[Physical principles of optical biopsy]. / Principes physiques de la biopsie optique.

The purpose of this presentation is to explain the physical principles underlying the three main methods used to obtain images of living tissues at the cellular scale. In confocal microscopy, the tissue of interest is illuminated and scanned through a confocal aperture; a lateral resolution close to 1 microm can be obtained with high numerical aperture. Multiphoton microscopy uses a high-power short-pulse laser with instantaneous irradiance sufficient to excite fluorescence in a very small focal volume. The concentration of natural tissue fluorophores is too low to obtain an adequate signal, so exogenous fluorophores have to be added, either locally or through the body. These fluorophores can be conjugated to a variety of biomolecules that target specific disease processes, thereby increasing diagnostic specificity. Finally, OCT (optical coherence tomography) provides high-resolution images of entire tissue volumes by using a broadband source and an interferometric configuration; the depth of field and lateral resolution are both on the micrometer scale. These methods allow images to be obtained at the cellular level, but image contrast and stability require specific adjustment for their significance to be established with respect to conventional biopsy methods.

Short-term supplementation with lutein affects biomarkers of lutein status similarly in young and elderly subjects.

There is evidence that lutein may protect against age-related macular degeneration, cataract, cancers and cardiovascular diseases, but no data have been published on the effect of age on lutein status. The purpose of this work was to determine whether there are major differences in the status of this carotenoid between young and elderly subjects. Initial lutein status and the effect of a 5-week lutein supplementation (9 mg/d) on the most common markers of lutein status were compared in 12 young (26.9+/-0.8yr) and 17 older subjects (67.3+/-1.1yr). Lutein was measured by HPLC in fasting serum, adipose tissue and buccal mucosa cells (BMC) before and after supplementation. Macular pigment optical density (MPOD), which partly depends on retina lutein concentration, was measured by reflectometry before and after supplementation. Initial lutein status was not significantly different between the two groups, irrespective of the lutein status marker. Plasma and BMC lutein concentrations significantly increased in both groups after lutein supplementation, but not MPOD or adipose tissue lutein. Plasma and BMC responses to lutein supplementation (percent variation from initial values) were not significantly different between the two groups. These results suggest that there is no major effect of age on lutein status in healthy subjects.

Genetic variants in BCMO1 and CD36 are associated with plasma lutein concentrations and macular pigment optical density in humans.

UNLABELLED: Lutein is recovered at high concentration in the human macula lutea. Recent studies suggest that this micronutrient might be implicated in prevention of age-related macular degeneration. OBJECTIVE: to identify genes which affect blood and retina lutein concentrations among candidate genes (intestinal sterol transporters and carotenoid oxygenases). DESIGN: a comparative plus an observational study. PARTICIPANTS: twenty-nine healthy subjects for the comparative study and 622 subjects for the observational study. INTERVENTION AND METHODS: all the participants were genotyped for single nucleotide polymorphisms (SNPs) in the candidate genes. Fasting plasma lutein concentrations were measured in all the participants and after 6 months' supplementation, with either a lutein-rich supplement or a placebo, in the 29 subjects who participated in the comparative study. Macular pigment optical density (MPOD), which is a measure of macula concentration of lutein, was measured before and after the dietary intervention in the 29 subjects. Associations between SNPs and plasma lutein and MPOD were assessed by partial least square (PLS) regression followed by univariate analysis. Observed associations between SNPs and plasma lutein were verified by haplotype-based association analysis in the cohort of 622 subjects. MAIN OUTCOME MEASURES: plasma lutein levels and MPOD. RESULTS: six SNPs in four genes (ABCG8, BCMO1, CD36, and NPC1L1) explained 25% and 38% of the plasma and MPOD variance, respectively. Subjects with TT at the BCMO1 rs7501331 locus had lower (P < 0.05) plasma lutein than CT subjects. Subjects with CC at the CD36 rs13230419 locus had lower (P < 0.05) plasma lutein than subjects who carried a T allele. The association between CD36 and plasma lutein was confirmed in the cohort of 622 subjects. Subjects with TT at the BCMO1 rs7501331 locus had a higher (P < 0.05) MPOD, and subjects with GG at rs1761667 CD36 locus had a higher (P < 0.05) MPOD than those with an A allele. CONCLUSIONS: these results suggest that BCMO1 and CD36 are implicated in plasma and retina concentrations of lutein and that genetic variants in these genes can modulate blood and retina concentrations of lutein.

Alignment parameters of foveal cones.

In the fovea we measured the orientation and directional characteristics of photoreceptors with an optical technique in a group of 29 subjects. At 6 deg eccentricity, we determined the direction of the normal to the inner limiting membrane (ILM) by analyzing light reflected specularly by the ILM. We found a strong correlation between the orientation of photoreceptor axes and the direction of the normal to the ILM. Therefore, we cannot answer the question of the mechanism of photoreceptor alignment without taking into account the direction of the normal to the underlying retinal pigment epithelium, in addition to phototropic and apodization processes. For a wavelength of 532 nm, the mean value of the directionality factor rho was 0.212 mm(-2) (SD: 0.026 mm(-2)) when measured at the fovea (2 deg sample field). We look for reasons likely to explain the discrepancy between rho values given by different optical methods.

Macular pigment density assessed by directional fundus reflectance.

Light radiated from foveal photoreceptors was analyzed in the eye's pupil at 470 nm and 532 nm. The reflectance of the inner limiting membrane was then measured at 6 deg from the fovea for the same wavelengths, allowing us to determine the macular pigment (MP) density D(dir) using the directional reflectance technique. In addition we measured the MP density D(nd) using the nondirectional reflectance technique (26 subjects). The mean values of D(dir) and D(nd) were 0.419+/-0.097 and 0.195+/-0.042 D.U., respectively (sample field of 2 deg). They were highly correlated (p<0.0001). Comparison of D(dir) and D(nd) implies that 57+/-12% of the light reflected from the fovea comes from layers anterior to MP at 470 nm. The mean directionality factors rho that we have measured at 470 nm and 532 nm were equal to 0.239+/-0.028 and 0.210+/-0.028 mm(-2), respectively. They were correlated (p<0.0001) and followed the spectral dependence suggested by Marcos.