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* Department of Physics & Astronomy and Vanderbilt Institute for Integrative Biosystem Research & Education, Vanderbilt University, Nashville, Tennessee;
Department of Physics, Fisk University, Nashville, Tennessee; and
Department of Physics, Duke University, Durham, North Carolina
Correspondence: Address reprint requests to M. Shane Hutson, VU Station B #351807, Nashville, TN 37235. Tel.: 615-343-9980; Fax: 615-343-7263; E-mail: shane.hutson{at}vanderbilt.edu.
| ABSTRACT |
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| INTRODUCTION |
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To minimize collateral damage to the surrounding tissue, material removal must commence before absorbed energy diffuses out of the target volume, i.e., the pulse must be thermally-confined (2
). However, thermal confinement by itself is not sufficient. Experiments with tunable mid-IR lasers have shown that at very high fluence (several hundred times the ablation threshold), there is an additional mid-IR wavelength-dependenceless collateral damage is observed at wavelengths where the predominant chromophore is protein (3
). Edwards and co-workers hypothesized that direct absorption by protein could lead to a less violent removal of tissue (and thus less collateral damage) through a pre-vaporization loss of protein structural integrity; however, this structural failure has not been well defined. In this study, we present detailed spectroscopic (Fourier transform infrared (FTIR), Raman, and 13C-NMR) and electrophoretic evidence that the relevant structural failure is scission of the protein backbone at N-alkylamide bonds (N-C
). The accumulation of backbone scissions is much greater at high fluences and at wavelengths that directly target protein instead of water.
In this analysis, we ablate porcine corneas and use a CaF2 window in a catcher foil setup to collect the ejected, nonvolatile tissue droplets. Although a surgeon would consider this material as ablation debris, its characterization elucidates the protein chemistry relevant to ablation. Previous investigations have collected the plumes generated during ArF excimer and Er:YAG laser ablation, but only analyzed the gaseous fraction (4
). Very little of the ablated protein (molecular weights of order 100 kDa) is actually converted into such small volatile species (40400 Da). This investigation is more similar to that of Auerhammer and co-workers who ablated corneas with the tunable output of a mid-IR free-electron laser (FEL) and measured the size distribution of the ejected droplets. Even when the ablating wavelengths were well-matched (in terms of cornea's overall absorption coefficient), the ejected droplets were much smaller for wavelengths that directly targeted protein (5
). In the experiments presented here, we have ablated porcine corneas using a similar FEL, but tuned to a different pair of matched wavelengths: 6.45 µm that targets the amide II vibration of proteins; and 2.77 µm that targets the OH stretch of water.
| MATERIALS AND METHODS |
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25 x 5 mm) was affixed to a metal substrate with cyanoacrylate glue applied to the scleral regions at the far ends of the strip. Normal hydration of the corneas was maintained by periodically squirting saline onto the surface and blotting off the excess. For some experiments, samples were allowed to dehydrate at room temperature for 23 h until they had lost 30% of their original mass, i.e., a 40% decrease in hydration. Control samples from porcine corneas were prepared by drying thin slices (
5 µm) of stroma taken from samples frozen at 20°C. Purified collagen was obtained from a limited pepsin A digestion of porcine corneas (6
Laser parameters
The Vanderbilt Mark-III FEL has a complex pulse structure in which 35 µs long macropulses are delivered at 130 Hz (7
). Each macropulse is composed of a micropulse train in which the 13 ps long micropulses occur at a repetition rate of 2.85 GHz.
To collect ablation debris, the central region of an excised strip of cornea was irradiated by the FEL through a CaF2 window that captured the debris as it was ejected. All ablations and debris collections were performed in an air atmosphere. The gap between window and cornea surfaces was
0.5 mm and the FEL spot diameter at the sample surface (measured with a knife edge) was 100200 µm. The sample and window were moved together to typically collect debris from 3040 ablation spots (at 1.0 mm intervals) per sample/window pair. Typical exposure parameters for the experiments described here were 510 macropulses at
20 mJ per macropulse; however, samples for micro-Raman analysis were ablated in only one spot with a single macropulse. With these conditions, macropulse fluences of 60 or 240 J/cm2 were attained. Note that all references to fluence in this report correspond to macropulse fluence.
FTIR spectroscopy
The ablation debris was vacuum-dried onto the CaF2 windows used for collection and then used directly for FTIR spectroscopy. For control samples, the slice thickness was selected so that the amide I absorbance was between 0.10.2. Spectra were measured in an evacuated Bruker FTIR spectrometer (IFS-66v) with a typical average of 128 scans and a spectral resolution of 4 cm1.
Micro-Raman spectroscopy
Spectra were recorded on a commercial Raman microspectrometer (LabRam, Jobin-Yvon), using a grating of 1800 grooves/mm and a He-Ne laser (632.8 nm) at 11 mW. A silicon wafer was used for wavelength calibration. Ablation debris was collected as before; however, ablation at each spot was limited to a single pulse. Micro-Raman spectra were recorded of the debris in situ on the CaF2 window surface from 4-µm diameter spots at several sites within the debris field. At each site, five 100-s acquisitions were averaged to increase signal/noise ratio. The five spectra from each site were reproducible, indicating no accumulation of damage due to He-Ne irradiation.
13C-NMR spectroscopy
To obtain enough material for NMR analysis, we pooled the debris collected on
200 CaF2 windows for a single exposure condition (6.45 µm ablation at a fluence of 240 J/cm2). Debris was pooled by washing it off the windows with d6-DMSO. During the long-term process of debris collection, we often used one fresh cornea for several (maximum 4) CaF2 windows. Purified collagen in d6-DMSO was used as a control. Before 13C-NMR measurements, both control and debris samples were equilibrated for 24 h in DMSO at room temperature. This largely removed the NaCl used in collagen purification. To avoid the possibility of additional thermal chemistry, heat treatment was not used to increase sample solubility.
13C-NMR spectra were recorded of natural-isotope-abundance samples at 22°C in 5-mm tubes, using a 500 MHz Bruker DRX spectrometer (operating at 125 MHz for direct 13C-detection). Chemical shifts were referenced internally to DMSO (39.5 ppm), which also served as the 2H lock solvent. Typical experimental conditions included: a 3° pulse tip angle; 32K data points; a recycle delay of 1.5 seconds; 120K scans; and the presence of broadband proton decoupling during the acquisition period (0.5 s). Measurement of each 13C-NMR spectrum took
66 h of instrument time.
SDS-polyacrylamide gel electrophoresis
For each wavelength, we pooled debris from 30 windows. Debris was pooled by washing it off the windows with distilled water. After the water was removed by vacuum-drying, the 30 windows yielded
300 µg of dried debris. An unexposed cornea was minced and dried for use as a control sample (1 mg dry material). The barely soluble proteins were then extracted from the dried materials using a 5% SDS solution at 4°C. Initially, 200 µl of the SDS solution was added for each 300 µg of dried sample. The samples were mixed and then centrifuged. If centrifugation yielded less than
50 µl of supernatant, more SDS solution was added, the pellet was resuspended and the sample centrifuged again. Approximately 10% of each supernatant was used per gel lane. Due to variations in solubility among the samples (solubility decreased from 6.45-µm debris to 2.77-µm debris to minced corneas), it was difficult to accurately load the same amount of material in each gel lane. Electrophoretic separation was carried out with a 5% stacking gel and 12% separating gel. After electrophoresis, the separating gel was stained with 0.1% Coomassie Blue, and destained in 7% acetic acid. Gels were documented with a digital camera.
| RESULTS |
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FTIR spectroscopy
As shown in Fig. 1 A, FTIR spectra of the nonvolatile ablation debris and of unexposed corneas are all very similar. The dominant features of each spectrum correspond to the vibrational modes of dehydrated collagen. Of particular interest are the CH2 and CH3 stretch vibrations (
2900 cm1), as well as the amide I (
1653 cm1) and amide II (
1539 cm1) vibrations of the peptide backbone. Note that these spectra were normalized by the amide I peak. Before normalization, the amide I absorptions ranged from 0.05 to 0.15. For each exposure condition (including the control), spectra from five different CaF2 window samples are presented.
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N), isocyanate (-N=C=O), and/or alkyne (-C
C-) group(s). Using these amide-I-normalized spectra, we take the baseline-corrected integrated intensity from 20502350 cm1 as a measure of new species yield. This yield is strongly dependent on laser wavelength, fluence and the hydration state of the sample. First, the yield is 25x larger at 6.45 µm than at 2.77 µm. For the three ablation conditions (240 or 60 J/cm2 at native hydration, or 60 J/cm2 for dehydrated corneas), the 6.45-µm yield was 2.4, 4.9, and 2.7-fold larger, respectively. Second, if normal hydration is maintained, then the yield increases with fluence. For 6.45-µm ablation, the yield is 2.8x larger at the higher fluence. For 2.77-µm ablation, it is 5.6x larger at higher fluence. Third, if the fluence is constant, the yield of new species increases when the corneas are allowed to first dehydrate. At 60 J/cm2 and 6.45 µm, dehydration increases the yield by a factor of 5.2. At 60 J/cm2 and 2.77 µm, dehydration increases the yield by a factor of 9.4. Part of this increased yield in the low-fluence debris from dehydrated corneas comes from an additional new band at 2273 cm1. This band is also in the triple-bond spectral range. In summary, FTIR spectra of the ablation debris show the following: a marked wavelength-dependence (differences between the debris and control spectra are always larger for 6.45 µm than for 2.77 µm); a marked fluence-dependence (the differences are reduced, if not eliminated, at lower fluence); and a hydration-dependence (dehydration before ablation leads to much larger spectral differences).
One concern is that the new chemical species could have arisen from post-ablation effects. The spacing between spots was sufficient to minimize inter-spot effects, i.e., exposure of debris already on the window to the pulses used to ablate subsequent spots; however, 510 macropulses were typically used at any single ablation spot. Thus, material ejected during the first few pulses at each location was exposed to subsequent FEL macropulses while on, or on the way to, the CaF2 window surface. To minimize such effects, we also measured FTIR spectra of debris collected with the sample and CaF2 window tilted 45° with respect to the FEL beam (not shown). This setup does not collect the debris as efficiently, but it does reproduce the spectral changes observed in on-axis collection.
Micro-Raman spectroscopy
We next measured micro-Raman spectra of the debris collected from single macropulse (240 J/cm2) ablation. Fig. 2 shows light micrographs of the collected debris fields and Raman spectra of individual debris droplets. It is immediately obvious that the 2.77- and 6.45-µm debris fields have very different morphologies: the 6.45-µm debris consists of small, round droplets; whereas the 2.77-µm debris has much larger, and certainly not round, tissue fragments. These differences are consistent with previous observations (5
).
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The droplets corresponding to each spectrum are marked in the insets to Fig. 2. The new 2249 cm1 band appears in all 6.45-µm debris dropletsfrom the center of the exposed region up to
240 µm away. The relative intensity of this band (compared to the amide I peak near 1667 cm1) is approximately the same in most droplets. It is however much larger in the central damaged region (where the center of the ablating beam passed though the window). Nonetheless, these spectra demonstrate that the new chemical species can be generated by exposure to a single macropulse. This further alleviates our concerns about the subsequent exposure of debris already on the window.
13C-NMR spectroscopy
To further investigate the nature of the changes taking place during ablation, we measured natural-abundance 13C-NMR spectra of the DMSO-solubilized debris. To collect sufficient material for this analysis, we pooled debris from over 200 windows. We chose d6-DMSO over H2O as the solvent for two reasons. First, the debris appears to have a better solubility in DMSO. Second, and more important, the suspected nitrile, isocyanate, and /or alkyne functional group(s) are not as reactive toward DMSO as H2O.
A comparison of 13C-NMR spectra from purified corneal collagen and the high-fluence 6.45-µm debris is shown in Fig. 3. The control spectrum of purified corneal collagen agrees very well with previously reported 13C-NMR spectra of collagens (10
13
). This agreement is, in general, extended to the debris spectrum. Of particular note are two signatures typically assigned to triple-helical collagen: the carbonyl resonance is split into three bands at 168, 170, and 173 ppm (10
,13
); and the Ala Cß resonance has a chemical shift of 18 ppm (11
,14
). The largest spectral differences are new resonances in the 6.45-µm debris at 116, 76, and 73 ppm. These bands are further evidence of new chemical species produced during ablation. The 116 ppm resonance lies in a chemical shift range indicative of a nitrile carbon; and the 76 and 73 ppm bands are in the range expected for alkyne carbons (15
). Note that we have not been able to measure 13C-NMR spectra from the 2.77-µm debris because even in DMSO this debris has very low solubility.
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, respectively (16
1:4 (cis:trans), but this ratio increases to
1:1 in the 6.45-µm debris, indicating an ablation-associated trans-to-cis isomerization of hydroxyproline residues. Interestingly, cis-Hyp is not normally compatible with native triple-helix structure. Additional studies will be necessary to determine exactly how the secondary and tertiary structure of collagen changes during the ablation process.
SDS-PAGE analysis
We next conducted an electrophoretic analysis of the ablation debris to evaluate the degree of ablation-induced bond breakage. The major organic component in cornea consists of insoluble proteins: collagen, proteoglycans, glycoproteins, and keratins. Analysis of these insoluble proteins usually involves (limited) enzymatic digestion to increase their solubility. However, ablation-induced bond breakage could be masked by such digestion. In lieu of digestion, we used high concentration (5%) SDS extracts of the debris. Similar extracts from minced corneas were used as control. Similar SDS-extraction procedures have previously proven useful in the analysis of insoluble proteins (17
,18
). An SDS-PAGE gel of the extracts is shown in Fig. 4.
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-forms, i.e., monomers, near 100 kDa; ß-forms, or dimers of collagen molecules, near 200 kDa; and a dense region of
-collagen (trimers) and higher aggregates above 300 kDa. The highest molecular weight region also likely contains some proteoglycan species (6
The third and fourth lanes in Fig. 4 are extracts from the high-fluence debris at 6.45 and 2.77 µm, respectively. One cannot directly compare the band intensities between lanes because the solubility was not constant; the 6.45-µm debris was more soluble than the 2.77-µm debris, which was in turn more soluble than the minced corneas. Nonetheless, the relative band intensities within each lane are clearly quite different. For minced cornea, the very large aggregates (>300 kDa) stain much more densely than the
- and ß-collagens, and there is no obvious staining of very small proteins below BCP 11/24. In contrast, the 6.45-µm debris has no obvious staining of the very large aggregates nor of
- and ß-collagens, yet there is a broad band of very small proteins below BCP 11/24. The 2.77-µm debris is more similar to the minced cornea, but staining of the high molecular weight aggregates is not as intense relative to the
- and ß-collagens. As in the minced cornea, there is no obvious staining of very small proteins below BCP 11/24. In summary, the 2.77-µm debris appears to have more monomers and dimers relative to larger aggregates, which suggests a loss of covalent cross-linking. The 6.45-µm debris has more small protein fragments relative to the monomers, dimers and aggregates, which suggests not only a loss of cross-linking, but also scission of the protein backbones.
| DISCUSSION |
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Collagen monomers are fragmented
The main evidence for protein fragmentation comes from the SDS-PAGE results. For high-fluence 6.45-µm ablation debris, the only visibly stained bands in the SDS extracts were the soluble protein similar to BCP 11/24 and a range of lower molecular weight (MW) fragments. No staining is evident in the higher MW region where one would expect collagen monomers, dimers and aggregates. If more of this debris extract is loaded on the gel, the low MW bands stain much more intensely, but the collagen bands remain faint at best. In contrast, no other debris or control preparation showed any evidence of small fragments below BCP 11/24, even when the collagen bands were very densely stained. We have noted the difficulty in loading the same amount of protein in each lane due to large differences in solubility; however, the increased solubility of the 6.45-µm debris provides indirect confirmation that this debris is broken into smaller fragments.
One would not expect to see direct evidence of this fragmentation in the FTIR, Raman, and NMR spectra. At 6.45-µm, the smallest fragments observed from electrophoresis are on the order of 10 kDa. Such fragments could be generated by breaking only
1% of the backbone bonds per collagen molecule. In the spectra we have collected, a 1% decrease in relative intensity is not reliably detectable. Nevertheless, indirect evidence is observed in these spectra via the detection of new chemical species (see below).
Fragmentation occurs via scission at N-alkylamide bonds
The first step toward establishing the site of fragmentation is to identify the new species formed during ablation. These species appear under the same conditions that lead to fragmentation; and just as importantly, they are greatly reduced or eliminated under conditions that do not. For high-fluence 6.45-µm ablation of fully hydrated corneas, we have observed the following spectroscopic signatures of these species: three new 13C-NMR resonances at 116, 76, and 73 ppm; and three new vibrational modes at 2249, 2218, and 2160 cm1 each with very different IR and Raman activities. The 2249-cm1 mode is very Raman active with no detectable IR activity. The 2218-cm1 mode has both Raman and IR activity; and the 2160-cm1 mode is barely discernable in the IR and not observed in Raman spectra. Nonetheless, the new vibrational bands all lie within the triple-bond or cumulative double-bond region. Since the peptide backbone is composed solely of H, C, N, and O atoms, there are three classes of molecular species consistent with the vibrational bands: nitriles, including cyanates and cyanamides (-C
N); isocyanates (-N=C=O); and either mono- or di-substituted alkynes (-C
CH, -C
C-).
The evidence for the formation of nitrile species is by far the strongest. The CN stretching mode of nitrile groups is typically found between 22002260 cm1 with substantial IR and Raman activity (21
24
). The CC stretching mode of di-substituted alkynes overlaps this range, but such modes should have very strong Raman activity and weak IR activity (23
). Thus, we assign the 2218 cm1 vibrational mode to a generalized nitrile species. Within the nitrile class, the 2218 cm1 band is most consistent with the ranges established for cyanamides and conjugated nitriles (23
,24
). However, the stretching frequency of cyanates or aliphatic nitriles might be pushed into this region by hydrogen bonding in the protein debris. Identification of the specific nitrile species produced will require additional model compound studies. Further evidence for nitrile species is found in the 13C-NMR spectra where nitriles typically have a resonance between 112126 ppm (15
). Few other groups have resonances that overlap this range, making it highly diagnostic for nitriles. Thus, we also assign the 116 ppm resonance to a nitrile species.
Evidence for the formation of alkynes is not as definitive, but is still quite strong. As noted above, the CC stretch of alkynes is weak in the IR, but very strong in Raman spectra. All of the other groups under consideration have much more intense IR activity in the triple-bond region. The typical ranges of alkyne CC stretches are 2100-2150 cm1 for mono-substituted and 2190-2260 cm1 for di-substituted species (23
). Thus, we assign the new 2249 cm1 mode to a di-substituted alkyne. This assignment is a bit less definitive because di-substituted alkynes often have a Fermi resonance that leads to two Raman bands in this region (23
). For the single 2249 cm1 band to represent a di-substituted alkyne, the Fermi resonance must somehow be suppressed. The 13C-NMR spectra are also consistent with the formation of alkynes, which typically have a pair of 13C-resonances between 6590 ppm (15
). Unfortunately, many other groups also yield 13C-resonances in this region. Thus, we assign the 76 and 73 ppm resonances to an alkyne species, but do so tentatively. Although the alcohols and ethers of carbohydrate moieties in the cornea's proteoglycans are possible alternative sources, these carbohydrates should also have a prominent resonance around 100 ppm that we do not observe (25
,26
).
These assignments leave two spectroscopic signatures unaccounted for: a 2160 cm1 IR band; and a 2273 cm1 IR band that is only observed during ablation of severely dehydrated corneas. The 2160 cm1 band may be a second band arising from Fermi resonance within the nitrile species discussed above. A weaker, lower frequency IR band often accompanies the main CN stretch of nitrile species (e.g., 27
). Consistent with this interpretation is the fact that we do not have any unassigned 13C-NMR resonances. Alternatively, the 2160 cm1 band is on the upper edge of the range expected for monosubstituted alkynes (23
). Monosubstitution of alkynes does increase their IR activity and decrease their Raman activity. However, if the 2160 cm1 band does represent a monosubstituted alkyne, then this group must be formed in much lower abundance than the disubstituted alkyne discussed above. As for the 2273 cm1 band, it is most consistent with an isocyanate group (-N=C=O). Isocyanates have a strong IR band (and a weak or absent Raman band) between 22502300 cm1 (23
). We do not have supporting Raman and 13C-NMR evidence for this assignment. We have attempted to measure Raman spectra from the ablation of severely dehydrated corneas, but the signal/noise ratio is very poor due to immense background fluorescence (probably from char in the debris).
Returning to the two species for which we do have strong evidence, the formation of nitrile and disubstituted alkyne groups is most readily explained by the scission of N-alkylamide bonds. Such scissions would yield a terminal amide radical on one side, which upon dehydration would generate a terminal nitrile. The other side of these scissions would yield a ketone radical. A similar loss of a water molecule from the ketone could then yield a disubstituted alkyne. Note that a monosubstituted alkyne would form if the amino acid at the scission site were a glycine (
33% of the residues in collagen). A similar scission of the weakest N-alkylamide bond has been well accepted for the appearance of nitrile groups in the thermal degradation of aliphatic nylons (28
and references therein). This one scission reaction plausibly accounts for the protein fragmentation seen via electrophoresis and both of the new species seen in our spectroscopic analysis.
Laser wavelength and fluence alter the molecular nature of collagen structural failure
For the set of laser ablation experiments presented here, we used two matched wavelengths, i.e., our sample tissue (porcine cornea) had the same absorption coefficient at both 2.77 and 6.45 µm. Nonetheless, the biochemical changes in the debris were wavelength- and fluence-dependent. Two clear examples of the wavelength-dependence are the greater accumulation of new nitrile species and the greater protein fragmentation in the 6.45-µm debris. A clear example of the fluence-dependence is the greater accumulation of nitrile species at higher fluence (240 compared to 60 J/cm2). Although the dependencies observed here are consistent with those observed for collateral damage, further studies will be necessary to establish a tighter correlation. A major remaining challenge is to establish whether the collagen fragmentation observed here causes a loss of higher-order (i.e., tissue-level) structural integrity; and if so, does this ultimately lead to a reduction in collateral damage.
One potentially trivial source for the wavelength-dependence is that debris ejected during the first few macropulses, which is dehydrated and thus has a much lower 2.77-µm absorption coefficient, is subsequently exposed to several additional pulses. Two results suggest this is an unlikely source. First, FTIR bands corresponding to the new species are also observed in 6.45-µm debris collected off-axis. Second, micro-Raman spectra of the 6.45-µm debris have the same new band (2249 cm1) for multiple-pulse and single-pulse ablation. Furthermore, this band is clearly observable in debris droplets that impacted the window at points well outside the irradiated area.
A second potential, but also unlikely, source is that the chosen wavelengths were not dynamically matched. These two wavelengths are matched on the basis of linear spectroscopy at room temperature; however, absorption in the 3-µm region is notoriously temperature dependent (29
). As the temperature rises, the OH stretch manifold of water decreases in intensity and shifts to higher frequency. Fortunately, 2.77 µm is on the blue side of the OH stretch band where the intensity decrease and band shift counteract one another. The result is a 2.77-µm absorption coefficient with a weak temperature dependence similar to that noted for Er:YSSG (2.79 µm) laser ablation (30
). Temperature-dependent band shifts are also quite weak in the 67 µm region. Thus, up to the onset of vaporization, the dynamic absorption coefficients at 2.77 and 6.45 µm should be reasonably well matched.
A third, and more likely, source is that each wavelength targets a different chromophore: predominantly water at 2.77 µm and protein at 6.45 µm. Whether this targeting affects collagen scission and the ablation process via thermal, mechanical, or chemical means is still an open question. As shown in Fig. 5, FTIR spectra of corneal samples heated to 200500°C do show a new band around 2218 cm1, but it is always accompanied by extensive changes in the amide I, II, and III regions that are not present in our debris spectra. Thus, an equilibrium thermal process is unlikely. Previous models have favored a nonequilibrium photothermal mechanism where direct absorption by tissue proteins leads to greatly elevated protein temperatures, as compared to the surrounding water (31
,32
). These higher temperatures then lead to a loss of protein structural integrity through a transition that is thermally-activated, but otherwise ill-defined. The results presented here suggest a candidate for the relevant structural failurescission of N-alkylamide bondsbut this hypothesis must be further tested. Additional evidence in support of chromophore-targeting is that similar yields of new species are observed when corneas are ablated at 6.1 µm (not shown). Protein absorption is nearly the same at 6.1 and 6.45 µm, but the energy is absorbed by a different protein vibrational mode. To complicate matters, there is also stronger absorption by water at 6.1 µm. Nonetheless, the ability of both wavelengths to fragment collagen suggests a lack of mode specificity. Both wavelengths also ablate tissue well, and in some cases, 6.1-µm ablation is superior to 6.45 µm (33
). One certain future direction is a careful examination of laser-induced collagen scission across the 29-µm tuning range of the Vanderbilt FEL.
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| ACKNOWLEDGEMENTS |
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This work was supported by grants FA9550-04-1-0045 and F49620-00-1-0370 from the Department of Defense Medical Free-electron Laser Program, by National Science Foundation/Human Resource Development grant No. 0420516 (CREST), and by the National Science Foundation Center for Biophotonics, managed by the University of California, Davis, CA (No. PHY 0120999).
Submitted on March 8, 2006; accepted for publication May 9, 2006.
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