Microchemical Analysis of Boron in Rat Brain Tumor: A Spectromicroscopy Study with MEPHISTO Gelsomina De Stasio Institut de Physique Appliquée, Ecole Polytechnique Fédérale, PH-Ecublens, CH-1015 Lausanne, Switzerland and Istituto di Struttura della Materia del CNR, Via Enrico Fermi 38, I-00044 Frascati, Roma, Italy Abstract. The boron microscopic distribution in brain tissue sections is an extremely important issue for the success of boron neutron capture therapy for cancer. We present the first results of a new approach to assess this distribution and its homogeneity: photoelectron spectromicroscopy with synchrotron radiation enabled us to detect boron in rat brain tissue specimens with a lateral resolution of 0.2 µm and a detection sensitivity of a few ppm. These experiments were performed by the newly commissioned MEPHISTO spectromicroscope (from the French acronym “Microscope à Emission de Photoélectrons par Illumination Synchrotronique de Type Onduleur”, or “Photoelectron Emission Microscope by Synchrotron Undulator Illumination”). The specimens were brain tissue sections from two rats injected with BPA (borono-phenylalanine) or BSH (dodecahydro-dodecaborate). We found boron only in cancer-related structures, and with a higher concentration in the BPA-treated specimens than in the BSH-case. These results are in good agreement with the quantitative results obtained by inductively coupled plasma atomic emission spectroscopy. 1 Introduction One of the fundamental issues for the success of boron neutron capture therapies (BNCT) [1] is the availability of analytical techniques to study the microscopic boron distribution in tissues [2]. In fact, techniques like the widely used Inductively Coupled Plasma Atomic Emission Spectroscopy (ICP-AES) offer no spatial resolution [3, 4]. We present a feasibility test to solve this fundamental problem, based on synchrotron radiation photoelectron spectromicroscopy [5, 6]. This approach is an alternative to electron energy loss spectroscopy combined with transmission electron microscopy (EELS-TEM) [2], immunohistochemical methods [7], boron neutron capture autoradiography [8], or SIMS [9] also used for the same purpose. Spectromicroscopy does not require ultra-thin tissue sections (<60 nm for EELS-TEM) and can analyze tissue sections 5-7 µm thick. It can detect trace concentrations of boron of the order of a few ppm. EELS-TEM can detect the presence of boron only if its local concentration is higher than 100 ppm [10]. On the other hand, EELS-TEM has a spatial resolution of the order of a few Å. At present, we are limited to 200 nm; at the end of the commissioning period of our spectromicroscope MEPHISTO we should be able to reach the 50 nm level. MEPHISTO's resolution is, and will always be, much worse than that of EELS-TEM, but still better than III - 68 G. De Stasio other techniques based on optical microscopy such as neutron capture autoradiography or immunohistological methods, or with respect to SIMS [9]. Compared to immunohistochemical or neutron capture radiography techniques, spectromicroscopy with MEPHISTO can detect any element present in the specimen, with no need for staining or labeling. The elements are not required to have a high neutron absorption cross section to be detectable, and the analysis is not limited by the availability of the proper enzyme to stain specific biological targets, with a limited number of elements for staining and limited histological parts detectable. Another convenient characteristic of spectromicroscopy is its dynamic range: the field of view of the micrographs obtained with MEPHISTO may be quickly varied between 5 µm and 500 µm, enabling the microchemical analysis of a single cells or the whole region of tissue surrounding it. One of the main limitations of spectromicroscopy when compared to the other techniques is that it requires a synchrotron source of photons. In the present work we used MEPHISTO to analyze the boron distribution in specimens of brain tissues of two rats with experimental cerebral tumors, previously injected with 10B enriched BPA (borono-phenylalanine) or BSH (dodecahydro-dodecaborate) two hours prior to sacrifice. We observed strong spectroscopic signal from boron in the experimental glioma of the BPA and BSH injected rats, and we determined the boron spatial distribution with a lateral resolution of 0.2 µm. One critical point in BNCT is the boron distribution, which is required to be concentrated selectively in cancer cells. The results presented here, obtained for the BPAand BSH-treated cases, revealed indeed that boron is localized in the specimen structures that are related to cancer. By contrast, no boron signal was observed outside these structures. 2 Sample Preparation The specimens were brain tissue sections from rats that had been injected with 4 x 104 cancer cells (C6 glioma cell line # CCL107) twelve days before the experiment. These cells were injected in the striatum at a depth of 5.5 mm. The rats were intraperitoneally injected with 150 mg of BPA in 2 ml of isotonic solution or 150 mg of BSH suspended in 3 ml of isotonic solution. Two hours after the injection, the rats were sacrificed by decapitation and the brains extracted. The brain tissues were cryofixed by quick immersion in isopentane kept at liquid nitrogen temperature; this quick freezing prevents the formation of large ice crystals and the consequent microscopic damage to the tissue structures. Then, the tissue was cut in 5 µm thick sections with a cryostat. The morphology of individual sections was examined after immunohistochemical staining and tumoral tissue identified. Normal brain or tumoral cryocut specimens were put on silicon wafer substrates, and then ashed with a cold plasma (150 °C, Plasma-Processor 300E, Techn. Plasma GmbH, München) in the presence of oxygen for 24 hours. The ashing removes most of the tissues’ carbon; the absence of boron from substrate areas indicates that the ashing process does not promote boron diffusion or spread through the specimen [11]. Microchemical Analysis of Boron in Rat Brain Tumor III - 69 3 Experimental Techniques 3.1 Spectromicroscopy The specific experimental technique used for microchemical analysis was the photoelectron spectromicroscopy approach known as x-ray secondary electron (emission) microscopy [5], using our newly commissioned MEPHISTO system. This technique uses monochromatized x-ray photons emitted by a synchrotron source, in our case the 6-m Toroidal Grating Monochromator (TGM) beamline of the Aladdin ring at the Wisconsin Synchrotron Radiation Center. The photons stimulated the emission of primary and mostly secondary photoelectrons, through intermediate energy-loss steps. Intensity vs photon energy spectra taken in this way (total yield) correspond to the x-ray optical absorption coefficient. [12] The secondary electrons emitted by the sample interacted with an electron-optical magnifying system [5] yielding images of the specimen’s geometric features and spectra of microscopic areas. The electron optics are basically composed by a cathode lens (the sample is kept at -20 kV, the objective lens' intermediate element is kept at <20 kV), an aperture (70, 40 or 25 µm pinhole) in the back focal plane of the objective lens, and intermediate lens, a projective lens, a series of two microchannel plates to intensify the electron magnified image produced by the optical system and a phosphor screen to convert this electron image into a visible image, which is finally collected by a video acquisition system. Extensive tests were systematically performed to assess the possible presence of problems such as radiation damage or sample charging, with negative results. Specifically, samples exposed for hours to the monochromatized x-ray beam (whose size was of the order of 0.3 x 0.3 mm2) did not exhibit any detectable evidence of damage – such as spectral or morphological changes. Substantial damage was observed instead after several minutes of exposure to a much more intense unmonochromatized beam (which was never used in our present experiments). 3.2 ICP-AES ICP-AES, allows to perform quantitative chemical analysis on liquid samples. An aerosol of the sample solution and argon is heated up to a cold-plasma temperature (8000 °C) by an electromagnetic field. At this temperature, each element emits a specific near-ultraviolet light wavelength, that can be accurately identified. Measuring the emission intensity at each wavelength, and comparing it to a standard reference, make it possible to determine the concentration of each element (boron, in the present case) in the solution. The sensitivity reaches 1 ppb, evidently with no spatial resolution: this, in fact, is a space-averaged technique. The conceptual background of the ICP-AES technique can be found, for example, in Refs. 13 and 14. Samples for ICP-AES analysis were not ashed. For these experiments tissue samples were taken from the tumor volumes or the contra-lateral hemispheres, for comparison, from both rats treated with BSH and BPA. After quick freezing in isopentane, the tissue portions III - 70 G. De Stasio were weighted, then added to 2 ml HNO3 and sonicated until the solution appeared homogeneous. Thirteen replicates were taken for each ICP-AES measurement, and the blank HNO3 was repeatedly tested to rule out the presence of boron after each experiment on different parts of the rat brain. 4 Results and Discussion Figures 1-7 show typical sets of experimental data, extracted from a much larger body of results. Specifically, Fig. 1 presents a photoelectron microimage taken at low magnification, and Fig. 2 presents a set of spectra from the correspondingly labeled microscopic areas of Fig. 1. The micrograph corresponds to an ashed section of cryocut brain cancer tissue. We note that most of the image exhibits a reticulate pattern of fine corrugations with limited vertical protrusion. There are, however, more protruding, elongated structures (appearing as clear areas in the image, corresponding to higher photoelectron yield). The analysis of the specimens indicates that these elongated structures are typical of the cancer tissue, since none was observed in non-cancer areas. Fig. 1 . An X-ray secondary pho-toelectron emission micrograph taken with the MEPHISTO system on a section of extracranially grown rat brain cancer tissue, after ashing. The rat had been treated intraperitoneally with BPA. Fig. 2. X-ray secondary photoelectron emission spectra taken with MEPHISTO in the labeled areas of Fig. 1. Note that the B signal is confined to the elongated bright areas. The spectra of Fig. 2 indicate the presence of three absorption structures, due to the elements boron, sulfur and phosphorous, of which the last two are naturally present in the Microchemical Analysis of Boron in Rat Brain Tumor III - 71 brain tissue. It is evident from Fig. 2 that extreme care must be used in distinguishing from each other the boron and phosphorous signals, which fall in the same spectral region. The key point in discriminating between P and B was the analysis of control specimens extracted from normal tissue areas. Figure 3 shows one of the spectra obtained on this normal tissue: it is quite clear that the P and S signals are still present, whereas no B signal can be observed. This conclusion is supported by an analysis of the first and second derivatives of the spectra (data not shown). Quite to the contrast, the absence of the B signal corroborates the identification of the corresponding spectral structure in Fig. 2 as due, indeed, to this element. Having solved this crucial issue, we can now analyze some interesting points in Figs. 1 and 2. The relative intensity of the B-related spectral feature at 190 eV is not constant from place to place in the examined areas. On the contrary, it disappears in some points and is rather weak in others, indicating a strongly inhomogeneous distribution of boron. Fig. 3. Spectrum from a non-cancer control specimen: note the absence of the B signal. More specifically, we found very strong B signal in areas corresponding to the elongated and protruding structures in the cancer specimens -- see, for example, curves (a), (b), (d) and (g) in Fig. 2. Outside the elongated structures, on the reticulate tissue, no B signal was observed (curves (e) and (f)). These specific results are representative of a much larger body of consistent data, including about 100 spectra and 20 images acquired on 3 different sections of the same BPA treated tumor. The strong localization of boron in the elongated structures is indicated by the results of Figs. 4 and 5, which illustrate a “zoom” test. Figure 4 shows micrographs taken in the same specimen area with increasing magnification; the area is centered around point (g) in Fig. 1. Spectra were taken in microscopic regions of the higher-magnification images of Fig. 4 with the following two relevant results. III - 72 G. De Stasio Fig. 4. Three different images centered at point (g) in Fig. 1, taken with increasing magnification. Fig. 5. Spectra taken from the areas labeled as (a) and (b) in Fig. 4 and (g) in Fig. 1, but much smaller than for the spectrum (g) in Fig. 2. Note that the relative boron intensity is higher in curve (a) and lower in curve (b) than in the spectrum (g) of Fig. 2, indicating that this element is not homogeneously distributed within the elongated structures. First of all, a fine analysis of the reticulate pattern regions close to, but outside, the elongated protruding structures always failed to produce any evidence of boron. Second, spectra taken in different areas within the elongated structures give different relative intensities of the B signal. An example is shown in Fig. 5; the spectra (a) and (b) were taken at the same point as region (g) in Fig. 2a, but from two much smaller regions (approximately 7 x 7 µm2, whereas the acquisition area (g) was approximately 12 x 20 µm2): the relative B intensity in curve (a) is higher than in the (g) spectrum of Fig. 2, and lower in the curve (b). These results demonstrate that (1) boron is strongly localized and confined to the cancer-related elongated protruding structures; (2) the distribution of boron within such structures is not homogeneous. This confirms the need of a high-spatial-resolution technique for microchemical analysis in this type of problems. At the present time it is not clear to what cellular/tissue structures the reticulate pattern and the elongated protruding structures of Figs. 1 and 4 correspond. It is tempting to Microchemical Analysis of Boron in Rat Brain Tumor III - 73 speculate that the bright reticulate edges might be delimiting individual cells (5-20 mm size) and could represent the extracellular space. The protruding structures, on the other hand, may originate from tumor specific blood vessels. Neovascularization (or angiogenesis), in fact, is an important component of tumor growth. But these structures could as well possibly originate from higher density areas characteristic of the tumor tissue, which "resist" ashing more than the surrounding areas, and are therefore thicker after ashing. Further investigation and histochemical analysis will be necessary to univocally identify such structures. We note that however these protruding structures are interpreted, our technique could be detecting relative tumor tissue vs normal tissue B uptake, or vascular structure vs tumor cell uptake. In this latter case the spectromicroscopical information retrieved would also be valuable. If we are detecting boron in blood vessels, it means that BNCT would destroy them, possibly leading to life threatening hemorrhages in the brain. Fig. 6. MEPHISTO micrograph of a section of intracranial rat brain cancer tissue, after ashing. The rat had been treated intraperitoneally with BSH. Fig. 7. Spectra taken in the labeled areas of Fig. 6. Note that the B signal is also in this case confined to the elongated bright areas, but it’s corresponding signal is much lower than the one found treating the rat with BPA (spectra of Fig. 2). Figures 6 and 7 show spectromicroscopy results similar to those of Figs. 1 and 2, obtained on tumor tissue from a rat treated with BSH. Note that boron is barely visible in the spectra of Fig. 7. First and second derivative analysis of these spectra confirms that the spectral feature at 190 eV can indeed be overlapped to the corresponding signal of Fig. 2, only much less intense. Also in this case, boron, when detectable, is confined to the protruding cancer-related structures, and absent from the reticulate tissue. In this BSH-case too, the control sample obtained from the contra-lateral (with respect to cancer) hemisphere did not show any boron signal. III - 74 G. De Stasio As already mentioned, we also performed ICP-AES analysis of boron, with no spatial resolution, of tissue samples extracted from the same two rats used for spectromicroscopy experiments. Table 1. ICP-AES results on boron concentration in the various rat brain tissue parts. The results for B concentration are normalized to the tissue volume (10-50 mg). The errors shown are the standard deviation calculated on the 13 different measurements performed on each sample. Sample from B - compound injected Boron in tissue(ppm) HNO3 BSH BSH BPA BPA 0.0 ± 0.3 1.3 ± 0.5 1.9 ± 0.8 0.7 ± 0.3 5.7 ± 0.3 normal brain tissue intracranial tumor normal brain tissue extra-cranial tumor Table 1 shows the results of the quantitative ICP-AES analysis. Note, in particular, that the BPA-treated rat tumor tissue contains about 6 ppm boron, whereas the cancer tissue from the BSH treated rat contains about 2 ppm boron. This of course is an average concentration overall the entire tissue volume examined (between 10 and 50 mg of tissue in the various different cases). A comparison of the results obtained by a space-resolved and a space-integrated technique is not in general feasible. Nevertheless, we note that we detected more boron in the BPA- than in the BSH-treated case, both with the space-resolved spectromicroscopy and with the space-integrated ICP-AES technique. 5 Conclusions In summary, our preliminary results demonstrate the feasibility of a spectromicroscopic analysis of boron distribution in brain tumor tissues. We concur with the opinion expressed by Gabel [2,7], Setiawan [15], and many other authors, that high spatial resolution is essential for the complete analysis of boron in tissues, in view of cancer therapy -- in particular as far as the assessment of spatial distribution is concerned for a complete destruction of cancer cells. Our approach provides a satisfactory and practical method to answer to this need. Acknowledgments Work supported by the Fonds National Suisse de la Recherche Scientifique, by the Istituto di Struttura della Materia del CNR and by the EPFL. We are indebted to Giorgio Margaritondo and Paolo Perfetti for their constant support, to Brian P. Tonner for his help and encouragement during the spectromicroscopy experiments, and for the construction of the electron optics for MEPHISTO. We thank Erwin Van Meir, Marie-France Hamou, C. Jayet, B. Ess, Gian Francesco Lorusso, Jose Redondo, Delio Mercanti and Maria Teresa Ciotti for rat treatments and sample preparation, Didier Perret and Benjamin Gilbert for performing the ICP-AES experiments. We also thank Mario Capozi, Sandro Rinaldi, and Microchemical Analysis of Boron in Rat Brain Tumor III - 75 Mary Severson, Tom Nelson and the entire staff of the Wisconsin Synchrotron Radiation Center (a national facility supported by the NSF) for their expert professional help. We are grateful to Borje Larsson for his encouragement and advise. References 1 2 3 4 5 6 7 8 9 10 11 12 13 "Advances in Neutron Capture Therapy", A. H. Soloway, R. F. Barth and D. E. 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