Development of Imaging Mass Spectrometry Analysis of Lipids in Biological and Clinically Relevant Applications

Mass spectrometry is the measurement of the mass over charge ratio of ions. It is broadly applicable and capable of analyzing complex mixtures. Imaging mass spectrometry (IMS) is a branch of mass spectrometry that analyses ions across a surface while conserving their spatial organization on said surface. At this juncture, the most studied IMS samples are thin tissue sections from plants and animals. Among the molecules routinely imaged by IMS, lipids have generated significant interest. Lipids are important in disease and normal cell function as they form cell membranes and act as signaling molecules for cellular events among many other roles. Considering the potential of lipids in biological and clinical applications and the capability of MALDI to ionize lipids, we developed analytical strategies for the handling of samples and analysis of large lipid MALDI IMS datasets.    Lipid degradation is massively important in the food industry with oxidized products producing a bad smell and taste. Similarly, lipids in thin tissue sections cut from whole tissues are subject to degradation, and their degradation products can introduce IMS artifacts and the loss of normally occurring species to degradation can skew accuracy in IMS measures of abundance. Oxidized lipids are also known to be important mediators in the progression of several diseases and their accurate preservation is critical. As IMS studies become multi-institutional and collaborations lead to sample exchange, the need for validated protocols and measures of degradation are necessary. We observed the products of lipid degradation in tissue sections from multiple mouse organs and reported on the conditions promoting and inhibiting their presence as well as the timeline of degradation. Our key findings were the increase in oxidized phospholipids and lysophospholipids from degradation at ambient conditions, the decrease in the presence of lipids containing unsaturations on their fatty acyl chains, and the inhibition of degradation by matrix coating and cold storage of sections under N2 atmosphere. At ambient atmospheric and temperature, lipids degraded into oxidized phospholipids on the time-scale of a normal IMS experiment sample preparation (within 30 min). Lipids then degraded into lysophospholipids’ on a time scale on the order of several days. Validation of sample handling is especially important when a greater number of samples are to be analyzed either through a cohort of samples, or analysis of multiple sections from a single tissue as in serial 3D IMS.    Atherosclerosis is disease caused by accumulation of cellular material at the arterial wall. The accumulation implanted in the cell wall grows and eventually occludes the blood vessel, or causes a stroke. Atherosclerosis is a 3D phenomenon and serial 3D IMS is useful for its ability to localize molecules throughout the length of a plaque and help to define the molecular mechanisms of plaque development and rupture. Serial 3D IMS has many challenges, many of which are simply a matter of producing 3D reconstructions and interpreting them in a timely fashion. In this aim and using analysis of lipids from atherosclerotic plaques from a human carotid and mouse aortic sinuses, we described 3D reconstruction methods using open-source software. Our methodology provides means to obtain high quality visualizations and demonstrates strategies for rapid interpretation of 3D IMS datasets through multivariate segmentation. Mouse aorta from model animals provided a springboard for developing the methods on lower risk samples with less variation with interesting molecular results. 3D MALDI IMS showed localized phospholipid accumulation in the mouse aortic sinuses with correlation between separate positive and negative ionization datasets. Silver-assisted LDI imaging presented differential localization of free fatty acids, cholesterol / cholesterol esters, and triglycerides. The human carotid’s 3D segmentation shows molecular histologies (spatial groupings of imaging pixels with similar spectral fingerprints) correlating to the degree of arterial stenosis. Our results outline the potential for 3D IMS in atherosclerotic research. Molecular histologies and their 3D spatial organization, obtained from the IMS techniques used herein, may predict high-risk features, and particularly identify areas of plaque that have higher-risk of rupture. These investigations would help further unravel the biological complexities of atherosclerosis, and predict clinical outcomes.    Colorectal cancer liver metastasis (CRCLM) is the metastatic disease of primary colorectal cancer, one of the most common cancers worldwide. CRC is a cancer of the endothelial lining of the colon or rectum. CRC itself is often cured with surgery, while CRCLM is more deadly and treated with chemotherapy with more limited efficacy. Prognosticating and assessment of tumors is performed using classical histopathology with a margin of error. We have used lipid IMS to identify the histological compartments and extract their signatures. Using these IMS signatures we obtained a quantitative and objective histopathological score that correlates with prognosis. Additionally, by dissecting out the lipid signatures we have identified single lipid moieties that are unique to different histologies that could potentially be used as new biomarkers for assessing response to therapy. Particularly, we found a series of plasmalogen and sphingolipid species that differentiate infarct-like and usual necrosis, typical of chemotherapeutic response and normal tumor function, respectively.

Keyphrases: imaging mass spectrometry, lipids, 3D imaging, atherosclerosis, colorectal cancer liver metastasis, liver