/proteins Metabolites |
BAL | Can be used in all subjects | Higher risk (anesthesia) Expensive |
Targeted smaller airways | Cell counts Cytokines/proteins Metabolites |
EBC | Simple to collect Non-invasive |
Very low and variable biomarker concentrations | Small airways (may under-sample plugged airways) | Cytokines/proteins Metabolites |