The invention generally relates to diagnostic testing of brain disorders and diseases and, more specifically to label-free one or multiple photon-emission (“PE”) spectroscopy and imaging such as 1PE, 2PE and 3PE and 4 PE fluorescence (“PEF”) spectroscopy to detect brain disorders and diseases: Alzheimer, Parkinson and autism from brain tissue, cells, spinal fluid, and body fluids using ps and fs laser sources
Alzheimer's disease (AD), a degenerative disorder that attacks neurons in the brain and leads to the loss of proper cognition, is the sixth leading cause of death in the United States, and from 2000-2010 the proportion of deaths resulting from AD in America has gone up 68%.[1] Although AD has been the focus of much scientific research in past years, there is still no cure or understanding of molecular mechanisms. A large proportion of people with AD remained undiagnosed; early diagnosis can help them make decisions for the future while they are still capable, and can allow people to receive early treatment to improve their cognition and increase the quality of their life as they live with AD.[2]
Physicians diagnose Alzheimer's disease with just an examination of a patient's state, inquiries into the familial history of psychiatric and neurological disorders, and a neurological exam.[1] Other newer methods of diagnosis include Magnetic Resonance Imaging (MRI) to look for Hippocampal atrophy,[3] Positron Emission Tomography (PET) scans, [4] and examining levels of beta-amyloid and tau protein in cerebrospinal fluids taken from the patient.[5]
Scientists continue to search for a better method to detect AD. Label-free optical spectroscopy offers a new tool to detect and understand the AD brain at the molecular level. Photonics offers a new and novel approach to give molecular information on AD. In 1984, Robert R. Alfano and his group of researchers at the City College of New York (C.C.N.Y.) pioneered the use of optical spectroscopy to detect cancer by looking at the native fluorescence levels of organic biomolecules.[6] This process of biomedical spectroscopy, using light and the native fluorescence of certain proteins and molecules within human tissue, has been expanded upon and applied to examine levels of tryptophan, reduced nicotinamide adenine dinucleotide NADH, flavin, and collagen in normal and cancerous breast tissue for diagnosing certain types of cancer. [7,8] The brain tissue is a smart tissue with different molecular components and structures in comparison to other body tissues. This past photonics work inspires the application of label free optical spectroscopy to the detection of AD and other brain disorders at molecular level in the brain.
Mitochondria play an essential role in energy production by oxidative phosphorylation and cell survival and death.[9,10] Mitochondrial dysfunction has been associated to a number of diseases including cancer and AD.[10-12] Early identification of mitochondrial dysfunction will be helpful for early detection and better understanding the mechanisms of AD. Intracellular coenzymes such as NADH and flavin adenine dinucleotide (FAD) play important roles in cellular oxidation-reduction (redox) reactions,[9] the can be potentially used as intrinsic biomarkers for detecting metabolic activities and mitochondrial dysfunction. Change of NADH-linked mitochondrial enzymes has been found in AD brain.[13, 14] Tryptophan kynurenine metabolism has also been reported involved in the pathogenesis of AD.[15]
Tryptophan, NADH, collagen, flavins and some other molecules have been examined as potential markers of Alzheimer's and neurological disease; Optical spectroscopy has not been employed to study the linear fluorescence of these biomarkers excited at various wavelengths in AD and normal (N) brain tissue The focus of this study is to apply optical fluorescence spectroscopy for 1PEF, 2PEF, 3PEF and 4PEF measuring fluorescence levels and imaging of key biomolecules (tryptophan, NADH, and collagen) in AD and N brain tissues using a mouse model of AD, and to propose a potential method for detection and diagnosis of Alzheimer's disease in humans. Different amounts of these label free biomolecules in brain are shown in
“Optical Biopsy” is a novel method using Raman and fluorescence spectroscopy at selected wavelengths to diagnose disease such as cancer, atherosclerosis, and brain disease without removing tissue from body, offering a new armamentarium. Key native molecules in tissues reveal the differences between diseased and normal tissues of various organs due to morphological and molecular changes in the tissue. The key label free optical methods are: fluorescence and Raman spectroscopies. Multiphoton has been used in brain research due to its deep tissue penetration capability and less photo-damage. Our group have applied two-photon microscopy for rodent brain tissue imaging, and found that the imaging depth and resolution were greatly increased.[9,10] Theoretical studies [11] demonstrated that applying three-photon microscopy would further improve the imaging depth and resolution. Various human tissue types (prostate, breast, lung, colon, arteries, and gastrointestinal) have been studied using optical biopsy. One can use lamps or LEDs to excite 1 PEF and femtosecond laser of types (Ti) and (Yb fiber and Er fiber and Supercontinuum) for 2 PEF, 3 PEF and 4PEF processes.
In the present study we measured the fluorescence spectroscopy in mouse brain tissue with an early stage of AD,[16] and in normal brain samples for comparison purpose. The objective is to develop a technique that applies biomolecules (tryptophan, NADH, and FAD) as intrinsic biomarkers for detecting early stage of AD in mouse brain tissue, and to propose a potential method for detection, diagnosis, and better understanding of AD in humans.
We teach here the use of Linear and Nonlinear Optical Biopsy Spectroscopy to study brain and locate its disorders such as Alzheimer, Parkinson and Autism among others.
Optical spectroscopy has been considered a promising technique for cancer detection for more than two decades because of its advantages over the conventional diagnostic methods: no tissue removal, minimal invasiveness, less time consumption and reproducibility. Optical Biopsy was first used by Alfano et al., in 1984, who measured label free native fluorescence (NF), also called autofluorescence. Human tissue is mainly composed of an extracellular matrix of collagen fiber, proteins, fat, water, epithelial cells, which contains a number of key fingerprint native endogenous fluorophore molecules: tryptophan, collagen, elastin, reduced nicotinamide adenine dinucleotide (NADH), flavin adenine dinucleotide (FAD) and porphyrins. Tryptophan is an amino acid required by all forms of life for protein synthesis and other important metabolic functions, accounting for the majority of protein fluorescence. NADH and FAD are involved in the oxidation of fuel molecules and can be used to probe changes in cellular metabolism. It is well known that abnormalities in metabolic activity precede the onset of many diseases: carcinoma, diabetes, atherosclerosis, brain and Alzheimer's disease. The photonic tools use fiber spectroscopic ratiometer, fiber-optic endoscope for in vivo use for detecting in situ brain disorders pumped by linear and multiphoton excitation.
The above and other aspects, features and advantages of the present invention will be more apparent from the following description when taken in conjunction with the accompanying drawings, in which:
There are two comparable peaks in emission spectra of AD and N brain tissues in the ranges of 330-340 nm and 430-440 nm (
Fluorescence spectroscopy measures allowed electronic transitions of various chromophores in the complex tissue structure. There are several natural label free fluorophores that exist in tissue and cells which, when excited with ultraviolet light, emit fluorescence in the ultraviolet and visible regions of the spectrum. Some of the absorption and emission spectra of these native endogenous fluorophore molecules are shown in
A basic fiber unit incorporates a fluorescence section and uses LEDs at 260 nm, 280 nm 300 nm, 350 nm, and 400 nm to excite Tryptophan, collagen, elastin, NADH, and FAD in brain disease. Femtosecond Ti lasers (700 nm to 1200 nm) can be used to excite the Key molecules (3 PEF for tryptophan @ 267 nm); and 2 PEF for collagen, NADH and flavins. See
Significant differences of emission peaks were found in these molecules in AD and normal (N) brain. The fluorescence intensity levels from tryptophan: AD>N; from collagen: AD˜N; from NADH: N>AD and from flavin: AD>N. These observation provides effective techniques to explore an optical diagnosis of Alzheimer's disease by examining the spectral profiles of various molecules in brain tissue, eye fluid, body fluids, and/or spinal fluid ex vivo and in vivo using optical fibers.
An alternate way to differentiate the spectral profiles in AD or N brain is to compare the intensity ratio of tryptophan to NADH (Table 1,
The first derivatives of emission spectra were calculated for comparing fluorescence properties of AD and N brain tissues.
In our experimental results, fluorescence intensities of tryptophan, NADH, and FAD were higher in the brain tissues of a young transgenic AD mouse compared with N brain tissues. The increase in emission intensity at about 340 nm of direct pumping tryptophan shows more emission efficiency in AD than N, which may be due to decreased nonradiative Knr or increased Kr. This is because tryptophan may be in a cage and has fewer interactions to the host molecules in the environment in AD than in N brain. This observation is consistent with the results from THz research in AD and N. [18] Therefore, the vast disparity of tryptophan fluorescence levels in AD and N mouse brain scans proposes an important method for AD diagnosis. Mitochondrial abnormalities are correlated with AD, while intracellular NADH and FAD play important roles in mitochondrial dysfunction that allows them as potential biomarkers for diagnosis of AD,[9] and this is validated by the current study. Nevertheless, NADH-linked mitochondrial enzyme activity was reported to be down-regulated in AD patients,[13] our results showed higher NADH emission efficiency. One reason might be the different host environment of biological molecules in AD, in which NADH is farther from tryptophan and NADH itself may also have fewer interaction with the host environment. As a result, the emission intensity of NADH was higher in AD due to reduced nonradiative Knr or increased radiative Kr. Considering our objective was to detect AD in its early stage such that we used a young AD mouse, another reason may be due to overcompensation of NADH for dysfunction of energy metabolism in the early stage of AD. The future direction could use time resolved fluorescence which gives fluorescence rate (Kf=Kr+Knr) and combines with longer wavelength multiphoton excitation which offers deeper tissue penetration.
In the present study, the scattering of fluorescence intensity is small since 1) the emission is detected from <0.5 mm deep from the surface, and 2) the scattering coefficient and transport coefficient are smooth and flat, causing little or no influence on the measurements (as shown in
In conclusion, the current study shows for the first time the fluorescence spectra of major molecular building blocks in brain of tryptophan, NADH, and FAD in AD and N mouse brain tissues. Fluorescence intensity levels of tryptophan, NADH, and FAD increased in AD brain tissues. This study verifies that tryptophan, NADH, and FAD can be employed as biomarkers for AD diagnosis. This work provides an effective technique to detect differences of fluorophore compositions in AD and normal brain tissues, and to diagnose AD by examining the spectral profiles of various fluorophores. This research can extend to employ ultrafast time resolved two photon excitation fluorescence spectroscopy for measuring the underlying relaxation times in AD.
Referring to
Fluorescence spectroscopy measures allowed electronic transitions of various chromophores in the complex tissue structure. There are several natural label free fluorophores that exist in tissue and cells which, when excited with ultraviolet light, emit fluorescence in the ultraviolet and visible regions of the spectrum. Some of the absorption and emission spectra of these native endogenous fluorophore molecules are shown in
A basic fiber unit incorporates a fluorescence section and uses LEDs at 260 nm, 280 nm 300 nm, 350 nm, and 400 nm to excite Tryptophan, collagen, elastin, NADH, and FAD in brain disease. Femtosecond Ti lasers (700 nm to 1200 nm) can be used to excite the Key molecules (3 PEF for tryptophan a 267 nm); and 2 PEF for collagen, NADH and flavins. See
Significant differences of emission peaks were found in these molecules in AD and normal (N) brain. The fluorescence intensity levels from tryptophan: AD>N; from collagen: ADN; from NADH: N>AD and from flavin: AD>N. These observation provides effective techniques to explore an optical diagnosis of Alzheimer's disease by examining the spectral profiles of various molecules in brain tissue, eye fluid, body fluids, and /or spinal fluid ex vivo and in vivo using optical fibers.
Mice were purchased from Jackson Laboratory and housed at the City College Animal Facility. A 3-month-old triple transgenic AD mice harboring PS1M146V, APPSwe and tauP301L transgenes in a uniform strain background [19] was used. Another N mouse at the same age was used as control. The experimental methods were in accordance with the guidelines and regulations approved by the Institutional Animal Care and Use Committee at the City College of the City University of New York. The protocol number is 841. The method used to prepare rodent brain tissue has been described in detail elsewhere.[18] A brief outline of the methods is given below with emphasis on the special features of the present experiments.
After anesthesia with a mixture of ketamine and xylazine (41.7 and 2.5 mg/kg body weight, respectively), the mouse was decapitated and the brain was dissected and taken out. Fresh brain tissue with the hippocampus region was quickly sliced coronally at thickness of ˜2 mm with a brain matrix (RWD Life Science Inc., Calif.). The fresh brain tissue slice was then immediately placed in a quartz cuvette. Regions of interest (ROI) in the hippocampus were measured 5 times at different spots in each AD and normal brain samples.
It is well known that the fluorescence intensity If depends on efficiency Q from the radiative rate Kr and nonradiative rate Knr, where Q is given by [20]:
Q=Kr/(Kr+Knr) (1)
where Q equals to the ratio of numbers of photons emitted out to the numbers of photon pumped in (Nout/Nin). The intensity from excited molecules If is
I
f=(Ω/4π)(Q·n) (2)
where Ω is the solid angle and n is the number of excited molecules. Q value. The Knr depends on the interaction of molecules with their host environments. Weak interaction will lead to a small Knr and more emission intensity. When Knr»Kr, the emission is reduced.
Förster resonance energy transfer (FRET) is a mechanism for energy transfer between donor and acceptor via dipole-dipole coupling. Since the emission peak of tryptophan is around 340 nm and the absorption peak of NADH ranges from 340˜360 nm, energy transfer from excited donor (tryptophan) to acceptor (NADH) probably occurs in the biological tissues.[21] Effective donor to acceptor transfer can reduce emission from donor and enhance emission from acceptor. The transfer rate is
K
DA˜(1/τD)(R0/R)6 (3)
where R0 is overlap between donor emission and acceptor absorption, τD is the fluorescence lifetime of donor, and R is the distance between donor and acceptor.
The fluorescence of AD and N brain tissues was measured by a FluoroMax-3 fluorescence spectrometer (Horiba Jobin Yvon Inc.). A 150-W xenon lamp was used as the discharge light source in the spectrometer. There are two Czerny-Turner monochromators for excitation and emission respectively. The essential part of a monochromator is a reflection grating, which selects the wavelength being used. The gratings contain 1200 grooves mm−1. A direct drive is used for each grating to scan the spectrum at up to 200 nm/s, the accuracy is better than 0.5 nm and repeatability is of 0.3 nm. The monochromatic excitation light strikes the sample, which is stored in a cuvette, and then emits fluorescence. The fluorescence light is directed into the emission monochromator, and is collected by the signal detector whose response ranges from 180-850 nm. Another detector named reference detector monitors the xenon lamp, and has good response from 190-980 nm.
The AD and N brain samples were excited at selected wavelengths 266 nm, 300 nm, and 340 nm, respectively, to examine the fluorescence peaks of each of tryptophan, NADH, and FAD. All measurements were performed by using a scanner (at 200 nm/sec), and the samples were held in cuvettes during the measurement.
Measurements of AD and N brain samples were each taken at three regions of interest, with the same spectral resolution of <1.0 nm (in bandpass unit) and integration time of 0.2 s at each excitation wavelength. Three groups of spectra were obtained at excitation 266 nm, 300 nm, and 340 nm, respectively. Each group contains three spectra from AD brain tissues and three from N brain. Average curve of these three spectra and maximum intensity were calculated. In each group, the spectral profiles were normalized to the maximum intensity of averaged spectra from AD brain. All averaged data was presented as mean±SD.
Mice were purchased from Jackson Laboratory and housed at the City College Animal Facility. A 3-month-old triple transgenic AD mouse harboring PS1M146V, APPSwe and tauP301L transgenes in a uniform strain background [12] was used. Another N mouse at the same age was used as control.
The mouse was anesthetized with a mixture of ketamine and xylazine (41.7/2.5 mg/kg body weight), then was decapitated and the brain was dissected. Fresh brain tissue with the hippocampus region was sliced coronally at a thickness of ˜2 mm, by using a brain matrix (RWD Life Science Inc, San Diego, Calif.). The fresh tissue slice was then immediately placed in a cuvette (Sigma-Aldrich, St. Louis, Mo.). Regions of interest (ROI) in the hippocampus were measured 5 times at different spots in each AD and normal brain samples
It is well known that the fluorescence intensity If depends on efficiency Q from the radiative rate Kr and nonradiative rate Knr, the relationship can be written as [13]
Q=Kr/(Kr+Knr) (1)
Eq (1) for Q equals to the ratio of numbers of photons emitted out to the numbers of photon pumped in (Nout/Nin). The intensity from excited molecules If is
I
f=Ω/4π (Q·N) (2)
where Ω is the solid angle and N is the number of excited molecules. The Knr depends on the interaction of molecules with their host environments. Weak interaction will lead to a small Knr and give more emission intensity. When Knr»Kr the emission is reduced.
Förster resonance energy transfer (FRET) is a mechanism for energy transfer between donor and acceptor via dipole-dipole coupling. Since the emission peak of tryptophan is around 340 nm and the absorption peak of NADH ranges from 340˜360 nm, energy transfer from excited donor (tryptophan) to acceptor (NADH) probably occurs in the biological tissues.[14] Effective donor to acceptor transfer can reduce emission from donor and enhance emission from acceptor. The transfer rate is
K
DA˜(1/τD)(R0/R)6 (3)
where R0 is overlap between donor emission and acceptor absorption, τD is the fluorescence lifetime of donor, and R is the distance between donor and acceptor.
The fluorescence of Alzheimer and N brain tissues was measured by a FluoroMax-3 fluorescence spectrometer (Horiba Jobin Yvon Inc., Edison, N.J.). A 150-W xenon lamp was used as the discharge light source in the spectrometer. There are two Czerny-Turner monochromators for excitation and emission respectively. The essential part of a monochromator is a reflection grating, which selects the wavelength being used. The gratings contain 1200 grooves mm−1. A direct drive is used for each grating to scan the spectrum at up to 200 nm/s, the accuracy is better than 0.5 nm and repeatability is of 0.3 nm. The monochromatic excitation light strikes the sample, which is stored in a cuvette, and then emits fluorescence. The fluorescence light is directed into the emission monochromator, and is collected by the signal detector whose response ranges from 180-850 nm. Another detector named reference detector monitors the xenon lamp, and has good response from 190-980 nm.
The AD and N brain samples were excited at wavelengths 266 nm, 300 nm, and 400 nm, to examine the fluorescence peaks of each of tryptophan, NADH, FAD, and collagen. All measurements were performed by using a scanner (at 200 nm/sec), and the samples were held in cuvettes during the measurement.
Measurements of AD and N brain samples were each taken at three regions of interest, with the same slit width of 2.0 nm (in bandpass unit) and integration time of 0.2 s at each excitation wavelength. Three groups of spectra were obtained at excitation 266 nm, 300 nm, and 340 nm, respectively. Each group contains three spectra from AD brain tissues and three from N brain. Average curve of the three spectra as well as its standard error of mean (SEM) and maximum intensity were calculated. In each group, the spectral profiles were normalized to the maximum intensity of averaged spectra from AD brain. All averaged data was presented as mean±SD.
One can use 1 PEF, 2 PEF and 3 PEF to excite the molecules in Table 1,
There are two comparable peaks in emission spectra of AD and N brain tissues in the ranges of 330-340 nm and 430-440 nm (
An alternate way to differentiate the spectral profiles in AD or N brain is to compare the intensity ratio of tryptophan to NADH (Table 1,
The first derivatives of emission spectra were calculated for comparing fluorescence properties of AD and N brain tissues.
In the experimental results, fluorescence intensities of tryptophan, collagen and NADH were higher in the brain tissues of a young transgenic AD mouse compared with N brain tissues. The increase in emission intensity at about 340 nm of direct pumping tryptophan shows more emission efficiency in AD than N, which may be due to decreased nonradiative Knr or increased Kr. This is because tryptophan may be in a cage and has fewer interactions to the host molecules in the environment in AD than in N brain. This observation is consistent with the results from THz research in AD and N. [16] Therefore, the vast disparity of tryptophan fluorescence levels in AD and N mouse brain scans proposes an important method for AD diagnosis. Increased intensity of collagen in AD mouse is consistent with others' finding that mouse neuronal expression of collagen increased, which could protect neurons against amyloid-β toxicity.[17] Besides, mitochondrial abnormalities always occur in AD brain. NADH-linked mitochondrial enzyme activity was reported to be down-regulated in AD patients.[18] However, our results showed higher NADH emission efficiency. One reason might be the different host environment of biological molecules in AD, in which NADH is farther from tryptophan and NADH itself may also have fewer interaction with the host environment. As a result, the mission intensity of NADH was higher in AD due to reduced nonradiative Knr or increased radiative Kr. Considering we used a young AD mouse, another reason may be due to overcompensation of NADH for dysfunction of energy metabolism in the early stage of AD. The future direction could use time resolved fluorescence which gives fluorescence rate (Kf=Kr+Knr) and combines with longer wavelength multiphoton excitation which offers deeper tissue penetration.
In the present study, the scattering of fluorescence intensity is small since 1) the emission is detected from <½ mm deep from the surface, and 2) the scattering coefficient and transport coefficient are smooth and flat, causing little or no influence on the measurements (as shown in
This current study is the first teaching to investigate the fluorescence spectra of collagen, NADH, tryptophan, and flavin in Alzheimer and N mouse brain tissues. Fluorescence intensity levels of tryptophan, NADH, and collagen increased in AD brain tissues. This work provides effective techniques to detect differences of fluorophore compositions in AD and normal brain tissues, and to explore diagnosis of Alzheimer's disease by examining the spectral profiles of various fluorophores. This research can extend to employ ultrafast time resolved two photon excitation fluorescence spectroscopy for measuring the underlying relaxation times in AD.
Number | Date | Country | |
---|---|---|---|
Parent | 15397431 | Jan 2017 | US |
Child | 16773533 | US |