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. 2021 Oct 28;9(11):1563. doi: 10.3390/biomedicines9111563

Table 1.

Summary of studies that compared the breath of subjects with chronic liver diseases, against controls. Compounds in bold and blue are of exogenous origin. Arrows indicate if a compound is elevated or reduced in the breath of disease subjects compared to controls. CLD = chronic liver diseases.

Author/Year Study Design Analytical Method Discriminant VOCs Calssification Performance
Friedman et al. (1994) [82] 24 CLD
24 Controls
GC-MS Hydrogen-sulphide ↑
Limonene ↑
n/a
Sehnert et al. (2002) [83] 86 CLD
109 Controls
GC Carbonyl sulphide ↑ n/a
Van den Velde et al. (2008) [84] 52 CLD
50 Controls
GC-MS Acetone ↑
Dimethyl-sulphide ↑
2-butanone ↑
2-pentanone ↑
Indole ↓
Dimethyl-selenide ↓
100% sensitivity
70% specificity
Dadamio et al. (2012) [85] 35 CLD
49 Controls
GC-MS Dimethyl-sulphide ↑
Acetone ↑
2-butanone ↑
2-pentanone ↑
Indole ↓
Phenol ↓
Dimethyl-selenide ↓
Isoprene ↑
Ethane ↑
Pentane ↑
83% sensitivity
100% specificity
Pijls et al. (2016) [86] 34 cirrhotic
87 non-cirrhotic
31 controls
GC-MS Dimethyl-sulphide ↑
Terpene (limonene) ↑
2-methyl-butanal ↓
Propanoic acid ↑
Octane ↑
Terpenoid ↑
3-carene ↑
1-hexadecanol ↓
C16H34 ↓
83% sensitivity
87% specificity
Morisco et al. (2013) [87] 12 CLD
14 Controls
PTR-MS Heptadienol ↑
Methanol ↑
2-butanone ↑
3-pentone ↑
2-octanone ↑
2-nonanone ↑
Monoterpene ↑
P-cymene ↑
83% sensitivity
86% specificity
Fernandez Del Rio et al. (2015) [88] 31 CLD
30 Controls
PTR-MS Methanol ↑
2-butanone ↑
Carbon-sulphide ↑
2-pentanone ↑
Limonene ↑
97% sensitivity
70% specificity
Sinha et al. (2020) [89] 15 chirrosis NAFLD
14 non-cirrhosis NAFLD
14 Controls
GC-MS Styrene
Acetone
Isoprene
DMS
D-limonene Acetophenone
Terpinene
Cirrhotic vs. Control: AUCs = 0.98
Cirrhotic vs. Non-cirrhotic: AUC = 0.91
Non-Cirrhotic vs. Control: AUC = 0.84
Ferrandino et al. [90] 44 cirrhosis
42 controls
GC-MS Limonene AUC = 0.78