RATIONALE: Peroxidation of lipids in cellular membranes results in the release of volatile organic compounds (VOCs), including saturated aldehydes. The real-time quantification of trace VOCs produced by cancer cells during peroxidative stress presents a new challenge to non-invasive clinical diagnostics, which we have met with some success, as described in this paper. METHODS: A combination of selected ion flow tube mass spectrometry (SIFT-MS), a technique that allows rapid, reliable quantification of VOCs in humid air and liquid headspace, and electrochemistry to generate reactive oxygen species (ROS) in vitro has been used. Thus, VOCs present in the headspace of CALU-1 cancer cell line cultures exposed to ROS have been monitored and quantified in real time using SIFT-MS. RESULTS: The CALU-1 lung cancer cells were cultured in 3D collagen to mimic in vivo tissue. Real time SIFT-MS analyses focused on the volatile aldehydes, propanal, butanal, pentanal, hexanal, heptanal and malondialdehyde (propanedial), that are expected to be products of cellular membrane peroxidation. All six aldehydes were identified in the culture headspace, each reaching peak concentrations during the time of exposure to ROS and eventually reducing as the reactants were depleted in the culture. Pentanal and hexanal were the most abundant, reaching concentrations of a few hundred parts-per-billion by volume, ppbv, in the culture headspace. CONCLUSIONS: The results of these experiments demonstrate that peroxidation of cancer cells in vitro can be monitored and evaluated by direct real time analysis of the volatile aldehydes produced. The combination of adopted methodology potentially has value for the study of other types of VOCs that may be produced by cellular damage. Keywords: Selected ion flow tube mass spectrometry, SIFT-MS; volatile organic compounds; electrochemical peroxidation; aldehydes; CALU-1 cancer cells.Lipid peroxidation of cellular membranes results in the release of different volatile organic compounds (VOCs) such as aldehydes, alkenes and hydrocarbons. [1,2] Their appearance in plasma, exhaled breath, saliva and sweat may act as biomarkers of diseases that involve increased oxidative stress of cells. [3][4][5][6] A comprehensive metabolomic investigation of trace VOCs produced when cells are exposed to peroxidative stress represents a challenge to noninvasive clinical diagnostics. [7,8] Such is the focus of the present study.The chosen approach was to perform real-time quantification of volatile aldehydes produced by the action of reactive oxygen species (ROS) on cancer cell lines in vitro. The ROS are produced electrochemically and the VOCs analysis is by selected ion flow tube mass spectrometry, SIFT-MS, a combination of techniques that could be used for real-time observations of VOCs released by other organisms exposed to ROS such as bacteria, mammalian cells and model membranes. The immortal lung cancer cell line CALU-1 has been used to test and develop this combination of techniques. We have given considerable...