FTIR Microspectroscopy Coupled with Two-Class Discrimination Segregates Markers Responsible for Inter- and Intra-Category Variance in Exfoliative Cervical Cytology.

Infrared (IR) absorbance of cellular biomolecules generates a vibrational spectrum, which can be exploited as a ?biochemical fingerprint? of a particular cell type. Biomolecules absorb in the mid-IR (2?20 \ensuremathμm) and Fourier-transform infrared (FTIR) microspectroscopy applied to discriminate different cell types (exfoliative cervical cytology collected into buffered fixative solution) was evaluated. This consisted of cervical cytology free of atypia (i.e. normal; n = 60), specimens categorised as containing low-grade changes (i.e. CIN1 or LSIL; n = 60) and a further cohort designated as high-grade (CIN2/3 or HSIL; n = 60). IR spectral analysis was coupled with principal component analysis (PCA), with or without subsequent linear discriminant analysis (LDA), to determine if normal versus low-grade versus high-grade exfoliative cytology could be segregated. With increasing severity of atypia, decreases in absorbance intensity were observable throughout the 1,500 cm?1 to 1,100 cm?1 spectral region; this included proteins (1,460 cm?1), glycoproteins (1,380 cm?1), amide III (1,260 cm?1), asymmetric (\ensuremathνas) PO2 ? (1,225 cm?1) and carbohydrates (1,155 cm?1). In contrast, symmetric (\ensuremathνs) PO2 ? (1,080 cm?1) appeared to have an elevated intensity in high-grade cytology. Inter-category variance was associated with protein and DNA conformational changes whereas glycogen status strongly influenced intra-category. Multivariate data reduction of IR spectra using PCA with LDA maximises inter-category variance whilst reducing the influence of intra-class variation towards an objective approach to class cervical cytology based on a biochemical profile