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Keywords: Infrared spectroscopy, medicine, allergens, alzheimers disease, pharmaceuticals, drugs, glucose monitoring.
1. INTRODUCTION
IR-spectroscopy is a widely used technique for fast, noninvasive and reproducible results in various application
fields. Many clinical fields utilize this analyzing tool not
only for research but also for routine diagnostics. The importance of diagnostic setups increased dramatically which can
be observed all over the world.
In industrial fields like pharmaceutics this vibrational
spectroscopic technique has become a standard tool for quality control since the 1970s [1-7]. In the last 40 years data
processing and prediction became faster and more precise
because of high performance computational systems. But
with this development other problems occurred. Especially
data processing models became very complicated and adaption of such models for the quantification of any substance
needs high verification of reproducibility and accuracy [8,
9]. Further challenges appeared with the measurement of
pharmaceuticals because physico-chemical parameters differ
between the product synthetized in laboratory and industrial
scale [10].
In clinical diagnostics IR spectroscopy serves as a robust
tool for various diagnostics. A review of Wang and Mizaikoff [11] reported about biomedical diagnostics of tissues,
cells and bio-fluids using mid-infrared (MIR) for analyzing
e.g. atherosclerotic plaques, glioblastoma, a.o., and the significance of multivariate data analysis. Data interpretation
with principal component analysis (PCA), cluster analysis
(CA), linear discriminant analysis (LDA) and other techniques were explained and compared. Additionally analytical
approaches with MIR on the diagnostics of diseases like
atherosclerosis, leukaemia and brain tumors were accomplished.
Hahn et al.
Fig. (1). Bias plots of calibration models using an object selection algorithm for evaluating the similarity of the spectra based on Pearsons
correlation coefficient. (a) without selection criterion; RMSP = 1.9 mmol/L; (b) rG = 0.995; RMSP = 1.7 mmol/L; (c) rG = 0.997; RMSP =
1.2 mmol/L. LS regression line; line y = x (Reproduced from reference [30], with permission).
Infrared-Spectroscopy
0.995 (Fig. 1b). Considering a correlation of 0.997 the corresponding accuracy was about 1.2 mmol/l. Finally, this
achieved accuracy was very high compared to routine glucose monitoring, introduced with 1.1 mmol/l [31].
Similar results were achieved by an experiment of Heise
et al. [32]. NIR spectra recorded directly from the oral mucosa, outer lip, index finger and forearm skin enabled glucose quantification. As a reference glucose concentrations of
individual probands were measured with a routine laboratory
method, enzymatic methodology (Test Combination Glucoquant Glucose, Boehringer, Mannheim, Germany) with the
aid of hexokinase/G6P-DH on an ACP 5040 analyzer from
Eppendorf (Hamburg, Germany). For calibration, a PLS algorithm programmed in MATLAB (The Mathworks,
South Natik, MA, USA) was used. In order to make the system more robust, glucose levels of diabetes patients were
manipulated with insulin and glucose doses. Best results
were achieved with oral mucosa because of the largest blood
volume and fewest fat amount compared to the other sites
(outer lip, finger, forearm skin). The root-mean-square error
of prediction (RMSEP) was taken for establishing the accuracy of the calibration models, as suggested by Marbach et
al. in the 1990s [33, 34]. RMSEP values for the calibration
model was 36.4 mg/dl with a regression of calibration curve
of R2 = 0.952. A comparison to Arnolds et al. work [35] was
carried out in detail. Within this work a RMSEP of 74.9
mg/dl for standards and almost 127.6 mg/dl for the glucose
studies were found. The same author summarized all available perspectives of non-invasive glucose monitoring in humans, introducing direct and indirect non-invasive glucose
sensing [36]. As direct measurements are based on the monitoring of the glucose molecule itself, indirect measurements
are focussed on investigating the physiological effects of
glucose in individuals.
Since blood-rich body sites like oral mucosa (see above)
are known as preferable points for glucose monitoring the
Table 1.
data processing methods were advanced. Du et al. [37] introduced region orthogonal signal correction (ROSC) for this
application. The idea for this correction model goes back to
Wold et al. [38] and was developed by Wise [39], Fearn
[40], and Sjoblom [41]. This chemometric tool was designed
for removing strong variations out of spectra which are not
correlated to a specific concentration of a compound. In the
work of Du et al. [37] this tool was performed for glucose
monitoring to remove the absorbance band of water, in the
range between 1404 and 1454 nm, for improving in vivo
glucose measurements in the wavelength window of 1212 to
1889 nm. Results obtained are depicted in Table 1 and spectra are shown in Fig. (2). Informative spectral regions are
compared to the whole wavelength region based on their
prediction performances of the PLS models. The advantage
of this approach, compared to conventional orthogonal signal
correction (OSC), was the better interpretability because the
new ROSC method used special regions in the spectra for the
prediction of glucose scores while OSC only used a fixed
region. Finally, ROSC with PLS allowed to improve the prediction performance significantly. Correlation coefficients of
whole spectra and selected spectral regions increased the
extracted spectral information throughout. For example in
the region of 1240 to 1320 nm R was 0.8751 applying the
OSC and 0.9173 the ROSC model. In the same wavelength
region the root mean square error of cross validation
(RMSECV) was about 20.1 mg/dL with ROSC compared to
almost 23.1 mg/dL with OSC. Concluded it was stated that
ROSC was established quite successfully for removing interferences during glucose monitoring.
A newly developed method for the measurement of oxygenation in blood was introduced by Lehr and Wickramasinghe [42]. The special approach of Lehr was to develop a four-channel NIR prototype out of a single-channel
instrument. The advantage was to achieve information of
blood oxygenation from four regions of the neonatal brain.
Further, only one instrument was used for measuring all re-
Prediction Performance of PLS Models Developed by Using Different Spectral Regions of OSC- (a) and ROSC- (b) Pretreated Spectra. [Reproduced from Reference, 37, p. 1344, with permission]
Spectral region/nm
RMSECV/mg dL-1
Whole region
1212 - 1889
0.9819
19.9144
Whole region
1212 - 1889
0.9818
19.9068
Whole region
1212 - 1889
0.9816
19.9025
Info. region 1
1240 - 1320
0.8751
23.1437
Info. region 2
1600 - 1730
0.9539
17.1703
Info. region 2
Info. region 2
1600 - 1730
1600 - 1730
2
3
2
1
0.9536
0.9382
17.1688
17.3408
Whole region
1212 - 1889
0.9780
20.2300
Whole region
1212 - 1889
0.9808
18.7406
Whole region
1212 - 1889
0.9811
18.9237
Info. region 1
1240 - 1360
0.9173
20.3942
Info. region 1
1240 - 1360
0.9338
20.1154
Info. region 1
1240 - 1360
0.9427
20.0794
Info. region 2
1600 - 1730
0.9660
15.8911
Info. region 2
1600 - 1730
0.9696
16.9939
Info. region 2
1600 - 1730
0.9688
16.7170
Hahn et al.
Infrared-Spectroscopy
Fig. (3). Setup for the measurement on a resting adult forearm. Transmitter fibres Txl and Tx2 and receiver fibres Rrl and tr2 are attached
dose to the wrist of the left forearm (a). Vertical axis shows changes in concentration of deoxyhaemoglobin (AHb), oxyhaemoglobin
(AHb02), total haemoglobin (AHb,o,) and cytochrome aa3 (A Cvt aa3) in the four regions during venous occlusion. Regional differences are
observed (b). (Reproduced from reference [42], with permission).
which are associated with the building of the histopathological plaques and tangles [69-71]. Additionally, other
approaches dealt with the association of apolipoprotein E in
case of Alzheimers disease [72, 73], especially using NIRS
[74].
Hintersteiner et al. [75] introduced a technique for the invivo detection of the same peptide in mice. In this work the
synthesis and characterization of near-IR fluorescence oxazine dye is described. NIR fluorescence imaging confirmed
the interaction between oxazine and amyloid plaques in
mice, in-vivo as well as in brain samples post-mortem. The
intensity of the fluorescence signal was taken for quantification. Therefore the advancement of Alzheimer disease could
be observed as well as effects of drugs on the plaque amount;
both applyomg non-invasive measurements.
Griebe et al. [76] compared a FT-IR method to conventional enzyme-linked immune sorbent assays (ELISA) for
amyloid- and proteins in cerebrospinal fluid. Samples
were taken from 71 patients with clinically diagnosed AD
and 66 control samples. Results showed a decreased amyloid- and an increased tau level in AD samples. A combination of these two parameters enabled the diagnostic discrimination between healthy and AD patients with a specificity
and sensitivity of 86% and 99%, respectively. Infrared spectra were recorded in a wave number range of 3900 to 600
cm-1. The differentiation between healthy and diseased patients using FT-IR was successfully carried out with 80%
and 88% achieved for specificity and sensitivity. A disadvantage of this approach was the collection of cerebrospinal
fluid although it is difficult to collect from patients routinely.
Therefore it was easier to obtain plasma from AD patients
for any analysis. Meanwhile several biomarkers in serum
samples were reported to be associative with AD [77, 78] but
tests were mainly carried out with ELISA which is time- and
cost intensive. Therefore an FT-IR method for the differentiation between AD and healthy patients was introduced by
Peuchant et al. in 2009 [79]. The authors combined fast and
cost-efficient IR measurements with the advantage of fast
and easy sample collection. FT-IR was used for the identification of biochemical moderations of plasma components.
Therefore 40 plasma samples from AD patients and 112 controls were investigated. In detail, the contents of glucose,
total cholesterol, malondialdehyde (MDA), 8-epiprostaglandine F2, 8-hydroxydeoxyguanosine and the two
vitamins A and E were quantitatively determined with
ELISA and high-performance liquid chromatography
(HPLC) in order to point out differences between AD and
healthy samples. Based on these results, FT-IR spectra were
recorded in the range between 1480 and 910 cm-1. Wards
algorithm and cluster analysis were carried out for data processing. With this setup samples from AD patients were identified with an accuracy of almost 95%.
Hahn et al.
drugs [83] without violation of the packing [84, 85]. Especially the NIR region is preferable because no extensive
sample preparation is necessary to obtain a spectrum and,
combined with statistical methods, NIR spectroscopy is an
excellent tool for quality control in production processes [8688].
3.1. Quantitative Investigations and Statistical Analysis
Amigo and Ravn [8] focused on two models for the
quantitative and spacious determination of pharmaceutical
tablets based on a previous work of Ravn et al. [89]. Classical least squares and multivariate curve resolution models
were taken for the investigation of five ingredients of a
pharmaceutical tablet. The expected advantage of this technique was to omit calibration before measurements but
knowing the weight-percentage of ingredients and total
weight of the tablet. Main components, cellulose and lactose,
were quantitatively determined with a standard deviation of
approximately 2.5 to 10%, depending on the used model.
Other ingredients, e.g. magnesium stearate and talc, were
detected with far higher errors of more than 40%. Best results were obtained by using multivariate curve resolution
showing reliable information concerning major components.
Most interesting application was the controlling of homogenous distribution of ingredients in tablets during production
and not the quantitative analysis, especially for the major
components with more than 20 weight-percent.
Powder blends are commonly used in therapy and the
homogeneity of agents is an important factor to be considered. NIRS combined with different data processing methods
served a useful tool for the qualitative and quantitative determination of components, also in blends [90].
Quantitative analyses in the pharmaceutical field contain
3. DRUG INVESTIGATIONS
In the last few years IR spectroscopy has become a robust
method for the determination of pharmaceutical products on
their chemical and physical parameters [80-82]. As IRspectroscopy is a non-invasive tool, pharmacological ingredients are not chemically modified while measuring. Hence
IR spectroscopy can widely be used for the identification of
Fig. (4). Strategy used to study the impact of concentration correlation on the PLS model (Reproduced from reference [9], with permission).
Infrared-Spectroscopy
= 2-Morpholinoethanesulfonic acid
AD
= Alzheimers disease
Ab
= antibody
a.o.
= and others
API
CA
= cluster analysis
Hahn et al.
Cas
= casein
ELISA
FT-IR
= Fourier-transform infrared
hIgE
= human immunoglobulin E
HPLC
HSA
IgG
= immunoglobulin G
IR
= infrared
IVF
= in-vitro fertilization
LDA
LC-ESI/
MS
MALDITOF/MS
= matrix-assisted laser-desorption/ionisation
time-of-flight mass spectrometry
MDA
= malondialdehyde
MIR
= mid-infrared
MSC
NIR
= near infrared
NIRF
= NIR-fluorescence
OSC
oxy-Hb
= oxy-haemoglobin
PBS
PVPP
= polyvinylpolypyrrolidone
PCA
= principal-component analysis
PLSR
RBF
ROSC
RMSEP
= sequence coverages
S/N
= signal-to-noise
= tau
tris-HCL) = tris(hydroxymethyl)aminomethanhydrochloride
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