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Noninvasive, Multimodal Inflammatory Biomarker Discovery for Systemic Inflammation (NOVA Study): Protocol for a
Jinjoo Shim1, Sinziana Muraru2, Rucsandra Dobrota2
1Centre for Digital Health Interventions, ETH Zurich, Zurich, Switzerland.
JMIR Research Protocols
|November 5, 2024
Summary
This study explores noninvasive methods to measure systemic inflammation biomarkers, comparing urine, sweat, saliva, breath, stool, and temperature to serum levels. Promising results could enable remote monitoring and early diagnosis of inflammatory diseases.
Area of Science:
- Biomarker Discovery
- Translational Medicine
- Inflammation Research
Background:
- Prolonged systemic inflammation is a key factor in chronic inflammatory diseases.
- Daily monitoring of inflammatory biomarkers aids disease management but lacks noninvasive, cost-effective methods.
- A novel, multimodal, noninvasive approach is proposed for systemic inflammation assessment.
Purpose of the Study:
- To evaluate the correlation between serum inflammatory biomarkers and those measured noninvasively.
- To assess inflammatory biomarkers in urine, sweat, saliva, exhaled breath, stool, and core body temperature.
- To determine the feasibility of noninvasive, multimodal assessment for systemic inflammation.
Main Methods:
- Single-center, cross-sectional study with 20 participants (10 systemic inflammation, 10 controls).
- Collected serum, urine, sweat, saliva, exhaled breath, and stool samples; measured core body temperature.
- Analyzed C-reactive protein (CRP), interleukins (IL-1β, IL-6, IL-8, IL-10), tumor necrosis factor-α, fractional exhaled nitric oxide, and calprotectin.
Main Results:
- Ethics approval obtained; data collected from February to September 2023.
- Participant demographics: average age 52.8 years, 70% female.
- Full analysis results are expected in 2025.
Conclusions:
- The study investigates the feasibility of noninvasive, multimodal assessment of inflammatory biomarkers.
- Successful noninvasive methods could lead to digital biomarkers for continuous remote monitoring.
- This approach may facilitate early diagnosis and management of inflammatory activity.
Keywords:
C-reactive proteinIL-10IL-1βIL-6IL-8TNF-αbiofluidscalprotectinchronic inflammationchronic inflammatory diseasecore body temperatureexhaled breathfractional exhaled nitric oxideinflammatory biomarkersinterleukinmultimodal biomarkernoninvasive biomarkerremote monitoringrheumatologysalivaserumstoolsurrogate biomarkersweatsystemic inflammationtumor necrosis factorurine
