Untargeted Sweat and Sebum Volatilomics by HS-SPME-GC/ToF-MS for the Identification of SARS-CoV-2-Associated Biomarkers.

Background/

Objectives

The COVID-19 pandemic has emphasized the urgent need for non-invasive diagnostic strategies. While breath analysis has been widely investigated, sweat and sebum remain largely unexplored, despite being abundant, chemically diverse, and easily collected. This exploratory study presents a proof-of-concept workflow to evaluate their potential for infection biomarker discovery.

Methods

Samples from 51 subjects were analyzed by headspace solid-phase microextraction coupled with gas chromatography and time-of-flight mass spectrometry (HS-SPME-GC/ToF-MS). Over 8000 untargeted volatile compounds were detected, reflecting the high complexity of these matrices.

Results

Data refinement and chemometric modelling using principal component analysis (PCA) and partial least squares discriminant analysis (PLS-DA) revealed robust separation between SARS-CoV-2-positive Patients and Controls. Classification accuracies consistently exceeded 95%, demonstrating the robust discriminative performance of the approach. Among the detected volatiles, 2-methylbenzenemethanol acetate emerged as the most informative compound, representing a potential biomarker candidate.

Conclusions

This work shows that the sweat and sebum volatilome can be exploited for clinical applications. The workflow integrates non-invasive sampling, comprehensive chromatographic profiling, and advanced statistical modelling, representing a methodological contribution to analytical chemistry. Beyond COVID-19, the strategy provides a potential framework for volatile organic compound (VOC)-based diagnostics across different diseases and supports future development of sensor technologies for translation into healthcare practice.