The exceptional olfactory capabilities of trained detection dogs demonstrate high potential for identifying infectious diseases. However, safe and standardized canine training requires specific chemical targets rather than infectious biological samples. This study presents an analytical proof-of-concept combining untargeted metabolomics and machine learning (ML) to decode the specific odor profile of SARS-CoV-2 infection. Using headspace solid-phase microextraction gas chromatography coupled with time-of-flight mass spectrometry (HS-SPME-GC/MS-ToF), axillary sweat samples from 76 individuals (SARS-CoV-2 positive and negative) were analyzed. Data preprocessing and dimensionality reduction were performed to feed a Partial Least Squares-Discriminant Analysis (PLS-DA) model. The optimized model achieved an overall accuracy of 79%, with a specificity of 89% and sensitivity of 70% in external validation, identifying a specific panel of Volatile Organic Compounds (VOCs) as discriminant biomarkers. The optimized model achieved robust classification performance, effectively distinguishing infected individuals from healthy controls based solely on their volatilome. Six VOCs were found to be consistently presented in COVID-19-positive individuals. These compounds were proposed as candidate odor signatures for constructing artificial training aids to standardize and accelerate the training of detection dogs. This study establishes a framework where machine learning-driven metabolomic profiling directly informs biological sensor training, offering a novel synergy between ML and biological intelligence in disease detection. This study establishes a scalable computational framework to translate biological samples into chemical data, providing the scientific basis for designing safe, synthetic K9 training aids for future infectious disease outbreaks without the biosafety risks associated with handling live pathogens.
Aizpitarte et al. (Mon,) studied this question.