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Resonance Raman and fluorescence spectroscopy were used to assess increased kynurenine pathway activity in brain samples from Alzheimer’s patients and age-matched controls. Increased activity was seen in areas of the brain involved in Alzheimer’s disease.

Under stress conditions, pro-inflammatory cytokines, such as tumor necrosis factor-alpha, interleukin-1 beta, interleukin 6 and interferon gamma are released. It is known that these cytokines stimulate indoleamine 2,3-dioxygenase (IDO) and tryptophan 2,3-dioxygenase (TDO), which increase tryptophan metabolism through the kynurenine pathway, and that this can cause increased production of neurotoxic compounds. Brain tissues from Alzheimer’s disease patients and agematched controls were investigated using label-free fluorescence spectroscopy. Tryptophan (exc. 280/ em. 340 nm) and its metabolites (N-formyl-L-kynurenine (exc. 325/em. 434 nm), kynurenine (exc. 365/em. 480 nm) and kynurenic acid (exc. 330/em. 390 nm)) have distinct spectral profiles. Preliminary results show a difference in the optical signatures in three important areas of the brain (hippocampus, BA 9, BA 17) between patients with Alzheimer’s disease and agedmatched controls (normal), and a marked relative increase in tryptophan in the Alzheimer’s patients. Thus determinations of tryptophan to tryptophan metabolite ratios could potentially be used to measure IDO and TDO activity and the degree of inflammation in the brain. This label-free optical technique may be useful in the study of Alzheimer’s and other neurodegenerative diseases.

Analyzing spectral or imaging data collected with various optical biopsy methods is often times difficult due to the complexity of the biological basis. Robust methods that can utilize the spectral or imaging data and detect the characteristic spectral or spatial signatures for different types of tissue is challenging but highly desired. In this study, we used various machine learning algorithms to analyze a spectral dataset acquired from human skin normal and cancerous tissue samples using resonance Raman spectroscopy with 532nm excitation. The algorithms including principal component analysis, nonnegative matrix factorization, and autoencoder artificial neural network are used to reduce dimension of the dataset and detect features. A support vector machine with a linear kernel is used to classify the normal tissue and cancerous tissue samples. The efficacies of the methods are compared.

Brain samples from Alzheimer's patients and aged-matched controls were studied using label-free fluorescence. Increased tryptophan metabolite to tryptophan ratios were seen in the hippocampus and Brodmann's area 9 in Alzheimer's patients as compared to normal.

VRR spectroscopy was used for BCC and normal skin tissues with 532nm excitation. The spectra showed significant changes in collagen, carotenoids and lipids. These enhanced fingerprints demonstrate a potential use as label-free pathology method.

The Resonance Raman (RR) spectra of basal cell carcinoma (BCC) and normal human skin tissues were analyzed using 532nm laser excitation. RR spectral differences in vibrational fingerprints revealed skin normal and cancerous states tissues. The standard diagnosis criterion for BCC tissues are created by native RR biomarkers and its changes at peak intensity. The diagnostic algorithms for the classification of BCC and normal were generated based on SVM classifier and PCA statistical method. These statistical methods were used to analyze the RR spectral data collected from skin tissues, yielding a diagnostic sensitivity of 98.7% and specificity of 79% compared with pathological reports.

Background Buccal mucosal graft (BMG) substitution urethroplasty has become popular in the management of intractable anterior urethral strictures with good results. Excellent long-term results have been reported by both dorsal and ventral onlay techniques. Asopa reported a successful technique for dorsal placement of BMG in long anterior urethral strictures through a ventral sagittal approach. Objective To evaluate prospectively the results and advantages of dorsal BMG urethroplasty for recurrent anterior urethral strictures by a ventral sagittal urethrotomy approach (Asopa technique). Design, setting, and participants From December 2002 to December 2007, a total of 58 men underwent dorsal BMG urethroplasty by a ventral sagittal urethrotomy approach for recurrent urethral strictures. Forty-five of these patients with a follow-up period of 12–60 mo were prospectively evaluated, and the results were analysed. Intervention The urethra was split twice at the site of the stricture both ventrally and dorsally without mobilising it from its bed, and the buccal mucosal graft was secured in the dorsal urethral defect. The urethra was then retubularised in one stage. Results and limitations The overall results were good (87%), with a mean follow-up period of 42 mo. Seven patients developed minor wound infection, and five patients developed fistulae. There were six recurrences (6:45, 13%) during the follow-up period of 12–60 mo. Two patients with a panurethral stricture and four with bulbar or penobulbar strictures developed recurrences and were managed by optical urethrotomy and self-dilatation. The medium-term results were as good as those reported with the dorsal urethrotomy approach. Long-term results from this and other series are awaited. More randomised trials and meta-analyses are needed to establish this technique as a procedure of choice in future. Conclusions The ventral sagittal urethrotomy approach is easier to perform than the dorsal urethrotomy approach, has good results, and is especially useful in long anterior urethral strictures.

Chromium supplements are widely used as an alternative remedy for type 2 diabetes mellitus (T2DM). In vitro study findings show that chromium picolinate (CrPic) may improve insulin sensitivity by enhancing intracellular insulin receptor. In this study, we evaluated the metabolic effects of CrPic in a rat model of T2DM. Male Sprague-Dawley rats (n = 45, 8 weeks old) were divided into 3 groups. The controls (group I) received a standard diet (12% of calories as fat); group II received a high-fat diet (HFD; 40% of calories as fat) for 2 weeks and then were intraperitoneally injected with streptozotocin (STZ, 40 mg/kg; HFD/STZ) on day 14; group III rats were given group II diets with the addition of 80 microg CrPic per kilogram body weight per day. The addition of CrPic in the group III treatment lowered glucose by an average of 63% (P < .001), total cholesterol by 9.7% (P < .001), and triglycerides by 6.6% (P < .001) compared with group II treatment. Compared with group II, CrPic treatment also lowered free fatty acid levels by 24% (P < .001), blood urea by 33% (P < .05), and creatinine level by 25% (P < .01), and reduced the severity of glomerular sclerosis (P < .0001). Histopathologic findings suggest that the CrPic-treated group had normal renal tubular appearance compared with the HFD/STZ-treated group. Normal appearance of hepatocytes was observed in the CrPic-treated group. These results showed that CrPic has marked beneficial effects against microvascular complications. In conclusion, HFD/STZ rats provide a novel animal model for T2DM. Further treatment with CrPic for 10 weeks significantly ameliorated changes in metabolic risk factors including favorable changes in histopathology of the liver, kidney, and pancreas, suggesting its potential role in the management of diabetes.

Time-resolved polarization-dependent fluorescence of Cybesin in solution and in cancerous and normal prostate tissues were measured. The polarization preservation property of Cybesin in tissue was observed. The fluorescence intensity emitted from a Cybesinstained cancerous tissue area was found to be much stronger than that from a Cybesin-stained normal tissue area indicating that cancerous prostate tissue takes-up more Cybesin than normal tissue. The polarization anisotropy of Cybesin contained in cancerous prostate tissue was found to be larger than that of Cybesin in normal prostate tissue indicating that a larger degree of polarization was preserved in the Cybesin-stained cancerous tissue due to structures. A static anisotropy component from the emission of cell-bonded Cybesin molecules in tissue and a time-dependent anisotropy component from the emission of un-bonded Cybesin molecules were determined and discussed. The static anisotropy value of Cybesin in stained cancerous tissue was found to be much larger than that in stained normal tissue. The fluorescence polarization difference imaging technique based on the polarization preservation of Cybesin was used to enhance the image contrast between cancerous and normal prostate tissue areas. � 2007 Elsevier B.V. All rights reserved.

Background Laser tissue welding (LTW) is a novel method of surgical wound closure by the use of laser radiation to induce fusion of the biological tissues. Molecular dynamics associated with LTW is a result of thermal and non-thermal mechanisms. Objectives This research focuses exclusively on better heat management to reduce thermal damage of tissues in LTW using a near infrared laser radiation. Methods An infrared continuous-wave (CW) laser radiation at 1,450 nm wavelength corresponding to the absorption band from combination vibrational modes of water is used to weld together ex vivo porcine aorta. Results In these studies we measured the optimal laser power and scan speed, for better tensile strength of the weld and lesser tissue dehydration. Significant amount of water loss from the welded tissue results in cellular death and tissue buckling. Various thermally conductive optical cover windows were used as heat sinks to reduce thermal effects during LTW for the dissipation of the heat. The optimal use of the method prevents tissue buckling and minimizes the water loss. Diamond, sapphire, BK7, fused silica, and IR quartz transparent optical cover windows were tested. Conclusions The data from this study suggests that IR-quartz as the material with optimal thermal conductivity is ideal for laser welding of the porcine aorta. Lasers Surg. Med. 43:991–997, 2011. © 2011 Wiley Periodicals, Inc.

Near infrared (NIR) continuous wave laser radiation at the 1,450 nm wavelength was used to weld porcine aorta and skin samples via the absorption of combitional vibrational modes of native water in the tissues. The fluorescence spectra were measured from the key native molecules of welded and non-welded tissues at specific excitation and emission wavelengths from collagen, elastin, and tryptophan. The changes in the fluorescence intensities and differences in Stokes shift (Δνss) of key native fluorophores were measured to differentiate the Huang-Rhys parameter values (S) of the chromophores. The strength of coupling depends on the local electron-vibration intra-tissue molecular environment and the amount of polar solvent water surrounding the net charges on collagen, elastin, and tryptophan. The S values for both non-welded and welded tissues were almost the same and less than 3, suggesting minimal changes in the local molecular environment as a result of welding. (© 2012 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim)

Changes in collagen in the wound during the healing process of guinea pig skin following surgical incisions and LTW was evaluated using in vivo, using Raman spectroscopy. Raman spectroscopy provided information regarding the internal structure of the proteins. After the incisions were closed either by suturing or by LTW the ratio of the Raman peaks of the amide III (1247 cm -1 ) band to a peak at 1326 cm -1 used to evaluate the progression of collagen deposition. Histopathology was used as the gold standard. LTW skin demonstrated better healing than sutured skin, exhibiting minimal hyperkeratosis, minimal collagen deposition, near-normal surface contour, and minimal loss of dermal appendages. This work is important to plastic surgery.

The changes of Raman spectra from ex-vivo porcine aorta tissues were studied before and after laser tissue welding (LTW). Raman spectra were measured and compared for normal and welded tissues in both tunica adventitial and intimal sides. The vibrational modes at the peak of 1301 cm -1 and the weak shoulder peak of 1264 cm of amide III for the normal tissue changed to a peak at 1322cm -1 and a relative intense peak at 1264cm -1 , respectively, for the welded tissue. The Raman spectra were analyzed using a linear regression fitting method and compared with characteristic Raman spectra from proteins and lipids compounds. The relative biochemical molecular composition changes of proteins (Collagen types I, III, V and Elastin) and lipids for the laser welded tissue were modeled by basis biochemical component analyses (BBCA) and comp ared with the normal tissue. Keywords : Raman Spectroscopy, BBCA, Laser Tissue Welding INTRODUCTION The salient properties of laser radiation are intensity, wavelengt h, direction, coherence, and polarization, which allow for wide range of medical applications including surgical operations, treatment, and diagnosis (1). Laser tissue welding (LTW) is a potentially new application of laser technology to supplement or replacing suturing. Laser tissue welding utilizes the laser energy to join tissues together. Since the laser tissue welding process is a noncontact and nonmechanical method, it is ideally suited for the cases where suturing and stapling are difficult to use. The first study of laser tissue welding on repair of small blood vessels wi th Nd:YAG laser was reported in late 70’s [2]. The CO

The healing process in guinea pig skin following surgical incisions was evaluated at the molecular level, in vivo, by the use of Raman spectroscopy. After the incisions were closed either by suturing or by laser tissue welding (LTW), differences in the respective Raman spectra were identified. The study determined that the ratio of the Raman peaks of the amide III (1247 cm−1) band to a peak at 1326 cm−1 (the superposition of elastin and keratin bands) can be used to evaluate the progression of wound healing. Conformational changes in the amide I band (1633 cm−1 to 1682 cm−1) and spectrum changes in the range of 1450 cm−1 to 1520 cm−1 were observed in LTW and sutured skin. The stages of the healing process of the guinea pig skin following LTW and suturing were evaluated by Raman spectroscopy, using histopathology as the gold standard. LTW skin demonstrated better healing than sutured skin, exhibiting minimal hyperkeratosis, minimal collagen deposition, near-normal surface contour, and minimal loss of dermal appendages. A wavelet decomposition-reconstruction baseline correction algorithm was employed to remove the fluorescence wing from the Raman spectra.

Near infrared laser tissue welding (LTW) is achieved by subjecting the closely approximated surgically incised tissues to a laser beam at a wavelength that is absorbed by water in the tissue. Full thickness welds are accomplished with optimum laser power and penetration depths appropriate for the thickness of welded tissues. No extrinsic cross-linking or bonding materials are used. The absorbed laser energy increases the entropy of collagen in the tissue. In LTW, tissue water temperatures transiently rises to approximately 60° C, causing partial denaturing of collagen and other structural proteins due to breaking of hydrogen bonds, electrostatic interactions and some interchain covalent bonds for a short duration of time. This is followed by cross linking of proteins on either side of weld line, with reformation of the above mentioned bonds as the tissue cools, resulting in the formation of water tight full thickness welds. In this study, a cw fiber laser emitting at 1455 nm, corresponding to absorption by a water vibrational overtone, is used for in vivo LTW of surgical incisions made in the skin of guinea pigs under general anesthesia. The tensile strength and healing rates of the welded incisions are compared to suturing of similar incisions. Laser parameters, including power, scanning rates, exposure area, and exposure duration, are optimized to reduce thermal damage while maintaining tensile strength.

We report an ex-vivo study on Raman spectra of adipose tissue covered by layers of aortic intimal wall tissue with different thicknesses. The Raman vibration modes of 1435cm-1, 2850cm-1 and 2892cm-1 were investigated for the first time on fresh porcine aortic adipose tissue with 633 nm laser excitation. The adipose tissue was taken from adventitial fat grown on aorta walls. The frozen sections of porcine aorta wall tissue with a thickness of 25μ - 50μ were cut from intimal surface. The samples were prepared by placing the variable numbers of the aorta intimal wall tissue layers on the top of adipose tissue. The Raman spectra of adipose tissue were investigated. The changes of intensities of the Raman modes versus thickness of the aorta intimal wall tissue layers were measured. The total thickness of the aorta intimal wall tissue layers was varied in the range of 50μ - 1800μ. The main characteristic Raman vibration modes of adipose tissue were found at 1435cm-1, 2850cm-1 and 2892cm-1. Among them, the intensities of the modes of 2850 cm-1 and 2892 cm-1 are about four-times stronger than that of the 1435cm-1 mode. The study on Raman vibration modes of 1435cm-1, 2800 cm-1 and 2950 cm-1 may be useful for developing a simple, inexpensive and accurate optical technique for monitoring the degree of vulnerability of the aorta intimal surface due to atherogenesis. These three Raman modes can be used as new molecular spectroscopic indicators to monitor in situ the development of fatty-streaks and lipid core in aorta walls, and determine the thickness change of aorta intimal wall at different stages of atherogenesis.© (2008) COPYRIGHT SPIE--The International Society for Optical Engineering. Downloading of the abstract is permitted for personal use only.

The oxidative stress due to free radicals is implicated in the pathogenesis of tissue damage in diseases such as muscular dystrophy, Alzheimer dementia, diabetes mellitus, and mitochrondrial myopathies. In this study, the acute oxidative stress induced changes in nicotinamide adenine dinucleotides in mouse skeletal muscles are studied in vitro using Raman spectroscopy. Mammalian skeletal muscles are rich in nicotinamide adenine dinucleotides in both reduced (NADH) and oxidized (NAD) states, as they are sites of aerobic and anaerobic respiration. The relative levels of NAD and NADH are altered in certain physiological and pathological conditions of skeletal muscles. In this study, near infrared Raman spectroscopy is used to identify the molecular fingerprints of NAD and NADH in five-week-old mice biceps femoris muscles. A Raman vibrational mode of NADH is identified in fresh skeletal muscle samples suspended in buffered normal saline. In the same samples, when treated with 1% H2O2 for 5 minutes and 15 minutes, the Raman spectrum shows molecular fingerprints specific to NAD and the disappearance of NADH vibrational bands. The NAD bands after 15 minutes were more intense than after 5 minutes. Since NADH fluoresces and NAD does not, fluorescence spectroscopy is used to confirm the results of the Raman measurements. Fluorescence spectra exhibit an emission peak at 460 nm, corresponding to NADH emission wavelength in fresh muscle samples; while the H2O2 treated muscle samples do not exhibit NADH fluorescence. Raman spectroscopy may be used to develop a minimally invasive, in vivo optical biopsy method to measure the relative NAD and NADH levels in muscle tissues. This may help to detect diseases of muscle, including mitochondrial myopathies and muscular dystrophies.

Femtosecond (fs) pulse lasers in the near-infrared (NIR) range exhibit very distinct properties upon their interaction with biomolecules compared to the corresponding continuous wave (CW) lasers. Ultrafast NIR laser tissue bonding (LTB) was used to fuse edges of two opposing animal tissue segments in vivo using fs laser photoexcitation of the native vibrations of chomophores. The fusion of the incised tissues was achieved in vivo at the molecular level as the result of the energy–matter interactions of NIR laser radiation with water and the structural proteins like collagen in the target tissues. Nonthermal vibrational excitation from the fs laser absorption by water and collagen induced the formation of cross-links between tissue proteins on either sides of the weld line resulting in tissue bonding. No extrinsic agents were used to facilitate tissue bonding in the fs LTB. These studies were pursued for the understanding and evaluation of the role of ultrafast NIR fs laser radiation in the LTB and consequent wound healing. The fs LTB can be used for difficult to suture structures such as blood vessels, nerves, gallbladder, liver, intestines, and other viscera. Ultrafast NIR LTB yields promising outcomes and benefits in terms of wound closure and wound healing under optimal conditions.

Native fluorescence of tissues in the UV and visible spectral regions has been investigated for over two decades. Native fluorescence has been demonstrated to be an accurate tools for distinguish normal tissue from malignant and pre-malignant. Prior investigations have demonstrated that there are several ratio-based algorithms, which can distinguish malignant tissue from normal with high sensitivity and specificity. 1 The wavelength combinations used in these ratios isolate the contributions from pairs of tissue fluorophors, one of which is frequently tryptophan (trp), the predominant tissue fluorophore with excitation in the UV (250-300 nm). In this work, algorithms using a combination of native fluorescence and trp phosphorescence were developed which show promise for providing enhanced detection accuracy. Using optical fibers to collect the emission from the specimen allowed interrogation of small regions of tissue, providing precise spatial information. Using a specially designed setup, specimens were excited in the UV and spectra were collected in the range of 300 to 700 nm. Three main emission bands were selected for analysis: 340 nm (trp fluorescence); 420 - 460 nm band (fluorescence from the extra cellular matrix); and 500 - 520 nm (trp phosphorescence). Normal specimens consistently exhibited a low ratio ( 15) for cancer specimens. Creating intensities ratio maps from the tissue allows one to localize the malignant regions with high spatial precision. The study was performed on ex vivo human breast tissues. The ratio analysis correlated well with histopathology.

In this study, a NIR erbium fiber laser tuned to a water vibrational overtone absorption band at 1455 nm was used to weld directly, in vitro, seventy-six porcine aorta tissues without the need for extrinsic solder materials. The tissues were divided into eleven groups based on the multiple and variable parameters that were used to weld the tissues. The effectiveness of the parameters used in each of the weld groups was evaluated directly at the time of the weld and also by tensile strength measurements done at the termination of the weld. Management of heat produced in tissues is of critical importance for good laser tissue welding (LTW). To address heat management issues, we report LTW using a transparent cover over the tissue specimen as a heat sink. Multiple scanning helps distribute the laser-generated heat and allows the tissue to cool between scans, reducing thermal damage. Better heat management using a transparent cover slide enhances the welding success. It reduces collateral damage and limits water evaporation and control the buckling of tissue around the line of apposition so that the two pieces that are welded do not move apart along the line of apposition due to buckling pressure and ensure a full-length weld.

Fluorescence and phosphorescence measurements are performed on normal and malignant ex vivo human breast tissues using UV LED and xenon lamp excitation. Tryptophan (trp) phosphorescence intensity is higher in both normal glandular and adipose tissue when compared to malignant tissue. An algorithm based on the ratio of trp fluorescence intensity at 345 nm to phosphorescence intensity at 500 nm is successfully used to separate normal from malignant tissue types. Normal specimens consistently exhibited a low I(345)I(500) ratio (10), while for malignant specimens, the I(345)I(500) ratio is consistently high (15). The ratio analysis correlates well with histopathology. Intensity ratio maps with a spatial resolution of 0.5 mm are generated in which local regions of malignancy could be identified.

The effects of aging on the mechanical properties of myosin were measured in 87 fibers from muscles of humans (n = 40), rats (n = 21), and mice (n = 26) using a single fiber in vitro motility assay. Irrespective of species, an 18-25% aging-related slowing in the speed of actin filaments was observed from 62 single fibers expressing the slow (type I) beta-myosin heavy chain isoform. The mechanisms underlying the aging-related slowing of motility speed remain unknown, but it is suggested that posttranslational modifications of myosin by oxidative stress, glycation, or nitration play an important role. The aging-related slowing in the speed of actin filaments propelled by the type I myosin was confirmed in three mammalian species with an approximately 3,400-fold difference in body size. Motility speed from human myosin was 3-fold slower than from myosin of the approximately 3,400-fold smaller mouse and approximately twofold slower when compared with the approximately 130-fold smaller rat, irrespective of age. A strong correlation was observed between the log values of actin sliding speed and body mass, suggesting that the effects of scaling is, at least in part, due to altered functional properties of the motor protein itself.