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Spectrochimica Acta Part A: Molecular and Biomolecular Spectroscopy 293 (2023) 122457

Contents lists available at ScienceDirect

Spectrochimica Acta Part A:


Molecular and Biomolecular Spectroscopy
journal homepage: www.journals.elsevier.com/spectrochimica-acta-part-a-
molecular-and-biomolecular-spectroscopy

Surface-enhanced Raman spectroscopy of centrifuged blood serum samples


of diabetic type II patients by using 50KDa filter devices
Usama Ehsan a, Haq Nawaz a, *, Muhammad Irfan Majeed a, *, Nosheen Rashid b, *, Iram c,
Zain Ali a, Anam Zulfiqar a, Ayesha Tariq a, Muhammad Shahbaz a, Lubna Meraj a, Iqra Naheed a,
Nimra Sadaf a
a
Department of Chemistry, University of Agriculture Faisalabad, Faisalabad 38000, Pakistan
b
Department of Chemistry, University of Education, Faisalabad Campus, Faisalabad 38000, Pakistan
c
Government Graduate College for Women, Faisalabad 38000, Pakistan

H I G H L I G H T S G R A P H I C A L A B S T R A C T

• Surface enhanced Raman spectroscopy


is employed to characterize the centri­
fuged serum samples of diabetic patients
and healthy ones.
• Silver nanoparticles are used as Surface
enhanced Raman spectroscopy
substrates.
• Some Surface enhanced Raman spec­
troscopy spectral features are associated
with diabetic samples in comparison
with healthy ones which can be
employed for diagnostic purpose.
• Principal components analysis (PCA) is
found helpful for the differentiation be­
tween SERS spectral data of diabetic and
healthy samples.
• Partial Least discriminant Analysis
(PLSDA) model is validated and can be
used for the classification of diabetic
samples and healthy samples.

A R T I C L E I N F O A B S T R A C T

Keywords: Blood serum contains essential biochemical information which are used for early disease diagnosis. Blood serum
Centrifugal filtration consisted of higher molecular weight fractions (HMWF) and lower molecular weight fractions (LMWF). The
Filtrate portions of blood serum samples disease biomarkers are lower molecular weight fraction proteins, and their contribution to disease diagnosis is
surface-enhanced Raman spectroscopy
suppressed due to higher molecular weight fraction proteins. To diagnose diabetes in early stages are difficult
Type II diabetes
Multivariate data analysis
because of the presence of huge amount of these HMWF. In the current study, surface-enhanced Raman spec­
troscopy (SERS) are employed to diagnose diabetes after centrifugation of serum samples using Amicon ultra
filter devices of 50 kDa which produced two fractions of whole blood serum of filtrate, low molecular weight
fraction, and residue, high molecular weight fraction. Furthermore SERS is employed to study the LMW fractions

* Corresponding authors.
E-mail addresses: haqchemist@yahoo.com (H. Nawaz), irfan.majeed@uaf.edu.pk (M. Irfan Majeed), nosheenrasheed@yahoo.com (N. Rashid).

https://doi.org/10.1016/j.saa.2023.122457
Received 2 January 2023; Accepted 3 February 2023
Available online 6 February 2023
1386-1425/© 2023 Elsevier B.V. All rights reserved.
U. Ehsan et al. Spectrochimica Acta Part A: Molecular and Biomolecular Spectroscopy 293 (2023) 122457

of healthy and diseased samples. Some prominent SERS bands are observed at 725 cm− 1, 842 cm− 1, 1025 cm− 1,
959 cm− 1, and 1447 cm− 1 due to small molecular weight proteins, and these biomarkers helped to diagnose the
disease early stage. Moreover, chemometric techniques such as principal component analysis (PCA) and partial
least square discriminant analysis (PLS-DA) are employed to check the potential of surface-enhanced Raman
spectroscopy for the differentiation and classifications of the blood serum samples. SERS can be employed for the
early diagnosis and screening of biochemical changes during type II diabetes.

1. Introduction made up of six proteins. Each one weighs than 50 kDa.. These proteins
are Albumin (66 kDa), immunoglobulin G (IgG) with 150 kDa, trans­
Diabetes type II is non-insulin-dependent diabetes and is a major ferrin (80 kDa), α1-Antitrypsin (52 kDa), immunoglobulin A (IgA)
health problem. It has recently emerged as one of the most common and 180–500 kDa and immunoglobulin M (IgM) (950 kDa) [43,44].In this
serious chronic disease, which causes life-threatening, devastating, study 50 kDa filter devices used because a majority of diabetes type II
costly complications and reduction in life expectancy [1]. According to related disease proteins range in size less than 50 kDa[45,46].In diabetes
the International Diabetes Federation (IDF), an estimated 537 million type II, more than fifteen proteins with molecular weights ranging from
individuals suffer diabetes around the world and it is expected that this 9 to 100 kDa are present, of which six major proteins have molecular
value will rise to 783 million in 2045. Among different types of diabetes, weights of 45, 37, 25, 24.7, 20, 13.9, and 9.4 kDa which are Hapto­
diabetes type II is lethal and accounts for the majority of cases [2]. Major globin, Immunoglobulin heavy constant alpha, Serum amyloid P-
risk factors for diabetes type II are overweight, a lack of physical activity component, Glucagon-like peptide-1 amide, Transthyretin and apoli­
and a family history of diabetes [3]. The long-term impact causes many poprotein respectively [47]. These proteins could be potential targets in
complications including loss of vision; kidney failure, amputations, the current study following centrifugal filtration with a filter size of 50
gastrointestinal, genitourinary, cardiovascular symptoms and sexual kDa. Therefore, serum samples performed centrifugal filtration to
dysfunction [4]. Furthermore, it is usually diagnosed at later stages of separate the LMWF and HMWF. The SERS spectral characteristics
the disease, causing many problems in treatment. The diagnosis of this related to the diabetes type II disease biomarkers were subsequently
disease in early stages is critical for extending the life, reducing com­ carried out to analyse the LMWF. After centrifugation two fractions are
plications and for its diagnosis diabetes screening and blood glucose obtained including high molecular weight protein fractions (HMW) and
testing is frequently advised [5]. some low molecular weight protein fractions (LMW). The later contains
Raman spectroscopy is used for the biochemical analysis and provide possible disease related proteins. The LMW are then analyzed with
information about the molecular structure and conformation as a unique surface enhance Raman spectroscopy (SERS) to identify the biochemical
fingerprint [6–12]. Both Raman Spectroscopy and Surface Enhanced changes based on lower molecular weight protein fractions in diabetic
Raman spectroscopy can be used for the disease diagnosis as explained patients in comparison with healthy ones. Moreover, different chemo­
earlier in different studies. These studies include applications of Raman metric techniques such as principal component analysis (PCA) and
Spectroscopy for diagnosis of Hepatitis B [13], breast Cancer [14] and partial least square regression discriminant analysis (PLS-DA) are
diabetes [15].Moreover, in a recent study Raman spectroscopy is used employed to check the potential of surface-enhanced Raman spectros­
for quantification of glucose by employing centrifugally filtered serum copy for this purpose. Furthermore, PLS-DA approach is employed for
samples [16]. Surface enhanced Raman spectroscopy (SERS) has been differentiating and classification of SERS spectral data sets of filtrate
used for the diagnosis of different diseases such as hepatitis C [17,18], portions of centrifuged serum samples of diabetic patients and healthy
hepatitis B [19], dengue infection [20], typhoid infection [21] and ones. Various studies are being conducted to investigate the use of
breast cancer [22]. Although, FTIR, NIR can also be used for the bio­ Raman spectroscopy [15,28,48] and surface enhanced Raman spec­
logical studies but have the problem of interference by water if present troscopy (SERS) [29,49] for the analysis and diagnosis of diabetes while
in the samples [23]. SERS is widely used in disease diagnosis because it using blood components including serum and plasma. After careful re­
clearly differentiates between healthy and disease spectral data sets view of these paper, it is observed that analysis of diabetes of centrifuged
[24–26]. Moreover, this technique is low cost, requires little or no serum samples by using surface enhanced Raman (SERS), has not been
sample preparation and enables easy sample identification [27]. Raman explored and no such research article has been published yet.
Spectroscopy and Surface Enhanced Raman spectroscopy were also
employed for the detection of diabetes by using serum [28,29] plasma 2. Material and methods
[30] and erythrocytes [31] samples, after carefully reviewing no study
on the centrifugally filleted serum of diabetes type II samples. 2.1. Sample preparation
A variety of disease-related biomarkers can be found in body fluids
such as urine, blood and serum [32]. In this regard, blood serum is The blood samples of healthy and diabetic patients were obtained
significant for early monitoring or screening of diabetes patients in order from the Rehman Clinical Lab, Faisalabad, Pakistan. In total were 60
to identify disease-related biomarkers which are lower molecular weight samples, including 15 healthy samples and 45 diabetic samples were
fraction biomolecules such as DNA [33–35], aliphatic hydrocarbon of used. For this study, we have used a 3 ml venous blood sample drawn
lipid molecules [36–39] and cholesterols [40,41]. Blood serum contains into an EDTA/Sodium fluoride tube. To separate blood serum, centri­
an extensive collection of essential disease related information deter­ fugation at 2000 rpm, 4℃ for 10 min [50]. For further centrifugation of
mination of which can aid in early disease detection and its biochemical serum samples to get low molecular weight protein fraction called
characterization. Blood serum contains high molecular weight protein filtrate parts and high molecular weight proteins called as residue,
fractions (HMW) and some low molecular weight protein fractions Amicon Ultra-2 ml centrifugal devices (Merck, Millipore) were used
(LMW). These LMW protein fractions are considered as disease bio­ which has cutoff value of 50 kDa. For the centrifugation of the serum,
markers but the investigation of human whole serum for disease specific 250 µl of serum was taken in a centrifugation tube and centrifuged at
biomarkers seems to be quite difficult. This is due to the reason that in 6500 rpm for 30 min. After that two fractions were found, one was
blood serum, albumin and globulin are high molecular weight proteins residue which have a high molecular weight (>50KDa) and the other
suppress the low molecular weight proteins making their detection was filtrate which have low molecular weight (less than50KDa) [51].
difficult [42].
Approximately 90 % of the serum’s total protein composition is

2
U. Ehsan et al. Spectrochimica Acta Part A: Molecular and Biomolecular Spectroscopy 293 (2023) 122457

Fig. 1. Mean SERS spectra of centrifugally filtered serum (filtrate) and uncentrifuged serum (whole Serum) and Residue of healthy samples.

2.2. Synthesis of silver nanoparticles healthy/control with that of centrifuged serum samples of diabetes
positive patients, Raman spectral data was analyzed by mean SERS plot.
The chemical reduction method was used to synthesize the silver Moreover, PCA and PLS-DA are also employed for the multivariate data
nanoparticles (Ag-NPs). As a precursor silver nitrate (AgNO3) was used analysis. PCA is a statistical technique that transforms correlated vari­
and reduced by trisodium citrate (Na3C6H5O7). For this, 0.0085 g of ables into uncorrelated ones. It maintains the variability of the data by
AgNO3 was added to distilled water followed by heating the solution to reducing its dimension. The first principal component (PC) -explains the
100 ◦ C and then added one percent of trisodium citrate (Na3C6H5O7). highest variances in data, while each subsequent PC explains the
The solution was continuously stirred with the magnetic stirrer over the remaining variance in the data. The PC loadings are illustrating the
hot plate for one and half hours to produce grey coloured silver (Ag) orthogonal dimensions of variability that can be used to separate SERS
nanoparticles [17]. spectral data into groups based on their variability. While partial least
square discriminant analysis (PLS-DA) was further employed for the
2.3. SERS spectral acquisition differentiation and classification of the SERS spectral data sets of the
filtrate portions of the centrifuged serum samples of healthy and dia­
A Peak Seeker Pro-785; Agiltron, USA Raman spectrometer having a betes positive samples.
785 nm diode laser delivering a power of 50 mW through a 40X
objective was used to get SERS spectra of the filtrate portions of the 3. Results and discussion
blood serum samples of the healthy volunteers and diabetic patients. For
SERS spectral acquisition, a 10 µl fraction of each filtrate sample was Blood serum contains LMW and HMW fractions.Notably, as the LMW
placed inside the groove on the aluminum slide and SERS spectra were fractions are suppressed by HMW fractions in the uncentrifuged serum
obtained. SERS spectra were recorded from all the samples in the range samples so not identifies as SERS spectral features. On centrifugal
of 400–1800 nm, and 15 SERS spectra were taken for each sample with filtration, the HMW fraction is removed (go in residue) so LMW fraction
an integration time of 15 s for each SERS spectrum. related SERS features are now easily identified in centrifugally filtered
serum samples.
Fig. 1 shows the SERS spectral features of healthy whole serum
2.4. Data preprocessing
(blue), filtrate (red), and residue (black). Which clearly indicates that in
the filtrate, SERS spectral features are more prominent than in the serum
By Using Matlab 7.8, the SERS spectral data was preprocessed ac­
due to the removal of HMW fractions of the serum, and also, some SERS
cording to the established protocols [52]. The preprocessing of SERS
spectral features that the absent in the filtrate and present in the residue
spectra included smoothing, baseline correction, substrate removal and
and serum are due to the HMW fractions of the Serum and these SERS
normalization,. Savitzky-Golay smoothing method is used for smoothing
spectral features are 497 cm− 1 (Glycogen),592 cm− 1(Amide-VI),630
of spectra [18]. The smoothing methods of Savitzky-Golay (order 1, 17-
cm− 1(Glycerol),725 cm− 1 (Glycosidic ring vibrational mode (adenine,
point window) were applied to smooth the data. Moreover, vector
polyadenine, DNA),850 cm− 1(tyrosine),890 cm− 1,970 cm− 1,1003
normalization method for normalizing the spectra, and subtraction
cm− 1(phenylalanine),1102 cm− 1(v(CC)and v(CN)), 1133 cm− 1,1205
method for th removal of background/substrate. The baseline correction
cm− 1 (Collagen),1280 cm− 1(C–H bending),1450 cm− 1(deformation
was applied to all of the spectra using the Rubberband algorithm [53].
mode of CH4),1512 cm− 1.Some SERS spectral features 850 cm− 1 (tyro­
sine), 1003 cm− 1 (phenylalanine),1102 cm− 1 (v(CC)and v(CN)) 1450
2.5. SERS data analysis cm− 1 (deformation mode of CH4) are present only in uncentrifuged
serum samples which are due to higher molecular weight proteins
To compare the mean SERS spectra of centrifuged serum samples of

3
U. Ehsan et al. Spectrochimica Acta Part A: Molecular and Biomolecular Spectroscopy 293 (2023) 122457

Fig. 2. Mean SERS spectra of centrifuged serum samples of diabetic patients and healthy/control.

from that healthy ones. A solid line represents peaks that are present in
Table 1
one spectrum while absent in others, and a dotted line represents peaks
SERS spectral peaks observed in the SERS spectra of Centrifuged serum samples
that are present in both spectrums but vary in peak intensities. Some
of healthy and diabetic patients.
higher intensities SERS spectral features in diabetic samples include 725
Peak Peak Assignment References
cm− 1 (Glycosidic ring vibrational mode adenine, polyadenine, DNA)),
position
(cm¡1)
959 cm− 1 (Cholesterol), 1025 cm− 1 (C–H deformation/adenine ring
stretching), 1095 cm− 1 (Lipids), 1332 cm− 1 (C–H stretching vibration,
356 δ(C–C–C) ring vibration of glucose [69]
Nucleic acid bases), 1447 cm− 1 (A Phospholipid), 1528 cm− 1 (carot­
362 C–C stretching [70]
392 C–COO − stretching mode [71] enoid (absent in normal tissues)), 1587 cm− 1 (Protein, Tyr) and 1703
418 Cholesterol [72] cm− 1 (ν(C–– O)OH).
429 Cholesterol, cholesterol ester [72] Similarly, some SERS spectral features including 356 cm− 1 (C–C–C
497 Glycogen [73]
ring vibration in glucose), 548 cm− 1 (Cholesterol), 1290 cm− 1 (Cyto­
526 S–S disulfide stretching in proteins [74]
548 Cholesterol [72] sine) and 1703 cm− 1 (ν(C– – O)OH) are present only in diabetic type- II
566 Tryptophan [75,76] but absent in filtrate portion of healthy centrifuged serum samples.
592 Amide-VI [58] However, some SERS spectral features are observed both in healthy and
630 Glycerol [72] diabetic type- II samples, including 362 cm− 1 (C–C stretching), 418
643 C–C twisting mode of tyrosine [73,77]
cm− 1 (Cholesterol), 429 cm− 1 (Cholesterol), 566 cm− 1 (Tryptophan),
659 C–S stretching mode of cysteine [78]
725 Glycosidic ring vibrational mode (adenine, [79,80] 959 cm− 1 (Cholesterol), 1095 cm− 1 (Lipid) and 1572 cm− 1 (v(C– – C)
polyadenine, DNA) Retinal). However, SERS spectral peak due to 725 cm-1 (adenine) can be
802 Uracil-based ring breathing mode [81] considered as a biomarker that can differentiate diabetic type- II from
842 Glucose [73]
healthy ones [58]. Some other SERS spectral features are observed with
893 Backbone, C–C skeletal [82]
959 Cholesterol [83]
increased peak intensities including 418 cm− 1 (Cholesterol), 429 cm− 1
1025 C–H deformation/adenine ring stretching [84] (Cholesterol), 959 cm− 1 (Cholesterol), 1095 cm− 1 (Lipid) which shows
1095 Lipid [85] that cholesterol and lipids concentration is increased in the diabetic
1174 Tyrosine, phenylalanine, C H bend (protein) [82] patients as compared to the normal ones [59]. Although human serum
1204 Collagen [86]
has over 4000 metabolites [60], some of which have a strong affinity for
1290 C–H bending [87]
1332 C–H stretching vibration, Nucleic acid bases [88] metal surfaces, and produce sharp SERS signal when used with metal
1400 NH in-plane deformation [32] nanoparticles. When the ratio of nanoparticles to biofluid volume is
1447 Phospholipid [58,76] high, there will be enough surface available to adsorb a range of analytes
1528 Carotenoid (absent in normal tissues) [89]
from those with high binding affinity (adsorbing quickly) to those with
1572 v(C–
–C) Retinal [90]
1587 Protein, Tyr [58]
low binding affinity (adsorbing slowly). The analytes with the highest
1703 ν(C–
–O)OH [91] binding affinities will adsorb first, potentially saturating the available
surface. When this ratio is low, there will be less surface available for
adsorption. These two effects lead to adsorption of different ratios of
including immunoglobulins and albumin [54–57]. biofluids at the surface of nanoparticles and, consequently, different
Mean SERS spectra of filtrate portions of the centrifuged serum SERS spectra are produced, which has recently been reported for the
samples of diabetic patients and healthy individuals are shown in Fig. 2. spectra of serum and plasma [61]. SERS of biofluids predominantly
References for their peak assigments of SERS spectral features shown in measures the biochemical constituents which have an affinity to adhere
Fig. 1 and Fig. 2 are provided in Table 1. There are two types of lines to the metal nanoparticle surface [62–64].”.
solid lines and dotted lines, used for labelling the SERS features differ­ In the filtrate portions of centrifuged blood serum samples, an
entiating between filtrate portions of serum samples of diabetic patients

4
U. Ehsan et al. Spectrochimica Acta Part A: Molecular and Biomolecular Spectroscopy 293 (2023) 122457

Fig. 3. PCA scatter plot of SERS spectra of filtrate portions of healthy (green dots) individuals and diabetic patients (red dots).

Fig. 4. PCA loadings of SERS spectral data SERS spectra of filtrate portions of healthy individuals and diabetic patients.

intense SERS feature was observed at 725 cm− 1, which corresponds to hydrocarbon of lipid molecules. This increases in intensity levels of this
the C–H bending mode of adenine. An increase in blood glucose seems band is an indication of diabetes. This may imply that an increase in lipid
to be directly related to the intensity of this band, indicating changes in content is closely related to diabetes [65,67]. Moreover, the prominent
adenine nucleotide A SERS contents in the centrifuged serum samples of SERS band at 1095 cm− 1 represent higher contents of lipids which shows
diabetic individuals [58,65]. A SERS feature at 842 cm− 1, is related to that diabetic patients have enhanced levels of lipids. The SERS bands at
carbohydrate (glucose), and its intensity is increased in diabetic spec­ 418 cm− 1,429 cm− 1, 548 cm− 1, 959 cm− 1 are due to cholesterol which
trum as compared to normal spectrum.. As a result of this, it is critical to differentiate that diabetic patients have more concentration of choles­
explain that impaired glycoprotein component metabolism is expected terol as compared to the normal ones [68]. Moreover, all of the peaks in
to play a key role in type- II diabetes diagnosis [66]. The other SERS different SERS spectra of centrifuged serum samples of diabetes may also
band at 1447 cm− 1 is assigned to the CH2 bending mode of the aliphatic be considered significant biomarkers for the diagnoses of diabetes type-

5
U. Ehsan et al. Spectrochimica Acta Part A: Molecular and Biomolecular Spectroscopy 293 (2023) 122457

Fig. 5. PLS-DA scatter plot of SERS spectral data sets of filtrate portions of healthy individuals and diabetic patients.

II on the basis of relatively high blood glucose levels As a result, the SERS PC-1 along X-axis. Maximum variability is explained by PC-1 which can
spectra have been successfully used to analyze centrifuged blood serum be seen in the PCA scatter plot as shown in Fig. 3. The SERS spectra of
samples in order to identify people with high diabetic conditions diabetes positive samples are clustered on the negative side of PC-1,
compared to healthy ones. while those of healthy samples are clustered on the positive side of
PC-1, explaining the majority of the variance, 66.65 %, in the SERS
3.1. Principal component analysis (PCA) spectral data of disease and healthy samples, with PC-2 accounting for
the 20.41 % variance.
Principal component analysis (PCA) is used to differentiate SERS Fig. 4 Shows PCA loadings identifying SERS spectral features as
spectral data of different groups/classes. PCA was used on entire data­ loadings of centrifuged serum of healthy samples and centrifuged serum
sets to classify and verify SERS features related to diabetes. The SERS samples of diabetic patients. The SERS spectral features observed in PCA
spectra of different groups/classes are clustered and differentiated by loadings include 548 cm− 1 (Cholesterol), 725 cm− 1 (Glycosidic ring

Fig. 6. Receiver operating characteristic (ROC) curve showing area under the curve (AUC).

6
U. Ehsan et al. Spectrochimica Acta Part A: Molecular and Biomolecular Spectroscopy 293 (2023) 122457

vibrational mode (adenine, polyadenine, DNA)), 842 cm− 1 (Glucose), interests or personal relationships that could have appeared to influence
959 cm− 1 (Cholesterol), 1025 cm− 1 (C–H deformation/adenine ring the work reported in this paper.
stretching), 1095 cm− 1 (Lipids), 1174 cm− 1 (Tyrosine, phenylalanine, C
H bend (protein)), 1290 cm− 1 (C–H bending), 1332 cm− 1 (C–H Data availability
stretching vibration, Nucleic acid bases), 1447 cm− 1 (Phospholipid),
1587 cm− 1 (Protein, Tyr), 1703 cm− 1 (ν(C– – O)OH) on positive side of Data will be made available on request.
the loadings while the PCA loadings at 592 cm− 1 (Amide-VI), 802 cm− 1
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