@incollection{3144475, title = "Exhaled breath condensate: hydrogen peroxide", author = "Loukides, S. and Bakakos, P. and Kostikas, K.", booktitle = "EXHALED BIOMARKERS", publisher = "European Respiratory Society", year = "2010", isbn = "978-1-84984-005-7", pages = "162-172", doi = "10.1183/1025448x.00019009", keywords = "Exhaled breath condensate; hydrogen peroxide; lung diseases; oxidative stress", abstract = "The lung is susceptible to oxidative injury in the form of several reactive oxygen species, including hydrogen peroxide (H2O2). The main cellular sources for H2O2 are neutrophils, eosinophils, alveolar macrophages, epithelial cells and endothelial cells. H2O2 has been extensively studied in exhaled breath condensate (EBC) incorporating various techniques, including the onsite measurement with an automated amperometric biosensor. EBC H2O2 has been measured in various diseases, mainly in asthma and chronic obstructive pulmonary disease, with most of the clinical studies reporting higher levels compared to normal subjects. Associations of EBC H2O2 levels with parameters obtained from other biological fluids, such as bronchoalveolar lavage and induced sputum have been reported. These findings are interpreted in the context of increased oxidative stress in various lung inflammatory diseases. Results related to treatment intervention lack validity, since they are mainly designed in an uncontrolled manner. In conclusion, the usefulness of H2O2 in clinical research and practice is limited, despite the fact that it offers the possibility to be measured in the field, mainly due to methodological issues." }