Novel non-invasive quantification and imaging of Eumelanin and DHICA subunit in skin lesions by raman spectroscopy and MCR algorithm: improving dysplastic Nevi diagnosis

: Malignant melanoma (MM) is the most aggressive form of skin cancer, and around 30% of them may develop from pre-existing dysplastic nevi (DN). Diagnosis of DN is a relevant clinical challenge, as these are intermediate lesions between benign and malignant tumors, and, up to date, few studies have...

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Detalles Bibliográficos
Autores: Ruíz, José Javier, Marro, Mónica, Galván, Mónica, Bernabeu Wittel, José, Conejo-Mir Sánchez, Julián, Zulueta Dorado, Teresa, Guisado Gil, Ana Belén, Loza Álvarez, Pablo
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/137760
Acceso en línea:https://hdl.handle.net/11441/137760
https://doi.org/10.3390/cancers14041056
Access Level:acceso abierto
Palabra clave:Skin neoplasms
Melanoma
Dysplastic nevus syndrome
Eumelanin
Raman spectroscopy analysis
Multivariate analysis
Reactive oxygen species
Descripción
Sumario:: Malignant melanoma (MM) is the most aggressive form of skin cancer, and around 30% of them may develop from pre-existing dysplastic nevi (DN). Diagnosis of DN is a relevant clinical challenge, as these are intermediate lesions between benign and malignant tumors, and, up to date, few studies have focused on their diagnosis. In this study, the accuracy of Raman spectroscopy (RS) is assessed, together with multivariate analysis (MA), to classify 44 biopsies of MM, DN and compound nevus (CN) tumors. For this, we implement a novel methodology to non-invasively quantify and localize the eumelanin pigment, considered as a tumoral biomarker, by means of RS imaging coupled with the Multivariate Curve Resolution-Alternative Least Squares (MCR-ALS) algorithm. This represents a step forward with respect to the currently established technique for melanin analysis, High-Performance Liquid Chromatography (HPLC), which is invasive and cannot provide information about the spatial distribution of molecules. For the first time, we show that the 5, 6-dihydroxyindole (DHI) to 5,6-dihydroxyindole-2-carboxylic acid (DHICA) ratio is higher in DN than in MM and CN lesions. These differences in chemical composition are used by the Partial Least Squares-Discriminant Analysis (PLS-DA) algorithm to identify DN lesions in an efficient, non-invasive, fast, objective and cost-effective method, with sensitivity and specificity of 100% and 94.1%, respectively.