Absorption of nasal and bronchial fluids: precision sampling of the human respiratory mucosa and laboratory processing of samples
File(s)
Author(s)
Type
Journal Article
Abstract
The methods of nasal absorption (NA) and bronchial absorption (BA) use synthetic absorptive matrices (SAM) to absorb the mucosal lining fluid (MLF) of the human respiratory tract. NA is a non-invasive technique which absorbs fluid from the inferior turbinate, and causes minimal discomfort. NA has yielded reproducible results with the ability to frequently repeat sampling of the upper airway. By comparison, alternative methods of sampling the respiratory mucosa, such as nasopharyngeal aspiration (NPA) and conventional swabbing, are more invasive and may result in greater data variability. Other methods have limitations, for instance, biopsies and bronchial procedures are invasive, sputum contains many dead and dying cells and requires liquefaction, exhaled breath condensate (EBC) contains water and saliva, and lavage samples are dilute and variable. BA can be performed through the working channel of a bronchoscope in clinic. Sampling is well tolerated and can be conducted at multiple sites in the airway. BA results in MLF samples being less dilute than bronchoalveolar lavage (BAL) samples. This article demonstrates the techniques of NA and BA, as well as the laboratory processing of the resulting samples, which can be tailored to the desired downstream biomarker being measured. These absorption techniques are useful alternatives to the conventional sampling techniques used in clinical respiratory research.
Date Issued
2018-01-21
Date Acceptance
2017-09-20
Citation
Jove-Journal of Visualized Experiments, 2018, 131
ISSN
1940-087X
Publisher
Journal of Visualized Experiments
Journal / Book Title
Jove-Journal of Visualized Experiments
Volume
131
Copyright Statement
© 2018 Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License (https://creativecommons.org/licenses/by-nc-nd/3.0/)
Sponsor
Imperial College Healthcare NHS Trust- BRC Funding
National Institute for Health Research
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/29443104
Grant Number
RDA02
NF-SI-0513-10150
Subjects
Science & Technology
Multidisciplinary Sciences
Science & Technology - Other Topics
Medicine
Issue 131
Nasal absorption
bronchial absorption
Respiratory
Sampling
Airway
Mucosa
Biomarkers
Personalized medicine
EPITHELIAL LINING FLUID
ALLERGEN CHALLENGE
PATHOGENIC BACTERIA
ANTIGEN CHALLENGE
COLLECTION METHOD
DISTRESS-SYNDROME
GRASS-POLLEN
CYTOKINES
SECRETIONS
AIRWAYS
Bronchoalveolar Lavage Fluid
Culture Media
Female
Humans
Male
Nasal Mucosa
Respiratory Mucosa
Specimen Handling
Nasal Mucosa
Respiratory Mucosa
Bronchoalveolar Lavage Fluid
Humans
Culture Media
Specimen Handling
Female
Male
1702 Cognitive Sciences
0601 Biochemistry and Cell Biology
1701 Psychology
Publication Status
Published
Coverage Spatial
United States
Article Number
ARTN e56413
Date Publish Online
2018-01-21