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54    Cha pte r  T w o

                   Hydrogen sulfide (H S) is one of the most dangerous chemicals; it
                                    2
               is a colorless gas with a strong rotten egg smell at concentrations
               lower than 30 ppm and a sickeningly sweet odor at concentrations up
               to 100 ppm. H S is an asphyxiant gas since it causes paralysis of the
                            2
               nerve centers responsible for the brain-controlled breathing. Expo-
               sure to 1000 ppm H S produces rapid paralysis of the respiratory sys-
                                2
               tem, cardiac arrest, and death within few minutes. In addition to the
               effects on the respiratory system, at lower concentrations (in the
               range of 20 to 150 ppm) it causes irritation of the eyes. Slightly higher
               concentrations may cause irritation of the upper respiratory tract and
               pulmonary edema for prolonged exposure time. The concentration
               limit (OSHA) for such toxic gas is 20 ppm, averaged on 10 min of
               exposure time.
                   In spite of its dramatic effects on human health, H S is well-known
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               to be naturally synthesized in mammalian tissue from l-cysteine by
               two different enzymes: cystathionine-g-lyase (CSE) and cystathionine-
               b-synthetase (CBS).  Recent studies have shown the important role
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               of H S in several inflammatory states such as acute pancreatitis,  dia-
                   2
               betes mellitus, 29, 30  chronic obstructive pulmonary diseases (COPD), 31
               and many other lung injuries. Unlike NO and CO, H S relaxes the
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               vascular tissues without the activation of the cGMP pathway.  Indeed
               it exhibits a potent vasodilator activity via the activation of the K
                                                                       ATP
               channels in the vascular smooth muscles. 33, 34  Nevertheless, the mech-
               anism of the K   channel activation as well as the H S antiviral and
                            ATP                             2
               antiinflammatory properties are still unclear, and both require fur-
               ther investigations.
                   The discovery of biological functions related to gases believed
               until the last decades to be “poisons” has attracted increasing interest
               in worldwide research, so that the development of suitable analytical
               methods for their recognition and quantification has become a strin-
               gent demand. Selective detection of inorganic biomarkers in exhaled
               breath is a non-invasive analysis method that can offer essential infor-
               mation for determining the typology and/or the evolution of a spe-
               cific illness. These analytical methods could be implemented in new
               diagnostic tools to be used in many different contexts such as hospital
               medical equipment, home diagnostic system for elderly and handi-
               capped people, and safety guard sensor for both civil and military
               purposes. The main drawback of diagnostic breath analysis is related
               to the difficulties of detecting simultaneously and selectively the
               thousands of compounds contained in the human exhaled air. More-
               over, the chemical composition of human breath depends on many
               other factors such as people’s habit, age, and location. All these rea-
               sons make breath analysis very difficult to perform.
                   The most common analytical methods used to detect inorganic
               gases are chemiluminescence and spectroscopic techniques. Although
               these techniques are very sensitive (down to a few ppb), they are
               often expensive, non-portable, and time consuming. Several research
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