Research Article
Classification of lung cancer histology by gold nanoparticle sensors

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Abstract

We propose a nanomedical device for the classification of lung cancer (LC) histology. The device profiles volatile organic compounds (VOCs) in the headspace of (subtypes of) LC cells, using gold nanoparticle (GNP) sensors that are suitable for detecting LC-specific patterns of VOC profiles, as determined by gas chromatography–mass spectrometry analysis. Analyzing the GNP sensing signals by support vector machine allowed significant discrimination between (i) LC and healthy cells; (ii) small cell LC and non–small cell LC; and between (iii) two subtypes of non–small cell LC: adenocarcinoma and squamous cell carcinoma. The discriminative power of the GNP sensors was then linked with the chemical nature and composition of the headspace VOCs of each LC state. These proof-of-concept findings could totally revolutionize LC screening and diagnosis, and might eventually allow early and differential diagnosis of LC subtypes with detectable or unreachable lung nodules.

From the Clinical Editor

In this study, a nanomedical device that profiles volatile organic compounds (VOCs) in lung cancer cells is investigated, using a matrix of gold nanoparticle (GNP) sensors that are suitable for detecting lung cancer (LC) specific patterns of VOC profiles. This device might eventually allow early differential diagnosis of LC subtypes including unreachable lung nodules.

Graphical Abstract

Experimental procedure for in vitro studies of lung cell line head space. The samples were analyzed by both the gold nanoparticle sensors (B, C, F) and gas chromatography–mass spectrometry (D, E, G).

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Section snippets

Collection of the headspace samples

The headspace samples were collected from commercially available cell lines. Fourteen NSCLC cell lines, subcategorized into 10 adenocarcinoma cell lines and 4 squamous cell carcinoma cell lines, as well as four SCLC cell lines (Table 1), were obtained from the Colorado cell bank registry. The cell lines were grown in 100-mm cell culture dishes from seeding (∼2 × 106 cells) up to 95% confluency (7 × 106 cells), using a two-dimensional medium (medium 1) under standard conditions (RPMI 1640 medium

Chemical analysis of the headspace LC cell lines

Our GC-MS/SPME analysis identified over 700 different VOCs in each headspace sample. Nonparametric Wilcoxon/Kruskal-Wallis tests could identify several VOCs from the families of aldehydes, alkanes, ketones, alcohols, and benzene derivatives that were on average significantly elevated or reduced in the LC subtypes studied, as compared to the empty medium (Table 3).

Marked differences were observed between the average headspace composition of all LC cell lines and of their simulated healthy

Discussion

The design of this study followed the hierarchical order of a possible future test for the screening and subsequent differential diagnosis of LC. In the first phase of such a test, a wide population would be screened for LC, using a test that can distinguish between LC and healthy states. In the second phase, the histological LC type would be determined in the LC-positive subjects, using a test that can distinguish between the two most prevalent histological types: NSCLC (80.4%) and SCLC

Acknowledgments

O.B. and U.T. acknowledge helpful discussions with Dr. Maya Ilouze.

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    The topic of this invited contribution has been presented at the 4th IEEE International Conference on Nano/Molecular Medicine and Engineering (IEEE-NANOMED 2010), December 5-9, 2010, Hong Kong SAR, China.

    O.B., N.P., U.T., P.B., and H.H. have no conflict to declare related to the study. F.H is a member of the consultant/advisory boards of AstraZeneca, Roche, Lilly, Pfizer, Boehringer-Ingelheim, Merck Serono, Ventana-Roche, Glaxo Smith Kline, BMS/Imclone, and Syndax.

    The research leading to these results has received funding from the FP7-Health Program under the LCAOS (grant 258868; H.H. and N.P.) and FP7′s ERC grant under DIAG-CANCER (grant 256639; H.H.), the NIH/Lung SPORE (F.H., P.B.), and the International Association for the Study of Lung Cancer (N.P.).

    All authors designed the research; O.B. and N.P. performed the research; U.T., O.B., N.P., and H.H. analyzed data, and U.T. and H.H. wrote the article.

    1

    These two authors contributed equally to this work.

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