FTIR imaging identifies alterations in lung tissue structure and biochemical composition in human idiopathic pulmonary fibrosis

Idiopathic Pulmonary Fibrosis (IPF) is a chronic, progressive, and fatal lung disease characterized by damage to the epithelial tissue and a reduced ability of the alveoli to repair themselves. This impaired repair process leads to abnormal accumulation of extracellular matrix (ECM), resulting in scarring and stiffening of lung tissue. Fourier transform infrared imaging (FTIRI) is a promising technique for imaging the biochemical changes related to fibrotic changes in a label-free and non-destructive manner, which can be analyzed to mark the progression of IPF. In this study, FTIRI was used to image human lung tissue biopsies with IPF and control biopsies without disease. In-depth spectral analyses were performed to observe the biochemical changes in the tissue composition using FTIRI. The parameters that were analyzed included collagen structure, total lipid content, lipid chain length, and phospholipids. Results showed a significant increase in lipid content in IPF compared to control, where long chain lipids dominated and phospholipids were reduced. Minor changes in collagen structure were also observed in IPF, likely attributed to the excess formation of extracellular matrix in the disease. These findings indicate that FTIRI has the potential to be a promising diagnostic technique to understand the molecular changes during IPF, as analysis of infrared data can reveal detailed biochemical information regarding disease progression and provide spatial insights on the molecular changes across the IPF lung tissue.