Parkinson’s disease (PD) is the second most common
neurodegenerative
disorder, and identification of robust biomarkers to complement clinical
diagnosis will accelerate treatment options. Here, we demonstrate
the use of direct infusion of sebum from skin swabs using paper spray
ionization coupled with ion mobility mass spectrometry (PS-IM-MS)
to determine the regulation of molecular classes of lipids in sebum
that are diagnostic of PD. A PS-IM-MS method for sebum samples that
takes 3 min per swab was developed and optimized. The method was applied
to skin swabs collected from 150 people and elucidates ∼4200
features from each subject, which were independently analyzed. The
data included high molecular weight lipids (>600 Da) that differ
significantly
in the sebum of people with PD. Putative metabolite annotations of
several lipid classes, predominantly triglycerides and larger acyl
glycerides, were obtained using accurate mass, tandem mass spectrometry,
and collision cross section measurements.