\r\n\tThis publication will aim to collect those projects and research that seek to make buildings, including urban environments, self-sufficient in terms of energy, focusing here on the solutions for HVAC and the energy systems they require and doing so from a double point of view: \r\n\t- Complexity. As is the case with the automobile and aeronautics industries, buildings have become human-inhabited spaces with an ever-increasing technological load, which will presumably also be used in other ways, as the pandemic associated with COVID-19 has shown. In these scenarios, will HVAC systems be considered as before, or will new solutions have to be considered for new challenges? \r\n\t- Disruptive technologies. In the coming years, the implementation of technologies such as hydrogen fuel cells, polygeneration of energy, the use of second-use electric batteries in buildings to accumulate energy from renewable energies, or the resolution of constructive solutions with 3D printing will become widespread in buildings. In this scenario, what will be the answers given by those responsible for HVAC systems? \r\n\tIn addition, concepts such as artificial intelligence, technology transfer, biomimicry, or stigmergy will undoubtedly provide high-value solutions to new and refurbished buildings that society demands.
",isbn:"978-1-83768-174-7",printIsbn:"978-1-83768-173-0",pdfIsbn:"978-1-83768-175-4",doi:null,price:0,priceEur:0,priceUsd:0,slug:null,numberOfPages:0,isOpenForSubmission:!0,isSalesforceBook:!1,isNomenclature:!1,hash:"c911b61042fae2c465f4ee69077e0a4b",bookSignature:"Dr. César Martín-Gómez",publishedDate:null,coverURL:"https://cdn.intechopen.com/books/images_new/12033.jpg",keywords:"Heating, Cooling, Ventilation, Air-Conditioning, Renewable, Biomass, Hydrogen, Geothermal, Heat-Pump, Engineering, nZEB, Integration",numberOfDownloads:null,numberOfWosCitations:0,numberOfCrossrefCitations:null,numberOfDimensionsCitations:null,numberOfTotalCitations:null,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"May 25th 2022",dateEndSecondStepPublish:"June 22nd 2022",dateEndThirdStepPublish:"August 21st 2022",dateEndFourthStepPublish:"November 9th 2022",dateEndFifthStepPublish:"January 8th 2023",dateConfirmationOfParticipation:null,remainingDaysToSecondStep:"11 days",secondStepPassed:!0,areRegistrationsClosed:!1,currentStepOfPublishingProcess:3,editedByType:null,kuFlag:!1,biosketch:"Dr. Gómez (Ph.D. Architect) has been responsible for building services and energy systems in complex buildings such as the Auditorium of Navarra and the Spanish Pavilion at the Saragossa Expo since 2000. 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1. Introduction
The first transmission electron microscope was constructed in the early 1930s by Ernst Ruska and Max Knoll [1]. Roughly a decade later, the first electron microscope picture of eukaryotic cells was taken by Keith Porter [2]. Since then TEM made it possible to study cells and tissue structure and function at nanoscale. This technique is placed between high-resolution methods like X-ray crystallography or nuclear magnetic resonance and lower-resolution light/fluorescence microscopy techniques. Although fluorescence techniques allow for imaging dynamic process in living cells and modern fluorescence microscopes overcoming the diffraction limits that makes it possible to zoom in on cellular structure with resolution under 100 nm [3], TEM remains the main technique which makes it possible to study biological systems owing to its near-atomic-level resolution [4]. Moreover, TEM gives opportunities to visualise an interesting target with surrounding structure, when unlabelled surroundings still remain hidden at fluorescence sample [5]. Additionally, TEM comprises different branches: electron crystallography and single-particle analysis are dedicated to study proteins and macromolecular complexes, (cryo-)electron tomography and CEMOVIS for cellular organelles and molecular architectures and conventional TEM for gross morphology. Such a wide range of electron microscope techniques gives opportunity to find the relation between different macromolecules, their supramolecular complexes and organelles assembled into an intricate network of cellular compartments. Knowledge of the cellular ultrastructure can contribute to an understanding of how cells and tissues function in both normal physiological and pathological state.
Since the invention of the first TEM, the aim has been to image liquid samples at higher resolution but as easily as with light microscopy. At the beginning, it was impossible to accomplish due to low technological knowledge and lack of appropriate tools. Thus, scientists have introduced sample preparation techniques for observing soft and frail living matter in the inhospitable environment of an electron microscope. The TEM column is under ultrahigh vacuum, where electrons as a coherent beam are directed on the sample. From a biological point of view, living matter consists of up to 80% water; therefore, without appropriate sample preparation, the high vacuum literally sucks out every trace of liquid. Moreover, biological matter compose mainly of light elements (e.g. carbon, hydrogen, oxygen, nitrogen, sulphur, etc.) and for that reason, electrons which travel at a fraction of the speed of light, do not interact strongly with these atoms. Consequently, native biological materials are of extremely low contrast. On the other hand, the two aforementioned factors oriented sample preparation strategies. Due to the electron’s scattering phenomena within the sample, only small objects can be observed directly. Larger samples need to be sectioned for analysis, but cells and tissues are too soft to be sectioned thinly enough without earlier sample preparation. Many laboratories have been ingenious in designing and implementing different preparation techniques over the years, and as a result, scientists have found at least a partial remedy to these problems.
Therefore, a biological sample can be prepared either by removing or by freezing water. The oldest method is conventional sample preparation which uses chemical fixation, sample dehydration at room temperature and embedding with chosen resin. In the 1970s, Tokuyasu introduced an alternative to conventional sample preparation dedicated for immunocytochemistry. An alternative method to chemical fixation is cryofixation via vitrification process. Taking into consideration the size of the sample, electron microscopists have a wide range of freezing techniques at their disposal. Small or thin sample after plunge freezing can be directly observed at low temperature under cryo-transmission electron microscope (cryo-TEM). Thicker samples are first vitrified by using high-pressure freezing (HPF) or self-pressurised rapid freezing (SPRF) technique and then proceed to thinning process at liquid nitrogen temperature by CEMOVIS procedure or cryo-FIB milling. Finally, thin frozen-hydrated samples are directly observed under cryo-TEM. Another option is freeze substitution (FS) which bridges the gap between vitreous states and room temperature ultramicrotomy. Lastly, different combinations of mentioned techniques offer a new research possibility, especially for difficult-to-fix organisms or antigens. In a particular situation, chemical pre-fixation step is a prerequisite for successful sample vitrification, although it seems to be contradicted.
Biological systems are very complex; thus, it is impossible to understand structure-function relationship outside the surrounding context. These days, dynamic developing of correlative light and electron microscopy (CLEM) approach can be observed. This approach relies on two steps. Firstly, the object of interest is located and imaged with fluorescence microscopy (FM), and then the sample is imaged in TEM. This technique is highly demanding according to cell biologists because high-resolution data can be fitted in the cellular context. However, new possibilities introduce new challenges in the preparative stage, and protocols for TEM and FM often are incompatible. Therefore, it is worth to mention that technological progress stimulates new sample preparation design, but often existing preparation schemes initiate new ideas.
In this chapter, we present different specialised preparation techniques dedicated to cells and tissues; but at the beginning, we would like to impress the importance of water in life on readers, because for a long time, its role in living organisms was neglected. Another point is that for a long time, water was treated as a foe by electron microscopists. Nevertheless, readers should bear in mind that selection of an appropriate technique strongly depends on the material and aims of the study. Thus, a general rule of thumb is that the higher the resolution is important, the closer to the native state sample preparation is desired. Moreover, the higher the resolution, the thinner sample should be, but at the same time, less information is achievable. During morphological study, more important is the sample size; hence, the preparation technique based on resin-embedded sample is an adequate choice. However, for immunolabelling research, compromise between antigens and ultrastructure preservation is the major challenge. Although the main aim of this chapter is to present different preparation techniques of biological specimens for TEM, we would like to also point out that the preparation step is important for correlative approach.
We strongly encourage further reading of proposed positions where the reader can find practical insights of the presented subject, e.g. chosen volumes from Methods in Molecular Biology [6–8] and Methods in Enzymology [9–11], and with practical application in different model systems, positions from the Methods in Cell Biology series [12–14]. Many important hints in sample preparation for TEM are also connected with CLEM field [15,16] and immunoelectron microscopy [17]. In our opinion, a complete library should also include the Handbook of Cryo-Preparation Methods for Electron Microscopy because this position is strongly oriented to the practical side of sample preparation art [18]. It is also important to know what was done so far and thus where we should go. Among many old books, but with still-current knowledge, Cryotechniques in Biological Electron Microscopy [19] captured our attention. The last but not the least position is the Principles and Techniques of Electron Microscopy: Biological Applications [20].
2. Water and its vital role in life
Organisms consist in major part of liquid water which is the medium in which life takes place. Hence, life on our planet and its probability elsewhere in the universe cannot have evolved or continue without water. In view of the abundant presence of water in living organisms, this substance cannot be perceived as an inert diluent. Water performs many functions: it transports, reacts, lubricates and structures and is used in signalling. Water is also a metabolite and a temperature buffer. The physical properties of water, which result from its structure, play a key role in the orchestration of the cell machinery. Biological molecules and water should be thought as equal partners where one is required and structured by the other.
From a chemical point of view, a water molecule contains one oxygen atom covalently bounded with two hydrogen atoms. Due to positively charged hydrogen atoms and a negatively charged oxygen atom, where negative charge comes from two lone electron pairs, water is a dipole. Water as a dipole has the most important property: water molecules are able to form multiple hydrogen bonds between each other. A hydrogen bond occurs when a partially positively charged hydrogen atom lies between partially negatively charged oxygen of H2O molecules. A hydrogen bond is naturally formed from a complex combination of different interactions: an electrostatic, a polarisation and a covalent attraction, and a dispersive attractive interactions, an electron repulsion and a nuclear quantum effects. In theory, one water molecule can interact with four other water molecules, thereby forming a tetrahedron configuration. In practice, hydrogen bonds are very dynamic and heterogeneous structures, both on energetic and structural levels, and a single water molecule can form two or four hydrogen bonds. As a result, in liquid water, hydrogen bonds behave in cooperative and anticooperative manner [21]. At the higher level of organisation, water molecules in liquid state tend to create tetrahedral pentameric clusters, which are linked to other water molecules and clusters to form a complex network or liquid phases [22]. Such a network of hydrogen bonds is dynamic and ordered in a nanometre range structure.
From a biological point of view, a cell’s interior consists of membranes and cytoskeleton together with proteins, carbohydrates and nucleic acids which are strongly and inseparable dependent on water molecules. The dipolar nature of water enables to arrange molecules of water into an ordered, very constrained manner on the surface of biological molecules. Depending on the chemical nature of surface domains, hydrophobic or hydrophilic, water order is different. Water molecules are strongly attracted by ionised and hydrophilic domains than by apolar domains, where H2O molecules arrange themselves into clathrate-like structures [23]. They form a hydration shell, called also interfacial water, built from several water layers. Hydration shells are critical for solubility of molecules and prevent them from aggregating. When two particles meet, they do not stick together, but separate [24]. Moreover, protein folding is mediated and guided by aqueous solvation, and protein structure is stabilised by water clusters and their hydrogen bonding capabilities. Water also gives proteins flexibility during conformational changes, and its molecules mediated protein-ligand interaction. Another interesting example of water role in the cellular world is nucleic acid-water interactions. Firstly, water molecules stabilise structure of double helix. Secondly, water hydrates both the major and the minor grooves of DNA. The hydration shells have a characteristic pattern reliant on bases and their sequences and thus create a ‘hydration fingerprint’ for a given DNA sequence. The specific arrangement of interfacial water governs protein binding to the DNA. The enumerated examples are further discussed in detail in [25]. Water inside the cell, which is not bound in hydration shell, is unaffected by the biomolecules. Additionally, cellular unbounded water behaves differently from water outside, e.g. intracellular water has higher viscosity. The cytoplasm has a sol-gel nature. The local parts of the cytoplasm may manifest itself as a more highly viscous and stiff environment, likened to a gel-state, or as a low-viscosity sol-state solution [21]. In the former case, water molecules form more strongly hydrogen-bounded water clusters. This reduces local fluctuations in the nearby macromolecules and slows down metabolite and ion migration [23]. An additional function of strong hydrogen-bonded network existence is transmission of information about solutes and surfaces at distances of several nanometres. In this way, biomolecules ‘sense’ each other, thereby changing their solubility and activity. In the latter case, proteins can release a significant amount of water, changing the fluidity and activity of the intracellular ‘sol’-state environment. The state of the water is thus essential for the biological activity of the cell, and the state of metabolites controls water structure. Thus, water is defined as an engine of life [26].
From the physical point of view, water is usually perceived as an ordinary substance because people interact with it all the time in their everyday lives. Very often, people think that other liquids have similar properties to this liquid; however, nothing could be further from the truth. Water is the only liquid that exists in all three states on Earth: liquid, solid and gas. Although some researchers believe that intracellular water is the fourth phase of water [27]. Some properties of water, such as large heat capacity and high thermal conductivity, allow the control of body temperature. The high latent heat of evaporation is a protection from dehydration and considerable evaporative cooling [21]. To sum up, water is essential for life existence at different levels: from molecular to cellular and organisms to whole-planet level. All properties of this substance are not yet known; therefore, new discoveries in this field will have an interesting impact in understanding how life works.
3. Conventional TEM
As the vital role of water was outlined in the last paragraph, it must be borne in mind that the knowledge about water and its role in living organisms has evolved over decades. Recently, however, the role of water in cell and molecular biology has become clearer and much more important than in the past. At the beginning of the sample preparation, biologists carefully eliminate every trace of water. Conventional specimen preparation is the most commonly used method for TEM. The major advances in conventional specimen preparation technique are summarised at the end of the section.
The first step in this procedure is chemical fixation to preserve the biological sample with minimal alteration of volume and morphology from the native state. Chemical fixation can be carried out in various fixatives which are used separately or in combination, i.e. glutaraldehyde (GA), paraformaldehyde, osmium tetroxide, uranyl acetate (UA) and tannic acid solution are usually used. Glutaraldehyde, as a dialdehyde, preserves ultrastructure well but penetrates slower than the monoaldehyde, i.e. paraformaldehyde. Glutaraldehyde is used alone for small pieces of material, but a mixture of the two aldehydes may be used for fixation of larger items. The most popular fixation strategy in conventional preparation is double fixation with GA and osmium tetroxide. The aldehydes preserve mainly proteins, but reaction with lipids is limited. Therefore, to stabilise the lipid part of the sample, the post-fixation with osmium tetroxide is required [28]. Furthermore, osmication enhances contrast which is important during the analysis in the TEM, but it is important to remember that prolonged process can destroy proteins; as a consequence, the biological material becomes brittle. It should also be noted that the common practice in conventional electron microscopy is en bloc fixation/staining with UA and tannic acid. The first fixative decreases protein and phospholipid extraction; the second one reveals ultrastructure of microtubules.
The chemical fixation depending on its sample type and size can be performed in four various ways: by in situ fixation (applied to cell cultures), by immersion (small pieces of tissues are carefully excised and immersed in fixative as soon as possible), by vascular perfusion (the fixative is pumped through the vascular system of deeply sedated animals) or by vapours (the small delicate specimens, such as membranes, are suspended over a solution of osmium tetroxide). Usually, in standard conditions, fixation is carried out by immersion method. After fixation with buffered fixatives, the sample is dehydrated in increasing concentration of a solvent (a combination of either alcohol or acetone with propylene oxide) to enable infiltration with a liquid resin. An epoxy resin is most commonly used in conventional TEM. Finally, supersaturated and surrounded by resin, the sample is polymerised by applying gentle heat. Cured resin block containing biological material is thinly sectioned (40–150 nm), and subsequently post-stained with heavy metal salts, such as uranyl, and lead in order to introduce contrast inside the sample.
Previous reports revealed that chemical fixation, dehydration, heavy metal staining and plastic embedding can introduce various artefacts. Fixation with GA prior to dehydration results in cross-linking, causing aggregation of proteins, collapse of highly hydrated glycans and loss of lipids. Heavy metals can cause additional artefacts in the form of precipitation [24,29,30]. To sum up, artefacts introduced during conventional sample preparation limit the resolution of biological samples to about 2 nm [20]. Further, modern transmission electron microscopes with a field emission gun can obtain sub-angstrom resolution; thus, the resolution is mainly limited by the properties of the sample [31]. Therefore, the improvement of biological sample preparation technique has become the challenge for many scientists, and nowadays, some interesting alternatives are available.
On the other side, it should be stressed that TEM with conventional preparation is still an essential tool in many fields of tissue and cell biology, as well as in medicine. Where the approach is quality control method or gold standard to complement, support or confirm the results of specific histopathological diagnosis (neoplastic, renal, neuromuscular, infectious, hereditary and metabolic diseases) [32,33]. Therefore, the advantages of the conventional sample preparation should be emphasised, starting from simplicity of this fixation technique. There is no requirement for any specialised equipment; indeed, simple vessels with fixatives are sufficient. At the same time, numerous 1-mm3-in-volume blocks of tissue can be fixed; thus, large areas of sample are accessible to analysis. When the tissue autolyses quickly, organs are too large or dissecting is difficult, chemical fixation is carried out by perfusion. Appropriate optimisation of fixation parameters, i.e. fixative concentration, buffer pH, temperature of fixative and time fixation, results in optimal ultrastructure preservation. Therefore, the unique advantage of conventional fixation is its ability to fix human tissue biopsies and study different animal organs without biopsy need.
Figure 1.
(a) Example of membranous glomerulopathy. Electron photomicrograph shows large amounts of electron-dense deposits in the glomerular basement membrane (black arrows); the sub-epithelial deposits are covered by a bridge of newly formed glomerular base membrane (white arrowheads). The foot processes of the epithelial cells are obliterated. In the cytoplasm of the epithelial and endothelial cells are numerous organelles and vacuoles. (b) Electron micrograph chemically fixed and an Epon-embedded rat’s small intestine. Ultrastructure of the brush border (BB) and terminal web (TW) region of an enterocyte. Notice the actin filaments (white arrows) that descend from each microvillus deep into the underlying terminal web; below, organelles are visible. Lower part: transverse section through brush border showing numerous microvilli containing actin filaments (white arrow) and fusion of microvilli (black arrows).
In particular cases, pre-fixation with aldehydes is a prerequisite for further sample processing (see Sect. 8). Another advantage of chemical fixation is the possibility to perform sample preparation in different locations, e.g. in an operating room, in a laboratory other than EM lab and in the natural environment.
Adding to this knowledge about artefacts that are introduced during sample preparation, these advantages constitute strong position of conventional TEM in modern science. To prove this statement, some examples are presented. The conventional sample preparation in ultrastructural pathology is often irreplaceable (Figure 1a), as evidenced by different books [32,34]. A human biopsy from a patient with mitochondrial cardiomyopathy may serve as another example, where pathogenic giant mitochondria probably are formed to compensate effects caused by mutation of mitochondrial DNA [35]. Also, some interesting discoveries at scientific ground are contributed by conventional TEM. Among examples, electron microscopic analysis of a spherical structure of mitochondria is quite interesting [36]. Conventional sample preparation combined with ET revealed that mitochondria under oxidative stress were able to undergo a structural transformation in spheroid form. This novel mitochondrial dynamic process is probably involved in some pathological conditions; however, further study is needed.
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\n\t\t\t\tKey events in the history of conventional TEM in the life science\n\t\t\t
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1932
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Ruska and Knoll built the first transmission electron microscope
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1932–1934
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The first images of unfixed biological material were obtained (the wings and legs of a housefly)
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1939
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Ruska obtained the first bacterium and virus TEM pictures
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1943
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Sjöstrand built the first ultramicrotome and developed a method of producing ultrathin tissue samples which were used to study the skeletal muscle. Rapid development of ultramicrotomy since 1948
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1945
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Porter, Claude and Fullam imaged whole eukaryotic cells that were fixed in osmium vapour and then dried
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1949
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Newman et al. introduced methacrylates which became the first embedding media of quality for TEM samples
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1950
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Latta and Hartmann used glass knife in ultramicrotomy
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1952
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Palade recommended buffered osmium fixative for the preservation of cell ultrastructure
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1956
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Fernandez-Moran used for ultrathin sectioning a diamond knife
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Potassium permanganate fixation was introduced by Luft
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1956–1982
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Introduction of new resins for electron microscopy: Araldite (1958), epoxy resin (1961) and Lowicryl media (1982)
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1958
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Kellenberger used UA to stabilise viral and bacterial DNA
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1959
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Singer employed ferritin coupled with immunoglobulins to recognise the location of the antigen of interest
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1963
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David D. Sabatini introduced the aldehyde fixation; previously used fixatives were replaced by double fixation with glutaraldehyde and osmium tetroxide. This fixation strategy revolutionised the field of biological electron microscopy, and it is still the method of choice for many laboratories nowadays
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1963
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Reynolds used lead citrate as electron-dens stain in TEM
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1966
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Graham and Karnovsky developed a cytochemical method for horseradish peroxidise localisation
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1971
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Faulk and Taylor introduced colloidal gold labelling technique for ultrathin sections
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Telocytes are a new type of interstitial cells characterised by the presence of telopodes, visible only by TEM [37]. These cells can be found in most organs, including the heart. The recent study showed the new type of extracellular vesicles released by heart telocytes that probably are an essential component in the paracrine secretion and may be involved in the heart physiology and regeneration process [38]. The combination of classical TEM and cell culture is an unbiased approach to identify unrecognised pathogen, provide the first clue about investigated pathogen and guide further laboratory study and epidemiology [39]. Another example is ultrastructure of the glomerular filtration barrier in the kidney [40]. ET in combination with scanning electron microscopy (SEM) confirmed suggestions that the glomerular filtration barrier comprises five layers instead of three. This discovery should allow for deeper understanding of kidney physiology and diseases.
Although conventional TEM is also appropriate for immunogold labelling, we leave this approach out. For more information about immunogold labelling on resin section, refer to Chapter X.
4. The Tokuyasu technique
Cryosectioning according to Tokuyasu is one of the most reliable and sensitive immunolocalisation techniques for different types of sample. It was introduced in the 1970s by Tokuyasu, using a cryo-ultramicrotome developed by A. Christensen [41], although the first attempts at cryosectioning were pioneered by Fernandez-Moran in 1952 [42] and further developed by Bernhard and Leduc [43]. Similarly to the conventional specimen preparation techniques, the biological material is first chemically fixed with aldehydes at low concentration. Instead of dehydration with organic solvent and resin embedding, the fixed material is infiltrated with sucrose, subsequently frozen in liquid nitrogen and sectioned with a dry knife at low temperature. What is interesting is in the past, it was suggested that wet sectioning based on water mixtures with sucrose, dimethyl sulfoxide or glycerol may resemble conventional resin ultramicrotomy. This idea dies a natural death because of limited temperature range for optimisation of the cryosectioning and chemical properties of proposed mixtures [44]. Obtained cryosections are retrieved from the knife surface, thawed and placed either onto microscope slides for light microscopy applications or electron microscopy formvar-carbon-coated grids. Such prepared cryosections are ready to perform immunolocalisation step on both fluorescence microscopy [45] and EM level [46]. For the latter, immunolabelled cryosections are stained with UA, embedded in methylcellulose to prevent drying and cell organelle irregular shrinkage artefacts and examined in the TEM [41,47]. The final step for fluorescence microscopy is mounting the coverslip with immunolabelled material on a slide with a drop of mounting medium before examination.
At a recent time, a new and improved contrasting procedure called 2+Staining was introduced for Tokuyasu cryosections for correlative approach [48]. 2+Staining consists of contrasting immunolabelled sections with 1% osmium tetroxide, 2% UA and lead citrate and followed by embedding in 1.8% methylcellulose. In comparison with the Griffith method, where membrane contrast is excellent but fluorescence signal on the section is strongly reduced or lost altogether [49], the introduced procedure yielded a positive contrast of the cellular organelles and membranes, as in the contrast obtained from stained resin-embedded sections. The 2+Staining procedure shows little to no effect on the signal of the fluorescence labelling on the sections.
In comparison with conventional technique, the sucrose infiltration step dehydrates chemically fixed specimen in lesser degree. Thus, the advantage of thawed cryosection labelling over resin sections stems from the preservation of a natural hydrophilic environment. Moreover, resin sections are created with a polymeric cross-linked matrix; thus, antigen accessibility is lower and mainly restricted to the resin surface. In consequence, thawed cryosections enable better access to the antigens, particularly rare ones, for the probes and high detection sensitivity [50]. Over the years, the technique has been further improved by Tokuyasu and his colleagues [51–54]. These improvements become basis for the future research on various biological organisms and hybrid technique developments [48,55–59] including correlative approach [4,48].
5. Vitrification as an alternative to conventional fixation
An alternative way to deal with water is keep it inside the biological specimen by cryofixation. Cryofixation is based on vitrification that is not fixation per se, because vitrification is a physical process of the solidification of a liquid into noncrystalline or amorphous solid known as glass, usually induced by rapid cooling [60]. Water molecules do not have time to start to crystallise because heat is extracted from the system with high efficiency. Accordingly, term fixation cannot be understood in a chemical sense, where covalent bond is created. In the case of water, its vitreous state can be seen as liquid water with extremely high viscosity. Hence, cryofixation of biological matter allows instantaneous immobilisation of all cell constituents in their current positions which translates to obtain a true snapshot of the cell at the moment of ultrarapid freezing [61]. To précis, diffusible ions and molecular components are not shifted or extracted from the cell [62–64]; ultrastructural morphology is preserved close to the nature state, and rapid physiological processes can be characterised in a precise point in time.
When cooling rate is not sufficient, the formation of crystalline water destroys cellular ultrastructure. Another anomalous property of water is its increasing volume during crystallisation. Water freezing is not the reverse process of ice melting [65]. The freezing process is complex and influenced by nucleation centre, crystal growth and cooling rate. Slow cooling rate at ambient pressure results in hexagonal ice, whereas cubic ice forms under faster cooling rate, especially in the presence of nucleation centre. However, liquid water below its melting point is supercooled water. Liquid water is easily supercooled down to about -25 ºC and in 9-μm-diameter tiny droplet, down to about -46 ºC [66] and -92 ºC at 204,8 MPa [60]. Below these temperatures, crystal formation rapidly takes place as supercooled water has to go through the nucleation process by itself, generating nucleation centre distributed uniformly over the phase. In the end, ice crystals are formed. In the context of biological matter, cellular interior is a complex solution of different soluble materials, such as ions, proteins and sugars that interact with the water molecules, thus changing water freezing behaviour. The presence of salts and hydrophilic solutes increase the extent of supercooling by lowering the freezing point of the solution. Furthermore, increasing solution concentration increases the temperature at which water becomes vitreous. In general, there is lack of heterogeneous nucleation centres inside the cell, and cellular solution concentration is usually higher compared to the surrounding medium. For these reasons, freezing starts somewhere in the external medium or on the surface where cells or tissues are placed. Growing ice crystals outside the cell are avid for any water molecules, including intracellular water, resulting in osmotic pressure changes and eventually bursting of the membrane [67]. Finally, biological matter after freezing consists of ice crystals and dehydrated solution between ice ramifications. Therefore, the water in the cell and around it should always be vitrified to avoid deleterious effects of ice formation. The mentioned issue underlies the success of the Tokuyasu method, where cryoprotected chemically fixed sample is vitrified by dropping it into liquid nitrogen. Nevertheless, the time when vitrification becomes more understandable and easier to perform had yet to come.
The preparation of biological samples by vitrification process is relatively a new technique. Until 1980, it was thought that water cannot be vitrified because of its thermodynamic properties. However, the big breakthrough came in 1980 when Mayer and Bruggeler had used X-ray diffraction to prove that small water droplets can be vitrified [68]. One year later, Dubochet and McDowall published an article where they demonstrated that small droplets of water or aqueous solution can be vitrified on electron microscopic grids [69]. These discoveries marked a turning point in biology, especially structural biology, and changed the point of view on water in electron microscopy from being the foe to being the best friend of electron microscopists [70]. The vitrification process depends on biological and physical factors such as the thermal diffusivity, the thickness and solute concentration of the sample as well as the cooling rate and the pressure applied. Nonetheless, the cooling rate seems to be the most important factor and decides which technique should be used [60]. Different preparation techniques are available for different sample sizes and the microscopy approach.
5.1. Plunge freezing
The simplest way to obtain a vitrified sample is through the so-called bare grid method [71] or plunge freezing (PF). Typically, vitrification is done by an immersion of small biological objects within a thin water film into properly chosen cryogen. After vitrification, the sample is directly imaged in a frozen state under a cryo-electron microscope. Under atmospheric pressure, cooling rate as high as 108 K/s is possible, at least in theory [72]. The successful vitrification obtained by PF is strongly dependent on properties of the grid, the temperature and nature of cryogen and the environment of the sample. The cryogen of choice is ethane, cooled to their freezing points by thermal contact with liquid nitrogen [71]. However, the usage of the mixture composed of propane and ethane has two advantages over pure ethane. Firstly, pure alkane is solid at 77 K, whereas the above mixture remains as a liquid at this temperature. For that reason, ethane-propane mixture does not require repeated cooling and warming cycles in order to ensure proper vitrification conditions. Secondly, the mixture produces less damage to carbon layer on the grids and to specimens mounted on C-flat holey carbon grids [73]. In addition, the surrounding environment has an influence on the success of the final vitrification. In the case of thin films, usually 100 nm thick, prepared before plunging, sample is subjected to evaporation and heat transfer processes. In consequence, sample is exposed to risk of concentration, pH, ionic strength and temperature changes. Therefore, a new method was devised by Bellare et al. [74] and further improved by Frederik [75], who has constructed a new robot for sample vitrification by this technique. Plunge freezing can be applied to viruses [76], bacteria [77,78], isolated protein complexes [79,80] and whole cells [81,82], however, only 10 μm thick. In the last case, the flat thin periphery of cells [81] or whole thin cells, e.g. Ostreococcus [83] and Plasmodium sporozoites [84], is directly observed.
Although high cooling rate values are obtained during vitrification by PF, this technique is suitable for samples as thick as few micrometres. The reason is poor heat conduction properties of water because even an infinitely high cooling rate applied at the sample surface rapidly decays within the sample. Thicker-sample vitrification is only possible when cooling rate is reduced under particular conditions [60,85].
5.2. High-pressure freezing
The high-pressure freezing (HPF) technique was developed in the 1960s by Moor and Riehle [86], but as a routine laboratory technique, it became available from the mid-1980s. This freezing technique is based on Le Chatelier’s principle and on the fact that physical properties of water can be manipulated in some range. Water during crystallisation expands its volume and forms crystal. According to Le Chatelier’s principle, the increase in ice volume can be hindered by external high pressure which suppresses ice nucleation and ice crystal growth. Hence, high pressure is physical cryoprotectant which additionally changes the physical behaviour of water. High pressure lowers both the melting point and the freezing point, with the effect that at 2,048 bar, the melting point of water reaches its minimum of -22 ºC. At the same time, the possibility for supercooling is expanded, and the freezing point is shifted to -92 ºC [87]. Consequently, less heat is produced by crystallisation and less heat has to be extracted from the sample during freezing. In practice, it means that only several 1,000 K/s are required to vitrify biological matter at 2,048 bar [85]; thus, the sample thickness that can be vitrified increases tenfold, up to 200 μm [88]. Vitrification process during high-pressure freezing is obtained by pressurising the sample at 2,048 bar and subsequent rapid cooling at -196 ºC using liquid nitrogen jets within tens of milliseconds [72]. However, in very special cases, if the concentration of intrinsic cryoprotectants is high, samples even as thick as 600 μm can be vitrified [89,90]. Usually, the space around samples during vitrification has to be filled with appropriate filler. The role of the filler is to effectively transfer heat across the sample as well as cryoprotection during cooling process. Therefore, an important issue is physiological compatibility with the cells or tissues [67].
Except that HPF technique enables vitrification of thick samples, this technique has evident limitations. Firstly, gaseous compartments collapse at a high pressure. To counteract this phenomenon, intracellular air-filled spaces (e.g. lung tissue, plant leaves) need to be filled with a chemically inert solvent not mixable with water [91,92]. Secondly, high pressure solidifies the lipid bilayers and leads to a change in biological membrane structure [93]. Similarly, cholesteric liquid crystal of DNA cannot be retained by using HPF [94]. The variety of samples prepared by HPF is enormous, and in the literature, there can be found numerous articles about the advantage of cryoimmobilisation over chemical fixation. Naturally, some exceptions to this rule exist. The HPF technique is less successful for labile tissue, such as brain or nerve tissue, where excision of tissue can last for quite some time, which results in anoxia and osmotic effects [95]. The inner ear tissue is another example of difficult to preserve sample by HPF [96]. In the case of stereocilia, which are mechanosensing organelles of hair cells, the actin core had a distorted appearance after freezing, described as ‘tangled’. Fortunately, a hybrid technique resolves this problem and amplify the strength of HPF as cryopreparation technique (see Sect. 8).
The handling time during sample preparation is crucial because short time enables to obtain sample quality close to the native state. This requirement has brought several interesting solutions for sample preparation step prior HPF. While whole organisms (e.g. Caenorhabditis elegans, Drosophila [67], zebrafish embryos [97]) or human and animal cell culture is quite easy to load into the carrier, tissue sampling is more demanding. In the former case, cells are either directly loaded into the carriers or first cultured on chosen substrates (e.g. sapphire coverslips [98], Aclar disc [99] or gold grids [100]) and subsequently transferred to the live carriers and vitrified. For different tissues, short handling times can be reduced by using a rapid microbiopsy system. The microbiopsy system allows to accomplish the excision of a small sample and freeze it in less than 30 s [101]. Another solution for improving both the fast sample transfer and freezing reproducibility process is the rapid transfer system [102]. The principal advantage of this tool is the ability to correlate light microscopy and HPF with about 5 s time resolution [103]; thus, a catching of dynamic processes at known point and rare event localisation is possible. For faster cellular events, such as ultrafast endocytosis, flash-and-freeze approach was designed [104]. Flash-and-freeze electron microscopy combines optogenetics with HPF; viz. a brief single light stimulus is applied to the sample with subsequent freezing step. This tool can capture cellular dynamics with millisecond temporal resolution and nanometre spatial resolution.
5.3. Self-pressurised rapid freezing
Self-pressurised rapid freezing (SPRF) has been introduced in 2007 as a novel and low-cost cryofixation method. Sample is loaded inside the copper tube which is then clamp sealed at both ends and plunged directly into the cryogen [105]. The essence of vitrification by SPRF is isochoric freezing process. This technique is based on the fact that water expands upon freezing, and formed crystal ice builds pressure inside the confined volume of the tube. Thus, formation of internal pressure by hexagonal ice and/or supercooled water expansion supports the vitrification of the sample, at least in parts of the tube. Additionally, growing ice crystals close to the tube wall might concentrate the cryoprotectant in the centre and support vitrification [106]. Another factor that influence cryofixation is higher heat diffusion coefficient of crystalline ice, and this means a faster cooling system [107]. Although this explanation is still only hypothetical, the fact is that for vitrification by SPRF, lower concentration of dextran is required in comparison with HPF, thereby causing less osmotic changes [108]. The ultrastructural quality of vitrified specimens by SPRF and HPF is comparable, although on average, only 50% of the structures will be vitrified and 50% will be in crystalline form. To prove the concept of self-pressurised vitrification, different organisms were used including bacterial strains, yeast cells, eukaryotic cell culture and C. elegans nematodes. In the case of eukaryotic cell culture, it was noted that the copper tubes are poisonous, even in a typical time range (30–60 s) during sample preparation prior vitrification. Thus, the physiological or ‘close-to-native’ state is definitely lost [106]. An aluminium container was proposed as a substitute for poisonous copper tubes, although authors suggested developments of new biocompatible coatings of the copper tube’s internal surface. The reason was a slightly higher degree of crystalline ice volume in aluminium tubes. The necessity to prepare cell culture as a suspension is a different obstacle; therefore, although SPRF technique is cheaper and less laborious in comparison with HPF, this technique cannot be used in morphological research where cell adhesion is of critical point. More recently, SPRF was used to vitrify Arabidopsis inflorescence stems with subsequent cryosectioning in order to obtain architecture information about plant cell walls. This knowledge is another step to improve understating of biofuel plant material and to rationalise reengineering of second-generation lignocellulosic biofuel crops [109].
6. Post-freezing processing
After vitrification, water within the samples is amorphous as long as samples are stored below devitrification temperature (<-136 ºC). Further processing of the sample depends on its size and aims of the study. The electron beam penetration limit in TEM is about 1 µm. Therefore, many different small-enough samples, such as macromolecular complexes, viruses or bacteria as well as subcellular structures at a periphery of the cell, can be imaged directly under cryo-TEM. Water inside a column of TEM evaporates, unless a special cold stage holder is used at temperature close to that of liquid nitrogen. At this temperature, water evaporation rate is almost negligible and vitrified material can be observed without loss of image quality [110]. However, thicker samples require distinct follow-up procedures – specimen sectioning is the basic need. Vitrified material can be sliced at a temperature below devitrification point into ultrathin sections and subsequently analysed under cryo-microscope (CEMOVIS). As another option, the focused ion beam technology is adequate for the purpose of thinning vitreously frozen biological material. Besides application of pure cryotechniques, specimens can be prepared by cryo-to-room temperature techniques.
6.1. CEMOVIS
In principle, cryo-electron microscopy of vitreous sections (CEMOVIS) technique is as simple as possible. The first step is vitrification of biological material; then vitrified material is sectioned in a cryo-ultramicrotome. Frozen sections are transferred to a grid, and subsequently the grid is imaged in a cryo-TEM under low-dose condition [111]. Critical issue leading to final success is hidden in performing all these manipulations below devitrification temperature. In spite of the fact that CEMOVIS seems to be a simple technique, the modern state of this approach was strongly connected with indispensable laboratory work and technological development of electron microscopy field.
In the first cryosectioning-based studies [42,43], samples were freeze-dried before analysis under electron microscope. Another important development was sectioning of unfixed biological material at -150 ºC [112], together with transfer and observation of frozen-hydrated specimens in the transmission electron microscope [113]. Similar to the previous studies, also in these works, obtained sections were not analysed as vitreous specimens.
However, the first successful trails in cryosectioning of vitreous material were built on precursors’ work and existing cryo-microtomes and took place in the eighties of the last century [111,114]. Obtained good results were not reproduced each time, and they were difficult to extend to other specimens [70]. It took another 20 years, where new vitrification techniques were established, and scientists obtained better knowledge of the vitreous state of water and cryosectioning method was optimised. Although promising results have been obtained at the beginning of this century, 2004 was a pivotal year because CEMOVIS has reached maturity. Since then, CEMOVIS is regarded as a routine laboratory technique, at least by some researchers, and reveals the native state of cells and tissues with remarkable quality and resolution [115].
Frozen-hydrated sections are prepared without any additional purification, fixation, dehydration and staining steps. As a result, all cellular components are immobilised inside vitrified water, with preservation to the atomic level [116]. During vitrification process, using HPF or SPRF, usually a 20% solution of a high-molecular-mass dextran is used. Addition of dextran to the sample mimics the vitrification properties of typical cells. Consequently, surrounding environment of the cells is vitrified and thus eliminates possibility of crystalline ice formation. Hexagonal or cubic ices make the sample brittle for sectioning. From another point of view, addition of dextran polymer ensures better sectioning of the sample [117]. In spite of the fact that observed specimen remains fully hydrated, unstained and close to the native state, it is not absolutely free of artefacts.
Vitreous water is a liquid with very high viscosity. This viscous nature of water entails difficulties during cryosectioning process and results in cutting-induced deformation. Resin-embedded and vitrified materials differ in cutting properties. During the cutting process of resin-embedded material, obtained thin sections from diamond knife are subsequently straightened during floating on the water surface through a high surface tension [118]. The required liquid for CEMOVIS techniques probably does not exist [117]. Therefore, a dry diamond knife is dedicated for cryosectioning of vitreous samples. The absence of liquid to float vitreous sections results in increasing interaction between the forming section and the knife [118]. These factors results in the formation of cutting artefacts such as chatter, compression, knife marks and crevasses [119]. In fact, sectioning of vitreous biological samples is technically difficult, but what is more important is some of the artefacts can be eliminated to some extent [119,120]. For example, knife marks are reduced through the use of undamaged diamond knife and through elimination of frost and debris at the edge of the knife [121]. The humidity inside the chamber of the cryo-ultramicrotome can be reduced to below 1% by using a protective glove box surrounding the cryo-ultramicrotome. It ensures that cryo-tools remain clean from frost contamination during vitreous sectioning [122]. The forming section flows during cutting process, thus applied force yields in different deformations. Crevasses are fractures on the surface of the section and they are more severe in thick sections and high cutting speed [115,119]. To minimise this artefact, sections should be thick but less than 70 nm. Chatter is defined as a periodic variation in section thickness along the cutting direction and depends on the gliding properties of the knife surface. It can be minimised by increasing cutting speed [117,123]. Chatter is associated with irregular compression which is considered as the most prominent cutting artefact. Compression is formed due to irregular friction of the knife surface, and it makes the section shorter along cutting direction compared to the length of sample’s block face. The main problem associated with compression is its heterogeneous nature which is discerned at cellular and molecular level [119,124–127]. Microtubule may serve as an example [124,125]: very often microtubules were observed as noncircular-shaped structures in case when long axes of these structures were not perpendicular to the cutting direction. What is more interesting, microtubules that were close to each other did not always display the same degree of deformation. A more detailed explanation can be found in [125]. Compression is reduced either through the use of low-angle knives [128] or through increasing the cutting thickness. Each sample is different, and different combinations of artefacts are possible. For that reason, it is important to find appropriate sectioning conditions to obtain optimal results [126]. Another solution is application of an oscillating knife to reduce cutting-induced artefacts of vitreous sections [120].
Probably the most difficult step during cryo-ultramicrotomy is transfer of vitreous ribbon of sections onto the carbon grid. To accomplish this step successfully, different approaches have been developed. One of the solutions is micromanipulator to hold and control the vitreous cryosections by eyelash when they come off from the knife edge. During the entire process, the ribbon is under constant tension as it grows longer, thereby keeping the ribbon as straight as possible. When the appropriate length is obtained, the ribbon is attached to the grid surface by lowering the micromanipulator and holding it in optimal position while a second eyelash is used to affix the other end of the ribbon to the grid surface from the knife edge. It is possible to affix a few ribbons to a single grid. However, the discussed solution is time consuming and prone to ice contamination [129]. The ribbons on the grid can be flattened by pressing with tools. The aim of this step is to reduce the probability of losing the sections during storage and transfer the grid, as well as improve the stability of section under electron beam [117]. Another solution is electrostatic charging for attaching the sectioned ribbon to the grid [122]. In comparison with micromanipulator solution, this method increases the successful attachment of frozen-hydrated sections to the carbon film, albeit both methods cannot guarantee uniform attachment of cryosections to the carbon film. This results in higher sensitivity of the section to the beam exposure and section movement during image acquisition, especially during electron tomography [123]. Recently, a new tool based on an aforementioned solution was presented [130]. One of the micromanipulator is used to manipulate the section ribbon by electrically conductive fibre; the second one positions the grid beneath the newly formed ribbon, and with the help of an ioniser, the ribbon is attached to the grid. This tool greatly facilitates manipulations, but sectioning artefacts remain. In summary, although much is known about CEMOVIS procedure and its artefacts, there is no remedy so far for discussed limitations. For this reason, CEMOVIS is still far from a routine application and general use.
6.2. Focused ion beam milling of vitreous samples
Focused ion beam (FIB) is an alternative method for sample thinning, free of artefact characteristic for CEMOVIS. This technique is widely used in material science; however, Marko et al. [131] proved that FIB milling can be applied in preparing biological material. FIB milling of vitreous samples is conducted using a dual-beam microscope. The dual-beam microscope is a combination of FIB system and scanning electron microscope. During FIB milling of vitreous sample, a finely focused beam of ions, usually gallium, is used to ablate the surface of the specimen through sputtering process. The whole procedure is under visual control of the SEM to ensure optimal procedure of sample preparation [132]. However, direct interaction between the ion beam and vitreous material must be taken into consideration due to possible sample damage. The application of a gallium ion beam with current of 10 pA and 30 kV acceleration does not cause sample devitrification [131]. Moreover, interaction of FIB with vitreous sample results in implantation of an ion layer, as thick as 5–20 nm into the FIB milling surface [133]. Indeed, the thickness of implanted gallium layer is almost negligible in a vitreous specimen with a thickness of 100–300 nm. Furthermore, the ion layer is much thinner in comparison with crevasses found in vitreous sections.
Cryo-FIB micromachining is a relatively new technique and remains in its early stages. Nevertheless, few sample preparation strategies have been introduced in the last 10 years. To date, bacteria and small eukaryotic cells, like Mycobacterium smegmatis, Saccharomyces cerevisiae and Dictyostelium discoideum [134,135], Escherichia coli, HeLa cells [136,137], BHK-21 cells [138] and Aspergillus niger [139], are deposited for culturing on the TEM grids and vitrified by plunge freezing technique. Next, vitrified material is transferred into the dual-beam microscope for a thinning process with a precision in the 10–100 nm range. At this stage, different FIB milling strategies for vitrified cellular samples are possible. The optimal geometry for small prokaryotic cells is wedge shaped, where frozen material is sputtered away at an oblique angle (~10º) with respect to the plane of the grid. Consequently, wedge-shaped vitreous material can be imaged with up to 3 μm transparency length and a thickness gradient less than 400 nm [134]. Eukaryotic and other cells similar in shape and size are milled in a thin self-supported membrane. During this process, a specific region of interest is localised and then rectangular sector below and above the selected volume is sputtered away, leaving behind a thin membrane, commonly referred to as a lamella, supported by the surrounding unmilled cells and ice [135]. Another option to obtain lamellas is a traditional FIB lift-out method, although it was deemed impossible because of the difficulty in obtaining platinum deposition at cryogenic temperatures [139,140]. Shortly, after vitrification, the feature of interest is defined through SEM; next the sample is cryo-coated with platinum (Pt) and two trenches are milled on each side of the lamella to be extracted. In the next steps, the sides and bottom of the lamella are sputtered away, and by using cold nanomanipulator, lamella is then lifted out from the sample and finally attached to the TEM grid by cryo-Pt deposition. During the last step, the attached lamella is thinned enough to be transparent to electron beam. The lamella-based sample preparation has an advantage over the wedge-shaped strategy, because the simple ablation geometry would not permit to easily find and target structures of interests embedded deeply in cellular volume [135,136]. Thick samples and suspension of cells, e.g. S. cerrevisiae [140,141] and muscle tissue [142,143], are vitrified in copper tube or dedicated carriers via high-pressure freezing. After that, material hidden inside both the tube and the carrier is exposed during pretrimming step inside the cryo-ultramicrotome. Subsequently, vitreous sample is transferred to the dual-beam microscope and milled according to H-bar strategy, ultimately resulting in lamellas with the required thickness and surface area. Finally, prepared sample is transferred to the cryo-TEM in order to perform visualisation under low-dose mode. Critical point is when each of the described steps must be carried under devitrification temperature and minimising frost or warming during transfer steps implicates customised transfer device introduction. For samples vitrified by plunge freezing, different cryo-FIB transfer stations and cryo-FIB shuttles were introduced [135–137], while high-pressure frozen samples require sophisticated and complex transfer systems like cryo-nano-bench system [140] or an intermediate specimen holder [142,143].
The cryo-FIB technique provides controlled access to specific supramolecular structures buried inside the cell. Moreover, many macromolecular complexes that are present in low copy numbers may be studied in their native cellular environment because homogenously thick lamellas with more than 100 μm2 areas can be prepared in a controlled and targeted manner. However, this preparation technique is low throughput due to several factors. As it was mentioned, an incidence of the ion beam should be as low as possible because a smaller milling angle produces a larger viewing area for analysis and minimises the deposition effect of milled material. The latter factor is not interrelated with milling currents or other parameters during sample thinning as such [135,137]. Inhomogeneous and varied composition of the vitreous samples is the main cause for curtaining effect which finally results in strong inhomogeneous lamella thickness [134,142]. These effect is reduced by deposition of organometallic platinum with a gas injection system without electron or ion beam radiation, prior to lamella preparation [144]. Another issue is the amount of information obtained from prepared samples during cryo-electron tomography. During cryo-FIB milling process, part of the vitreous specimen is physically destroyed along all axes [134]. In contrary, after vitreous sectioning, a series of cryosections is obtained, and information along these axes is partly remained, especially along z-axis. A further problem is the time needed to prepare sample prior to visualisation. Due to the large size of eukaryotic cells, longer milling time is required in comparison with the prokaryotic samples [135–137]. Other challenges related to the increased size of eukaryotic cells are identifying and targeting specific sites for processing. Small organisms, such as E. coli, are readily distinguished from the vitreous ice. Inversely, eukaryotic cells are surrounded by thick ice, thus identifying the area of interest is not simple. A method to overcome this limitation is either milling of many adjacent places to find features of interest or application of correlative light and electron microscopy techniques. Cells are cultured on EM finder grids and optical images are recorded before vitrification. Appropriate regions are selected for subsequent cryo-FIB milling based on light microscopy photos [136,145]. Alternatively, the frozen-hydrated sample is imaged under cryo-fluorescence microscopy before sample preparation by cryo-FIB for further analysis. The second approach allows direct correlation of the prepared vitreous sample between the two imaging modalities [134,138,146]. Moreover, localisation of smaller molecules or structures that exist in low copy number is simplified because targeting is based on clonable labels, such as green fluorescent protein [134]. The new idea presented recently is to localise structure of interest by fluorescent labels using cryo-light microscopy and then use it for coordinate transformation-based approach in the FIB-SEM system for milling [138].
At present, cryo-FIB milling of vitreous samples remains cumbersome and far from routine [143]. Much effort is required to improve the efficiency and repeatability of cryo-FIB milling process, such as reproducibility of lamella quality, i.e. overall thickness and thickness homogeneity, localisation feature of interests or better avoidance of frost during cryo-transfer steps. Therefore, the main issue in the presented articles is improving sample preparation protocols. Nevertheless, some interesting results have been achieved. For example, ten nuclear pore complexes in D. discoideum cells were identified in situ in one tomogram. Subtomogram averaging process yields the structure of nuclear pore with resolution of 7.9 nm. To achieve 6 nm resolution, 4,182 protomers are required from isolated nuclei using the same type of analysis [135]. Another result comes from bacterial cells, where membrane invaginations into both the cytoplasmic and periplasmic spaces of E. coli were found [136]. This technique will greatly facilitate high-resolution imaging of dynamic process, such as HIV particles travelling into the deep side of the host cell at different stages of infection, especially when viral capsid interacts with nuclear pore complex components [136]. By using FIB milling process, ryanodine receptors in toadfish swimbladder muscle were determined. Obtained results agreed remarkably well with those described previously, albeit further study will be required to understand structural features of ryanodine receptor connected to the T-tubule [143]. Cryo-FIB is also a promising thinning tool for describing new bacterial cytoplasmic structures termed as a stack. Stacks were defined as piles of oval disc subunits which are surrounded by a membrane-like structure. These structures are localised in the cell cytoplasm and are presented separately or grouped together in variable number within each cell. One can only speculate about stacks’ function, but it is suggested that they could be related to the bacterial cell replication process. Due to compression created during CEMOVIS and visualisation limitations arising from plunged frozen samples, cryo-FIB technique could provide new insight into macromolecular assembly of membrane-enclosed discs [147].
6.3. Nature of vitreous material
The sample in native state is very different from what has been seen before with conventional microscopy. Vitrified material is as close as possible to the native state because during sample preparation, neither chemical fixation, staining nor dehydration is used. Therefore, the final images represent the real distribution of the immobilised biological material within vitrified water. With frozen-hydrated samples, the contrast is proportional to the density and distribution of molecular inhabitants within the thickness of the sections. Moreover, structures in vitreous material are equally visible over the entire thickness, thus the native-state inherent low contrast due to low signal-to-noise ratio. In contrary to stained material, imaging of native biological material relies on phase contrast, which strongly depends on focus [71]. An additional issue is plethora of overlapping information for the reason that the typical fine details are much smaller than the section thickness. The solution overcoming this limitation is both preparation of thin sections or lamellas and electron tomography to obtain a three-dimensional model of the material distribution in the vitreous material. Frozen-hydrated specimens behave differently under electron beam in comparison with plastic sections. A characteristic phenomenon that may be developed is bubbling. Bubbling is a result of gas accumulation produced by electron beam decomposition of biological matter. What is the most interesting is that different substances have different electron radioresistance. Another problem is beam-induced deformations which are seen twofold. Vitreous material can be considered as high-viscosity liquid and can be rearranged by the electrons. On the one hand, sharp irregularities, such as crevasses and knife marks, under electron beam are removed from the vitreous section due to increasing the flow of the section. On the other hand, some biological structures, i.e. chromatin, aggregate under the effect of beam producing locally apparent higher-density area [148].
The main disadvantage of frozen-hydrated specimens is its uselessness to perform post-immunolocalisation of studied target. Antibodies require proper conditions for working, that is, ambient conditions and water solution. Accordingly, some researchers have developed a specific label for the identification of molecules for cryo-electron microscopy. These labelling techniques are base either on a clonable ferritin FtnA protein [149] or a biotin-streptavidin complex [150], called STAMP approach [151] and SNAP-tag technology [152]. However, ligand labelling for cryo-EM is still an emerging field; hence, another preparation technique is dedicated for immunogold labelling and structural studies, namely, freeze substitution. Indeed, vitreous and freeze-substituted materials are very complementary [123]. The latter preparation solution should be considered as the method of choice when high-resolution study is not the major aim. Resin-embedded material is easier to obtain and is less sensitive to electron beam in comparison with vitreous material, and for this reason, analysis of larger sample area is possible. Additionally, plastic sections can be thicker than vitreous ones, and thus, the former enable studying a larger volume. The other advantage of resin sections is the possibility of immunogold labelling.
6.4. Freeze substitution
Freeze substitution (FS) is a hybrid method that bridges the gap between vitrified material and room temperature ultramicrotomy of resin-embedded material. Biological material after vitrification process is gradually dehydrated in the presence of chemical fixatives at low temperature. Later, the whole process is gradually warmed, and finally, the sample is embedded in resin. This technique was first introduced in 1941, as a preparative technique for light microscopy samples [153]. The potential of FS at electron microscopy filed was explored by Fernandez-Moran [154] and was further developed by others [155–158].
Freeze substitution process consists of dehydration and chemical fixation step followed by either low- or room-temperature embedding in chosen resin. Dehydration process usually starts at -90 ºC in an organic substitution medium containing chemical fixatives. The key point is that sample must be kept below devitrification temperature. In case of biological material, this temperature remains well below -100 ºC. What happens during water substitution at low temperatures is not fully understood. Nevertheless, vitrified water turns into cubic ice, and then transition takes place into hexagonal ice. Cubic ice is a metastable state, thermodynamically more stable form of water. The second transition process, from cubic to hexagonal form, occurs at around -80 ºC. The most important event during these transitions is that water molecules probably rearrange by rotation with only small transitional displacement which leads to embedding the biological structure by ice without any segregation. Then the result is that the structural preservation is excellent down to molecular dimension. In reality, FS process deals with cubic and sometimes with hexagonal ice but never with vitreous water [60]. This would imply that cubic ice has no significant influence on the observed morphology at the level of resolution of biological samples during FS process under controlled conditions. Besides these theoretical bases, other aspects must be considered.
From the biophysical side, low temperature influences on ultrastructure preservation through hydration shell preservation and infiltration of chemical fixatives. FS process preserves the hydration shell at least partially, although less hydrophilic organic solvents are used, e.g. acetone or methanol. It is well known that organic solvents cause protein aggregation, and chemical fixatives react relatively slowly; therefore, it cannot preserve all the cellular components simultaneously. The consequences of chemical fixation are seen as osmotic changes and redistribution or extraction different molecules, i.e. lipids and ions [85,157,159,160]. The reason for the superior structural preservation is infiltration of stabilising or fixative compounds together with the dehydrating agents. After raising the temperature, fixatives react in situ, between -90 ºC and -30 ºC, avoiding penetration and diffusion artefacts [157]. Many different substitution media compositions were developed. The main fixatives are GA, osmium tetroxide and UA used in different combinations and at different percentages in acetone, methanol or ethanol [67,161–164]. Acetone is the most commonly used dehydrating agent because it substitutes at a slower rate than methanol, thus resulting in better structural preservation [165,166]. The most-used fixatives are OsO4 with or without UA in acetone for morphological study and low concentrated GA in acetone for immunolabelling detection [167–169]. The interesting observation concerning reactivity of used fixatives was made. Osmium tetroxide at low temperature does not react as protease, but begins cross-linking, via cis-diol covalent bonding to unsaturated lipid chains at -70 ºC [170]. Uranyl acetate binds to proteins and phospholipids at an even lower temperature. Glutaraldehyde starts cross-linking at -50 ºC, but it acts readily only at or above -30 ºC [161]. For some immunolabelling study, pure solvent preserves well both the antigenicity and the ultrastructure of the cells [159,171]. A distinct feature of well-vitrified samples, without visible ice segregation artefact, is a ‘reverse contrast’ seen as pale membrane against a more electron dense background [172,173]. In order to improve the membrane contrast and preservation of cultured cells, a few different substitution media were introduced. The most interesting substitution medium contains 5% water in acetone [173]. It has been proved that substitution cocktails can include up to 20% of water without deleterious ice damage or extending dehydration time [174]. These protocols totally contradict the long-standing theory that a low amount of water as 1% in acetone extends freeze-substitution process four times [161]. A disadvantage of a medium containing water is antigen loss by extraction. Similar results were observed for pure solvents; thus, low concentration of glutaraldehyde can be generally used [175], but the exact substitution protocol requires an individual approach. Alternatively, membrane contrast can be enhanced by using tannic acid-mediated osmium impregnation method [176], tannic acid in acetone during FS [95,177] or different combinations of glutaraldehyde, UA and OsO4 [178,179]. An attractive protocol omitting osmium tetroxide is based on 20% Araldite/Epon in acetone as fixative in the first step and subsequent embedding in pure epoxide resin. Epoxide compounds react with proteins and lipids and provide interesting results which may become an important tool in getting information about influence of different reagents and protocols on ultrastructure preservation [180]. Current FS procedures are measured in wide time range from less than 24 h for cell culture [162,172,174,181] to longer period of time such as four days for plant material [182,183]. However, other tissues are usually substituted during 2–4 days, e.g. rat liver [184], mouse skin [185] or C. elegans [186]. On the one hand, such a wide range of different fixative cocktails gives opportunity to study different structures of interests in both structural and immunolocalisation research. On the other hand, the variety of possibilities become a challenging task for optimisation of FS process because each sample is unique [67].
The last step during sample preparation for the room-temperature ultramicrotomy is sample embedding. Epoxide-based polymers are dedicated for morphological analysis including electron tomography by virtue of a larger stability in the electron beam and ease of sectioning. In contrast to epoxide resins, methacrylates do not bind covalently to cellular structures; hence, the antigens of interests remain unaltered and section surface has higher roughness, thereby higher access to antigens. Another advantage of methacrylic resins is low-temperature embedding and polymerisation by UV light (Figures 2 and 3); thus, harmful heat effects on epitopes is avoided [157,165]. However, this division is not a rule, because Epon sections were used to identify the subcellular localisation of proteins [187], lipids [188] or carbohydrates [189]. Special attention should be directed to McDonald’s FS protocols [168,190]. Super-Quick FS takes only about 6 h from freezing process to resin blocks preparation ready to section. Substitution process from -90 ºC to 0 ºC is performed during 2,5 h; then rapid infiltration in LR White or Epon resin takes another two hours followed by polymerisation at 100 ºC for 1,5–2 h. For this protocol, organisms considered as difficult to fix were chosen. As a result, presented ultrastructure preservation was comparable to standard FS protocols, and high-temperature polymerisation does not affect antigen preservation.
7. Sample examples prepared by cryotechniques
High-resolution study requires superior sample preparation via vitrification process. Sample such as protein, protein complexes, viruses, bacteria or organelles in vitro and in situ within whole organisms or single cell are prepared by plunge freezing. Moreover, in modern structural biology, the main goal is in situ structure determination within unperturbed cells because purified objects are disintegrated during sample purification. Thus, for structural biology at cellular and tissue level, thicker samples are prepared by CEMOVIS (30–200 nm) or cryo-FIB (100–300 nm) techniques. The visualisation of frozen-hydrated biological samples is performed by single-particle analysis or cryo-electron tomography. The former technique enables to achieve near-atomic resolution and is applied to purified viruses, macromolecular complexes and single proteins [80,191,192]. On the other hand, cryo-ET bridges the gap between cellular ultrastructure and the structural analysis of macromolecular complexes within the cell with resolution in the sub-nanometre [193] to 10 nm range [194–196]. Electron tomography of plastic sections is another technique dedicated for cellular structural biology, where the more important aim is to reveal functional-morphological relationships than macromolecular details. Sample is prepared by cryoimmobilisation followed by freeze-substitution process. Next, polymerised specimen is sectioned in 100–400 nm range and analysed [194]. Combination of subsequent section tomograms extended the depth of analysed volume to several micrometres. These advantages led to large-scale imaging where both detail and overview are necessary. Another worth-noting point for ET study is a scanning transmission electron microscopy (STEM) mode. Due to lack of inelastic scattering of electrons and chromatic aberration in a STEM mode, resin sections as thick as 1 µm can be analysed [197–200]. Besides three-dimensional analysis, both frozen-hydrated and plastic sections are also analysed at lower resolution at 2D morphological level.
CEMOVIS has already provided unusual views of different structures with a molecular resolution in native cellular context including microtubules, mitochondria, Golgi apparatus [194] or desmosomes [116]. Combination of CEMOVIS with electron tomography, called TOVIS [201], becomes a powerful tool in virology [76], microbiology, cellular biology and tissues. The reader is referred to review articles that cover mentioned topics with further references [79,202–205] due to limited space. However, two examples of CEMOVIS application will be pointed out. Cryo-EM of vitreous sections gives opportunity to study different tissues, including skin biopsies. The unravelling of molecular organisation of the skin lipids will significantly improve molecular understanding of the tissue. Until recently, six theoretical models for the molecular arrangement of the extracellular lipid matrix have been proposed. Nevertheless, combination of TOVIS, molecular modelling and EM simulations has revealed a new model of lipid organisation, which rationalises the skin nature and functions [206]. These results will influence dermatology field and thereby further translates in technological developments of new, transdermal drug delivery systems, the development of noninvasive diagnostic sensors and dealing with toxicity from topical exposure to chemicals. Without CEMOVIS, it would be impossible to perform the simultaneous quantification of water and elements in the native state [63]. In combination with fluorescence microscopy, it was showed that the induction of nucleolar stress in cancer cells resulted in both an increase in water content and a decrease in the element content in all cell compartments. The presented study opens new way to understand cell functions, and future research could extend our knowledge about cell activities, depending on actual concentration of ions and the hydration status.
The classical examples of superiority of the cryopreparation techniques, based on HPF followed by FS process, over conventional TEM were showed on the method-dependent bacterial mesosomes [55] and articular cartilage [85], although in the former, further investigation led to revisiting the mesosome as a site of hydrogen accumulation [208] using quick-freezing preparation of TEM. Among the advantages of plastic sections, one is the section thickness; thus, comparatively large cellular volume can be analysed that was exemplified by microtubule cytoskeleton architecture in yeast [209], organellar relationship in the Golgi region of the pancreatic cells [210] or architecture of the caveolar system [211]. Besides, the reader can find many articles where either different techniques were compared [55,91,96,212–216] or examples were collected in reviews [194,217].
Figure 2.
Ultrastructural demonstration of immunogold labelling of visfatin particles or small clusters consisting of number gold particles were demonstrated in the subcellular compartments of human colorectal HCT-116 mononucleated cells which were cultured in log phase of growth (Cy cytoplasm, N nucleus, Scale bars: a) 1 μm, b) 500 nm). Cells were chemically fixed, dehydrated and embedded in LR White resin [207]. Visfatin is an enzyme which overexpression is correlated with poor prognosis in cancer patients. In this study, we tried to explore the association between visfatin distribution in subcellular compartments and increased apoptosis in cells treated with cytochalasin B. For further study, our aim is to optimise of HPF-FS protocols for cytoskeleton ultrastructure. Figure and legend adapted and changed from [207] under terms of the CC BY 3.0 license.
Figure 3.
Human colorectal HCT-116 were vitrified by HPF followed by FS and embedding in LR White resin. During FS process, cells were fixed with only 0,25 % GA. In comparison with cells prepared by conventional method (Figure 2), vitrified and freeze-substituted material show outstanding ultrastructure preservation. Even without OsO4 fixation, membranes are clearly visible, mainly rough endoplasmic reticulum and nuclear membranes. Nevertheless, further protocol optimisation is required.
8. Unity is strength: The hybrid techniques
Immunoelectron microscopy bridges the information gap between molecular biology and ultrastructural studies providing information regarding the function of the internal structures of the cell. The main requirements to obtain valuable results are suitable fixation protocol and functional antibody conjugated with an appropriate nanoparticle to be detected. For many years different protocols were developed for structure localisation study [167] based mainly on Tokuyasu technique, HPF followed by FS and low-temperature embedding [169] or conventional chemical fixation [207,218] together with progressive-lowering temperature technique. Nevertheless, this field is still amenable to new solutions, especially for difficult-to-fix samples and difficult-to-fix antigens. The hybrid techniques combine advantages of different cryopreparation techniques in order to eliminate the particular step limitations of each one, at least in part.
Cryosectioning according to Tokuyasu is one of the most reliable and efficient immunolocalisation techniques for different types of sample. An inherent limitation of Tokuyasu cryosectioning is mild chemical fixation at the beginning of the sample preparation. Thus, small molecules, including molecules of interests, may be dislocated or extracted during chemical fixation. Besides, it should be mentioned that process of chemical fixation is selective and results in pH-related and osmotic changes in the different organelles [58]. Another restriction is intractability of samples, which contain a hydrophobic cuticle or a rigid wall, such as C. elegans, Drosophila or plants. Cryoimmobilisation should be used to overcome difficulties arising from chemical fixation during sample fixation. In spite of the all above-mentioned issues, one more should be considered – the nature of the antigen. Some antigens are sensitive on chemical fixation at room temperature or resin components and solvents and thus cannot be immunolabelled either in thawed cryosections or after cryoimmobilisation, freeze substitution and resin embedding. Therefore, the main aim was to introduce hybrid methods that combine the high-efficiency Tokuyasu cryosectioning labelling technique with an initial cryoimmobilisation step. Different approaches have been introduced with different results. The first attempts were taken by the group of Slot and Geuze [53,56] by combination of a frozen-hydrated cryosections with subsequent material fixation during thawing and after transfer to a grid. This method turned out to be unsuitable to routine use because, besides technical requirements and lack of reproducibility, only a small area of obtained sections has got desired morphological quality [56].
Another strategy to improve the antigenicity and ultrastructure preservation is rehydration method (RHM) based on cryofixation, freeze substitution and rehydration process before entering Tokuyasu cryosectioning and immunolabelling [56]. Sample after vitrification is dehydrated at low temperature with a substitution medium containing UA, glutaraldehyde and/or OsO4 and water to improve membrane contrast. After freeze substitution step, a rehydration process is carried out on ice. Rehydration step is necessary to enter the Tokuyasu procedure, i.e. sample embedding in gelatine, infiltration with high concentrated sucrose and freezing in liquid nitrogen. During dehydration step, additional chemical fixation is performed because fixation during FS step turns out to be insufficient. This approach resulted in excellent preservation of HepG2 cells, primary chondrocytes, cartilage and exocrine pancreases and immunolabelling efficiency comparable to Tokuyasu method. In the case of tested samples, authors suggested using the standard Tokuyasu technique because it is much easier, faster and allows the preparation of larger samples. The real power of the RHM methods was showed on Arabidopsis tissues, anthers containing pollen grains, D. melanogaster embryos and young adult nematodes. For these organisms, the RHM method was slightly modified [58,59] on dehydration step which was started at subzero temperatures. Obtained results were similar to the Van Donselaar et al. study: 1) water addition to FS cocktail appeared to be necessary for improved visibility of the membrane’s bilayer structure and 2) sample fixation with osmium tetroxide, UA and glutaraldehyde during FS and post-fixation with glutaraldehyde at 0 ºC did not influence immunolabelling. Moreover, fixation-sensitive antigens were not inactivated, despite of using high concentration of fixatives. An additional benefit is usefulness of the hybrid techniques for fluorescence microscopy and CLEM due to the optimised ultrastructure preservation. Green fluorescent protein signal could be observed even after OsO4 treatment [58]. High lateral and axial fluorescence resolution can be obtained using thin cryosections; thereby, blurred signals are eliminated. Fluorescence-tagged antibody is much more sensitive than gold markers; thus, if fluorescence signal is not detected, then immunogold labelling is not worth to perform [59].
Hybrid techniques provide an alternative for worthlessness of vitrified cryosections in immunogold labelling. Recently, a novel hybrid technique called VIS2FIX was presented. First, vitrified material is cut into vitreous sections (VIS) and adhered to the EM grid. Next, the sections on the grid are fixed and brought to room temperature by means of FS and immunolabelling. Vitreous sections are fixed (FIX) either by VIS2FIXFS method using a high-speed FS procedure with subsequent rehydration procedure or by VIS2FIXH approach based on water-based frozen fixation, hence ‘H’ for hydrated [219]. Different combinations of fixatives were tested, including osmium tetroxide, glutaraldehyde, formaldehyde, acrolein and UA. The variety of mentioned fixatives and short time needed for sample preparation give huge possibilities in protocol optimisation for different antibodies and samples. The unique feature of VIS2FIXH method is fixation of lipids droplets, offering an interesting application in the lipidomics field. Although vitreous section is open structure and thus fixatives can penetrate it in high extent, the lack of embedding medium does not cause the material extraction. The high accessibility for the fixatives results in outstanding preservation of vesicles, particularly in the Golgi area and organelles. Further superiority over other techniques was proved through immunolabelling of both resin and aldehyde-sensitive antigens. As another option for making the impossible possible is vitrification of Tokuyasu-style immunolabelled sections, in brief VOS (vitrification of sections) technique. This approach was first time presented nearly a quarter of century ago by Sabanay et al. [220], and further afresh used in reconstruction of adhesion structures in tissues by cryo-ET [221]. In contrary to the described hybrid approach, in VOS technique, the first step is based on Tokuyasu sample preparation. The common steps are mild chemical fixation and cryoprotection in sucrose followed by immunogold labelling. After that, sample is re-vitrified in liquid ethane instead of treatment with methylcellulose and air-drying steps, as in the Tokuyasu technique [220]. The interesting thing is that the refrozen cryosections are free from cutting artefacts related with CEMOVIS procedure. Therefore, VOS technique provides meaningful 3D information on 300-400 nm thick sections. This method was used for 3D reconstruction of desmosomal adhesions in stratified epithelium and membrane-dense plaques and flanking caveolae in smooth muscle tissue [221]. The VOS technique is a valuable tool in fluorescence-based CLEM study, but together with Cryo-ET, its possibility to gain localisation of the targeted object in three-dimensional context is unique [222]. The advantage of VOS technique over standard Tokuyasu cryosectioning is that re-frozen cryosections are visualised by phase contrast results in more native sample preservation and overall better resolution. Moreover, structures invisible in Tokuyasu cryosections, i.e. cytoskeleton and ribosomes, should be possible to reveal with VOS.
In some conditions, chemical pre-fixation is an essential step prior vitrification process. This is true when safety consideration must be fulfilled, especially when pathogen organisms are the aims of the study. An aldehyde fixation step was introduced before vitrification of Bacillus\n\t\t\t\tanthracis spores [223]. Chemical pre-fixation step (CAF) followed by CEMOVIS made it possible to describe two new structures present in the spore. In some cases, chemical fixation is the only alternative for sample preservation. Biopsy specimen is particular situation, considering the place of sample collection where immediate processing of samples by HPF is rarely possible, i.e. a hospital or external laboratory. Thus, even sample is prolonged and stored in fixatives, subsequent processing by HPF followed by FS and polymer embedding results in better ultrastructure preservation compared to the conventional methods [224]. Some tissues are challenging specimen for ultrastructural preservation due to varied morphologies across its entity. Brain tissue integrity is degraded due to anoxia, unless chemical pretreatment is applied after the excision. The utility of this hybrid technique was demonstrated for variety of nervous system tissues. Aldehyde fixation prior to cryoimmobilisation and tailored FS protocol provides ultrastructural preservation superior to that obtained by conventional preparation and close to that obtained by HPF-FS protocol for tested samples [95]. Another challenging structure to preserve by HPF are stereocilia on the apical part of epithelial cells inside the inner ear. Preservation of the inner ear tissue using HPF is a challenging task, because the overall preservation of the sample was generally very good except for stereocilia. The explanation for this observation is unusual freezing properties of stereocilia actin bundles [96]. Authors considered different factors that could account for these properties, such as structure of the stereociliary actin bundles, high pressure during vitrification process and the treatment of the sample after freezing. Based on their research, authors were not able to unambiguously explain this phenomenon due to further study is required. Most importantly, chemical pre-fixation before cryoimmobilisation step resulted in preservation of cellular structure close to that prepared by HPF alone, and stereocilia actin bundle was preserved in a consistent manner.
9. Conclusions and outlook
The resolving power of TEM made it possible to visualise different objects at various resolution level ranging from angstroms for macromolecular complexes to nanometre scale for subcellular complexes and cells to micrometres for tissue gross morphology. Thus, electron micrographs have contributed significant understating of cellular structure and functions in physiological state as well as disease process. The sample preparation methods, however, still pose the main issue in biological TEM. It is important to realise that there is no single preparation technique that could be applied universally. Appropriate choice of the preparation technique is determined by different factors:
A model organism. Vitrification should be method of choice for formidable to fix organisms such as plants or C. elegans where a hydrophobic cuticle, thick wall or starch granules slow down chemical fixatives and thereby induce artefactual morphological changes.
When the time matters. Significant advantage of cryoimmobilisation over chemical fixation is the possibility to catch a dynamic cellular process at a known point and localisation of a rare event and structures, e.g. endomembrane transport in tissue culture cells, syncytial mitoses in early Drosophila embryos, nuclear division in C.\n\t\t\t\t\t\telegans [103,225] or viral dynamics in cell [203].
The aim of the study and the object size.
The first aim is structural analysis. Sample architecture should be changed as less as possible for high-resolution analysis; therefore, cryoimmobilisation-based techniques are the best choice. Sample in near to native state can be prepared as follows:
By plunge freezing, dedicated to proteins, macromolecular complexes and viruses suspension, for atomic or near-to-atomic resolution study
By high-pressure freezing or self-pressurised rapid freezing for CEMOVIS or cryo-FIB, dedicated to samples thicker than 10 µm and by plunge freezing dedicated to small organisms, for analysis in sub-nanometre to nanometres range of macromolecular complexes and organelles within the cells
For morphological and cellular structural biology studies, sample is prepared as follows:
By conventional sample preparation, dedicated for different samples, especially human tissue biopsies and whole organs of different animals. In some instances, this technique is more preferred, especially when the final contrast after cryoimmobilisation followed by FS is insufficient for further analysis. Good examples of this are synaptic vesicles in nerve cells and thylakoid chloroplasts [190]. If the extractions and/or distortions of the cytoplasm do not influence on data analysis then conventional TEM is a good choice.
By HPF/SPRF followed by FS combination; thereby, structural artefacts are limited. Resin sections give opportunities to obtain large-scale imaging at nanometre resolution.
The second aim of TEM is the immunocytochemical localisation of biochemically defined antigens within the cell landscape. Pure frozen-hydrated samples are useless for this task; thus, vitrified material is resin embedded after FS. Also specimen chemically fixed can be embedded in methacrylic resins for immunolocalisation study. Cryosectioning according to Tokuyasu is an alternative for both rare and sensitive to ethanol or methacrylates antigens. Tokuyasu technique excels in membrane contrast; hence, it is best suited for locating antigens in correlation to cellular compartments. On the other hand, resin sections have a larger area to analysis and better contrast that can be optimised for specific task. As it was mentioned in previous sections, hybrid techniques can offer a solution to antigens and samples difficult to fix for various reasons.
Another problem where preparation techniques pose the main issue is element distribution within analysed organism. Indeed, it is critical point to avoid and prevent diffusion of water and ions between cell compartments and outside the cell. To study element distribution within the cells and tissue, the best choice is CEMOVIS where sample remains at native state [62,63], at least in theory. Distribution of elements in resin sections obtained after vitrification and freeze substitution process are closer to natural state [64,226] in comparison with conventionally prepared sample. Nevertheless, a conventional TEM is also used for analysis of ions in biological study [227,228].
Last but not the least is technical level of difficulty and equipment requirements. Cryotechniques are generally more technically demanding, including skills (e.g. cryosectioning of vitreous samples) and devices (e.g. cryo-ultramicrotome, cryo-EM, vitrification machines) in comparison with conventional TEM.
On the whole, the wide variety of available preparation techniques for biological samples enables to answer specific questions dependent on the study aims, model organisms and required resolution.
Considering the technological advances at EM field during the last decade, it is nearly impossible to predict future developments. Currently, some interesting solutions in both imaging and sample preparation at different level are under development, and presented ideas may significantly improve the ability to investigate and understand the world around us. Continuous software development for images acquisition, 3D reconstruction and further image processing and interpretation during electron tomography pushes the resolution limit down [229]. Another factor for improving resolution is new direct detection system with better quantum detection efficiency and high speed that allows corrections of beam-induced movements [230]. Further reduction of image distortions can be achieved by applying a holey carbon grid modified with graphene sheets [231]. An alternative way to improve final image of vitrified specimen is introduction of Zernike phase plate. This modification permits to record higher contrasted images with better resolution [232]. On the other side of scale of resolution, correlative light and electron microscopy has its own place. This modern approach is strongly explored in cell biology at various levels of resolution, and further progress is driven by scientific needs. Most recently, an integrated system for live microscopy and vitrification (MAVIS) was presented [233]. MAVIS combines a light microscope with a plunger to vitrify the specimen, and in this time lapse, imaging in a few second time resolution could be performed without the need for transfer step. An elegant solution called integrated light and electron microscope (ILEM) joins light and electron microscopes within one set-up and in this way greatly simplifies sample handling and navigation between the two modalities, therefore increasing final success of image correlation of both plastic sections and vitrified material [48,234]. Fluorescence signal during sample observation inside the column of ILEM is detected at dry environment; thereby, fluorescence marker should be picked carefully. Additionally, to avoid quenching and loss of signal, the en bloc staining, for example, via FS process, is a prerequisite for resin sections post-labelled with fluorescent dyes [48]. The ultimate goal of every microscopy technique which contribute to biology is visualisation of working life in as close to the native state as possible. Incompatibility of a liquid sample with the vacuum needed for electron microscopy seems to be apparent since electron microscopy of specimens in liquid is possible [235]. Another dream of electron microscopists has come true, but even so, appropriate sample preparation is still a basic need.
The last decades have seen exponential technological progress that improves electron microscopes. Nevertheless, even if modern TEM will reach the electrons resolution limits, the sample preparation step remains a critical issue, limiting final achievements. Arguably, the optimisation of sample preparation is key issue for the integration different microscopy techniques and joining data acquired at different-length scale into one view.
Acknowledgments
The experiments were performed in the Department of Histology and Embryology in Zabrze, Silesian Medical University in Katowice using equipment financed by the Silesian Biofarma with infrastructure supported by POIG.02.03.01-24-099/13 grant: GCONiI – Upper-Silesian Center for Scientific Computation.
\n',keywords:"conventional TEM, cryo-TEM, cryofixation, CEMOVIS, freeze substitution, Tokuyasu technique, hybrid techniques, water",chapterPDFUrl:"https://cdn.intechopen.com/pdfs/48473.pdf",chapterXML:"https://mts.intechopen.com/source/xml/48473.xml",downloadPdfUrl:"/chapter/pdf-download/48473",previewPdfUrl:"/chapter/pdf-preview/48473",totalDownloads:4962,totalViews:3575,totalCrossrefCites:10,totalDimensionsCites:23,totalAltmetricsMentions:0,impactScore:8,impactScorePercentile:97,impactScoreQuartile:4,hasAltmetrics:0,dateSubmitted:"November 3rd 2014",dateReviewed:"April 23rd 2015",datePrePublished:null,datePublished:"September 2nd 2015",dateFinished:"May 20th 2015",readingETA:"0",abstract:"During the last 70 years, transmission electron microscopy (TEM) has developed our knowledge about ultrastructure of the cells and tissues. Another aim is the determination of molecular structure, interactions and processes including structure-function relationships at cellular level using a variety of TEM techniques with resolution in atomic to nanometre range. Even with the best transmission electron microscope, it is impossible to obtain real results without optimal sample preparation, respecting both the structure and the antigenicity preservation. Preparation techniques for high-resolution study of both macromolecular complex and organelles within cellular complex are based on fast cryoimmobilisation process, where the sample is in the most native, hydrated state. Next, thin samples are directly visualised under cryo-transmission electron microscopy (cryo-TEM), while thicker samples require a thinning step via cryo-electron microscopy of vitreous sections (CEMOVIS) or cryo-focused ion beam (cryo-FIB) before visualisation. Alternatively, vitrified samples are freeze substituted and embedded in chosen resin for room temperature ultramicrotomy. This preparation technique is suitable for morphological study, 3D analysis of cellular interior and immunoelectron microscopy. A different route for immunolocalisation study is cryosectioning according to the Tokuyasu technique that is a choice for rare or methacrylate-sensitive antigens. Most recently, new hybrid techniques have been developed for difficult-to-fix organisms and antigens or labile and anoxia-sensitive tissues. Another preparation technique is, the oldest but still important, conventional chemical fixation dedicated in a wide range of research interest, involving morphological and immunolocalisation study. In this chapter, we present different sample preparation approaches for transmission electron microscopy of biological samples, including its methodological basis and applications.",reviewType:"peer-reviewed",bibtexUrl:"/chapter/bibtex/48473",risUrl:"/chapter/ris/48473",book:{id:"4644",slug:"the-transmission-electron-microscope-theory-and-applications"},signatures:"Łukasz Mielańczyk, Natalia Matysiak, Olesya Klymenko and\nRomuald Wojnicz",authors:[{id:"174365",title:"M.Sc.",name:"Łukasz",middleName:null,surname:"Mielańczyk",fullName:"Łukasz Mielańczyk",slug:"lukasz-mielanczyk",email:"mieluk@gmail.com",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:{name:"Medical University of Silesia",institutionURL:null,country:{name:"Poland"}}},{id:"175977",title:"Dr.",name:"Natalia",middleName:null,surname:"Matysiak",fullName:"Natalia Matysiak",slug:"natalia-matysiak",email:"nmatysiak@sum.edu.pl",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:null},{id:"175978",title:"Dr.",name:"Olesya",middleName:null,surname:"Klymenko",fullName:"Olesya Klymenko",slug:"olesya-klymenko",email:"oklymenko@sum.edu.pl",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:null},{id:"175979",title:"Prof.",name:"Romuald",middleName:null,surname:"Wojnicz",fullName:"Romuald Wojnicz",slug:"romuald-wojnicz",email:"rwojnicz@sum.edu.pl",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:null}],sections:[{id:"sec_1",title:"1. Introduction",level:"1"},{id:"sec_2",title:"2. Water and its vital role in life",level:"1"},{id:"sec_3",title:"3. Conventional TEM",level:"1"},{id:"sec_4",title:"4. The Tokuyasu technique",level:"1"},{id:"sec_5",title:"5. Vitrification as an alternative to conventional fixation",level:"1"},{id:"sec_5_2",title:"5.1. Plunge freezing",level:"2"},{id:"sec_6_2",title:"5.2. High-pressure freezing",level:"2"},{id:"sec_7_2",title:"5.3. Self-pressurised rapid freezing",level:"2"},{id:"sec_9",title:"6. Post-freezing processing",level:"1"},{id:"sec_9_2",title:"6.1. CEMOVIS",level:"2"},{id:"sec_10_2",title:"6.2. Focused ion beam milling of vitreous samples",level:"2"},{id:"sec_11_2",title:"6.3. Nature of vitreous material",level:"2"},{id:"sec_12_2",title:"6.4. Freeze substitution",level:"2"},{id:"sec_14",title:"7. Sample examples prepared by cryotechniques",level:"1"},{id:"sec_15",title:"8. Unity is strength: The hybrid techniques",level:"1"},{id:"sec_16",title:"9. 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Direct detection pays off for electron cryo-microscopy. Elife. 2013;2013:2–4.'},{id:"B231",body:'Sader K, Stopps M, Calder LJ, Rosenthal PB. Cryomicroscopy of radiation sensitive specimens on unmodified graphene sheets: reduction of electron-optical effects of charging. J Struct Biol. 2013;183:531–6.'},{id:"B232",body:'Murata K, Liu X, Danev R, Jakana J, Schmid MF, King J, et al. Zernike phase contrast cryo-electron microscopy and tomography for structure determination at nanometer and subnanometer resolutions. Structure. 2010;18:903–12.'},{id:"B233",body:'Koning RI, Faas FG, Boonekamp M, de Visser B, Janse J, Wiegant JC, et al. MAVIS: an integrated system for live microscopy and vitrification. Ultramicroscopy. 2014;143:67–76.'},{id:"B234",body:'Faas FGA, Bárcena M, Agronskaia AV, Gerritsen HC, Moscicka KB, Diebolder CA, et al. Localization of fluorescently labeled structures in frozen-hydrated samples using integrated light electron microscopy. J Struct Biol. 2013;181:283–90.'},{id:"B235",body:'De Jonge N, Ross FM. Electron microscopy of specimens in liquid. Nat Nanotechnol. 2011;6:695–704.'}],footnotes:[],contributors:[{corresp:"yes",contributorFullName:"Łukasz Mielańczyk",address:"mieluk@gmail.com",affiliation:'
School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia, Department of Histology and Embryology, Zabrze, Poland
School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia, Department of Histology and Embryology, Zabrze, Poland
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1. Introduction
Tuberculosis (TB), one of the most common deadly disease is caused by a bacterium called Mycobacterium tuberculosis. Robert Koch in 1882, isolated the mammalian strain and proved that the Mycobacterium tuberculosis plays a causative role in Tuberculosis. As per the latest WHO report approximately one-fourth of the world’s population are infected with Mycobacterium tuberculosis (Mtb), whereas 5–10% of the total will develop TB disease during their lifetime [1, 2]. The WHO estimated that in 2018, about 10 million people were affected due to TB worldwide and 1.5 million people suffering from the ailment, including 2,51,000 people who additionally had HIV [3, 4]. In the past, TB was a major reason for death around the globe [5, 6]. In industrialized nations, TB is getting slow due to vast development and improvements in drugs and new antibiotics [5, 7].
TB may exist in two forms, active (dynamic) TB and Latent TB. Dynamic tuberculosis is a condition where MTB causes contamination; regularly, in the lungs, albeit numerous frameworks can be included. Dynamic TB is a multiorgan illness brought about by essential disease or as reactivation of inert tuberculosis. As need be, dynamic tuberculosis could be essential tuberculosis or reactivation tuberculosis.
Latent TB happens when an individual has the TB microscopic organisms inside their body, however, the microbes are available in tiny numbers. They are monitored by the body’s safe framework and do not bring on any indications. Individuals with idle TB do not feel wiped out and are not irresistible. They cannot give the TB microscopic organisms to others. Moreover, they will generally have an ordinary chest x-ray and a negative sputum test. It is regularly just realized that somebody has latent TB since they have had a TB test, for example, the TB skin test. There are two kinds of test that can be utilized. These are the TB skin test (TST) and the fresher IGRA blood test. In nations where there is a significant degree of TB, (for example, the high weight TB nations) most individuals may have latent TB.
Fortunately, most of the TB patients have latent infection i.e., bacteria are present in the body but is not causing active disease. Hence at any one time, there are about 10 million people across the world with active tuberculosis infection and that causes deaths in about 10% of them. So, approximately there are 1 million deaths per year due to tuberculosis [8, 9]. The Mycobacteria principally target the lungs, moreover, it has been observed that M. tuberculosis may also reach and affect other parts of the body, such as the kidney, spine, and brain. A few people get tuberculosis ailment long after getting contaminated, even before their immune system can battle against the TB bacteria. Others may get the ailment years after the fact when their immune system gets frail for some other reason [8, 10].
Tuberculosis possesses a genuine risk to human wellbeing and one of the main reasons for significant human demise on the planet. Moreover, the emergence of drug resistance and its relationship with HIV infections have intensified worldwide circumstances. Unfortunately, despite advanced modalities for diagnosis and treatment of TB, people are still suffering a lot. There are specific properties associated with MTB that has presented vast challenges to develop an efficient drug against Tuberculosis [11]. The major obstacles in TB treatment like screening of compounds with anti-tubercular activity, the long duration medication, the lack of predictive animal models, and insufficient information on the physico-synthetic properties required for successful bacterial penetration [12], are being encountered by the pharmaceutical scientist.
The danger of creating dynamic (active) Tuberculosis ascends to 30% in diabetes victims. Usually, 80% - 90% of the patient having an infection of drug-resistant tuberculosis are relieved by taking concentrated anti-toxin treatment [2]. However, treatment by antibiotics is dependent on a load of drug-resistant M. tuberculosis in the patient [13]. Therapy of anti-drug or multidrug-resistant Tuberculosis (MDRTB: impervious to isoniazid and rifampin) is increasingly perplexing and takes nearly 2 years of chemotherapy amalgamation [14, 15]. Thus, progressively viable medicines are necessary to avoid or the emergence of tuberculosis. Treatment of the significant levels of drug-resistant Mycobacterium tuberculosis contamination, which incorporate rifampin-resistant (Rif-TB), MDR-TB, and extensively resistant TB (XDR-TB) requires new medications method and approaches to combat [5, 10]. The development of new methods of treatment is a complex process as anti-tuberculosis drugs are mostly given in combination to inhibit the further emergence of drug-resistant TB [14]. Moreover, dormant TB has also been observed in many people in which TB is not in a dynamic position and do not show any symptoms in a patient [16] whereas dynamic TB happens when the body cannot possess the TB pathogen but at this condition, the bacteria can reproduce and cause wanted symptoms and people with dynamic TB can spread the contamination [9, 15]. In certain condition, some MTB strains are not affected by the treatment method and hard to treat tuberculosis [17, 18].
2. Need of research on new TB vaccine
In recent decades, advanced diagnosis and treatment method of TB has reduced the mortality rate up to significant level but TB still exists in world population causing extensive human suffering, economic burden led to global inequity. There are neonatal BCG vaccines that can prevent infants and young children from severe forms of TB but this vaccine is unable to show its effect in adolescents and adults who are crucial in TB transmission. We need to develop new efficient vaccines which could work in all age group people that may assist to fulfill the WHO end TB strategy that aims to reduce the TB mortality and TB incidences by 95% and 90% respectively worldwide.
Now, WHO is putting much efforts to produce TB vaccines and the Product Development for Vaccines Advisory Committee (PDVAC) is asking to develop a WHO preferred Product Characteristics (PPC) for new TB vaccines. The WHO’s PPC data was established to document the crucial and priority requirements for vaccines which may show better safety and efficacy compared to BCG vaccine which is given to neonates and infants against pulmonary TB in adults, and new TB vaccines.
The major vaccine platforms like whole-cell vaccines, adjuvanted proteins, and recombinant subunit vector vaccines, are being considered in the pipeline of TB vaccine development. Now focus is on TB treatment in adolescents and adults by developing an effective candidate vaccine that may also replace the BCG in early life immunization. Many other aspects are in consideration in vaccine development, such as BCG boosters, reduction of treatment period using immunotherapeutic adjuncts and vaccine to prevent diseases reoccurrence in TB patient.
In recent developments, as per WHO report, there is TB vaccine candidate (M72/AS01E) developed by the pharmaceutical company GlaxoSmithKline, in partnership with AERAS and was observed substantially effective against Tuberculosis disease and these results came out in a Phase IIb trial carried out in Kenya, South Africa and Zambia in patients having latent tuberculosis. This vaccine was found with 50% efficacy over about 3 years of continuous monitoring.
3. Globally situation of tuberculosis
According to the report of WHO, a sum of 1.4 million individuals passed on from TB in 2019 (counting 208,000 individuals with HIV). Around the world, TB is one of the top 10 reasons for death and the main source from a solitary irresistible specialist (above HIV/AIDS). In 2019, an expected 10 million individuals became sick with tuberculosis (TB) around the world. 5.6 million men, 3.2 million ladies and 1.2 million youngsters. In 2019, 1.2 million kids became sick with TB worldwide. The youngster and juvenile TB is frequently ignored by wellbeing suppliers and can be hard to analyze and treat. In 2019, the 30 high TB trouble nations represented 87% of new TB cases. Eight nations represent 66% of the aggregate, with India driving the tally, trailed by Indonesia, China, the Philippines, Pakistan, Nigeria, Bangladesh and South Africa. Multidrug-safe TB (MDR-TB) stays a general wellbeing emergency and a wellbeing security danger. A worldwide all out of 206 030 individuals with multidrug-or rifampicin-safe TB (MDR/RR-TB) were identified and told in 2019, a 10% expansion from 186 883 out of 2018. Internationally, the TB rate is falling at about 2% each year and somewhere in the range of 2015 and 2019, the combined decrease was 9%. This was not exactly most of the way to the End TB Strategy achievement of a 20% decrease somewhere in the range of 2015 and 2020. An expected 60 million lives were saved through TB analysis and treatment somewhere in the range of 2000 and 2019. Finishing the TB plague by 2030 is among the wellbeing focuses of the United Nations Sustainable Development Goals (SDGs). Tuberculosis generally influences grown-ups in their most gainful years. Nonetheless, all age bunches are in danger. More than 95% of cases and passings are in non-industrial nations. Multidrug-resistant tuberculosis (MDR-TB) is a type of TB brought about by microbes that do not react to isoniazid and rifampicin, the 2 best first-line hostile to TB drugs. MDR-TB is treatable and reparable by utilizing second-line drugs. Nonetheless, second-line treatment choices are restricted and require broad chemotherapy (as long as 2 years of treatment) with meds that are costly and poisonous.
Sometimes, more serious medication opposition can create. TB brought about by microbes that do not react to the best second-line hostile to TB medications can leave patients with no further treatment alternatives.
In 2019, MDR-TB stays a general wellbeing emergency and a wellbeing security danger. A worldwide total of 206 030 individuals with multidrug-or rifampicin-safe TB (MDR/RR-TB) were identified and advised in 2019, a 10% increment from 186 883 out of 2018. About portion of the worldwide weight of MDR-TB is in 3 nations – India, China and the Russian Federation.
Around the world, just 57% of MDR-TB patients are presently effectively treated. In 2020, WHO suggested another more limited (9–11 months) and completely oral routine for patients with MDB-TB. This exploration has shown that patients think that it’s simpler to finish the routine, contrasted and the more drawn-out regimens that last as long as 20 months. Protection from fluoroquinolones ought to be rejected preceding the commencement of treatment with this routine.
As per WHO rules, the discovery of MDR/RR-TB requires the bacteriological affirmation of TB and testing for drug obstruction utilizing quick sub-atomic tests, culture strategies or sequencing advancements. Treatment requires a course of second-line drugs for at any rate 9 months and as long as 20 months, upheld by advising and checking for unfavorable occasions. WHO prescribes extended admittance to every single oral routine. Before the finish of 2019, 89 nations began utilizing more limited MDR-TB regimens and 109 had imported or begun utilizing bedaquiline, with an end goal to improve the viability of MDR-TB treatment.
4. The course of events in Mycobacterium tuberculosis
Mycobacterium tuberculosis basically passes through the 5 stages during its life cycle. At the first stage, the bacteria are inhaled through the air and typically engulfed by alveolar macrophages, further proceed to the symbiosis stage and causing the caseous necrosis in later stages. Eventually spread to other cells and causing rapid spread of diseases. The whole cycle is presented in detail in Figure 1 and as a flow chart in Figure 2. The Mycobacterium gets entry into the lungs and resides in the alveoli of the lungs while it begins its primary infection. If the immune system fails to eliminate it then there are three cases observed with the mycobacterium in the alveoli. The first case could be the elimination phase, in which the immune system completely eliminates the infection. The next one retention phase where the immune system suppresses the infection but the bacteria remain viable and, in this case, the infection is known as Latent Tuberculosis which is the most asymptomatic Tuberculosis. And the third phase may involve Active infection, which makes the mycobacterium capable of evades the immune response and separates the infection in the lung tissue and at this point of active infection it is known as Active Tuberculosis [19, 20, 21].
Figure 1.
Life cycle of Mycobacterium tuberculosis. This presentation is influenced with the figure available at online resource on study of the tuberculosis. (https://sites.google.com/site/mycobacteriumtbstudy/home/life-cycle-of-organism).
Figure 2.
Flow chart presentation of life cycle of Mycobacterium tuberculosis.
M. tuberculosis has 5 stages in its life cycle as mentioned in Figure 2 as flow chart [1, 2, 7, 22].
5. Pathogenesis and transmission of Mycobacterium tuberculosis
If somebody has active lung disease with TB they will cough and, in the cough, there would be infected droplets carrying the bacteria that could be inhaled by somebody else [8, 15]. Once the bacteria is inhaled it goes into the lungs and then it invades the normal mechanism for protecting lungs against bacterial infection which are the alveolar macrophages. It actively seeks out and invades these macrophages because it can prevent the normal macrophage killing mechanism. So, it diverts the normal figure lysosome pathways and that allows it to survive in the macrophage and it can be latent in that macrophage for decades [3]. Also, Macrophages because they move will allow the bacterium to spread bull RAC across the body and this is one of the reasons why sites of immune functions such as the lymph nodes often get infected with Tuberculosis and long-term persistence within the macrophages is led to latent diseases [18]. Besides, there is a certain inflammatory response to this infection which causes a very distinctive histologic appearance called granulomas and that is one of the hallmarks of Tuberculosis infection. Our closest infection is the presence of granulomas in the infected tissue [5, 6]. This transmission process is represented in Figure 3.
Figure 3.
Transmission of Mycobacterium tuberculosis. The representation is influenced with figure available in online resource. (https://www.istockphoto.com/in/vector/tuberculosis-life-cycle-of-mycobacterium-tuberculos-gm1200338165-343779875).
6. Mechanism of drug-resistant TB
This has been observed that various mechanism of drug resistance in M. tuberculosis is involved.
6.1 Presence of cell wall
The basic property leading to passive resistance to antibiotics in M. tuberculosis is because of its impervious cell wall [23]. The hydrophilic layer of arabinogalactan ensures the impervious nature of the cell wall to the surrounding hydrophobic substances. This layer is also present in hydrophobic mycolic acids which significantly prevents the entry of hydrophilic molecules [24]. This impervious nature of the cell wall results in the deposition of antibiotics throughout the cell wall, the accumulated antibiotics near the cell wall are removed steadily by the release of enzyme & with the involvement of several cellular components [25]. It is demonstrated that β-lactams, which act as inhibitors to the inclusion of peptidoglycan (responsible for maintaining the rigidity of the cell wall) into the cell wall, are degraded by the mycobacteria due to the presence of β-lactamases, which are the enzyme responsible for degradation of β-lactam antibiotics. Danilchanka et al. [24], reported the presence of CpnT channel protein in the outer membrane of both M. tuberculosis and M. bovis, which plays a dual role in nutrient absorption and selective sensitivity to antibacterial agents.
6.2 Slow metabolism mechanism
Bacteria that have long-generation time & undergo metabolic processes with a slower rate are estimated to be challenging targets for most of the antibiotics i.e., bacteria that are metabolically active and rapidly replicating act as a good target for antibiotics [26]. However, in M. tuberculosis, it is still unclear whether the long generation time confirms its resistance to drugs. However, it is been reported that the slow growth rate of M. tuberculosis plays a crucial role in drug resistance. For example, antibiotics such as carbapenems lose their activity comparatively at a faster rate than the growth rate of M. tuberculosis [27]. It is seen that certain specific genes which are involved in the production of triacyl-glycerol permit the growth of M. tuberculosis even in oxygen-deprived conditions. Triacylglycerol decline in the metabolic processes of M. tuberculosis.
6.3 Possession of numerous efflux pumps
These protein channels play a vital role in the regulation of normal metabolism and the physiology of the organism such as toxins, signaling molecules through the cell wall, residues, and nutrient transport [28]. Efflux pumps have shown adaptation to drug resistance in M. tuberculosis. Multi-drug efflux pumps serve as an outlet for cell antibiotics and usually pass through both the inner and outer membranes of the cell [29]. Regulatory protein systems are present in Drug-efflux proteins which are responsible for controlling the expression of the efflux pump and thus helps in specializing them for drug resistance roles [28].
6.4 Mutation in genetic materials
It has been shown that the acquisition of antibiotics resistance in M. tuberculosis is the result of spontaneous mutation in several chromosomal genes. This frequent mutation has been found to cause a deliberate alteration to the required interaction between each drug against tuberculosis and its specified target.
M. tuberculosis shows resistance to rifampicin due to mutation in rpoB of RNA polymerase, decelerating its affinity for rifampicin [30]. It has been identified in certain studies that specific codons can cause resistance to rifampicin only with the onset of mutation in them [31, 32]. Resistance to pyrazinamide is due to mutation in the pncA gene [33, 34]. The mutations in pncA gene account for the large number of resistance cases reported in Mycobacterial tuberculosis.
The mode of action of isoniazid resistance is complex and remains unclear, however, most strains of Mtb resistant to isoniazid are associated with a mutation in KatG and inhA [35, 36]. S315T of KatG mutation is more common in isoniazid-resistant strains. Mutation at this phase results in the formation of isoniazid product with a low affinity for isoniazid adduct [37].
Mutations in embB497 and embB406, codon 306 in embB and Polymorphism in embA, embC, are all involved in ethambutol resistance [38]. In 2013, Safi et al. proposed that the mutation in ubiA (Rv3806c) showed a high level of ethambutol resistance [39]. Some investigators have reported that the mutations in tlyA gene play a vital role in the resistance of Viomycin and Capreomycin [40, 41].
7. Extrapulmonary tuberculosis (EPTB)
TB as a rule influences the lungs, however, it can likewise influence different pieces of the body, like the brain, the kidneys, or the spine. An individual with TB can pass on if they do not get treatment. TB influencing any piece of the body other than lung parenchyma including different structure inside the chest like the pleura, pericardium and perihilar lymph hubs, alluded as extra aspiratory tuberculosis. EPTB incorporates tuberculosis meningitis, stomach tuberculosis (for the most part with ascites), skeletal tuberculosis, Pott’s infection (spine), scrofula (lymphadenitis), and genitourinary (renal) tuberculosis. Scattered, or miliary tuberculosis regularly incorporates aspiratory and extrapulmonary locales. It is assessed that extrapulmonary tuberculosis (EPTB) represents 15–25% of all instances of TB. HIV patients, particularly with low CD4 tallies, have higher paces of EPTB. Youngsters are bound to have skeletal TB than grown-ups [42]. Approximately 10% of all TB cases have both pulmonary and extrapulmonary TB, and an additional 20% have EPTB without pulmonary involvement [2, 43].
8. Major limitations and considerations to work with M. Tuberculosis
Mycobacterium tuberculosis is a gradually developing bacteria which must be handled cautiously under exacting containment to minimize the hazard to research centre individual [4]. The bacterium can reproduce inside the macrophage and kill the immune cell. Another limitation presented by the bacteria in the innovative work of new drugs is the idea of its cell wall which is wealthy in lipids and ultimately makes the development of homogenous and single-cell culture and troublesome [2]. M. tuberculosis can evade the immune response and recreate inside macrophages coming about because of several bacterial variables which along these lines can modulate the immune reaction [4, 5]. Although M. tuberculosis is Gram-positive bacteria its cell wall resembles the external membrane of Gram-negative bacteria since it is composed of an asymmetric bi-layer containing particular mycolic acids, along with glyco-lipids, lipo-glycans, and proteins [3, 9]. Therefore, novel drugs with viability and quicker acting mechanism which can most likely work in the shorter-term and along these lines give better outcomes in the treatment are desperately required [7].
9. Possible opinion regarding the challenges of new drug discovery for tuberculosis
Besides, the development of XDR strains of M. tuberculosis, 5.4% of MDR-TB cases are discovered to be XDR-TB (World Health Organization, 2010, Ref. [3]). Multidrug and Extensive Drug-Resistant Tuberculosis: 2010 Global Report on Surveillance and Response (World Health Organization, 2010, Ref. [4]) is testing TB treatment programs in a few nations and even raises the chance of a re-visitation of a circumstance much the same as the pre-anti-microbial TB time [1]. As of now, MDR-TB is treated by a blend of eight to ten medications with treatments enduring up to 18 two years; just four of these medications were really evolved to treat TB5. Such imperfect treatment prompts practically 30% of MDR-TB patients to encounter treatment disappointment [44]. The treatment alternatives for XDR-TB are exceptionally restricted as XDR-TB bacilli are safe not exclusively to isoniazid and rifampicin, yet in addition to fluoroquinolones and injectables, for example, aminoglycosides. Furthermore, there are not kidding results with most MDR-TB and XDR-TB drugs, incorporating nephrotoxicity and ototoxicity with aminoglycosides, hepatotoxicity with ethionamide and dysglycaemia with gatifloxacin [45]. In this manner, the current circumstance requires the prompt distinguishing proof of new frameworks that can address arising opposition and furthermore requests the direct of suitable clinical preliminaries as verifiably not very many clinical examinations have been performed to assess the adequacy of medications in MDR-TB or XDR-TB patient gatherings. Improving the diagnostics with more extensive inclusion of medication vulnerability testing will likewise assist with tending to the high mortality of MDR/XDR-TB and control the development of obstruction.
Critical difficulties exist in TB drug revelation because of the idea of the causative bacterium. The absence of prescient models for compound section into mycobacteria is likewise a restricting variable since the direct trial proof is arduous to get. Creating essential guidelines around compound passage and efflux could help with improving hits from biochemical screens which need entire cell action, just as adjusting the synthetic properties needed for great pharmacokinetic properties [8].
10. Existing and upcoming tuberculosis drug regime
The present routine of medication for drug-sensitive Tuberculosis treatment was set up during the 1980s. This treatment process encompasses four levels of medications, isonicotinic acid hydrazide, rifampin, Ethambutol dihydrochloride and Pyrazinoic acid amide for six months of treatment (Table 1). The essential focus of Tuberculosis drugs is cell wall biogenesis, deoxyribonucleotide replication, ribonucleotide transcription, and protein synthesis [15, 46].
Drug
Drug property
Acting pH
Site of action
Isoniazid (H)
Bactericidal after 24 hrs with a high potency. Kills more than 90% of bacilli in first few days of treatment.
Both alkaline and acidic medium
Both intracellular and extracellular
Rifampicin (R)
Bactericidal within 1 hrs with high potency.
Both alkaline and acidic medium
Both intracellular and extracellular
Pyrazinamide (Z)
Bactericidal with a low potency
Acidic medium
Intracellular bacilli
Ethambutol (E)
Bacteriostatic with a low potency. Minimizes the emergence of drug resistance
Both alkaline and acidic medium
Both intracellular and extracellular
Streptomycin (S)
Bactericidal with a low potency
Alkaline medium
Extracellular bacilli
Table 1.
Current drugs and their property.
Treatment of drug-resistant or multidrug-resistant (MDR) tuberculosis is substantially further unpredictable [8]. The success of the treatment process relies upon the patient record and drug affectability. MDR-Tuberculosis needs therapy for a long time with a combination of 5 other medications. These second-line drugs will in general be progressively costly and incorporate Sirturo, 2-ethylthioisonicotinamide, Seromycin, Moxifloxacino, and Streptomycine, just like cutting edge medications rifampin systemic and Myambutol [5, 46]. For MDR tuberculosis therapy, we need to go through at least 6 months long treatment process including various vaccinations. Some have been observed to show adverse effects like heart electrophysiology dysfunction and ototoxicity [10, 13].
11. Drug combination trials and standardization of TB regimens
The WHO-recommended formulations of anti-TB drugs and fixed-dose combinations (FDCs) of drugs appear in the WHO Model List of Essential Medicines (available at www.who.int/medicines/publications/essentialmedicines/en). The formulations and combinations of anti-TB drugs available in each country should conform to this list.
Normalized treatment implies that all patients in a characterized bunch get a similar treatment routine. Standard regimens have the accompanying benefits over the individualized solution of medications:
errors in remedy – and in this way the danger of advancement of medication opposition – are decreased;
estimating drug needs, buying, circulation and checking are encouraged;
staff preparing is encouraged;
costs are decreased;
maintaining a regular drug supply when patients move to start with one region then onto the next is made simpler;
outcome assessment is helpful and results are tantamount.
12. Pharmaco-kinetic and pharmaco-dynamic contemplations for tuberculosis medications
Pharmacokinetic (PK) and pharmacodynamics (PD) properties of a medicinal drug play a substantial role to propose its feasibility for medicinal purpose In vivo [47, 48]. Along with the PK/PD of any anti-tubercular drugs, medication also considers other factors like comorbid conditions, safety profile, oral bioavailability and metabolic strength [4, 10]. Oral administration is mostly preferred for advanced Tuberculosis medication whereas, oral bioavailability is critical to treat Tuberculosis [4, 46]. Solubility and gastrointestinal permeability are the two major factors that affect oral bioavailability. At present. Generally, the bioavailability of tablets Tuberculosis ranges from 40–90% and new drugs must show such property of bioavailability [2, 7]. The smaller successive dosing of drugs is suggested to improve the adhesion and recommend to have daily doses. An ideal TB medicine must transmit to the lungs, the site of the primary infection, and should have the ability to infiltrate the granuloma to reach, such as intracellular and extracellular bacilli in the centre of hypoxia and undoubtedly necrotic region [9]. Preferably, the adhesion of drugs compounds in the target tissue must be maintained at a chosen site at minimal inhibitory conditions [49, 50]. This approach is used to avoid the phenomenon of drug binding to plasma protein, inhibition of tissue diffusion and improving the half-life of medicine. Lipophilic drugs have a major portion in anti-tubercular drugs. PK/PD and mode of action determines the dose of drugs for the treatment [5, 6].
In terms of drug safety, an ideal drug for Tuberculosis should not show any acute toxicity or long duration for the treatment [47, 51]. Because of the global nature of Tuberculosis therapy, an excellent drug must not show drug–drug interaction with other chemically or biologically active TB drugs within the regime [7, 22].
13. Target identification
With the entire genomic sequence available for Mycobacterium tuberculosis, the potentiality to explore new targets for the development of antibiotic throughout the M. tuberculosis genome became convenient [9, 10]. Novel chemical entities & targets are expected to avoid resistance to existing drugs and therefore improve current treatments. An ideal target for the development of antibiotic must necessarily be in vivo, vulnerable to medicines and drug-effective [6].
Genetic screens trials are the preliminary step in manifesting which genetic products might be targeted at chemotherapy against tuberculosis. Howsoever, all the necessary genes are not equally vulnerable to pharmacological action [20]. Besides, the target should also be available for competitive or chemical inhibition. That is, the target must have the ability to bind with another molecule rather than its substrate [10, 52, 53]. The inhibition or initiation of the protein function with a possible concentration of the low molecular weight compounds results in cellular breakdowns, such as cell death leading to apoptosis or attenuated growth [14, 46]. Besides being susceptible to chemical inhibition, an anti-target screen inhibitor should also produce drug-like compounds with specificity to affect target function in the absence of interference with any host orthologs [5, 54].
14. Current status of tuberculosis drug discovery
Various strategies have been developed by researchers and investigators and they proposed combined drugs for clinical trials after screening. All these drugs have a specific mode of actions but at the same time, they also showed some side effect which is a challenging task for investigators (Table 2). Currently, about 7 new combinations of drugs are under clinical trials. These lead combinations have been recognized by several methods and differential screening [10]. Few screening methodologies are as follows:
GI disturbances, Thrombocytopenia, sideroblastic anemia, Mild arthralgia myalgia etc.
Injectable anti-TB drugs
Streptomycin
burning, crawling, itching, numbness, prickling etc.
Kanamicin
pain or irritation
Amikacin
diarrhea, hearing loss, spinning sensation (vertigo), numbness etc.
Fluroquinol drugs
Ofloxacin
Nausea, diarrhea, constipation, gas, vomiting etc.
Levofloxacin
low blood sugar, headache, hunger, sweating, irritability etc.
Gatifloxacin
red, irritated, itchy, or teary eyes, blurred vision, eye pain etc.
Second line oral drugs
Ethionamide
Nausea, vomiting, diarrhea, abdominal/stomach pain etc.
Prothionamide
depression and hallucinations
Cycloserine
Headache, drowsiness, dizziness, or shaking etc.
p-Aminosalicylic acid
persistent nausea, vomiting and diarrhea etc.
Anti-TB drugs with long term safety
Linezolid
severe diarrhea or diarrhea that is watery or bloody, fungal infections, low platelet counts etc.
Redaquiline
Nausea / Vomiting, Dizziness, Headache, Hemoptysis etc.
Clofazimine
diarrhea, nausea, vomiting, gastrointestinal intolerance etc.
Amoxicillin
severe skin rash, itching, hives, difficulty breathing or swallowing etc.
High dose Isoniazid
increased blood levels of liver enzymes and numbness etc.
Table 2.
Current mode of therapy and therapeutic drugs for tuberculosis.
14.1 SQ109
A combinatorial library entirely based on 1,2-ethylenediamines such as Ethambutol was examined on two high-throughput in-vitro analysis. The first evaluation involves dilution of bouillon to calculate minimal inhibitory concentration (MIC) contrary to Mycobacterium tuberculosis [55]. The subsequent measurement is based on iniBAC promoter, inhibition of cell wall and bioluminescent assays for high-throughput screening [56]. SQ109 was determined on this screen. But the mode of action and efficacy of SQ109 differ widely from ethambutol [57, 58]. SQ109 is bactericidal in nature and works by targeting a transmembrane transport protein MmpL3 which is responsible for transmitting trehalose monomicolate during cell wall synthesis [59, 60]. It acts against extracellular as well as intracellular bacilli and works on acute and chronic mouse models of tuberculosis infection [61]. SQ109 improved the pharmacological efficacy of the present four available first-line drugs against tuberculosis and represents synergy with Sirturo. It is presently under phase 2 clinical studies [5, 15].
14.2 Q203
It is an amide compound of imidazopyridine and was recognized by the whole-cell screening of infected macrophages [17]. Q203 prevents ATP synthesis via causing an interruption in the electron transport chain and thus also inhibits the cytochrome bc1 complex involved in the electron transport mechanism. Q203 possess an exceptional Pharmacokinetic profile and prevents bacterial replication [2, 20].
14.3 TBA-7371
A member of a series of 1,4-azaindole which was recognized by a strategy of transformation of scaffolds preceded by a program of optimization of lead of a compound imidazopyridine [62]. TBA-7371 inhibits DprE1 non-covalently, a decaprenyl phosphoryl-β-Dribose2′-epimerase, in cell wall Arabian biosynthetic pathway. TBA-7371 is bactericidal and is working against both acute and chronic mouse models of tuberculosis infection. It is under phase 1 clinical studies [3, 46, 57].
14.4 OPC-167832
It is a derivative of 3,4-dihydrocarostyril. OPC-167832 is bactericidal and works by targeting DprE1, leading to the prevention of mycobacterial infection. It represents improved performance when in combination with delamide. Presently it falls under the category of phase 1 clinical studies [10, 15].
14.5 GSK-070
It targets leucyl-tRNA synthetase and is an oxaborole derivative. Oxaborols block leucyl-t-RNA synthesis and ultimately results in blocking protein synthesis by constructing an adduct with t-RNA. It is active against both acute and chronic tuberculosis infection [10, 63].
14.6 PBTZ-169 & BTZ-043
They belong to benzothiazinones and were diagnosed from a broth dilution evaluation in vitro for the detection of antibacterial and antifungal activities. Benzothiazinones basically prevents the formation of arabinose involved in the biosynthesis of cell wall by covalently targeting DprE1. Both PBTZ-169 and BTZ-043 are bactericidal thus prevents bacterial replication and multidrug-resistant tuberculosis infection. They represent almost equal potency against isoniazid and rifampin in the mouse models of recurrent tuberculosis infection. PBTZ-169 is under phase 1 scientific studies [7, 9, 63].
15. Risk factors associated with tuberculosis treatments
Recent emigration makes Tuberculosis very likely to reactivate. Vitamin D deficiency has the same effect because vitamin D is an immune modulator and deficiency of that weakens the immune system, thus protecting against tuberculosis [3, 9]. Another factor, HIV infection, which is present in 8% of patient cases of tuberculosis and this problem of HIV allowing TB to be reactive and become a problem is actually before the patient has become heavily immune-suppressed [64]. Smoking, diabetes and the elderly are all examples where the immune system has been weakened to a degree and allows the potential infection to take hold and cause a problem [22, 63]. Homelessness drug abuse, alcoholism and other immune suppression steroids after transplantation to mention corrosive tumor necrosis factor treatment, all make an individual more likely to reactivate latent disease, like tuberculosis [6]. The antibiotics being used for the TB treatment have also shown some of the side effects and the present major challenge to researchers to overcome these drawbacks of antibiotics (Table 2).
16. Recent developments in diagnostic approaches for tuberculosis
It is not easy to conduct a clinal diagnosis of tuberculosis very frequently as confirmed diagnosis requires culturing the bacteria M. tuberculosis in a sample from the patient [5] and which is very slow-growing. For lung diseases, we take morning sputum for culture purpose and microscopic studies. We also have to do Biopsies of the affected tissues, because that will provide us with a sample for culture and also for looking histologically for the characteristic presence of granulomas [53]. Mycobacterial culture confirms the presence of mycobacterium in given samples by microscopy analysis, and we may also draw the resistance profile i.e., whether the present strain belongs to the sensitive M. tuberculosis group or has resistance to some drugs that can be used to treat it. The major obstacles in culture MTB are that it is slow-growing bacteria and may take 3–4 weeks in liquid culture media [51]. The acid-fast bacilli of mycobacterial infection are detected by the microscopy analysis whereas latent tuberculosis disease is identified by immunological responses to tuberculosis antigens, i.e., i) Heaf test / Montoux: cofounded by BCG ii) Interferon Gamma Release Assays (IGRA) [48, 49]. There are some tools developed recently for the detection of drug-resistant MTB that facilitates early detection too, such GeneXpert, line prob. assay, LAMP assay etc.
16.1 GeneXpert
GeneXpert can detect mutations that cause resistance against Rifampicin. The test is a molecular TB test that detects the DNA of Mycobacterium tuberculosis. It uses a sputum sample and thus provides result in less than 2 hours. It can also detect the genetic mutations which are associated with drug Rifampicin resistance [65]. WHO recommended that this test should be used as the primitive diagnosis test in individuals suspected of having Multi-drug resistant TB, or HIV associated TB.
16.2 Line probe assay (LPA)
This technique also helps to detects mutations causing resistance against Rifampicin. Moreover, this assay can also detect mutations related to drug isoniazid [66]. The line probe assay (LPA), is typically based on strip technology and thus is used in the diagnosis of TB. It also detects RIF as well as Isoniazid (INH) resistance caused due to mutations in rpoβ, and both inhA and katG genes.
WHO has recommended the TB-LAMP (loop-mediated isothermal amplification) test that requires minimal laboratory infrastructure and has been evaluated as an alternative to sputum smear microscopy, which remains the most widespread test used in resource-limited environments. TB-LAMP is a unique temperature-independent way to amplify the DNA of tuberculosis patients. It is a manual test that takes less than one hour and results can be visualized with the naked eye under UV light. The potent TB-LAMP instrument can be used at the level of the peripheral health center where microscopy is often performed. (https://www.who.int/tb/features_archive/TB_LAMP/en/).
17. Available treatment
At present treatment of tuberculosis requires more than one antibiotic with prolonged combination therapies to eradicate the infection and prevent resistance [58] and the standard therapy may include 4 antibiotics i.e., Isoniazid & Rifampicin (most effective drugs and these are given for six months and thus these two helps in killing the bacteria), Pyrazinamide & Ethambutol (given for first two months only) [67, 68]. During treatment antibiotics are required for a long period, the minimum treatment period is six months and if the patient is having CNS or bone disease it often goes on for at least 12 months [69]. The patient is asked to take four drugs for two months and then followed by two drugs for four months, and the actual dose given to the patient is decided by their body weight such as if a patient is lower than 50 kg, they get a lower dose while if the patient is above 50 kg, they get a higher dose [13].
Corticosteroids are given to patients with CNS or pericardial disease because this reduces the further chances of having long term brain damage. All the cases need to be monitored and notified so that there can be a screening process of the patient’s close contacts as well [14, 17].
18. Conclusion
M. tuberculosis is a difficult pathogen to combat and the frontline drugs currently in use are between 40 and 60 years of age. There is an urgent need of novel tuberculosis drugs, but the time to identify, develop and ultimately advance new drug regimens on the market has been extremely slow in the past decade. Organic biochemistry remains to be performed to know the mechanism of activity, to empower lead advancement, and to ensure in vivo effectiveness [20]. Current efforts to develop drugs against tuberculosis are not enough to end the global tuberculosis epidemic. Due to the diversification and complexity of the infection for M tuberculosis, no model can completely define the in-vivo conditions in which mycobacteria are found in Tuberculosis patients and there is no sole standard detection condition for generating successful compounds for tuberculosis drug development. Recent efforts have focused on the development of whole-cell screening trials because objective-based biochemical screens of inhibitors over the past two decades have not provided new tuberculosis drugs [68]. There are significant challenges in the discovery of anti-tuberculosis drugs due to the nature of the causative bacteria. The lack of predictive models for the entry of compounds into mycobacteria is also a limiting factor. Several additional barriers in the development of tuberculosis drugs include: there are no well-established (PK)– (PD) paradigms, lack of validation and human-like pathology of animal models currently available for drug discovery, lack of clinical laboratories suitable for clinical trials, and the lack of adequate research funds. The biggest challenge in the development of anti-tuberculosis drugs is to reduce the duration of treatment for patients with drug-sensitive tuberculosis [18]. Noval drugs are needed to achieve this and overcome drug resistance. In addition, it should be possible to use new drugs for patients with HIV/AIDS co-infection. The present condition of tuberculosis drug development is far better than what was seen past 10–15 years ago. Howsoever, the development is still lacking behind because of the significant challenges in the drug discovery against drug-resistant tuberculosis and the shorter duration of the treatment required for tuberculosis prevention [12, 13].
We need to identify essential Tuberculosis targets based on better knowledge of the disease pathogen and physiology, develop sharp screening trials, and prepare compounds specifically designed to provide better clues for antibacterial activities [11]. Recent granuloma models are based on a single cell type to imitate the aggregate complex that is formed. Biomedical engineering methods can produce further diversified but still organized multicellular structures that clearly defines the organization of human granulomas. The challenge is that the need is urgent, but the process of discovery and development requires an excessive number of resources and time. The search for more effective vaccines should continue to provide long-term solutions to tuberculosis. At the same time, the development of drugs and regimes must be accelerated with a clearer approach [1, 9].
Acknowledgments
Dr. Manish Dwivedi thanks to DST-INSPIRE Faculty award.
Conflict of interest
The authors declare no conflict of interest.
\n',keywords:"Mycobacterium tuberculosis, drug, challenges, bacterial targets",chapterPDFUrl:"https://cdn.intechopen.com/pdfs/76741.pdf",chapterXML:"https://mts.intechopen.com/source/xml/76741.xml",downloadPdfUrl:"/chapter/pdf-download/76741",previewPdfUrl:"/chapter/pdf-preview/76741",totalDownloads:275,totalViews:0,totalCrossrefCites:1,dateSubmitted:"October 23rd 2020",dateReviewed:"April 23rd 2021",datePrePublished:"May 13th 2021",datePublished:"September 15th 2021",dateFinished:"May 13th 2021",readingETA:"0",abstract:"Tuberculosis (TB) is one of the deadly diseases in the present era caused by Mycobacterium tuberculosis. Principally, this bacterium attacks the lungs, however, MTB Has been observed affecting any part of the human body including the kidney, spine, and brain. Drug-resistant progression and other associated properties of MTB become a major hurdle in drug discovery to fight against tuberculosis. Moreover, some of the challenging situations such as the low range of chemical agents, the time-consuming process of drug development, the shortage of predictive animal models, and inadequate information of the physicochemical evidence required for effective bacterial penetration, are additional hindrances for the pharmaceutical scientist. In the current chapter, we focus on challenges encountered during drug discovery and need to be overcome as M. tuberculosis has a substantial barrier in its lipid-containing cell wall to inhibit the influx of drugs which is the initial requirement of the drug to show its therapeutic effect. There is also an immediate need for efficient vaccine development which may show its effect on adolescents and adults along with infants. Investigation on key bacterial targets has been troublesome, in light of the vulnerability around the microenvironments found in vivo and subsequently, the importance of exceptional metabolic pathways. The manuscript is prepared after the extensive literature survey to explore the vigorous approaches in novel drug designing and in proposing potent drug targets. The re-engineering and repositioning of prominent antitubercular drugs are required to attain viable control.",reviewType:"peer-reviewed",bibtexUrl:"/chapter/bibtex/76741",risUrl:"/chapter/ris/76741",signatures:"Manish Dwivedi and Priya Giri",book:{id:"10542",type:"book",title:"Molecular Epidemiology Study of Mycobacterium Tuberculosis Complex",subtitle:null,fullTitle:"Molecular Epidemiology Study of Mycobacterium Tuberculosis Complex",slug:"molecular-epidemiology-study-of-mycobacterium-tuberculosis-complex",publishedDate:"September 15th 2021",bookSignature:"Yogendra Shah",coverURL:"https://cdn.intechopen.com/books/images_new/10542.jpg",licenceType:"CC BY 3.0",editedByType:"Edited by",isbn:"978-1-83968-100-4",printIsbn:"978-1-83968-099-1",pdfIsbn:"978-1-83968-101-1",isAvailableForWebshopOrdering:!0,editors:[{id:"278914",title:"Ph.D.",name:"Yogendra",middleName:null,surname:"Shah",slug:"yogendra-shah",fullName:"Yogendra Shah"}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"}},authors:[{id:"337061",title:"Assistant Prof.",name:"Manish",middleName:null,surname:"Dwivedi",fullName:"Manish Dwivedi",slug:"manish-dwivedi",email:"manishdwivedi777@gmail.com",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:null},{id:"337625",title:"Ms.",name:"Priya",middleName:null,surname:"Giri",fullName:"Priya Giri",slug:"priya-giri",email:"priyagiri201@gmail.com",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:{name:"Amity University",institutionURL:null,country:{name:"India"}}}],sections:[{id:"sec_1",title:"1. Introduction",level:"1"},{id:"sec_2",title:"2. Need of research on new TB vaccine",level:"1"},{id:"sec_3",title:"3. Globally situation of tuberculosis",level:"1"},{id:"sec_4",title:"4. The course of events in Mycobacterium tuberculosis",level:"1"},{id:"sec_5",title:"5. Pathogenesis and transmission of Mycobacterium tuberculosis",level:"1"},{id:"sec_6",title:"6. Mechanism of drug-resistant TB",level:"1"},{id:"sec_6_2",title:"6.1 Presence of cell wall",level:"2"},{id:"sec_7_2",title:"6.2 Slow metabolism mechanism",level:"2"},{id:"sec_8_2",title:"6.3 Possession of numerous efflux pumps",level:"2"},{id:"sec_9_2",title:"6.4 Mutation in genetic materials",level:"2"},{id:"sec_11",title:"7. Extrapulmonary tuberculosis (EPTB)",level:"1"},{id:"sec_12",title:"8. Major limitations and considerations to work with M. Tuberculosis",level:"1"},{id:"sec_13",title:"9. Possible opinion regarding the challenges of new drug discovery for tuberculosis",level:"1"},{id:"sec_14",title:"10. Existing and upcoming tuberculosis drug regime",level:"1"},{id:"sec_15",title:"11. Drug combination trials and standardization of TB regimens",level:"1"},{id:"sec_16",title:"12. Pharmaco-kinetic and pharmaco-dynamic contemplations for tuberculosis medications",level:"1"},{id:"sec_17",title:"13. Target identification",level:"1"},{id:"sec_18",title:"14. Current status of tuberculosis drug discovery",level:"1"},{id:"sec_18_2",title:"14.1 SQ109",level:"2"},{id:"sec_19_2",title:"14.2 Q203",level:"2"},{id:"sec_20_2",title:"14.3 TBA-7371",level:"2"},{id:"sec_21_2",title:"14.4 OPC-167832",level:"2"},{id:"sec_22_2",title:"14.5 GSK-070",level:"2"},{id:"sec_23_2",title:"14.6 PBTZ-169 & BTZ-043",level:"2"},{id:"sec_25",title:"15. Risk factors associated with tuberculosis treatments",level:"1"},{id:"sec_26",title:"16. Recent developments in diagnostic approaches for tuberculosis",level:"1"},{id:"sec_26_2",title:"16.1 GeneXpert",level:"2"},{id:"sec_27_2",title:"16.2 Line probe assay (LPA)",level:"2"},{id:"sec_28_2",title:"16.3 Loop-mediated isothermal amplification (LAMP) assay",level:"2"},{id:"sec_30",title:"17. Available treatment",level:"1"},{id:"sec_31",title:"18. Conclusion",level:"1"},{id:"sec_32",title:"Acknowledgments",level:"1"},{id:"sec_35",title:"Conflict of interest",level:"1"}],chapterReferences:[{id:"B1",body:'Koul A, Arnoult E, Lounis N, et al. The challenge of new drug discovery for tuberculosis. Nature. 2011 Jan 27;469(7331):483-490. DOI: 10.1038/nature09657'},{id:"B2",body:'CDC “Tuberculosis Fact Sheets”, Centers for Disease Control and Prevention, 2014; https://www.cdc.gov/tb/publications/ factsheets/general/ltbiandactivetb.htm accessed: 22 December 2017.'},{id:"B3",body:'World Health Organization. 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M.; Weinrick, B.; Ahmad, I.; Yang, P.; Zhang, Y.; Kim, J. Identification of a small molecule with activity against drug-resistant and persistent tuberculosis. Proc. Natl. Acad. Sci. U. S. A. 2013, 110, E2510−E2517'},{id:"B59",body:'Hung, A. W.; Silvestre, H. L.; Wen, S.; Ciulli, A.; Blundell, T. L.; Abell, C. Application of fragment growing and fragment linking to the discovery of inhibitors of Mycobacterium tuberculosis Pantothenate Synthetase. Angew. Chem., Int. Ed. 2009, 48, 8452− 8456.'},{id:"B60",body:'Bonnett, S. A.; Ollinger, J.; Chandrasekera, S.; Florio, S.; O’Malley, T.; Files, M.; Jee, J.-A.; Ahn, J.; Casey, A.; Ovechkina, Y. A Target-Based Whole Cell Screen Approach to Identify Potential Inhibitors of Mycobacterium tuberculosis Signal Peptidase. ACS Infect. Dis. 2016; 9;2(12):893-902.'},{id:"B61",body:'Pavelka, M. S., Jr.; Chen, B.; Kelley, C. L.; Collins, F. M.; Jacobs, W. R., Jr Vaccine efficacy of a lysine auxotroph of Mycobacterium tuberculosis. Infect. Immun. 2003; 71(7):4190-4192.'},{id:"B62",body:'Xie, Z.; Siddiqi, N.; Rubin, E. J. Differential antibiotic susceptibilities of starved Mycobacterium tuberculosis isolates. Antimicrob. Agents Chemother. 2005, 49, 4778−4780.'},{id:"B63",body:'Cadena, A. M.; Fortune, S. M.; Flynn, J. L. Heterogeneity in tuberculosis. Nat. Rev. Immunol. 2017;17(11):691-702.'},{id:"B64",body:'Christophe T, Ewann F, Jeon HK, Cechetto J, Brodin P. High-content imaging of Mycobacterium tuberculosis-infected macrophages: An in vitro model for tuberculosis drug discovery. Future Med Chem. 2010 Aug;2(8):1283-1293.'},{id:"B65",body:'Two hour detection of MTB and resistance to rifampicin”, Cepheid International, 2011 (www.cepheidinternational.com).'},{id:"B66",body:'Helb D, Jones M, Story E, Boehme C, Wallace E, Ho K, Kop J, Owens MR, Rodgers R, Banada P, Safi H, Blakemore R, Lan NT, Jones-López EC, Levi M, Burday M, Ayakaka I, Mugerwa RD, McMillan B, Winn-Deen E, Christel L, Dailey P, Perkins MD, Persing DH, Alland D. Rapid detection of Mycobacterium tuberculosis and rifampin resistance by use of on-demand, near-patient technology. J Clin Microbiol. 2010 Jan;48(1):229-237.'},{id:"B67",body:'DeBarber, A. E.; Mdluli, K.; Bosman, M.; Bekker, L.-G.; Barry, C. E. Ethionamide Activation and Sensitivity in Multidrug-Resistant Mycobacterium tuberculosis. Proc. Natl. Acad. Sci. U. S. A. 2000; 15;97(17):9677-82.'},{id:"B68",body:'Tousif S, Ahmad S, Bhalla K, Moodley P, Das G (2015) Challenges of tuberculosis treatment with DOTS: An immune impairment perspective. J Cell Sci Ther 6: 223.'},{id:"B69",body:'Boshoff, H. I.; Myers, T. G.; Copp, B. R.; McNeil, M. R.; Wilson, M. A.; Barry, C. E., 3rd The transcriptional responses of Mycobacterium tuberculosis to inhibitors of metabolism: Novel Insights into Drug Mechanisms of Action. J. Biol. Chem. 2004, 279, 40174−40184.'}],footnotes:[],contributors:[{corresp:"yes",contributorFullName:"Manish Dwivedi",address:"mdwivedi@lko.amity.edu",affiliation:'
Amity Institute of Biotechnology, Amity University Uttar Pradesh, Lucknow, India
Amity Institute of Biotechnology, Amity University Uttar Pradesh, Lucknow, India
'}],corrections:null},book:{id:"10542",type:"book",title:"Molecular Epidemiology Study of Mycobacterium Tuberculosis Complex",subtitle:null,fullTitle:"Molecular Epidemiology Study of Mycobacterium Tuberculosis Complex",slug:"molecular-epidemiology-study-of-mycobacterium-tuberculosis-complex",publishedDate:"September 15th 2021",bookSignature:"Yogendra Shah",coverURL:"https://cdn.intechopen.com/books/images_new/10542.jpg",licenceType:"CC BY 3.0",editedByType:"Edited by",isbn:"978-1-83968-100-4",printIsbn:"978-1-83968-099-1",pdfIsbn:"978-1-83968-101-1",isAvailableForWebshopOrdering:!0,editors:[{id:"278914",title:"Ph.D.",name:"Yogendra",middleName:null,surname:"Shah",slug:"yogendra-shah",fullName:"Yogendra Shah"}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"}}},profile:{item:{id:"205206",title:"Mr.",name:"Yifei",middleName:null,surname:"Yang",email:"yangyifei_hhu@126.com",fullName:"Yifei Yang",slug:"yifei-yang",position:null,biography:null,institutionString:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",totalCites:0,totalChapterViews:"0",outsideEditionCount:0,totalAuthoredChapters:"1",totalEditedBooks:"0",personalWebsiteURL:null,twitterURL:null,linkedinURL:null,institution:null},booksEdited:[],chaptersAuthored:[{id:"54560",title:"Microscopic Particle Manipulation via Optoelectronic Devices",slug:"microscopic-particle-manipulation-via-optoelectronic-devices",abstract:"The optoelectronic tweezers (or optically induced dielectrophoresis (DEP)) have showed the ability to parallelly position a large number of colloidal microparticles without any template. The microparticles can be trapped and driven by the dielectrophoretic forces induced by the optical micropatterns in OET devices. In this chapter, the design and fabrication of flat optoelectronic devices (FOD) and hybrid optoelectronic device (HOD) are described. In the typical FOD, the manipulation modes including filtering, transporting, concentrating and focusing controlling regimes are experimentally demonstrated and analyzed. The controllable rotation of self-assembled microparticle chains in FOD has also been investigated, and a method incorporating the optically induced electrorotation (OER) and AC electroosmotic (ACEO) effects is numerically and experimentally implemented for manipulating microparticle chains. Based on the above research of FOD, a hybrid DEP microdevice HOD is conceptually and experimentally proposed. The HOD integrates with metallic microelectrode layer and the underneath photoconductive layer with projected optical virtual electrodes. FOD and HOD hybrid device enables the active driving, large-scale patterning and local position adjustment of microparticles. These techniques make up the shortcoming of low flexibility of traditional metallic microelectrodes and integrate the merits of both the metal electrode-induced and microimage-induced DEP techniques.",signatures:"Xiaolu Zhu and Yifei Yang",authors:[{id:"196214",title:"Dr.",name:"Xiaolu",surname:"Zhu",fullName:"Xiaolu Zhu",slug:"xiaolu-zhu",email:"zhuxiaolu@hhu.edu.cn"},{id:"205206",title:"Mr.",name:"Yifei",surname:"Yang",fullName:"Yifei Yang",slug:"yifei-yang",email:"yangyifei_hhu@126.com"}],book:{id:"5709",title:"Optoelectronics",slug:"optoelectronics-advanced-device-structures",productType:{id:"1",title:"Edited Volume"}}}],collaborators:[{id:"6501",title:"Dr.",name:"Oleksandr",surname:"Malik",slug:"oleksandr-malik",fullName:"Oleksandr Malik",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/6501/images/1453_n.jpg",biography:"Oleksandr Malik received his M.Sc. degree in Physics and Ph.D. in Physics of Semiconductors and Dielectrics from the Chernivtsi University, Ukraine, in 1971 and 1980, respectively. He specialized in thin metal-oxide film technology and its applications used in optoelectronic devices during 30 years of scientific and industrial activity. From 1996 to 1999, he worked in Portugal as an invited scientist. Since 2000 he works as a titular researcher at National Institute for Astrophysics, Optics, and Electronics (INAOE), Electronics Department, Puebla, Mexico. His activity is connected with the development of new semiconductor materials and semiconductor detectors. O. Malik is an author of about 200 scientific papers. He is a Senior Member, IEEE.",institutionString:null,institution:{name:"National Institute of Astrophysics, Optics and Electronics",institutionURL:null,country:{name:"Mexico"}}},{id:"106255",title:"Prof.",name:"Chien-Hung",surname:"Yeh",slug:"chien-hung-yeh",fullName:"Chien-Hung Yeh",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:null},{id:"160726",title:"Dr.",name:"Francisco Javier",surname:"De La Hidalga-Wade",slug:"francisco-javier-de-la-hidalga-wade",fullName:"Francisco Javier De La Hidalga-Wade",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"National Institute of Astrophysics, Optics and Electronics",institutionURL:null,country:{name:"Mexico"}}},{id:"169907",title:"Dr.",name:"Chi-Wai",surname:"Chow",slug:"chi-wai-chow",fullName:"Chi-Wai Chow",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:null},{id:"185788",title:"Dr.",name:"Ruby",surname:"Srivastava",slug:"ruby-srivastava",fullName:"Ruby Srivastava",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/185788/images/system/185788.jpg",biography:"Dr. Ruby Srivastava, a theoretical physicist, is working as a\r\nprincipal investigator on her third project with CSIR-Centre of\r\nCellular and Molecular Biology (CCMB), Hyderabad, under the\r\nDST WOS-A scheme. After fifteen years in teaching, she pursued\r\nher PhD in 2010 and began her research career with CSIR-Indian\r\nInstitute of Chemical Technology (IICT). She has published several solo author papers, review articles, seven book chapters, and\r\nhas served as an editor for many book projects. Her book Nanostructured Solar Cells\r\nwas selected by the Book Citation Index (BKCI) in Web of Science™ Core Collection. One of her journal publications is rated number one among the top 20 papers,\r\nand two of her publications have been selected for Longuet-Higgins Early Career\r\nResearcher Prizes. She is a reviewer for leading publishing journals and is rated as\r\n0.01% most-read authors by Academia.edu.",institutionString:"CSIR-IICT",institution:{name:"Indian Institute of Chemical Technology",institutionURL:null,country:{name:"India"}}},{id:"195867",title:"Dr.",name:"Petre",surname:"Teodosescu",slug:"petre-teodosescu",fullName:"Petre Teodosescu",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Technical University of Cluj-Napoca",institutionURL:null,country:{name:"Romania"}}},{id:"196114",title:"Prof.",name:"Hai-Zhi",surname:"Song",slug:"hai-zhi-song",fullName:"Hai-Zhi Song",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/196114/images/system/196114.jpg",biography:"Curriculum Vitae\n\nName: Hai-Zhi Song \nGender: male\nDate of Birth: Oct. 20, 1968\nPlace of Birth: Shanxi, China\nAffiliation and Address: \nSouthwest Institute of Technical Physics\nNo.7, Section 4, Renminnan Road, Chengdu 610041, China\nAnd\nInstitute of Fundamental and Frontier Sciences,\nUniversity of Electronic Science and Technology of China,\nNo. 4, Section 2, Jianshebei Road, Chengdu 610054, China\n\nWork Phone: +86-28-68180751, +86-28-83208728\nMobile Phone: +86-158-28239155\nFax: +86-28-83201896\nE-mail: hzsong1296@163.com, hzsong@uestc.edu.cn\n \nEducation \nSept, 1990 – July, 1995:Peking University, PhD, Thesis “Visible luminescence of porous silicon and its mechanism”, Researches on hydrogen-influenced Schottky diodes and silicon-based light-emitting materials. \nSept, 1986 – July, 1990:Nanjing University, Bachelor of Science, Thesis “Study of refractory metal silicides”, Research on Ohmic contact of semiconductors.\n\nWork Experience \nJuly, 1995 – Sept. 1997: Nanjing University, Nanjing, China, Postdoctoral Researcher, Research on silicon-based light-emitting materials. \nOct, 1997 – Sept. 1998: Catholic University Leuven, Leuven, Belgium, Visiting free Researcher, Research on amorphous semiconductors. \nOct, 1998 – Sept. 2001: Tsukuba University, Tsukuba, Japan, Assistant Professor, Research on semiconductor quantum dots. \nOct, 2001 – March 2012: Fujitsu Lab. Ltd., Atsugi, Japan, Researcher/Senior Researcher, Researches on Semiconductor Quantum Dots for Quantum Information, Semiconductor Optoelectronic Materials and Devices. \nApril, 2012 – March 2014: University of Tokyo, Tokyo, Japan, Senior Researcher, Researches on Quantum Information Processing Devices. \nApril, 2014 – now: Southwest Institute of Technical Physics, Chengdu, China, Professor, Researches on Semiconductor Optoelectronic Materials and Devices. \nJune, 2015 – now: University of Electronic Science and Technology, Chengdu, China, Professor, Researches on Nanoscaled Semiconductors and Quantum Information Processing Devices.\n \nAchievements\nSystematically studied the property of porous silicon materials and verified their mechanism; found green and ultraviolet luminescence, and clarified the multiple luminescence mechanisms of nanocrystalline-silicon embedded in SiO2, which is valuable to silicon-based optoelectronic integration; realized enhanced hole mobility in amorphous silicon, verified the existence of deep trap states in amorphous selenium, providing ways to improve amorphous optoelectronic materials. \nDiscovered lateral coupling between self-assembled quantum dots (QDs) and their tuning effect to 2D electron gas; illustrated and deeply explained the metal-insulator transition in 2D ordered QD arrays, all of which are worth in optoelectronic application of semiconductor QDs. \nDeveloped Sb-free technique to double the InAs/GaAs QD density and suppress the atomic interdiffusion, helped producing 1.3 um QD lasers, which won Japanese national prizes and had been merchandized; developed 1.06 um quantum-well lasers, which have been used to produce pure-green lasers robust against high temperature. \nFound a way to access buried QDs by scanning tunneling microscope; achieved a way to prepare diluted QDs by post-annealing and clarified its mechanisms; invented a technique to control the size and site of QDs by atomic-force microscopy lithography, and an apparatus to detect single electron spin states by optically-detected magnetic resonance; designed a few types of micropillar cavities applicable to realize 1.55 um highly-efficient, even coherent (strongly coupled) InAs/InP QD single photon sources; produced fiber-integrated photon-entangled sources, all of which are very useful to the applications of QDs in quantum information processing. \nDeveloped focal-plane single-photon avalanche detectors, providing central devices for 3D laser detecting and ranging system; explored antimonide middle- and long-wavelength infrared detectors and the surface plasmon enhancement effect in such detectors; advanced the acetone-sensing function of Eu-doped SnO2 nano-belt; found Nickle Phosphide serving as a good catalyst in hydrogen-producing. Realized a series of optoelectronic quantum devices for quantum information processing, such as fiber-integrated photon-pair-entangler, chiplet heralded single photon emitter, fiber quantum memories, quantum number generator, etc.\n\nHonor and Group Memberships \nSelected Scholar of the Recruitment Program of Global Experts, China\nEditorial member of “Laser Technology”\nEditorial member of “Journal of Electronic Science and Technology”\nEditorial member of “Internal J. Mat. Sci. Appl”\nMember of APS (American Physics Society)\nMember of OSA (Optical Society of America)\nPermanent Member of China Physical Science and Technology\nPermanent Member of the Chinese Optical Society\nTechnical committee member of PIERS, organizing a series of “quantum information processing and devices” sessions\nTechnical committee member of ICICM",institutionString:"Southwest University",institution:{name:"Southwest University",institutionURL:null,country:{name:"China"}}},{id:"204149",title:"Dr.",name:"Norbert Csaba",surname:"Szekely",slug:"norbert-csaba-szekely",fullName:"Norbert Csaba Szekely",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/204149/images/5074_n.jpg",biography:null,institutionString:null,institution:null},{id:"204150",title:"BSc.",name:"Madalina Sabina",surname:"Sabau",slug:"madalina-sabina-sabau",fullName:"Madalina Sabina Sabau",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:null},{id:"204151",title:"Dr.",name:"Mircea",surname:"Bojan",slug:"mircea-bojan",fullName:"Mircea Bojan",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:null}]},generic:{page:{slug:"open-access-funding-funders-list",title:"List of Funders by Country",intro:"
If your research is financed through any of the below-mentioned funders, please consult their Open Access policies or grant ‘terms and conditions’ to explore ways to cover your publication costs (also accessible by clicking on the link in their title).
\n\n
IMPORTANT: You must be a member or grantee of the listed funders in order to apply for their Open Access publication funds. Do not attempt to contact the funders if this is not the case.
",metaTitle:"List of Funders by Country",metaDescription:"If your research is financed through any of the below-mentioned funders, please consult their Open Access policies or grant ‘terms and conditions’ to explore ways to cover your publication costs (also accessible by clicking on the link in their title).",metaKeywords:null,canonicalURL:"/page/open-access-funding-funders-list",contentRaw:'[{"type":"htmlEditorComponent","content":"
UK Research and Innovation (former Research Councils UK (RCUK) - including AHRC, BBSRC, ESRC, EPSRC, MRC, NERC, STFC.) Processing charges for books/book chapters can be covered through RCUK block grants which are allocated to most universities in the UK, which then handle the OA publication funding requests. It is at the discretion of the university whether it will approve the request.)
UK Research and Innovation (former Research Councils UK (RCUK) - including AHRC, BBSRC, ESRC, EPSRC, MRC, NERC, STFC.) Processing charges for books/book chapters can be covered through RCUK block grants which are allocated to most universities in the UK, which then handle the OA publication funding requests. It is at the discretion of the university whether it will approve the request.)
Wellcome Trust (Funding available only to Wellcome-funded researchers/grantees)
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His studies in robotics lead him not only to a PhD degree but also inspired him to co-found and build the International Journal of Advanced Robotic Systems - world's first Open Access journal in the field of robotics.",institutionString:null,institution:{name:"TU Wien",country:{name:"Austria"}}},{id:"441",title:"Ph.D.",name:"Jaekyu",middleName:null,surname:"Park",slug:"jaekyu-park",fullName:"Jaekyu Park",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/441/images/1881_n.jpg",biography:null,institutionString:null,institution:{name:"LG Corporation (South Korea)",country:{name:"Korea, South"}}},{id:"465",title:"Dr",name:"Christian",middleName:null,surname:"Martens",slug:"christian-martens",fullName:"Christian Martens",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:null},{id:"479",title:"Dr.",name:"Valentina",middleName:null,surname:"Colla",slug:"valentina-colla",fullName:"Valentina Colla",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/479/images/358_n.jpg",biography:null,institutionString:null,institution:{name:"Sant'Anna School of Advanced Studies",country:{name:"Italy"}}},{id:"494",title:"PhD",name:"Loris",middleName:null,surname:"Nanni",slug:"loris-nanni",fullName:"Loris Nanni",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/494/images/system/494.jpg",biography:"Loris Nanni received his Master Degree cum laude on June-2002 from the University of Bologna, and the April 26th 2006 he received his Ph.D. in Computer Engineering at DEIS, University of Bologna. On September, 29th 2006 he has won a post PhD fellowship from the university of Bologna (from October 2006 to October 2008), at the competitive examination he was ranked first in the industrial engineering area. He extensively served as referee for several international journals. He is author/coauthor of more than 100 research papers. He has been involved in some projects supported by MURST and European Community. His research interests include pattern recognition, bioinformatics, and biometric systems (fingerprint classification and recognition, signature verification, face recognition).",institutionString:null,institution:null},{id:"496",title:"Dr.",name:"Carlos",middleName:null,surname:"Leon",slug:"carlos-leon",fullName:"Carlos Leon",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Seville",country:{name:"Spain"}}},{id:"512",title:"Dr.",name:"Dayang",middleName:null,surname:"Jawawi",slug:"dayang-jawawi",fullName:"Dayang Jawawi",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of Technology Malaysia",country:{name:"Malaysia"}}},{id:"528",title:"Dr.",name:"Kresimir",middleName:null,surname:"Delac",slug:"kresimir-delac",fullName:"Kresimir Delac",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/528/images/system/528.jpg",biography:"K. Delac received his B.Sc.E.E. degree in 2003 and is currentlypursuing a Ph.D. degree at the University of Zagreb, Faculty of Electrical Engineering andComputing. His current research interests are digital image analysis, pattern recognition andbiometrics.",institutionString:null,institution:{name:"University of Zagreb",country:{name:"Croatia"}}},{id:"557",title:"Dr.",name:"Andon",middleName:"Venelinov",surname:"Topalov",slug:"andon-topalov",fullName:"Andon Topalov",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/557/images/1927_n.jpg",biography:"Dr. Andon V. Topalov received the MSc degree in Control Engineering from the Faculty of Information Systems, Technologies, and Automation at Moscow State University of Civil Engineering (MGGU) in 1979. He then received his PhD degree in Control Engineering from the Department of Automation and Remote Control at Moscow State Mining University (MGSU), Moscow, in 1984. From 1985 to 1986, he was a Research Fellow in the Research Institute for Electronic Equipment, ZZU AD, Plovdiv, Bulgaria. In 1986, he joined the Department of Control Systems, Technical University of Sofia at the Plovdiv campus, where he is presently a Full Professor. He has held long-term visiting Professor/Scholar positions at various institutions in South Korea, Turkey, Mexico, Greece, Belgium, UK, and Germany. And he has coauthored one book and authored or coauthored more than 80 research papers in conference proceedings and journals. His current research interests are in the fields of intelligent control and robotics.",institutionString:null,institution:{name:"Technical University of Sofia",country:{name:"Bulgaria"}}},{id:"585",title:"Prof.",name:"Munir",middleName:null,surname:"Merdan",slug:"munir-merdan",fullName:"Munir Merdan",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/585/images/system/585.jpg",biography:"Munir Merdan received the M.Sc. degree in mechanical engineering from the Technical University of Sarajevo, Bosnia and Herzegovina, in 2001, and the Ph.D. degree in electrical engineering from the Vienna University of Technology, Vienna, Austria, in 2009.Since 2005, he has been at the Automation and Control Institute, Vienna University of Technology, where he is currently a Senior Researcher. His research interests include the application of agent technology for achieving agile control in the manufacturing environment.",institutionString:null,institution:null},{id:"605",title:"Prof",name:"Dil",middleName:null,surname:"Hussain",slug:"dil-hussain",fullName:"Dil Hussain",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/605/images/system/605.jpg",biography:"Dr. Dil Muhammad Akbar Hussain is a professor of Electronics Engineering & Computer Science at the Department of Energy Technology, Aalborg University Denmark. Professor Akbar has a Master degree in Digital Electronics from Govt. College University, Lahore Pakistan and a P-hD degree in Control Engineering from the School of Engineering and Applied Sciences, University of Sussex United Kingdom. Aalborg University has Two Satellite Campuses, one in Copenhagen (Aalborg University Copenhagen) and the other in Esbjerg (Aalborg University Esbjerg).\n· He is a member of prestigious IEEE (Institute of Electrical and Electronics Engineers), and IAENG (International Association of Engineers) organizations. \n· He is the chief Editor of the Journal of Software Engineering.\n· He is the member of the Editorial Board of International Journal of Computer Science and Software Technology (IJCSST) and International Journal of Computer Engineering and Information Technology. \n· He is also the Editor of Communication in Computer and Information Science CCIS-20 by Springer.\n· Reviewer For Many Conferences\nHe is the lead person in making collaboration agreements between Aalborg University and many universities of Pakistan, for which the MOU’s (Memorandum of Understanding) have been signed.\nProfessor Akbar is working in Academia since 1990, he started his career as a Lab demonstrator/TA at the University of Sussex. After finishing his P. hD degree in 1992, he served in the Industry as a Scientific Officer and continued his academic career as a visiting scholar for a number of educational institutions. In 1996 he joined National University of Science & Technology Pakistan (NUST) as an Associate Professor; NUST is one of the top few universities in Pakistan. In 1999 he joined an International Company Lineo Inc, Canada as Manager Compiler Group, where he headed the group for developing Compiler Tool Chain and Porting of Operating Systems for the BLACKfin processor. The processor development was a joint venture by Intel and Analog Devices. In 2002 Lineo Inc., was taken over by another company, so he joined Aalborg University Denmark as an Assistant Professor.\nProfessor Akbar has truly a multi-disciplined career and he continued his legacy and making progress in many areas of his interests both in teaching and research. He has contributed in stochastic estimation of control area especially, in the Multiple Target Tracking and Interactive Multiple Model (IMM) research, Ball & Beam Control Problem, Robotics, Levitation Control. He has contributed in developing Algorithms for Fingerprint Matching, Computer Vision and Face Recognition. He has been supervising Pattern Recognition, Formal Languages and Distributed Processing projects for several years. He has reviewed many books on Management, Computer Science. Currently, he is an active and permanent reviewer for many international conferences and symposia and the program committee member for many international conferences.\nIn teaching he has taught the core computer science subjects like, Digital Design, Real Time Embedded System Programming, Operating Systems, Software Engineering, Data Structures, Databases, Compiler Construction. 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The principles underlying RF‐magnetron sputtering used to prepare calcium phosphate‐based, mainly hydroxyapatite coatings, are discussed in this chapter. The fundamental characteristic of the RF‐magnetron sputtering is an energy input into the growing film. In order to tailor the film properties, one has to adjust the energy input into the substrate depending on the desired film properties. The effect of different deposition control parameters, such as deposition time, substrate temperature, and substrate biasing on the hydroxyapatite (HA) film properties is discussed.",book:{id:"5541",slug:"modern-technologies-for-creating-the-thin-film-systems-and-coatings",title:"Modern Technologies for Creating the Thin-film Systems and Coatings",fullTitle:"Modern Technologies for Creating the Thin-film Systems and Coatings"},signatures:"Roman Surmenev, Alina Vladescu, Maria Surmeneva, Anna Ivanova,\nMariana Braic, Irina Grubova and Cosmin Mihai Cotrut",authors:[{id:"193921",title:"Dr.",name:"Alina",middleName:null,surname:"Vladescu",slug:"alina-vladescu",fullName:"Alina Vladescu"},{id:"193922",title:"Prof.",name:"Roman",middleName:null,surname:"Surmenev",slug:"roman-surmenev",fullName:"Roman Surmenev"},{id:"193923",title:"Dr.",name:"Maria",middleName:null,surname:"Surmeneva",slug:"maria-surmeneva",fullName:"Maria Surmeneva"},{id:"193948",title:"Dr.",name:"Mariana",middleName:null,surname:"Braic",slug:"mariana-braic",fullName:"Mariana Braic"},{id:"194047",title:"Ms.",name:"Anna",middleName:null,surname:"Ivanova",slug:"anna-ivanova",fullName:"Anna Ivanova"},{id:"194048",title:"BSc.",name:"Irina",middleName:null,surname:"Grubova",slug:"irina-grubova",fullName:"Irina Grubova"},{id:"196398",title:"Prof.",name:"Cosmin Mihai",middleName:null,surname:"Cotrut",slug:"cosmin-mihai-cotrut",fullName:"Cosmin Mihai Cotrut"}]},{id:"21157",doi:"10.5772/24330",title:"Compilation on Synthesis, Characterization and Properties of Silicon and Boron Carbonitride Films",slug:"compilation-on-synthesis-characterization-and-properties-of-silicon-and-boron-carbonitride-films",totalDownloads:5194,totalCrossrefCites:6,totalDimensionsCites:19,abstract:null,book:{id:"326",slug:"silicon-carbide-materials-processing-and-applications-in-electronic-devices",title:"Silicon Carbide",fullTitle:"Silicon Carbide - Materials, Processing and Applications in Electronic Devices"},signatures:"P. Hoffmann, N. Fainer, M. Kosinova, O. Baake and W. Ensinger",authors:[{id:"56722",title:"Dr.",name:"Peter",middleName:null,surname:"Hoffmann",slug:"peter-hoffmann",fullName:"Peter Hoffmann"},{id:"56726",title:"Dr.",name:"Marina",middleName:null,surname:"Kosinova",slug:"marina-kosinova",fullName:"Marina Kosinova"},{id:"56727",title:"Prof.",name:"Wolfgang",middleName:null,surname:"Ensinger",slug:"wolfgang-ensinger",fullName:"Wolfgang Ensinger"}]}],mostDownloadedChaptersLast30Days:[{id:"52684",title:"Advance Deposition Techniques for Thin Film and Coating",slug:"advance-deposition-techniques-for-thin-film-and-coating",totalDownloads:7639,totalCrossrefCites:32,totalDimensionsCites:59,abstract:"Thin films have a great impact on the modern era of technology. Thin films are considered as backbone for advanced applications in the various fields such as optical devices, environmental applications, telecommunications devices, energy storage devices, and so on . The crucial issue for all applications of thin films depends on their morphology and the stability. The morphology of the thin films strongly hinges on deposition techniques. Thin films can be deposited by the physical and chemical routes. In this chapter, we discuss some advance techniques and principles of thin-film depositions. The vacuum thermal evaporation technique, electron beam evaporation, pulsed-layer deposition, direct current/radio frequency magnetron sputtering, and chemical route deposition systems will be discussed in detail.",book:{id:"5541",slug:"modern-technologies-for-creating-the-thin-film-systems-and-coatings",title:"Modern Technologies for Creating the Thin-film Systems and Coatings",fullTitle:"Modern Technologies for Creating the Thin-film Systems and Coatings"},signatures:"Asim Jilani, Mohamed Shaaban Abdel-wahab and Ahmed Hosny\nHammad",authors:[{id:"192377",title:"Dr.",name:"Asim",middleName:null,surname:"Jilani",slug:"asim-jilani",fullName:"Asim Jilani"},{id:"192972",title:"Dr.",name:"M.Sh",middleName:null,surname:"Abdel-Wahab",slug:"m.sh-abdel-wahab",fullName:"M.Sh Abdel-Wahab"},{id:"192973",title:"Dr.",name:"Ahmed",middleName:"H",surname:"Hammad",slug:"ahmed-hammad",fullName:"Ahmed Hammad"}]},{id:"68467",title:"Semiconductor Nanocomposites for Visible Light Photocatalysis of Water Pollutants",slug:"semiconductor-nanocomposites-for-visible-light-photocatalysis-of-water-pollutants",totalDownloads:1803,totalCrossrefCites:7,totalDimensionsCites:11,abstract:"Semiconductor photocatalysis gained reputation in the early 1970s when Fujishima and Honda revealed the potential of TiO2 to split water in to hydrogen and oxygen in a photoelectrochemical cell. Their work provided the base for the development of semiconductor photocatalysis for the environmental remediation and energy applications. Photoactivity of some semiconductors was found to be low due to larger band gap energy and higher electron-hole pair recombination rate. To avoid these problems, the development of visible light responsive photocatalytic materials by different approaches, such as metal and/or non-metal doping, co-doping, coupling of semiconductors, composites and heterojunctions materials synthesis has been widely investigated and explored in systematic manner. This chapter emphasizes on the different type of tailored photocatalyst materials having the enhanced visible light absorption properties, lower band gap energy and recombination rate of electron-hole pairs and production of reactive radical species. Visible light active semiconductors for the environmental remediation purposes, particularly for water treatment and disinfection are also discussed in detail. Studies on the photocatalytic degradation of emerging organic compounds like cyanotoxins, VOCs, phenols, pharmaceuticals, etc., by employing variety of modified semiconductors, are summarized, and a mechanistic aspects of the photocatalysis has been discussed.",book:{id:"7671",slug:"concepts-of-semiconductor-photocatalysis",title:"Concepts of Semiconductor Photocatalysis",fullTitle:"Concepts of Semiconductor Photocatalysis"},signatures:"Fatima Imtiaz, Jamshaid Rashid and Ming Xu",authors:[{id:"292882",title:"Dr.",name:"Jamshaid",middleName:null,surname:"Rashid",slug:"jamshaid-rashid",fullName:"Jamshaid Rashid"},{id:"302498",title:"Ms.",name:"Fatima",middleName:null,surname:"Imtiaz",slug:"fatima-imtiaz",fullName:"Fatima Imtiaz"},{id:"308434",title:"Prof.",name:"Ming",middleName:null,surname:"Xu",slug:"ming-xu",fullName:"Ming Xu"}]},{id:"17728",title:"Defect Related Luminescence in Silicon Dioxide Network: A Review",slug:"defect-related-luminescence-in-silicon-dioxide-network-a-review",totalDownloads:9472,totalCrossrefCites:46,totalDimensionsCites:98,abstract:null,book:{id:"332",slug:"crystalline-silicon-properties-and-uses",title:"Crystalline Silicon",fullTitle:"Crystalline Silicon - Properties and Uses"},signatures:"Roushdey Salh",authors:[{id:"48391",title:"Dr.",name:"Roushdey",middleName:null,surname:"Salh",slug:"roushdey-salh",fullName:"Roushdey Salh"}]},{id:"58469",title:"The Electrochemical Performance of Deposited Manganese Oxide-Based Film as Electrode Material for Electrochemical Capacitor Application",slug:"the-electrochemical-performance-of-deposited-manganese-oxide-based-film-as-electrode-material-for-el",totalDownloads:1736,totalCrossrefCites:4,totalDimensionsCites:8,abstract:"The transition metal oxide has been recognized as one of the promising electrode materials for electrochemical capacitor application. Due to the participation of charge transfer reactions, the capacitance offered by transition metal oxide can be higher compared to double layer capacitance. The investigation on hydrous ruthenium oxide has revealed the surface redox reactions that contributed to the wide potential window shown on cyclic voltammetry curve. Although the performance of ruthenium oxide is impressive, its toxicity has limited itself from commercial application. Manganese oxide is a pseudocapacitive material behaves similar to ruthenium oxide. It consists of various oxidation states which allow the occurrence of redox reactions. It is also environmental friendly, low cost, and natural abundant. The charge storage of manganese oxide film takes into account of the redox reactions between Mn3+ and Mn4+ and can be accounted to two mechanisms. The first one involves the intercalation/deintercalation of electrolyte ions and/or protons upon reduction/oxidation processes. The second contributor for the charge storage is due to the surface adsorption of electrolyte ions on the electrode surface.",book:{id:"6083",slug:"semiconductors-growth-and-characterization",title:"Semiconductors",fullTitle:"Semiconductors - Growth and Characterization"},signatures:"Chan Pei Yi and Siti Rohana Majid",authors:[{id:"197956",title:"Associate Prof.",name:"S.R.",middleName:null,surname:"Majid",slug:"s.r.-majid",fullName:"S.R. Majid"},{id:"216449",title:"Ms.",name:"Pei Yi",middleName:null,surname:"Chan",slug:"pei-yi-chan",fullName:"Pei Yi Chan"}]},{id:"60792",title:"TCAD Device Modelling and Simulation of Wide Bandgap Power Semiconductors",slug:"tcad-device-modelling-and-simulation-of-wide-bandgap-power-semiconductors",totalDownloads:2113,totalCrossrefCites:15,totalDimensionsCites:15,abstract:"Technology computer-aided Design (TCAD) is essential for devices technology development, including wide bandgap power semiconductors. However, most TCAD tools were originally developed for silicon and their performance and accuracy for wide bandgap semiconductors is contentious. This chapter will deal with TCAD device modelling of wide bandgap power semiconductors. In particular, modelling and simulating 3C- and 4H-Silicon Carbide (SiC), Gallium Nitride (GaN) and Diamond devices are examined. The challenges associated with modelling the material and device physics are analyzed in detail. It also includes convergence issues and accuracy of predicted performance. Modelling and simulating defects, traps and the effect of these traps on the characteristics are also discussed.",book:{id:"6625",slug:"disruptive-wide-bandgap-semiconductors-related-technologies-and-their-applications",title:"Disruptive Wide Bandgap Semiconductors, Related Technologies, and Their Applications",fullTitle:"Disruptive Wide Bandgap Semiconductors, Related Technologies, and Their Applications"},signatures:"Neophytos Lophitis, Anastasios Arvanitopoulos, Samuel Perkins and\nMarina Antoniou",authors:[{id:"236488",title:"Dr.",name:"Neophytos",middleName:null,surname:"Lophitis",slug:"neophytos-lophitis",fullName:"Neophytos Lophitis"},{id:"247344",title:"Dr.",name:"Marina",middleName:null,surname:"Antoniou",slug:"marina-antoniou",fullName:"Marina Antoniou"},{id:"247347",title:"Mr.",name:"Anastasios",middleName:null,surname:"Arvanitopoulos",slug:"anastasios-arvanitopoulos",fullName:"Anastasios Arvanitopoulos"},{id:"247349",title:"Mr.",name:"Samuel",middleName:null,surname:"Perkins",slug:"samuel-perkins",fullName:"Samuel Perkins"}]}],onlineFirstChaptersFilter:{topicId:"159",limit:6,offset:0},onlineFirstChaptersCollection:[],onlineFirstChaptersTotal:0},preDownload:{success:null,errors:{}},subscriptionForm:{success:null,errors:{}},aboutIntechopen:{},privacyPolicy:{},peerReviewing:{},howOpenAccessPublishingWithIntechopenWorks:{},sponsorshipBooks:{sponsorshipBooks:[],offset:8,limit:8,total:0},allSeries:{pteSeriesList:[{id:"14",title:"Artificial Intelligence",numberOfPublishedBooks:9,numberOfPublishedChapters:89,numberOfOpenTopics:6,numberOfUpcomingTopics:0,issn:"2633-1403",doi:"10.5772/intechopen.79920",isOpenForSubmission:!0},{id:"7",title:"Biomedical Engineering",numberOfPublishedBooks:12,numberOfPublishedChapters:104,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2631-5343",doi:"10.5772/intechopen.71985",isOpenForSubmission:!0}],lsSeriesList:[{id:"11",title:"Biochemistry",numberOfPublishedBooks:32,numberOfPublishedChapters:318,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2632-0983",doi:"10.5772/intechopen.72877",isOpenForSubmission:!0},{id:"25",title:"Environmental Sciences",numberOfPublishedBooks:1,numberOfPublishedChapters:12,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2754-6713",doi:"10.5772/intechopen.100362",isOpenForSubmission:!0},{id:"10",title:"Physiology",numberOfPublishedBooks:11,numberOfPublishedChapters:141,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2631-8261",doi:"10.5772/intechopen.72796",isOpenForSubmission:!0}],hsSeriesList:[{id:"3",title:"Dentistry",numberOfPublishedBooks:8,numberOfPublishedChapters:129,numberOfOpenTopics:2,numberOfUpcomingTopics:0,issn:"2631-6218",doi:"10.5772/intechopen.71199",isOpenForSubmission:!0},{id:"6",title:"Infectious Diseases",numberOfPublishedBooks:13,numberOfPublishedChapters:113,numberOfOpenTopics:3,numberOfUpcomingTopics:1,issn:"2631-6188",doi:"10.5772/intechopen.71852",isOpenForSubmission:!0},{id:"13",title:"Veterinary Medicine and Science",numberOfPublishedBooks:11,numberOfPublishedChapters:106,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2632-0517",doi:"10.5772/intechopen.73681",isOpenForSubmission:!0}],sshSeriesList:[{id:"22",title:"Business, Management and Economics",numberOfPublishedBooks:1,numberOfPublishedChapters:19,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2753-894X",doi:"10.5772/intechopen.100359",isOpenForSubmission:!0},{id:"23",title:"Education and Human Development",numberOfPublishedBooks:0,numberOfPublishedChapters:5,numberOfOpenTopics:1,numberOfUpcomingTopics:1,issn:null,doi:"10.5772/intechopen.100360",isOpenForSubmission:!0},{id:"24",title:"Sustainable Development",numberOfPublishedBooks:0,numberOfPublishedChapters:15,numberOfOpenTopics:5,numberOfUpcomingTopics:0,issn:null,doi:"10.5772/intechopen.100361",isOpenForSubmission:!0}],testimonialsList:[{id:"13",text:"The collaboration with and support of the technical staff of IntechOpen is fantastic. 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\r\n\tEducation and Human Development is an interdisciplinary research area that aims to shed light on topics related to both learning and development. This Series is intended for researchers, practitioners, and students who are interested in understanding more about these fields and their applications.
",coverUrl:"https://cdn.intechopen.com/series/covers/23.jpg",latestPublicationDate:"June 25th, 2022",hasOnlineFirst:!0,numberOfPublishedBooks:0,editor:{id:"280770",title:"Dr.",name:"Katherine K.M.",middleName:null,surname:"Stavropoulos",slug:"katherine-k.m.-stavropoulos",fullName:"Katherine K.M. Stavropoulos",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRdFuQAK/Profile_Picture_2022-05-24T09:03:48.jpg",biography:"Katherine Stavropoulos received her BA in Psychology from Trinity College, in Connecticut, USA. Dr. Stavropoulos received her Ph.D. in Experimental Psychology from the University of California, San Diego. She completed her postdoctoral work at the Yale Child Study Center with Dr. James McPartland. Dr. Stavropoulos’ doctoral dissertation explored neural correlates of reward anticipation to social versus nonsocial stimuli in children with and without autism spectrum disorders (ASD). She has been a faculty member at the University of California, Riverside in the School of Education since 2016. Her research focuses on translational studies to explore the reward system in ASD, as well as how anxiety contributes to social challenges in ASD. She also investigates how behavioral interventions affect neural activity, behavior, and school performance in children with ASD. She is also involved in the diagnosis of children with ASD and is a licensed clinical psychologist in California. She is the Assistant Director of the SEARCH Center at UCR and is a Faculty member in the Graduate Program in Neuroscience.",institutionString:null,institution:{name:"University of California, Riverside",institutionURL:null,country:{name:"United States of America"}}},editorTwo:null,editorThree:null},subseries:{paginationCount:2,paginationItems:[{id:"89",title:"Education",coverUrl:"https://cdn.intechopen.com/series_topics/covers/89.jpg",isOpenForSubmission:!1,annualVolume:null,editor:{id:"260066",title:"Associate Prof.",name:"Michail",middleName:null,surname:"Kalogiannakis",slug:"michail-kalogiannakis",fullName:"Michail Kalogiannakis",profilePictureURL:"https://mts.intechopen.com/storage/users/260066/images/system/260066.jpg",biography:"Michail Kalogiannakis is an Associate Professor of the Department of Preschool Education, University of Crete, and an Associate Tutor at School of Humanities at the Hellenic Open University. He graduated from the Physics Department of the University of Crete and continued his post-graduate studies at the University Paris 7-Denis Diderot (D.E.A. in Didactic of Physics), University Paris 5-René Descartes-Sorbonne (D.E.A. in Science Education) and received his Ph.D. degree at the University Paris 5-René Descartes-Sorbonne (PhD in Science Education). His research interests include science education in early childhood, science teaching and learning, e-learning, the use of ICT in science education, games simulations, and mobile learning. He has published over 120 articles in international conferences and journals and has served on the program committees of numerous international conferences.",institutionString:"University of Crete",institution:{name:"University of Crete",institutionURL:null,country:{name:"Greece"}}},editorTwo:{id:"422488",title:"Dr.",name:"Maria",middleName:null,surname:"Ampartzaki",slug:"maria-ampartzaki",fullName:"Maria Ampartzaki",profilePictureURL:"https://mts.intechopen.com/storage/users/422488/images/system/422488.jpg",biography:"Dr Maria Ampartzaki is an Assistant Professor in Early Childhood Education in the Department of Preschool Education at the University of Crete. Her research interests include ICT in education, science education in the early years, inquiry-based and art-based learning, teachers’ professional development, action research, and the Pedagogy of Multiliteracies, among others. She has run and participated in several funded and non-funded projects on the teaching of Science, Social Sciences, and ICT in education. She also has the experience of participating in five Erasmus+ projects.",institutionString:"University of Crete",institution:{name:"University of Crete",institutionURL:null,country:{name:"Greece"}}},editorThree:null},{id:"90",title:"Human Development",coverUrl:"https://cdn.intechopen.com/series_topics/covers/90.jpg",isOpenForSubmission:!0,annualVolume:11974,editor:{id:"191040",title:"Dr.",name:"Tal",middleName:null,surname:"Dotan Ben-Soussan",slug:"tal-dotan-ben-soussan",fullName:"Tal Dotan Ben-Soussan",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bSBf1QAG/Profile_Picture_2022-03-18T07:56:11.jpg",biography:"Tal Dotan Ben-Soussan, Ph.D., is the director of the Research Institute for Neuroscience, Education and Didactics (RINED) – Paoletti Foundation. Ben-Soussan leads international studies on training and neuroplasticity from neurophysiological and psychobiological perspectives. As a neuroscientist and bio-psychologist, she has published numerous articles on neuroplasticity, movement and meditation. She acts as an editor and reviewer in several renowned journals and coordinates international conferences integrating theoretical, methodological and practical approaches on various topics, such as silence, logics and neuro-education. She lives in Assisi, Italy.",institutionString:"Research Institute for Neuroscience, Education and Didactics, Patrizio Paoletti Foundation",institution:null},editorTwo:null,editorThree:null}]},overviewPageOFChapters:{paginationCount:5,paginationItems:[{id:"82394",title:"Learning by Doing Active Social Learning",doi:"10.5772/intechopen.105523",signatures:"Anat Raviv",slug:"learning-by-doing-active-social-learning",totalDownloads:3,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"Active Learning - Research and Practice",coverURL:"https://cdn.intechopen.com/books/images_new/11481.jpg",subseries:{id:"89",title:"Education"}}},{id:"82310",title:"Knowledge of Intergenerational Contact to Combat Ageism towards Older People",doi:"10.5772/intechopen.105592",signatures:"Alice Nga Lai Kwong",slug:"knowledge-of-intergenerational-contact-to-combat-ageism-towards-older-people",totalDownloads:8,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"Social Aspects of Ageing - Selected Challenges, Analyses, and Solutions",coverURL:"https://cdn.intechopen.com/books/images_new/11479.jpg",subseries:{id:"90",title:"Human Development"}}},{id:"81993",title:"Emergent Chemistry: Using Visualizations to Develop Abstract Thinking and a Sense of Scale Within the Preschool Setting",doi:"10.5772/intechopen.105216",signatures:"Karina Adbo",slug:"emergent-chemistry-using-visualizations-to-develop-abstract-thinking-and-a-sense-of-scale-within-the",totalDownloads:5,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"Active Learning - Research and Practice",coverURL:"https://cdn.intechopen.com/books/images_new/11481.jpg",subseries:{id:"89",title:"Education"}}},{id:"82252",title:"Early Childhood: Enriched Environments and Roles of Caring Adults",doi:"10.5772/intechopen.105157",signatures:"Analía Mignaton",slug:"early-childhood-enriched-environments-and-roles-of-caring-adults",totalDownloads:4,totalCrossrefCites:0,totalDimensionsCites:0,authors:null,book:{title:"Active Learning - Research and Practice",coverURL:"https://cdn.intechopen.com/books/images_new/11481.jpg",subseries:{id:"89",title:"Education"}}}]},overviewPagePublishedBooks:{paginationCount:0,paginationItems:[]},openForSubmissionBooks:{paginationCount:1,paginationItems:[{id:"11478",title:"Recent Advances in the Study of Dyslexia",coverURL:"https://cdn.intechopen.com/books/images_new/11478.jpg",hash:"26764a18c6b776698823e0e1c3022d2f",secondStepPassed:!0,currentStepOfPublishingProcess:3,submissionDeadline:"June 30th 2022",isOpenForSubmission:!0,editors:[{id:"294281",title:"Prof.",name:"Jonathan",surname:"Glazzard",slug:"jonathan-glazzard",fullName:"Jonathan Glazzard"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null}]},onlineFirstChapters:{paginationCount:45,paginationItems:[{id:"82135",title:"Carotenoids in Cassava (Manihot esculenta Crantz)",doi:"10.5772/intechopen.105210",signatures:"Lovina I. 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\r\n\tThe demographic shifts are creating interesting challenges. People are living longer, resulting to an aging demographic. We have a large population of older workers and retirees who are living longer lives, combined with a declining birthrate in most parts of the world. Businesses of all types are looking at how technology is affecting their operations. Several questions arise, such as: How is technology changing what we do? How is it transforming us internally, how is it influencing our clients and our business strategy? It is about leveraging technology to improve efficiency, connect with customers more effectively, and drive innovation. The majority of innovative companies are technology-driven businesses. Realizing digital transformation is today’s top issue and will remain so for the next five years. Improving organizational agility, expanding portfolios of products and services, creating, and maintaining a culture of innovation, and developing next -generation leaders were also identified as top challenges in terms of both current and future issues.
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Behind these definitions are hidden all the aspects of normal and pathological functioning of all processes that the topic ‘Metabolism’ will cover within the Biochemistry Series. 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Thus proteomics, an area of research that detects all protein forms expressed in an organism, including splice isoforms and post-translational modifications, is more suitable than genomics for a comprehensive understanding of the biochemical processes that govern life. The most common proteomics applications are currently in the clinical field for the identification, in a variety of biological matrices, of biomarkers for diagnosis and therapeutic intervention of disorders. From the comparison of proteomic profiles of control and disease or different physiological states, which may emerge, changes in protein expression can provide new insights into the roles played by some proteins in human pathologies. Understanding how proteins function and interact with each other is another goal of proteomics that makes this approach even more intriguing. Specialized technology and expertise are required to assess the proteome of any biological sample. Currently, proteomics relies mainly on mass spectrometry (MS) combined with electrophoretic (1 or 2-DE-MS) and/or chromatographic techniques (LC-MS/MS). MS is an excellent tool that has gained popularity in proteomics because of its ability to gather a complex body of information such as cataloging protein expression, identifying protein modification sites, and defining protein interactions. 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