Open AccessTear-Based Vibrational Spectroscopy Applied to Amyotrophic Lateral Sclerosis
Author(s) -
Diletta Ami,
Alessandro Duse,
Paolo Mereghetti,
Federica Cozza,
Francesca Ambrosio,
Erika Ponzini,
Rita Grandori,
Christian Lunetta,
Silvia Tavazzi,
Fabio Pezzoli,
Antonino Natalello
Publication year - 2021
Publication title -
analytical chemistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.117
H-Index - 332
eISSN - 1520-6882
pISSN - 0003-2700
DOI - 10.1021/acs.analchem.1c02546
Subject(s) - amyotrophic lateral sclerosis , raman spectroscopy , fourier transform infrared spectroscopy , chemistry , spectroscopy , infrared spectroscopy , disease , pathology , medicine , optics , physics , organic chemistry , quantum mechanics
Biofluid analysis by optical spectroscopy techniques is attracting considerable interest due to its potential to revolutionize diagnostics and precision medicine, particularly for neurodegenerative diseases. However, the lack of effective biomarkers combined with the unaccomplished identification of convenient biofluids has drastically hampered optical advancements in clinical diagnosis and monitoring of neurodegenerative disorders. Here, we show that vibrational spectroscopy applied to human tears opens a new route, offering a non-invasive, label-free identification of a devastating disease such as amyotrophic lateral sclerosis (ALS). Our proposed approach has been validated using two widespread techniques, namely, Fourier transform infrared (FTIR) and Raman microspectroscopies. In conjunction with multivariate analysis, this vibrational approach made it possible to discriminate between tears from ALS patients and healthy controls (HCs) with high specificity (∼97% and ∼100% for FTIR and Raman spectroscopy, respectively) and sensitivity (∼88% and ∼100% for FTIR and Raman spectroscopy, respectively). Additionally, the investigation of tears allowed us to disclose ALS spectroscopic markers related to protein and lipid alterations, as well as to a reduction of the phenylalanine level, in comparison with HCs. Our findings show that vibrational spectroscopy is a new potential ALS diagnostic approach and indicate that tears are a reliable and non-invasive source of ALS biomarkers.