The microbiome is increasingly recognized as a key factor in health. Intestinal microbiota modulates gut homeostasis via a range of diverse metabolites. In particular, molecules such as short-chain fatty acids (SCFAs), the microbial fermentation products of dietary fiber, have been established to be reflective of microbiome and/or dietary shifts, and SCFAs alterations have been linked to multiple gastrointestinal disorders, from cancer to colitis. Despite their potential as biomarkers, technical challenges in stool collection have limited clinical translation. Here, we present Stool Wipe (S’Wipe), an ultra-low-cost fecal collection method using lint-free, mass spectrometry (MS)-compatible cellulose wipes as toilet paper. Specimens are preserved in ethanol without refrigeration and can be shipped via regular mail. Mass spectrometry analysis demonstrated that S’Wipe captures both volatile and non-volatile metabolites with reproducibility and stability validated for diagnostically relevant molecules. We show that S’Wipe performs equivalently to direct stool collection, enabling interchangeable use and comparison with existing studies. This methodology is ideally suited for large-scale population studies, longitudinal tracking, and personalized medicine applications.

Authors: Dana Moradi, Ali Lotfi, Alexey V Melnik, Aleksandr Smirnov, Konstantin Pobozhev, Hannah Monahan, Evguenia Kopylova, Yanjiao Zhou, Alexander A Aksenov

Publisher/Journal: American Society for Microbiology — mSystems

Article Link: https://journals.asm.org/doi/full/10.1128/msystems.01459-25