“…Exhaled breath has been increasingly used to study disease, and it could offer significant insights into the processes preceding the health effects induced by PM exposure . Due to the diverse metabolic products originating from multiple signal pathways in the body, breath-borne volatile organic compounds (VOCs), particularly, have emerged as promising biomarkers for various fields, including early prevention, clinical decision-making for medical interventions, and COVID-19 screening. − Various technologies, including electrochemical sensors, electronic noses, photonic nose technologies, gas mass spectrometry, and ion mobility spectrometry, have been developed to enable accurate detection of these breath-borne VOC biomarkers. − Exhaled long-chain aldehyde compounds, such as pentanal, hexanal, octanal, and nonanal, are considered potential biomarkers for lung cancer. , Our previous studies demonstrated notable alterations in the VOCs released by cells, rats, and populations in response to exposures to various pollutants. − In addition, aldehydes and their derivatives in VOCs are also found as important bioindicators. They reflect strong oxidative stress and are indicative of the specific tissue composition and metabolism associated with tumors. , However, there have been no reports related to changes in breath-borne VOCs resulting from exposure to PMs.…”