Open Access Article
Julian
Haas
ab,
Ernesto Vargas
Catalán
b,
Pierre
Piron
b,
Mikael
Karlsson
*bc and
Boris
Mizaikoff
*a
aInstitute of Analytical and Bioanalytical Chemistry, Ulm University, Albert-Einstein-Allee 11, 89081 Ulm, Germany. E-mail: boris.mizaikoff@uni-ulm.de
bDepartment of Engineering Sciences, Uppsala University, Box 534, SE-75121 Uppsala, Sweden. E-mail: mikael.karlsson@angstrom.uu.se
cMolecular Fingerprint Sweden AB, Eksätravägen 130, SE-756 55 Uppsala, Sweden
First published on 14th August 2018
Recently emerging broadly tunable quantum cascade lasers (tQCL) emitting in the mid-infrared (MIR) are a versatile alternative to well established thermal emitters in combination with interferometers as applied in Fourier transform infrared (FTIR) spectroscopy. The wide and highly spectrally resolved wavelength tuning characteristics along with superior spectral energy density renders laser-based vibrational spectroscopy methods an efficient alternative vs. conventional molecular spectroscopies. Using diamond in attenuated total reflection (ATR) sensing formats benefits from the physical robustness and chemical resistivity of the internal reflective element (IRE) material. While inherent material absorption frequently limits the optical path length within diamond ATR elements, the herein presented design combining bright tQCLs with a multi-reflection polycrystalline diamond (PCD) ATR element enables an optical beam path length of approximately 5 cm. Thereby, sensitive spectroscopic measurements in the MIR are enabled. As an example, non-invasive glucose monitoring in human saliva is examined, highlighting the potential benefits of the proposed analytical concept with regards to exquisite sensitivity and selectivity in combination with a robust sensing interface, i.e., diamond. This approach paves the way towards directly analyzing molecular constituents in complex and potentially corrosive biomedical and biochemical matrices.
The introduction of quantum cascade lasers (QCLs) operating in the MIR has rendered this technology especially interesting for (bio)chemical analysis and sensing tasks. Notably, two different approaches are being realized with QCL technology. On the one hand, high resolution can be achieved with distributed feed-back (DFB) technology, yet at the cost of narrower tuning ranges. On the other hand, external cavities (ECs) provide broader tuning ranges albeit at lower spectral resolution. Lately, QCL systems providing high resolution in combination with relatively broad tuning ranges (155 cm−1) have been introduced using EC architectures.2 Nowadays, QCL spectrometers are available providing tuning ranges up to 1100 cm−1via up to four individual lasers3–5 covering about 270 cm−1 each operated in parallel, and providing up to 500 mW of pulsed or continuous wave (CW) laser radiation. With increasing availability, QCL technology has already been used for detecting a variety of medical analytes.6 For instance, the detection of trace amounts of cocaine has been demonstrated.7,8
Attenuated total reflection spectroscopy (ATR) makes use of an exponentially decaying evanescent field emerging at the surface of a waveguiding total internal reflection element (IRE) and is considered a complementary sampling strategy vs. transmission techniques. As an IRE or waveguide, high refractive index (RI, n) materials are required, which are ideally also chemically and physically resilient. Diamond combines these favorable properties and is therefore among the favored ATR element materials. However, single crystalline diamond (SCD) remains quite expensive to fabricate and process. In contrast, polycrystalline diamond (PCD) offers comparable performance in the MIR at approximately one tenth of the fabrication costs. Conventionally, the limited power output of standard MIR sources and the intrinsic optical absorption of diamond limits the propagation path length through diamond ATR elements, at which acceptable signal-to-noise ratios (SNR) can be achieved. This is the reason, why diamond ATR elements are predominantly configured as single internal reflection elements.
The reduction of bulk diamond crystal dimensions to thin-film waveguides and the introduction of more powerful MIR laser sources nowadays enables overcoming this limitation. Thin-film diamond waveguide technology in combination with laser sources has already been shown for the detection of organic compounds and proteins in the MIR.9–11 In these contributions, free-standing core-only (i.e., air-clad) diamond thin-film waveguides supported by a silicon frame have demonstrated their utility for analytical applications. However, processing limitations including high strain within the deposited diamond layers, thermal expansion, and demanding processing parameters at elevated temperatures in a hydrogen atmosphere compete with matching the required optical parameters such as the refractive index. Thin-film diamond growth on silicon substrates with subsequent partial removal of the supporting substrate is a tradeoff between stable growth conditions and refractive index matching at the expense of potentially more elaborate processing opportunities for waveguide fabrication. Although free-standing diamond structures are self-supporting, they remain brittle in nature and are therefore mechanically sensitive, which is not an issue for bulk diamond IREs.
The physical and chemical resistivity, biocompatibility, and autoclavability of diamond renders analytical concepts based on diamond ideally suited for bioanalytics. Body fluids are a rich and well-known source of biomarkers relevant in medical diagnostics and for clinical monitoring. In particular, non-invasive alternatives to blood or spinal fluid are more convenient for patients and less prone to potential complications such as inflammation due to the puncture. Even tear fluid, sweat or urine samples are inconvenient to obtain. With globally increasing diabetic rates, non-invasive glucose testing is of increasing interest, and has become a driving force in the development of non-invasive analytical devices.12,13 Exemplarily, non-invasive blood glucose monitoring has been presented by the research group of Mäntele utilizing QCLs and photoacoustic cells. Detection of <50 mg dL−1 up to >300 mg dL−1, which is in the clinically relevant regime has been achieved.14,15 Furthermore, non-invasive electrochemical determination of glucose in human saliva has been presented.16 In general, saliva appears to be a readily obtainable human body fluid suitable for medical diagnostics,17 comparable to expired human breath.18 Exhaled breath analysis has matured into a frequently applied strategy to obtain CO2 and volatile organic compound (VOC) concentrations, while saliva comprises a certain percentage of condensed breath constituents. Furthermore, buccal spectral markers have been found to correlate to potential lung cancer risks.19 Even the detection of α-synuclein serving as a potential biomarker for Parkinson's disease in cheek cell samples has been shown.20 Likewise, simple molecules such as salivary uric acid are non-invasively addressable biomarkers for metabolic syndrome.21,22 Even physiological stress has been shown to correlate with changes in the salivary composition, and the associated MIR spectral features.23 Infrared spectroscopy has also been applied to detect protein shifts of psoriatic and diabetic patients in saliva.24 Notwithstanding, a potential spectral correlation between blood glucose and salivary glucose has been proposed in literature.25,26 Biologically relevant concentrations of glucose in saliva are reported to range from 0.008 mg mL−1 to 0.0105 mg mL−1 (ref. 16 and 27) in healthy patients, and from 0.04 mg mL−1 to 0.14 mg mL−1 for diabetic patients.26 This is approximately one tenth of the concentration range expected in blood extending from 0.88 mg mL−1 to 0.94 mg mL−1.28 Hence, improved sensitivities especially for IR sensing schemes are required for glucose analysis in saliva.
In the present study, an IR spectroscopic analysis system based on a tQCL in combination with a PCD IRE has been developed. The utility of the system for addressing the MIR fingerprint regime enabling non-invasive saliva glucose level analysis is evaluated.
The saliva samples were obtained according to the Declaration of Helsinki.29 The healthy volunteer was instructed orally and by writing and has given written consent.
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1 vertically polarized radiation in a collimated beam. The emitted beam was focused with a ZnSe lens (Thorlabs, aspheric, focal length 25 mm) onto the incoupling facet of the diamond trapezoid. The diamond trapezoid had beveled in- and out-coupling facets with an angle of 45° ensuring optimized total internal reflection within the diamond crystal. The beveled facets were cut and polished at the desired trapezoidal shape. The polycrystalline diamond IRE was grown via chemical vapor deposition (CVD) by Diamond Materials (Diamond Materials GmbH, Freiburg, Germany). Radiation emanating at the distal end of the diamond IRE was collected with a second ZnSe lens (Thorlabs, aspheric, focal length 25 mm), and focused onto a detector via a third ZnSe lens (Thorlabs, aspheric, focal length 12.7 mm). Additional apertures between the laser and the first lens, and between the second and third lens allowed further beam shaping and intensity control. The detector (PVMI-4TE 12 PIP-PC 200-M-F-M4, Vigo Systems S. A., Poland) was based on a TEC MCT (mercury cadmium telluride) detector crystal optically immersed into a GaAs (gallium arsenide) hypersphere, which is optimized for detection at a wavelength of 10.6 μm. Data acquisition was performed with a National Instrument PC oscilloscope (NI PXIe-5114 125 MHz, 250 MS/s, 8-bit. Oscilloscope; NI PXIe 1071case; NI PXIe-8360 express card), which was operated via a LabView (LabView 2016) script. The script was based on tuning the QCL emission wavelength in 1 cm−1 increments. For each spectrum, a single channel background spectrum (I0) and a single channel sample spectrum (I) were recorded across the entire tuning range of the laser system, and absorbance (A) spectra were calculated as A = −log10(I/I0).
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| Fig. 1 Schematic of the experimental QCL PCD ATR IRE setup. Apertures between QCL and lens 1, and between lens 2 and 3 are not shown for clarity. | ||
Using a QCL light source, higher spectral energy density is achieved, which renders the spectral regions close to the two-phonon absorption features still useful for analytical applications. As shown in Fig. 4, parabolic emission curves of the four applied laser crystals with intensity maxima around 1900 cm−1, 1600 cm−1, 1350 cm−1, and 1100 cm−1 (5.25 μm, 6.25 μm, 7.5 μm, and 9 μm, respectively), are superimposed by the diamond lattice absorption emerging towards the shorter wavelength regime. Notably, transmission is still achieved up to 1800 cm−1 although IR radiation has already been propagated approx. 5 cm through the trapezoid PCD IRE structure.
000 subsequent laser pulses were recorded, and their Allan variance has been plotted (Fig. 5). Consequently, 500 subsequent pulses were averaged during all further experiments as a trade-off between noise reduction (i.e., Allan deviation <10−3), and adequately short measurement times. Furthermore, 5-point adjacent-point-averaging was performed on the retrieved spectra to reduce inter-wavelength intensity deviations arising from the step-wise tuning of the lasers.
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| Fig. 5 Allan deviation/variance for an emission wavelength of 6 μm (1666 cm−1). Adequate Allan deviation is reached after averaging 500 pulses vs. acceptable measurement times. | ||
O stretching mode (amide I band), and around 1550 cm−1 assigned to a N–H bending mode (amide II band). Furthermore, symmetric and asymmetric stretching mode bands of carboxylate (COO−) are present around 1400 cm−1 (Fig. 6). The latter can be assigned to lactic acid molecules or protein side chains with changes evident when comparing diabetic and non-diabetic patients. In an exemplary study, glucose levels in a healthy volunteer were evaluated. A distinct band at 1030 cm−1 was selected for the glucose determination within the MIR spectrum of saliva, which represents the CO vibrations of the glucose molecule.36
Per analysis, the obtained saliva samples were divided into equal aliquots, and spiked with aqueous solutions of alpha(+)D-glucose (M = 180.16 g mol−1, VWR International GmbH) for establishing calibration samples via standard addition. Subsequently, 20 μL of each solution were transferred with an Eppendorf Pipette onto the PCD ATR IRE and the aqueous matrix was left to evaporate. A volume of 20 μL was determined to cover the surface of the diamond crystal, while avoiding spills affecting the in- and outcoupling facets. However, introducing an appropriately sealed liquid cell is supposed to enhance the reproducibility during future experiments by reducing variances resulting from viscosity variations of the saliva sample.
After each analysis, the crystal was cleaned with water, acetone, and isopropanol/lens cleaning tissue, which effectively removed the previous sample. The spectral region of interest within the obtained spectra for glucose determination was limited to 1200–900 cm−1. The spectral region was smoothed with a 0.02 Hz low pass FFT filter, and subsequently normalized. In a next step, peak deconvolution was performed using Lorentz shaped bands fitted to the spectra. The peak centered at 1030 cm−1 characteristic for glucose was then integrated for quantification. An exemplary peak fit is shown in Fig. 7 for an unspiked sample, and for a sample spiked with 0.17 mg mL−1 glucose.
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| Fig. 7 Processed spectra for peak deconvolution (grey) along with fitted Lorentz peaks (colored). (a) Raw saliva sample. (b) Saliva sample spiked with 0.17 mg mL−1 glucose. | ||
With the developed experimental procedure, a limit of detection (LOD) of 0.02 mg mL−1 (0.12 mmol L−1) was derived using the 3σ noise criterion. This LOD is close to biologically relevant concentrations derived from literature for saliva ranging from 0.008 mg mL−1 to 0.0105 mg mL−1 (ref. 16) for baseline values of healthy patients, and is well below the expected values for analyzing saliva glucose levels in diabetic patients ranging from 0.04 mg mL−1 to 0.14 mg mL−1.26
Time-dependent variation of saliva glucose levels was evaluated on a healthy volunteer between 20 and 30 years old (BMI 26.7). After one hour of base line monitoring, 500 mL of regular Coca Cola (Coca Cola Company) were consumed to deliberately rise saliva sugar levels (i.e., 10.6 g of carbohydrates – mainly sucrose – per 100 mL).
Fig. 8 shows the time-dependent development of saliva glucose levels. Within the first 60 min, the saliva glucose level shows a variance between 0.05 mmol L−1 (0.01 mg mL−1) and 0.35 mmol (0.06 mg mL−1) around an average of about 0.2 mmol L−1 (0.04 mg mL−1). This elevated variance is explained by variations of the saliva production itself and potential manual sample handling issues and have to be further substantiated during future studies. For example, inter-sample variances may be addressed by the addition of an internal standard. Deviations in saliva flow, resulting amount of saliva, and viscosity, as well as tissue or gland aspects may be addressed as well using this procedure. A slight decrease of the glucose level after 30 min can be explained with an increased amount of time since the last meal. After intake of 500 mL of a sugary beverage within about one minute, 60 min after starting the experiment, an increase of salivary glucose levels is apparent. Careful rinsing of the oral cavity was of particular importance at this point to ensure that fresh saliva is evaluated rather than a mixture of the consumed beverage and saliva. The salivary glucose levels revealed a similar increase up to 0.7 mmol L−1 (0.13 mg mL−1), yet dropped after a short period of time, i.e., already after 40 min back to the baseline level of 0.2 mmol L−1 (0.04 mg mL−1). Interference of beverage residues can be excluded, since the salivary glucose peak concentration is reached just after 20 min, while residual beverage should interfere already at an earlier stage.
While the exemplary analysis of glucose in saliva herein has been selected as an example demonstrating the device performance for analysis in a complex real-world matrix, further research on improved evaluation algorithms and with an increased number of patients has to be executed for evaluating the potential relationship between blood and glucose levels.37
For a more precise and accurate quantitative evaluation of salivary glucose levels, the complexity of the molecular composition of saliva requires applying advanced multivariate calibration algorithms during further studies to adequately represent potentially interfering molecules such as glycated proteins, inorganic salts, etc.
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