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Updated: Apr 20, 2026

Breath Collection from Children for Disease Biomarker Discovery
Published on: February 14, 2019
Markers of pancreatic function in the breath
Kiera Roberts1, Ivan Liu, Adam Jaffe
1Faculty of Medicine, University of New South Wales, Sydney, NSW 2052, Australia.
Exhaled breath condensate analysis revealed higher C-peptide levels in children with cystic fibrosis (CF) and diabetes mellitus (DM). This finding may indicate airway inflammation rather than increased pancreatic secretion.
Area of Science:
- Biomarkers
- Respiratory Medicine
- Endocrinology
Background:
- Exhaled breath analysis can detect biomarkers for various diseases.
- Pancreatic function markers in breath are not well-established for conditions like diabetes mellitus and cystic fibrosis.
Purpose of the Study:
- To investigate the presence of pancreatic function markers in the exhaled breath condensate (EBC) of children with diabetes mellitus (DM), cystic fibrosis (CF), and cystic fibrosis-related diabetes (CFRD).
Main Methods:
- Collected EBC from 104 children (aged 6-18) with DM, CF, CFRD, and healthy controls.
- Measured C-peptide, glucose, sodium, and conductivity in EBC.
- Concurrent blood glucose measurements were taken from a subset.
Main Results:
- C-peptide was significantly higher in the EBC of children with CF, DM, and CFRD compared to controls (p < 0.0001).
- No significant differences in EBC glucose, conductivity, or sodium were observed between groups.
- Glucose was not reliably detected in EBC.
Conclusions:
- Elevated C-peptide in EBC of CF and DM patients may reflect airway inflammation and altered integrity, not necessarily increased pancreatic secretion.
- Further research is needed to validate EBC C-peptide as a biomarker for pancreatic function in these conditions.
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