Main

Prostate cancer is the most common cancer diagnosed in males in the UK (Quinn et al, 2001). The gold standard technique for diagnosing and characterising prostate cancer is currently histological examination of prostate biopsy cores. The subjective nature of this technique means that it is associated with considerable inter- and intraobserver variation in reporting (Ozdamar et al, 1996; Allsbrook et al, 2001). As the therapeutic options available to treat prostate cancer increase, so does the importance of accurate characterization of the tumour. For this reason, the development of new technologies capable of providing accurate and objective methods to assess prostate cancer is desirable.

Raman spectroscopy (RS) is an optical technique that utilises molecular-specific, inelastic scattering of light photons to interrogate biological material (Stone et al, 2002; Crow et al, 2003a). When material is illuminated with laser light, a small fraction of the photons are inelastically scattered by the intramolecular bonds present. When this occurs, the photon donates energy to or receives energy from the molecule, producing a change in the molecule's vibrational state. When it subsequently exits the material, the light photon has an altered energy level and, therefore, a different wavelength compared to the original laser light. This change in the photon's energy is known as the ‘Raman shift’ and is measured in wavenumbers.

Photons interacting with different biochemical bonds undergo specific Raman shifts, which considered together form the ‘Raman spectrum’. The Raman spectrum is a plot of intensity against Raman shift (Figure 1). The Raman spectrum is a direct function of the molecular composition of the material studied. When applied to biological tissue, the technique holds the potential to differentiate between different pathologies based on the differences in their biochemical makeup.

Figure 1
figure 1

A Raman spectrum from a prostate cell with wavenumbers labelled for major peaks.

A study of prostatic core biopsies has shown that RS can identify and grade prostatic adenocarcinoma (CaP) in vitro (Crow et al, 2003b), although the heterogeneity of prostatic pathology makes prostatic tissue difficult to study. Cultured human prostatic cell lines are the product of a monoclonal proliferation of immortalised CaP cells. All cells within each cell line are theoretically identical, making them easier to study than the heterogeneous prostatic tissue. The aim of this study was to determine whether RS is able to differentiate between cell lines representing CaPs of varying biological aggressiveness. The study was undertaken with a view to provide complimentary evidence to support the findings of the prostate biopsy studies with a view to develop the technique for application in clinical practise.

Materials and methods

Cell culture and preparation

Human prostate cancer cell lines (LNCaP, PC 3, DU145 and PCA 2b) were obtained from the European collection of Animal Cell Cultures Catalogue (ECACC) Porton Down, UK and grown in a humidified 5% CO2 atmosphere at 37°C according to the protocols suggested by the ECACC. DU145, LNCaP and PC 3 cells were maintained in RPMI 1640 tissue culture media (BioWhittaker™) with L-glutamine supplemented with 10% foetal calf serum (FCS), penicillin (5000 IU ml−1), streptomycin (5 mg ml−1) and L-glutamine (5 mg ml−1) (growth media). MDApca2b cells were maintained in RPMI 1640 tissue culture media without L-glutamine and without Phenol Red (Gibco, Paisley, UK) supplemented with cholera toxin (62.5 μl), EGF (10 ng ml−1), 0.05 mM phosphoethanolamine (25 μl) (100 pg ml−1 hydrocortisone) 250 μl, 45 nM selenious acid (1 μl), 0.005 mg ml−1 insulin (22 μl), penicillin (5000 IU ml−1), streptomycin (5 mg ml−1) and 20% foetal bovine serum (100 ml) (growth media). The cells were transported in low serum RPMI 1640 tissue culture media (BioWhittaker™) supplemented with 0.1% FCS, penicillin (5000 IU ml−1), streptomycin (5 mg ml−1) and L-glutamine (5 mg ml−1) (serum-free media). Tissue culture plastics were obtained from Greiner Labortechnic Ltd (Stonehouse, UK).

A limited number of prostate cancer cell lines are available and the above four cell lines were selected as they can be considered to present various stages in the development of androgen-independent prostate cancer and of biological aggression. LNCaP (Horoszewicz et al, 1983) and MDApca2b (Navone et al, 1997) cells can be considered relatively well-differentiated cells, which retain androgen sensitivity, whereas DU145 (Mickey et al, 1980) and PC 3 (Kaighn et al, 1979) cells are more poorly differentiated cells, which no longer posses androgen sensitivity and show more aggressive phenotypic features such as increased migration and invasiveness (Lang et al, 2000; Fisher et al, 2002).

To be suitable for analysis by the Raman system, the cells required transfer to a calcium fluoride slide. Cells were seeded in a T-75 tissue culture flask at a density of 1 × 106 cells ml−1 and grown to 80% confluence in growth media as described above. The growth media were then aspirated and replaced with 10 ml serum-free media and the cells were incubated for a further 24 h. The cells were scrapped free from their culture dish using a cell scraper (GrienerBio-one), transferred to a 20 ml universal tube and centrifuged at 2000 r.p.m. for 10 min at room temperature. Trypsin was avoided to minimise contamination of the samples. The supernatant was aspirated and the cells were resuspended in phosphate-buffered saline (PBS) (Oxoid BR14) to wash the remaining media off the cells. The cells were then centrifuged for 10 min at 2000 r.p.m. for a second time. The supernatant was then aspirated and the cells put through a cytospin centrifuge cycle at 1250 r.p.m. for 5 min, placing the cells directly onto a calcium fluoride slide. The slide was kept in a moist environment and taken back to the spectroscopy lab, so that spectra could be measured from the cells, within 30 min of removal from the culture medium.

Raman spectroscopy

The Raman system (Figure 2) comprises a 300 mW laser (Renishaw) that supplies near-infrared excitation light at 830 nm, which is focused onto the sample via a microscope objective (Leica NPLAN × 50 objective). The same objective collects the scattered light from the sample and directs it to the spectrometer. The spectrometer processes this scattered light, by rejecting the unwanted portion and separating the remainder into its constituent wavelengths. The Raman spectrum is recorded on a deep depletion charge-coupled device detector (Renishaw RenCam). The system has been customised in order to produce the optimal set-up for recording Raman spectra from biological tissue in vitro (Stone, 2001). The recorded Raman spectrum is digitalised and displayed on a personal computer using GRAMS/32 software (Galactic Industries). The system is managed using Renishaw WiRE software (Windows based Raman Environment Version 1.3.15), which allows the experimental parameters to be set.

Figure 2
figure 2

Renishaw 1000 Raman system.

In all, 50 Raman spectra were recorded from DU 145 cells and LNCaP cells, with 49 and 51 spectra recorded from MDApca2b and PC 3 cells, respectively. Each spectrum was acquired over a period of 20 s.

Construction and testing of the diagnostic algorithm

The Raman spectra were analysed with the aim of determining whether there were consistent differences between the molecular composition of the different cell lines and whether these differences would allow for construction of a diagnostic algorithm capable of identifying the cell line of an individual cell from its Raman spectrum. The algorithms were created using principal component fed (PCA/LDA) as described below. This spectral analysis was carried out using tailor-made routines run in the MATLAB® environment and the Eigenvector® PLS-toolbox.

Principal component analysis was used to compress the information held by the spectra (Jackson, 1991) and involved calculating 25 principal components (also known as loads) that describe the greatest variance of the spectral data from its mean. Each spectrum can be reconstructed by adding the products of the loads and the scores for each spectrum. The scores are effectively the amount of each component found in the spectrum. Therefore, so long as the loads are known, the spectra in the data set can be described by the 25 scores. The first three principal components were visually analysed to determine whether there were differences in the concentration of specific species of molecules present in each cell line. The degree of separation achieved between the different cell lines was initially determined using PCA alone. Subsequently, LDA was also employed to accentuate the separation between cell lines (Ramanujam et al, 1996; Otto, 1999) in order to increase the diagnostic accuracy of the algorithm. This was achieved by applying three linear discriminant functions (LDFs) to each of the spectra.

The accuracy of the algorithm, in correctly identifying a cell's identity from its spectrum, was determined using ‘leave one spectrum out’ crossvalidation. This involved removing one spectrum from the data set and constructing a diagnostic algorithm from the remainder of the spectra. The algorithm then predicted the cell line of ‘left out’ spectrum and stored the result. This process was repeated, with each spectrum left out in turn, until each of the spectra had its cell line predicted. The overall predictive accuracy of the algorithm was calculated and expressed in terms of sensitivity and specificity for each cell line.

Results

Using the methods outlined above, good quality Raman spectra were measured from each of the cell lines studied. Figure 3 shows the mean Raman spectra measured from each of the four cell lines. In the interest of clarity, the spectra have been equally spaced with respect to the intensity axis utilising the 1450 peak as a reference point. Although the spectra appear similar in shape, subtle morphological differences exist. These differences were exploited by calculating the principal components of the spectral data set. The first three principal components, that is, those that describe the greatest variance in the spectral data set, are shown in Figure 4. Visual analysis of these principal components allows identification of molecular species from their Raman peaks. The principal components have peaks and troughs that can be identified from the literature to provide an understanding of the origins of the statistical variations. It is the concentrations of these molecular species that vary most significantly between the four cell lines.

Figure 3
figure 3

Mean Raman spectra measured from each of the cell lines.

Figure 4
figure 4

Loads of the first three principal components. These describe the greatest variance in the spectra.

Principal component 1 (PC1) represents increased concentrations of nuclear acids (721, 783, 1305, 1450 and 1577 cm−1), DNA backbone (O–P–O) (827 and 1096 cm−1) and unordered proteins (1250 and 1658 cm−1). Principal component 2 (PC2) represents decreased concentrations of α-helix proteins (935, 1263 and 1657 cm−1) and phospholipids (719, 1094, 1125 and 1317 cm−1). Principal component 3 (PC3) represents decreased concentrations of lipids (1090, 1302 and 1373 cm−1), glycogen (484 cm−1) and nucleic acids (786, 1381 and 1576 cm−1).

Cell lines DU145 and PC 3 are androgen insensitive and can be discriminated when the scores for PC3 are high and the scores for PC2 less than or equal to zero. This is in contrast to the androgen-sensitive cell lines of MDApca2b and LnCaP, which can be discriminated with PC3 scores of zero or less and PC2 scores of zero or greater.

A good separation between the four cell lines can be achieved by utilising just the first three PCs. A three-dimensional scatter plot of the principal components scores (the amount of each spectral component found in each spectrum measured) is shown in Figure 5. This significantly strengthens the view that there is an inherent molecular difference between the cells, by providing a display of the natural separation of the data without supervised statistical manipulation. Cell line DU145 appears to have a distinctly lower level of nuclear material and unordered proteins when compared to the other cell lines, as represented by PC1.

Figure 5
figure 5

A three-dimensional scatter plot of the scores of PCs 1, 2 and 3. This demonstrates the natural clustering of the four cell lines spectra, without any modification of the algorithm to maximise group separation.

Figure 6 illustrates the degree of separation that the PCA/LDA algorithm achieved between the spectra of each cell line. The position of each spectrum is plotted in three-dimensional space relative to each of its three LDFs. It can be seen that there is excellent clustering of spectra within each cell line group, with each of the four cell line groups occupying a distinct region of the three-dimensional plot space.

Figure 6
figure 6

A three-dimensional scatter plot of the scores of LDFS 1, 2 and 3 demonstrating the clustering of the four cell lines achieved by the PCA/LDA algorithm.

Table 1 gives the crossvalidated results achieved by the algorithm. The rows of the table show the numbers of spectra measured for each cell line. The columns of the table show the number of spectra that the algorithm has predicted as belonging to each cell line. By looking across each row of the table, the number of correctly predicted spectra for each cell line, shown in bold, can be seen. The remaining values within each row represent misclassifications by the algorithm. Figure 7 illustrates these data in bar chart form. The X-axis represents true cell line and the Z-axis represents Raman predicted cell line, with the Y-axis displaying the percentage of spectra predicted into each cell line. The diagonal row of large bars shows correct predictions by the algorithm, with all other bars representing misclassifications.

Table 1 Crossvalidated results achieved by the diagnostic algorithm
Figure 7
figure 7

A bar chart demonstrating the prediction power of the diagnostic algorithm.

Table 2 shows how these results translate into sensitivities and specificities for the prediction of each of the four cell lines.

Table 2 Sensitivities and specificities achieved by the diagnostic algorithm

Discussion

The results of the PCA taken alone begin to give insight as to the types of molecules that vary in concentration between CaP cell lines of differing biological aggressiveness. These variations are complex, making it difficult to form a complete picture as to their nature; however, the major variations are documented in the results. In a previous Raman study, CaP was found to have a reduced concentration of glycogen and increased concentration of nucleic acids compared to benign prostatic hyperplasia (Crow et al, 2003b). The results of the current study suggest that lower glycogen concentrations are found in poorly differentiated cell lines (DU145 and PC3) compared to the better differentiated cell lines (MDApca2b and LnCaP). The picture with nucleic acids is less clear with the androgen-independent cell lines, if anything, showing lower concentrations of nucleic acids than androgen-dependent cell lines. Interpretation of the spectra and principal components remains imprecise and qualitative in nature; however, work is ongoing to devise an accurate method by which to retrieve quantitative molecular information.

The PCA/LDA algorithm achieved near perfect identification of each cell line, with sensitivities ranging from 96 to 100% and specificities all 99% or higher. These results confirm that RS is able to differentiate between cells derived from CaPs of different biological aggressiveness.

These findings suggest that RS may have potential application as a research tool. Within the field of cell culture, for example, when cells undergo apoptosis, the DNA content of the cell is reduced and flow cytometry is currently used to quantify apoptosis by measuring the DNA content of cells (Darzynkiewicz et al, 2001). As RS exploits biochemical differences between cells, an algorithm could be generated to identify apoptotic cells based on the change in their Raman spectrum as the DNA content diminishes.

This study also has implications for clinical practise. The results reinforce previous studies, which have suggested that RS can be used to grade CaP (Crow et al, 2003b). Given the high degree of accuracy and objectivity achieved, these findings strongly support the development of RS as a tool capable of assisting pathologists in accurately assessing prostatic tissue. Prior to the widespread use of core biopsy, many CaPs were diagnosed using prostatic fine-needle aspiration (FNA). Core biopsy has superseded FNA, largely because histological examination of prostatic core biopsies is able to provide more accurate prognostic information than cytological examination of prostatic FNA samples (Schmidt, 1992). The results achieved by this study demonstrate that RS may have utility analysing prostate FNA samples with the potential to derive prognostic information.

Whether applied to analyse prostate biopsies or FNA samples, the high speed, accuracy and objectivity of RS means that it shows promise in improving the clinical diagnosis of CaP.