Respiratory metabolites in bronchoalveolar lavage fluid (BALF) and exhaled breath condensate (EBC) can differentiate horses affected by severe equine asthma from healthy horses.
Abstract: The use of an untargeted metabolomic approach to investigate biofluids of respiratory origin is of increasing interest in human and veterinary lung research. Considering the high incidence of equine asthma (> 14%) within horse population and the importance of this animal model for human disease, we aimed to investigate the metabolomic profile of bronchoalveolar lavage fluid (BALF) and exhaled breath condensate (EBC) in healthy and asthmatic horses. Results: On the basis of clinical, endoscopic and BALF cytology findings, 6 horses with severe asthma (Group A) and 6 healthy horses (Group C) were included in the study. 1H-NMR analysis was used to identified metabolites in BALF and EBC samples. Metabolomic analysis allowed to identify and quantify 12 metabolites in BALF and seven metabolites in EBC. Among respiratory metabolites, myo-inositol, formate, glycerol and isopropanol in BALF, and methanol and ethanol in EBC, differed between groups (p < 0.05). Conclusions: The application of metabolomic studies to investigate equine asthma using minimally invasive diagnostic methods, such as EBC metabolomics, provided promising results. According to our research, the study of selective profiles of BALF and EBC metabolites might be useful for identifying molecules like myo-inositol and methanol as possible biomarkers for airways diseases in horses.
Publication Date: 2020-07-08 PubMed ID: 32641035PubMed Central: PMC7346432DOI: 10.1186/s12917-020-02446-9Google Scholar: Lookup
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- Journal Article
- Animal Health
- Asthma
- Biomarkers
- Bronchoalveolar Lavage
- Clinical Findings
- Clinical Study
- Comparative Study
- Diagnosis
- Diagnostic Technique
- Disease Diagnosis
- Disease Management
- Disease Treatment
- Equine Diseases
- Equine Health
- Horses
- Metabolites
- Metabolomics
- Respiratory Disease
- Respiratory Health
- Veterinary Medicine
- Veterinary Research
Summary
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This research investigates the metabolic profile of bronchoalveolar lavage fluid (BALF) and exhaled breath condensate (EBC) in healthy and asthmatic horses, examining whether differences can serve as a diagnostic tool for equine asthma.
Research Purpose
- The study aims to identify differences in the metabolomic profiles of healthy horses versus those with severe asthma. The intent is to discover potential biomarkers that could help diagnose and treat equine asthma, which affects over 14% of the horse population.
- By studying the metabolomic profile of the respiratory biofluids like BALF and EBC, the researchers were seeking potential non-invasive diagnostic methods for respiratory diseases in horses, and possibly extrapolate the insights for human disease research.
Methodology
- The study included 6 healthy horses (Group C) and 6 horses with severe asthma (Group A), classified based on clinical, endoscopic, and BALF cytology findings.
- Both BALF and EBC samples were collected from the horses and analyzed using H-NMR to identify and quantify the metabolic compounds present.
Results
- The metabolomic analysis identified and quantified 12 metabolites in BALF and 7 metabolites in EBC.
- Among the various identified metabolites, myo-inositol, formate, glycerol, and isopropanol in BALF, as well as methanol and ethanol in EBC showed significant differences between the healthy horses and those with severe asthma.
Conclusions
- The research concludes that metabolomic studies of BALF and EBC can provide valuable insights in the diagnosis and management of respiratory diseases like equine asthma.
- Specifically, the study highlights myo-inositol and methanol as possible biomarkers for respiratory diseases in horses, indicating a promising potential for the use of non-invasive diagnostic methods.
Cite This Article
APA
Bazzano M, Laghi L, Zhu C, Magi GE, Tesei B, Laus F.
(2020).
Respiratory metabolites in bronchoalveolar lavage fluid (BALF) and exhaled breath condensate (EBC) can differentiate horses affected by severe equine asthma from healthy horses.
BMC Vet Res, 16(1), 233.
https://doi.org/10.1186/s12917-020-02446-9 Publication
Researcher Affiliations
- School of Biosciences and Veterinary Medicine, University of Camerino, Via Circonvallazione 93/95, 62024, Matelica, MC, Italy. marilena.bazzano@unicam.it.
- Department of Agro-Food Science and Technology, Centre of Foodomics, University of Bologna, Bologna, Italy.
- Department of Agro-Food Science and Technology, Centre of Foodomics, University of Bologna, Bologna, Italy.
- School of Biosciences and Veterinary Medicine, University of Camerino, Via Circonvallazione 93/95, 62024, Matelica, MC, Italy.
- School of Biosciences and Veterinary Medicine, University of Camerino, Via Circonvallazione 93/95, 62024, Matelica, MC, Italy.
- School of Biosciences and Veterinary Medicine, University of Camerino, Via Circonvallazione 93/95, 62024, Matelica, MC, Italy.
MeSH Terms
- Animals
- Asthma / diagnosis
- Asthma / veterinary
- Biomarkers / analysis
- Breath Tests
- Bronchoalveolar Lavage Fluid / chemistry
- Horse Diseases / diagnosis
- Horses
- Lung / chemistry
Conflict of Interest Statement
The authors declare that they have no competing interests.
References
This article includes 52 references
- Bozzetto S, Pirillo P, Carraro S, Berardi M, Cesca L, Stocchero M. Metabolomic profile of children with recurrent respiratory infections.. Pharmacol Res 2017;115:162–167.
- Nambiar S, Bong How S, Gummer J, Trengove R, Moodley Y. Metabolomics in chronic lung diseases.. Respirology 2019;2019.
- Karampitsakos T, Gourgoulianis KI. ACOS syndrome: single disease entity or not? Could exhaled nitric oxide be a useful biomarker for the differentiation of ACOS, asthma and COPD?. Med Hypotheses 2016;91:20–23.
- Kao CC, Hsu JWC, Bandi V, Hanania NA, Kheradmand F, Jahoor F. Glucose and pyruvate metabolism in severe chronic obstructive pulmonary disease.. J Appl Physiol 2012;112:42–47.
- Wolak JE, Esther CR, O’Connell TM. Metabolomic analysis of bronchoalveolar lavage fluid from cystic fibrosis patients.. Biomarkers 2009;14:55–60.
- Kang YP, Lee SB, Lee JM, Kim HM, Hong JY, Lee WJ. Metabolic profiling regarding pathogenesis of idiopathic pulmonary fibrosis.. J Proteome Res 2016;15:1717–1724.
- Jones OAH, Cheung VL. An introduction to metabolomics and its potential application in veterinary science.. Comp Med 2007;57:436–442.
- Zhu C, Faillace V, Laus F, Bazzano M, Laghi L. Characterization of trotter horses urine metabolome by means of proton nuclear magnetic resonance spectroscopy.. Metabolomics 2018;14:106.
- Laghi L, Zhu C, Campagna G, Rossi G, Bazzano M, Laus F. Probiotic supplementation in trained trotter horses: effect on blood clinical pathology data and urine Metabolomic assessed in field.. J Appl Physiol 2018;125:654–660.
- Maniscalco M, Paris D, Melck DJ, Molino A, Carone M, Ruggeri P. Differential diagnosis between newly diagnosed asthma and COPD using exhaled breath condensate metabolomics: a pilot study.. Eur Respir J 2018;51:1701825.
- Bazzano M, Laghi L, Zhu C, Magi GE, Serri E, Spaterna A. Metabolomics of tracheal wash samples and exhaled breath condensates in healthy horses and horses affected by equine asthma.. J Breath Res 2018;12:046015.
- Barton AK, Gehlen H. Pulmonary remodeling in equine asthma: what do we know about mediators of inflammation in the horse?. Mediat Inflamm 2016;2016:5693205.
- Bullone M, Lavoie JP. Asthma “of horses and men”-How can equine heaves help us better understand human asthma immunopathology and its functional consequences?. Mol Immunol 2015;66:97–105.
- Bullone M, Lavoie JP. The contribution of oxidative stress and inflamm-aging in human and equine asthma.. Int J Mol Sci 2017;18.
- Kirschvink N, Reinhold P. Use of alternative animals as asthma models.. Curr Drug Targets 2008;9:470–484.
- Léguillette R. Recurrent airway obstruction - heaves.. Vet Clin North Am Equine Pract 2003;19:63–86.
- Korn A, Miller D, Dong L, Buckles EL, Wagner B, Ainsworth DM. Differential gene expression profiles and selected cytokine protein analysis of mediastinal lymph nodes of horses with chronic recurrent airway obstruction (RAO) support an interleukin-17 immune response.. PLoS One 2015;10.
- Comhair SAA, McDunn J, Bennett C, Fettig J, Erzurum SC, Kalhan SC. Metabolomic Endotype of asthma.. J Immunol 2015;195:643–650.
- Gy C, Leclere M, Vargas A, Grimes C, Lavoie JP. Investigation of blood biomarkers for the diagnosis of mild to moderate asthma in horses.. J Vet Intern Med 2019;33:1789–1795.
- Duz M, Whittaker AG, Love S, Parkin TDH, Hughes KJ. Exhaled breath condensate hydrogen peroxide and pH for the assessment of lower airway inflammation in the horse.. Res Vet Sci 2009;87:307–312.
- Rahman I. Reproducibility of oxidative stress biomarkers in breath condensate: are they reliable?. Eur Respir J 2004;23:183–184.
- Gerber V, Straub R, Marti E, Hauptman J, Herholz C, King M. Endoscopic scoring of mucus quantity and quality: observer and horse variance and relationship to inflammation, mucus viscoelasticity and volume.. Equine Vet J 2004;36:576–582.
- Hodgson JL, Hodgson DR. Collection and analysis of respiratory tract samples.. In: Equine Respiratory Medicine and Surgery. 2007. p. 119–50.
- Bizzarri M, Fuso A, Dinicola S, Cucina A, Bevilacqua A. Pharmacodynamics and pharmacokinetics of inositol(s) in health and disease.. Expert Opin Drug Metab Toxicol 2016;12:1181–1196.
- Gilmore AP, Burridge K. Regulation of vinculin binding to Talin and actin by phosphatidylinositol-4-5-bisphosphate.. Nature 1996;381:531–535.
- Hallman M, Spragg R, Harrell JH, Moser KM, Gluck L. Evidence of lung surfactant abnormality in respiratory failure. Study of bronchoalveolar lavage phospholipids, surface activity, phospholipase activity, and plasma myoinositol.. J Clin Invest 1982;70:673–683.
- Howlett A, Ohlsson A, Plakkal N. Inositol in preterm infants at risk for or having respiratory distress syndrome.. Cochrane Database Syst Rev 2019;2019:1465–1858.
- Phelps DL, Ward RM, Williams RL, Nolen TL, Watterberg KL, Oh W. Safety and pharmacokinetics of multiple dose myo-inositol in preterm infants.. Pediatr Res 2016;80:209–217.
- Benesch R, Benesch RE. The effect of organic phosphates from the human erythrocyte on the allosteric properties of hemoglobin.. Biochem Biophys Res Commun 1967;26:162–167.
- Lam G, Zhao S, Sandhu J, Yi R, Loganathan D, Morrissey B. Detection of myo-inositol tris pyrophosphate (ITPP) in equine following an administration of ITPP.. Drug Test Anal 2014;6:268–276.
- Viswan A, Sharma RK, Azim A, Sinha N. NMR-based metabolic snapshot from Minibronchoalveolar lavage fluid: an approach to unfold human respiratory metabolomics.. J Proteome Res 2016;15:302–310.
- Benahmed MA, Elbayed K, Daubeuf F, Santelmo N, Frossard N, Namer IJ. NMR HRMAS spectroscopy of lung biopsy samples: comparison study between human, pig, rat, and mouse metabolomics.. Magn Reson Med 2014;71:35–43.
- Evans CR, Karnovsky A, Kovach MA, Standiford TJ, Burant CF, Stringer KA. Untargeted LC-MS metabolomics of bronchoalveolar lavage fluid differentiates acute respiratory distress syndrome from health.. J Proteome Res 2014;13:640–649.
- Ho WE, Xu YJ, Xu F, Cheng C, Peh HY, Tannenbaum SR. Metabolomics reveals altered metabolic pathways in experimental asthma.. Am J Respir Cell Mol Biol 2013;48:204–211.
- Ho WE, Xu YJ, Cheng C, Peh HY, Tannenbaum SR, Wong WSF. Metabolomics reveals inflammatory-linked pulmonary metabolic alterations in a murine model of house dust mite-induced allergic asthma.. J Proteome Res 2014;13:3771–3782.
- Brosnan ME, Brosnan JT. Formate: the neglected member of one-carbon metabolism.. Annu Rev Nutr 2016;36:369–388.
- Lamarre SG, Molloy AM, Reinke SN, Sykes BD, Brosnan ME, Brosnan JT. Formate can differentiate between hyperhomocysteinemia due to impaired remethylation and impaired transsulfuration.. Am J Physiol Endocrinol Metab 2012;302:E61–E67.
- Katre P, Joshi S, Bhat DS, Deshmukh M, Gurav N, Pandit S. Effect of multi-nutrient insufficiency on markers of one carbon metabolism in young women: response to a methionine load.. Eur J Clin Nutr 2016;70:687–693.
- Hong JH, Lee WC, Hsu YM, Liang HJ, Wan CH, Chien CL. Characterization of the biochemical effects of naphthalene on the mouse respiratory system using NMR-based metabolomics.. J Appl Toxicol 2014;34:1379–1388.
- Maniscalco M, Paris D, Melck DJ, Molino A, Carone M, Ruggeri P. Early View Differential diagnosis between newly diagnosed asthma and chronic obstructive pulmonary disease using exhaled breath condensate metabolomics: a pilot study.. Eur Respir J 2018:1825–2017.
- Montuschi P, Paris D, Melck D, Lucidi V, Ciabattoni G, Raia V. NMR spectroscopy metabolomic profiling of exhaled breath condensate in patients with stable and unstable cystic fibrosis.. Thorax 2012;67:222–228.
- Carraro S, Rezzi S, Reniero F, Héberger K, Giordano G, Zanconato S. Metabolomics applied to exhaled breath condensate in childhood asthma.. Am J Respir Crit Care Med 2007;175:986–990.
- Carden KA, Boiselle PM, Waltz DA, Ernst A. Tracheomalacia and tracheobronchomalacia in children and adults: an in-depth review.. Chest 2005;127:984–1005.
- Laus F, Attili AR, Cerquetella M, Spaterna A, Tesei B, Cuteri V. Endoscopic findings, microbiological and cytological evaluation of tracheal aspirates in a population of Standardbred horses with poor performances.. Vet Med (Praha) 2009;54:444–450.
- Couëtil LL, Cardwell JM, Gerber V, Lavoie JP, Léguillette R, Richard EA. Inflammatory airway disease of horses-revised consensus statement.. J Vet Intern Med 2016;30:503–515.
- Pirie RS, Couëtil LL, Robinson NE, Lavoie JP. Equine asthma: an appropriate, translational and comprehendible terminology?. Equine Vet J 2016;48:403–405.
- Hermange T, Le Corre S, Bizon C, Richard EA, Couroucé A. Bronchoalveolar lavage fluid from both lungs in horses: diagnostic reliability of cytology from pooled samples.. Vet J 2019;244:28–33.
- Foschi C, Laghi L, D’Antuono A, Gaspari V, Zhu C, Dellarosa N. Urine metabolome in women with chlamydia trachomatis infection.. PLoS One 2018;13:0194827.
- Dieterle F, Ross A, Schlotterbeck G, Senn H. Probabilistic quotient normalization as robust method to account for dilution of complex biological mixtures. Application in1H NMR metabonomics.. Anal Chem 2006;78:4281–4290.
- Box GEP, Cox DR. An analysis of transformations.. J R Stat Soc Ser B 1964;26:211–243.
- Harris JE, Boushey C, Bruemmer B, Archer SL. Publishing nutrition research: a review of nonparametric methods, part 3.. J Am Diet Assoc 2008;108:1488–1496.
- Hubert M, Rousseeuw PJ, Vanden BK. ROBPCA: a new approach to robust principal component analysis.. Technometrics 2005;47:64–79.
Citations
This article has been cited 11 times.- Barbosa B, Santi TF, Rodak AC, Nogara MF, Leite LMB, Weber SH, Niels C, Daros RR, Michelotto PV. Intraday and Interday Evaluation of pH and Hydrogen Peroxide in the Exhaled Breath Condensate of Horses Using A Portable Device. ACS Omega 2025 Oct 21;10(41):48412-48417.
- Yu M, Li M, Sun H. Dynamic analysis of the epidemiology and pathogen distribution of bronchoalveolar lavage fluid in children with severe pulmonary infection: a retrospective study. Ital J Pediatr 2025 Jan 28;51(1):18.
- Zlotnikov ID, Kudryashova EV. Polymeric Infrared and Fluorescent Probes to Assess Macrophage Diversity in Bronchoalveolar Lavage Fluid of Asthma and Other Pulmonary Disease Patients. Polymers (Basel) 2024 Dec 5;16(23).
- Lendl L, Barton AK. Equine Asthma Diagnostics: Review of Influencing Factors and Difficulties in Diagnosing Subclinical Disease. Animals (Basel) 2024 Dec 4;14(23).
- Mönki J, Mykkänen A. Lipids in Equine Airway Inflammation: An Overview of Current Knowledge. Animals (Basel) 2024 Jun 18;14(12).
- Laus F, Bazzano M, Spaterna A, Laghi L, Marchegiani A. Nuclear Magnetic Resonance (NMR) Metabolomics: Current Applications in Equine Health Assessment. Metabolites 2024 May 7;14(5).
- Barosova R, Baranovicova E, Hanusrichterova J, Mokra D. Metabolomics in Animal Models of Bronchial Asthma and Its Translational Importance for Clinics. Int J Mol Sci 2023 Dec 29;25(1).
- Mönki J, Holopainen M, Ruhanen H, Karikoski N, Käkelä R, Mykkänen A. Lipid species profiling of bronchoalveolar lavage fluid cells of horses housed on two different bedding materials. Sci Rep 2023 Dec 8;13(1):21778.
- Simões J, Batista M, Tilley P. The Immune Mechanisms of Severe Equine Asthma-Current Understanding and What Is Missing. Animals (Basel) 2022 Mar 16;12(6).
- Slowikowska M, Bajzert J, Miller J, Stefaniak T, Niedzwiedz A. The Dynamics of Circulating Immune Complexes in Horses with Severe Equine Asthma. Animals (Basel) 2021 Apr 2;11(4).
- Bazzano M, Laghi L, Zhu C, Lotito E, Sgariglia S, Tesei B, Laus F. Exercise Induced Changes in Salivary and Serum Metabolome in Trained Standardbred, Assessed by (1)H-NMR. Metabolites 2020 Jul 21;10(7).
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