Laser-induced breakdown
spectroscopy. (LIBS) is an all-optical analytical technique that
utilizes a pulsed laser and optical spectroscopy to detect and identify
the elements present in a target material, including pathogenic
bacteria. During LIBS, a short pulse of laser light is focused to
a small spot on a bacteria-containing target (blood, sputum, etc.)
which creates a high-temperature (10,000–20,000 K) micro-plasma within
the focal region of the laser. During this process, the sample
illuminated by the laser is completely vaporized (“ablated”). The
sample is reduced to its constituent atomic components, which are
entrained in the micro-plasma plume. A careful spectroscopic
analysis of the light emitted from this plasma plume yields
identifiable emission lines only from those elements that were present
in the target (Cremers and Radziemski, 2006; Miziolek et al.
2006). The positive identification of many elemental lines within
the emission spectrum then provides an immediate and unique spectral
“fingerprint” which positively identifies the bacteria in the
sample. This sample could be a bacterial colony, a solid surface,
a vial of bacteria-containing water, or any clinical sample (e.g.
sputum, blood, etc.). Any target material which can be
illuminated by the laser can theoretically be tested to reveal the
presence and identity of a pathogen. Beginning in 2003, studies
began to show that the ability of LIBS to rapidly (within seconds or
minutes) detect harmful pathogens including those which cannot be
cultured within a reasonable amount of time or cannot be cultured at
all could offer a radically new paradigm to the health sciences
for the detection, identification, and control of infectious diseases.
LIBS has already been demonstrated to be useful when used in idealized
settings to identify and discriminate a wide variety of microorganisms
such as bacteria (Morel et al., 2003; Samuels et al., 2003; Dixon and
Hahn, 2005; Kim et al., 2004, Baudelet et al., 2006a), fungi/mold
spores, pollens, and proteins (Hybl et al., 2003; Samuels et al., 2003)
based on the emission intensity of trace inorganic elements found in
the microorganism (DeLucia, 2005). Much of the work to date has
predominantly been focused on bacterial surrogates (which can be safely
and easily handled) as a model for NIAID Category A and B priority
pathogens, specifically Bacillus globigii and Bacillus subtilis var.
niger (Kim et al., 2004) as a surrogate for Bacillus anthracis
(anthrax), Escherichia coli as a surrogate for Yersinia pestis,
Staphylococcus aureus as a surrogate for Staphilococcus epidermis, and
Proteus mirabilis (Leone et al., 2004). Our group of Rehse and
Palchaudhuri, the group of Baudelet et al. (Baudelet et al., 2006a;
Baudelet et al., 2006b; Baudelet et al., 2006c), and others (Assion et
al., 2003) have focused on Escherichia coli. To date our work
remains the only cited reference on the analysis of pathogenic E. coli
strains. In addition, we have demonstrated the ability to
discriminate Pseudomonas aeruginosa from E. coli (Rehse et al., 2007)
and have proven that P. aeruginosa samples cultured in nutrient media
containing blood are identically identified to samples cultured in
non-blood containing media. Prior to our work in this field, only
one published report (Kim et al., 2004,) was conducted on live bacteria
in culture, the rest using complicated and unrealistic drying and
concentration of the bacteria into pellets for ease of detection.
The majority of the work described here has focused primarily on the
relative concentrations of Na, Mg, Ca, P, K, Fe, and C identified in
the LIBS spectra to form the basis of this discrimination. This
approach has been demonstrated to be particularly useful in identifying
Gram-negative bacteria. The reason that this is true is dependent
on the biochemistry of the bacteria outer membrane.
We have chosen specifically to investigate Gram-negative bacteria
because they have been classified traditionally on a serological basis,
which is even now very much used in clinical labs and hospitals, rather
than molecular biology techniques (PCR, rRNA, etc.). Because of
antigenic variation, such serological classification needs further
confirmation by the development of a new technology (at the atomic and
molecular level). We strongly believe that the combination of
optical modalities is ideally suited to this purpose.
Two types of bacterial surface structures form the basis for the
serological classification system. There are the O-antigen and
H-antigen of which the O-antigen of LPS (O) is more important than the
H-antigen of flagella. The O-antigen identifies the serogroup and
the H-antigen identifies its serotype. For example, more than 160
different serogroups of E. coli are already known, but most of them
rarely cause disease, except O55.
For the bacterium, the outer membrane is first and foremost a
permeability barrier, but primarily due to its polysaccharide content,
it possesses many of the interesting and important characteristics of
Gram-negative bacteria (Nikaido, 1973; Nikaido and Takae, 1979).
The inner face of the outer membrane is composed of phospholipids
similar to the phosphoglycerides that compose the plasma
membrane. The outer face of the outer membrane may contain some
phospholipids, but mainly it is formed by a different type of amphilic
molecule which is composed of lipopolysaccharide (LPS) (Kamio and
Nikaido, 1976; Raetz, 1990). Outer membrane proteins usually
traverse the membrane and anchor the outer membrane to the underlying
petidoglycan sheet. The LPS molecule that constitutes the outer
face of the outer membrane is composed of a hydrophobic region, called
lipid A, which is attached to a hydrophilic linear polysaccharide
region, consisting of the core polysaccharide and the O-specific
polysaccharide (Nikaido and Vaara, 1985). This outer leaflet of
LPS molecules is composed of three distinct components. The
innermost layer of LPS is the lipid A tail, which is anchored into the
hydrophobic region of the outer membrane. The endotoxic property
of LPS resides largely in the lipid A component (Stone, 1994).
The core component contains an eight-carbon sugar called KDO as well as
phosphates and possesses an overall electronegative charge (Al-Tahhan
et al., 2000). The O-specific polysaccharide component extends
tens of nanometers above the outer bilayer, which brings it into
contact with the environment (Poxton, 1993; Pink et al., 2003).
a
lipid bi-layer
In such a complicated molecular system, how can
atomic spectroscopy possibly give any information about the function of
the organism? The key is that two specific divalent cations, Ca2+
and Mg2+, play a crucial role in stabilizing the membrane by binding
adjacent LPS molecules (Leive, 1974). The exact mechanism of the
stabilization of the cations is not completely clear, but we already
know that the treatment of Gram-negative bacteria with a powerful
chelating agent such as EDTA cause the dispersion of LPS molecules
(Ibrahim et al., 1997). It is believed that Ca2+ and Mg2+ act to
stabilize the entire membrane structure by forming metal ion bridges
between phosphate groups of phospholipids or LPS and the membrane
proteins (Asbell and Eagon, 1996;). Alternatively, it has been
suggested that rather than acting as a series of intermolecular
cross-bridges, the ions primary role is to perform charge
neutralization of the electronegative KDO inner core (Snyder et al.,
1999). Molecular dynamics simulations of the LPS/Ca2+ binding
suggest that ions uniformly distributed across a small region of this
inner core can accurately model measured transmembrane potentials (Lins
and Straatsma, 2001). Moreover, the effect of displacement of
these cation binding sites has been measured by wide angle x-ray
diffraction to significantly alter the LPS packing structure from a
hexagonal to a nonhexagonal lattice (Snyder et al., 1999). This
could explain the changes in membrane permeability, perhaps the
antigenic variation for serogrouping, as a function of cation
concentration. This permeability changes as a function of cation
concentration (Ca, Mg, Na, and Ba) is directly related to antibiotic
efficacy against the bacteria (Pink et al., 2003; Ibrahim et al.,
1997). It is these specific cations to which LIBS is particularly
sensitive.
All of these works clearly demonstrate the potential usefulness of LIBS
as an optical modality for the identification and discrimination of
bacterial strains, as well as possibly providing the atomic basis of
serological classification. The usefulness of LIBS will be
greatly enhanced when combined with other optical modalities,
specifically Raman spectroscopy (Burgio et al., 2000; Giakoumaki et
al., 2006; Wiens et al., 2005; Noll and Fricke-Begemann, 2006).
Raman spectroscopy is
a versatile molecular vibrational technique that has only recently been
widely applied for identification purposes in microbiology (Maquelin et
al., 2002; Navratil et al., 2006). In this application, a laser
beam is non-destructively incident upon a bacterial target and the
inelastically scattered light is carefully dispersed. Shifts in
the scattered photon energy corresponding to vibrational modes in the
molecules of the target are then measured to determine molecular
composition. This technique has been effectively used on
bacterial slurries (Goodacre, 1998a), to probe bacterial colonies
(Choo-Smith, 2001), to identify and discriminate medically important
microbes including E. coli, Klebsiella spp., Enterococcus spp. (such as
E. hirae, E. durans, E. casseliflavus and E. gallinarum), Proteus
mirabilis, Staphylococcus aureus, Candida strains, Pseudomonas spp,
(Maquelin et al., 2002; Jarvis and Goodacre, 2004a), and even to probe
individual microbial cells (Huang et al., 2004; Harz et al.,
2005). Of particular interest is the ability to discriminate
spectra from vancomycin-resistant strains of Enterococcus faecium from
non-resistant strains (Maquelin et al., 1998) and methicillin-sensitive
and –resistant strains of S. aureus (Goodacre et al., 1998b).
A very recent advance called surface-enhanced Raman scattering (SERS)
has made Raman spectroscopy more widely applicable in this biophotonic
application by enhancing the spectroscopic signal by factors of 103 up
to 106, and by quenching the contaminating background fluorescence
(Kneipp et al., 2002). This advance has made the real-time
identification and discrimination of a wide variety of bacteria
possible (Grow et al., 2003; Jarvis and Goodacre. 2004b; Jarvis et al.
2004). In addition, a limited number of groups worldwide have
begun utilizing “hybrid” LIBS/Raman systems for a variety of
applications (Boyain-Goitia et al., 2003). The reason for using
“hyphenated” techniques (such as LIBS-Raman) is that the quantity of
information added by using orthogonal modalities increases very
rapidly. In particular, the ability to obtain both atomic and
molecular information by using the LIBS-Raman technique is impossible
using either technique alone.
Chemometrics.
Many opponents of LIBS-Raman optical modalities continue to insist that
common contaminants or “dirty” samples will forever preclude the
ability of these techniques to provide useful clinical diagnosis of
bacterial infection. However, previous work has already
demonstrated that with appropriate statistical strategies, the optical
technologies can be successfully used to discriminate the target
bacteria from common contaminants and biological “interferents”
(Beddows and Telle, 2005; Munson et al., 2005; Hybl et al.,
2006). In particular, the use of sophisticated software to
perform a chemometric analysis has made this discrimination from
background signatures possible. Such techniques, such as
Principal Component Analysis (PCA) and Discriminant Function Analysis
(DFA) which is described in detail in the Preliminary Studies section
have allowed the use of the entire optical spectrum from the bacteria
to discriminate it from closely related yet different biological sample
contaminants.
When using these chemometric techniques, usually as much unique data as
possible from each sample is collected. The mathematic algorithms
then are able to identify subtle, yet reproducible differences in
spectral information that uniquely identify the organism. The
combination of the two optical modalities of LIBS and Raman
spectroscopy would provide complementary spectral information which,
when taken as a complete spectral fingerprint, offers a much greater
opportunity for identification than either modality alone.
Sensitivity. Although prior
LIBS experiments have been performed on colonies grown in culture
(approximately 1,000-10,0000 bacteria ablated per test) for strongest
signal, experiments conducted by the PI have also been performed on
dilute liquid cultures with positive results and Raman analysis has
been performed on single microbial cells, indicating the possibility of
applying both of these techniques to real clinical samples.
Ablated E. coli on an agar
substrate

The atomic composition of E. coli. (and lines used
in discrimination)