Monitoring radiation exposure through skin swab metabolomic profiling

Exposure to ionizing radiation poses major health risks across medical, occupational, and spaceflight settings, driving the need for rapid, non-invasive biodosimetry tools. As the body’s most accessible organ and the most frequent site of radiation injury, the skin represents a promising interface for monitoring exposure. Using murine models, we performed metabolomic profiling on skin swab samples collected after exposure to 0, 1, or 4 Gy of x-rays. We identified two distinct metabolite panels: one discriminating irradiated from non-irradiated skin, and another distinguishing dose-specific response. These panels included conserved radiation-responsive metabolites (e.g., uric acid, xanthine, taurine) and skin-specific markers associated with barrier integrity (e.g., proline, arginine). These findings establish a foundation for non-invasive and real-time skin-based biodosimetry approaches for radiation exposures.