Sweat sensor enables continuous noninvasive measurement of cholesterol

by California Institute of Technology

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If you see a doctor regularly, chances are you have had a lipid panel ordered and your blood drawn at a lab. The results told your physician your levels of cholesterol and triglycerides, factors that play a role in diagnosing conditions such as cardiovascular diseases and diabetes. Now, a team led by Wei Gao, a professor in Caltech's Cherng Department of Medical Engineering, has developed a stick-on patch capable of gathering the same lipid measurements by analyzing sweat. And it can do so not just once but continuously.

The new noninvasive sensor uses machine learning to estimate levels of lipids in the blood based on what is measured in sweat. The relationship between lipids in sweat and lipids in blood is not linear—a plot of the relationship between measurements and what is found in the blood does not follow a straight line. The causal machine learning model takes into consideration various physiological factors that might affect those sweat measurements, such as body mass index (BMI), sex and how much a person is sweating, to produce an estimate of blood lipid levels.

"Together, the sweat measurement and the causal machine learning model can predict the blood level with high accuracy," says Gao, who is also a Heritage Medical Research Institute Investigator.

A wearable for earlier warning

Gao and his colleagues describe the new lipid profiling device and results of preclinical testing on 24 participants in a paper in the journal Nature Sensors. The lead authors of the paper are all from Gao's group at Caltech: José A. Lasalde-Ramírez, a graduate student; Chihyeong Won, a visitor at Caltech; and Sijie Ji, a senior postdoctoral scholar research associate.

Gao says the wearable device could play an important role in giving people an early warning related to cardiovascular or metabolic diseases. "How many people actually get their blood drawn regularly? I haven't done this myself for at least two years, probably," Gao says. "That's why we think a noninvasive way of monitoring lipids will be critical."

Engineering around sweat chemistry

Gao's group has previously developed noninvasive tests for glucose and uric acid, but he says the continuous detection of lipids posed a bigger challenge. For example, much of the cholesterol in sweat is present in a chemical form called esterified cholesterol, which cannot be detected directly. The researchers therefore developed a two-step enzymatic reaction: The first step converts esterified cholesterol into free cholesterol, and the second oxidizes the free cholesterol to generate hydrogen peroxide, which can then be measured by the sensor.

They also had to figure out a way to trap a supply of ATP (adenosine triphosphate), the cell's primary energy source, in a special polymer built into the wearable patch. That way, it could gradually release ATP into a user's sweat, allowing the polymer system to sustain the ATP supply needed for triglyceride sensing for more than 20 hours.

Publication details

José A. Lasalde-Ramírez et al, Non-invasive continuous lipid profiling via cofactor-refreshing cascading enzymatic reactions and causal machine learning, Nature Sensors (2026). DOI: 10.1038/s44460-026-00117-0

Journal information: Nature Sensors

Clinical categories

CardiologyLaboratory medicineCommon illnesses & Prevention Provided by California Institute of Technology Who's behind this story?

Gaby Clark

MA in English, copy editor since 2021 with experience in higher education and health content. Dedicated to trustworthy science news. Full profile →

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