Cryo-TEM and AFM for the characterization of vesicle
Transcription
Cryo-TEM and AFM for the characterization of vesicle
Current Microscopy Contributions to Advances in Science and Technology (A. Méndez-Vilas, Ed.) Cryo-TEM and AFM for the characterization of vesicle-like nanoparticle dispersions and self-assembled supramolecular fatty-acid-based structures: a few examples. Cédric Gaillard*,1 and Jean-Paul Douliez2 1. U.R. 1268 BIA Biopolymères Interactions Assemblages INRA, rue de la Géraudière, 44316 Nantes, France 2. UMR 1332 Biologie du Fruit & Pathologie, équipe 'Mollicute', Université de Bordeaux 2 – INRA, Centre INRA de Bordeaux, BP 81, 33883 Villenave d'Ornon Cedex, France * [email protected] The considerable development of nanosciences and nanotechnologies which now form part of our daily life requires characterization methods that are specifically adapted to enable both a high resolution and good preservation of the nanoobjects as from their preparation for analysis, especially when organic elements and water are involved in their structure. Cryo-TEM of vitreous thin films is known as the method of choice to study the detailed organization of supramolecular assemblies, achieved very good resolution and a minimum of sample damage. We describe here the principal technical features related to the preparation of vitreous ultrathin films from an aqueous dispersion using an electron microscope equipped with a LaB6 thermionic filament, and operated at an acceleration voltage of 80 kV. We also give a few examples regarding characterization of the detailed organization of supramolecular structures formed by the self-association of fatty acids. The results acquired are compared and discussed in terms of their complementarity and the preservation of ultrastructures versus those acquired using conventional TEM after negative staining and atomic force microscopy (AFM). Keywords Cryogenic transmission electron microscopy (cryo-TEM); vitreous thin films; supramolecular structure; selfassembly; morphology; nanoparticles; vesicles; fatty acids; atomic force microscopy (AFM) 1. Introduction For some decades now, the development of advanced materials with novel properties has been a research field of growing interest. The production of stable systems in liquid and aqueous solutions can provide three-dimensional networks for the design of original structures with properties adapted to specific advanced applications. Assemblies formed in an aqueous solution extracted from renewable resources are of a particular interest when they have competitive functional properties. Supramolecular assemblies formed with biomolecules from natural sources could constitute new ecological surfactants to replace petroleum-based products [1, 2]. Other recyclable polymeric micelle-based systems can also lead to the formation of mesoporous materials [3]. However, the design of new materials formed by assembling numerous organic compounds requires the parallel development of an ability to characterize their considerable complexity in detail. In particular, when studying systems formulated with lipids or biopolymers (proteins, polysaccharides), microscopy techniques are widely employed for this purpose and constitute a group of complementary tools that can be used separately or in correlation [4]. For all these techniques, the general principle is based on a close interaction between a probe and the atoms in the sample under investigation. This probe may be a light source, for optical and fluorescent microscopy techniques, a solid tip in atomic force microscopy (AFM), or an electron beam for electron microscopy, in the scanning or transmission modes. For each type of microscopy, numerous analytical modes have been developed to supply complementary information on structure and chemical composition. The diagram in Fig. 1 tries to summarise some of the electron microscopy techniques applicable at present to sorting information on morphology, size and structure from an organic sample. Transmission electron microscopy (TEM) and scanning electron microscopy (SEM) can be used to solve structures by high resolution imaging, electron diffraction (available for crystals or semi-crystals) or electron backscatter diffraction (EBSD). Chemical compositions can be determined by energy dispersive X-ray analysis (EDX) or cathodoluminescence coupled with SEM or TEM, or by electron energy-loss spectroscopy (EELS) coupled with TEM. Electron microscopes can operate under both ambient and cryogenic conditions and using different imaging modes: transmission imaging in SEM and, inversely, scanning mode in TEM, bright field or dark field imaging in TEM and secondary electron or backscattering imaging in SEM. A similar diagram could also be drawn to summarise the operability of AFM in numerous modes in terms of both sample characteristics and the data required. Conventional TEM and SEM observations, combined with the use of staining, have often demonstrated their efficiency in characterizing the polyphasic composition of organic nanoparticles using different sample preparation and staining strategies [5, 6]. The use of electron microscopy in conventional or more advanced modes, such as the cryogenic mode, together with other microscopy techniques (e.g. AFM), or physicochemical techniques (e.g. light and neutron scattering) constitutes a powerful tool for the investigation of soft-matter-based assemblies at the nanometer scale [7-11]. © 2012 FORMATEX 912 Current Microscopy Contributions to Advances in Science and Technology (A. Méndez-Vilas, Ed.) Fig. 1 Diagram showing a general overview of standard analytical techniques based on electron microscopy. The illustrations are based on images of sub-micron-sized latexes. TEM and SEM techniques can be operated under both ambient and cryogenic conditions, in a vacuum (usually required to operate the electron beam) or using variable pressure [5, 6]. When using TEM, it is important to consider several features of a sample before selecting the most appropriate technique for its preparation and observation. Sample thickness may be a crucial criterion. If the dimensions of the object under investigation are within the nanometer range (up to 100-200 nm depending on its density), direct observation is possible because such thickness remains compatible with transmission of the electron beam. If the sample is thicker and contains some water (as is often the case for cells, tissues, colloids and gels), it is important to apply specific preparation protocols which include chemical or physical fixation, dehydration, resin inclusion and ultramicrotomy, so as to obtain ultrathin sections across the thick sample (thinner than 200 nm). When a sample is produced in a dehydrated state, it can be embedded directly in resin and then cut by ultramicrotomy. In this case, the presence of water in the structure or as the dispersion liquid (as with all colloids) is an essential criterion to be considered, as well as thickness. The nature of a sample is also crucial to estimating the risk of e-beam damage, i.e. the electron radiation effect that may occur in the TEM chamber [12]. Electron scattering across the sample causes elastic or inelastic collisions. The kinetic energy absorbed by the sample may create local heating, leading to structural damage or loss of mass. These effects are more pronounced in the case of organic and hydrated samples [13]. The development of cryogenic preparation methods adapted to hydrated samples of differing thickness (high pressure freezing, freeze fractures, gradual lowering of the inclusion temperature, cryosubstitution, cryoultramicrotomy) have considerably improved our ability to analyse objects with varied morphology, size and nature, while maintaining optimum conditions that will preserve the initial structure [14-18]. In particular, and although the vitrification of thin films was a forerunner of other cryo-methods, it remains remarkably useful when characterising numerous aqueous dispersions of nanometer-sized objects [19, 20]. The advantage of vitreous thin films is that they can be observed at the highest possible resolution using a TEM equipped with a field emission gun and operated with an acceleration voltage of 200 or 300 kV. These conditions normally enable determination of the macromolecular structure of protein complexes. However, vitreous films can also be observed using TEM operated at a lower tension acceleration (80 – 120 kV) and equipped with a thermionic filament (tungsten or LaB6), typical of those available in microscopy facilities specialized in cell and tissue analyses. Resolution remains sufficient to characterise most of the nanoparticles targeted by current research projects in the soft-matter and biological fields. Our aim here to demonstrate the considerable usefulness of cryo-TEM of vitreous thin films operated at 80 kV to clarifying the complex morphology of lipid-based nano-objects and supramolecular assemblies. We also discuss its complementarity with conventional negative staining TEM techniques and atomic force microscopy (AFM) in order to characterize vesicle-like nanoparticles and fatty acid-based supramolecular assemblies. 2. Experimental Part (general procedures) [22-24] 2.1 Sample preparation methods Transmission electron microscopy (TEM). One 50 μl drop of an aqueous dispersion specimen was first of all deposited on a carbon film-coated TEM copper grid (Quantifoil, Germany) and allowed to dry in air for a few seconds. The surface of the carbon film had previously been glow-discharged by exposure under plasma to render it hydrophilic. The sample was then negatively stained with uranyl © 2012 FORMATEX 913 Current Microscopy Contributions to Advances in Science and Technology (A. Méndez-Vilas, Ed.) acetate (Merck, Germany). The sample-coated TEM grid was then placed successively on a drop of an aqueous solution of uranyl acetate (1% w/w) and a drop of distilled water. The grid was then air-dried before its insertion in the electron microscope. Cryo-Transmission electron microscopy (cryo-TEM) of vitreous thin films. Specimens for the cryo-TEM observation of vitreous thin films were prepared using a “cryoplunge” cryo-fixation device (Gatan, USA) which enables rapid immersion in a cryogenic fluid (liquid ethane or propane). A diagram summarising the principles of this method is shown in Fig. 2. A typical support is a TEM copper grid (3 mm in diameter) recovered with a holey-type carbon film that contains regularly or randomly dispersed holes in which the aqueous dispersion is placed (Ted Pella Inc., USA). A glowdischarged treatment is applied to the carbon film to render it hydrophilic, before the deposition of a 10 μl microdrop of the dispersion that is reduced in thickness by blotting with Whatman paper (cf. Fig. 2a). The liquid film is placed in a humidity-controlled chamber (which maintains a relative humidity of 97-99%) to prevent its evaporation until the TEM grid (previously fixed on a holder under a pressure of 6-8 bars), is projected into a cold liquid (cf. Fig. 2b) to enable the most efficient absorption of sample heat. This liquid is often ethane or propane that has previously liquefied from gas by placing it in contact with the cold walls of a metal goblet plunged into liquid nitrogen. The direct use of liquid nitrogen is usually avoided because heat transfer is restricted by the existence of an intermediate thin layer of gas (the Leindenfrost effect). 5 ml of liquid ethane, maintained at -180°C, are sufficient for sample preparation. Below this temperature, liquid ethane solidifies (at around 182.5°C) and while above this temperature, water crystallizes (at around -135°C). Finally, the objects of interest in the aqueous dispersion were embedded in the vitreous water film through the holes in the carbon film support (cf. Fig. 2c). The TEM grids were mounted on a Gatan 910 liquid nitrogen-cooled sample holder (Gatan, USA) equipped with a liquid nitrogen reservoir, and then transferred to the microscope using a CT-3500cryotransfer system (Gatan, USA) designed to ensure that the frozen state of the sample is uninterrupted. Figure 2d shows a typical TEM image of partly-folded a vitreous aqueous film. Freeze fracture of gels. Small pieces of gels were cut and placed in specific supports for high-pressure freezing using a HPM100 device (Leica Microsystems, Wetzlar, Germany). The samples were then freeze-fractured using a Balzers BAF 400T (Balzers, Liechtenstein) at -150°C under 1.8 mBar of vacuum before sputtering the surfaces with platinum/carbon. Replicas were then obtained by washing the samples in water and organic solvents (ethanol, chloroform and methanol) and detected on TEM grids before TEM examination. Atomic force microscopy (AFM). Two types of support (glass or mica) were used, depending on the ability of the sample to attach itself to the surface. The mica sheets (10 mm x 10 mm, Agar) were freshly cleaved before use. The glass support (square slides of 22 mm x 22 mm, Menzel-Glaser) were washed under sonication in a Twin surfactant solution (0.02 %), rinsed with acetone and dried under an argon flux. A 10 μl droplet of the aqueous dispersion was then spread on the support and allowed to incubate for one minute before rinsing the surface with Millipore water to eliminate the unfixed fraction and then drying under argon. 2.2 Microscopy TEM and cryo-TEM. All samples were observed using a JEM 1230 cryo-microscope (JEOL, Japan) operated at 80 kV and equipped with a LaB6 filament. For cryo-TEM experiments, the microscope was operated under low-dose conditions (<10 e-/ Å2) while maintaining the sample at -178°C as previous studies had shown that these conditions are appropriate for the characterisation of nanometer-sized objects in vitreous thin films with an adequate contrast and signal/noise ratio. The micrographs were recorded on a Gatan 1.35k x 1.04k x 12 bit ES500W CCD camera. Energy electron loss spectroscopy and imaging (EELS/EFTEM) analysis was performed with a Gatan Imaging Filter (GIF 2001, Gatan, Sunnyvale CA) equipped with a 1k x 1k x 12 bit Multiscan CCD camera. AFM. AFM images were acquired either in air using a Park Scientific Instrument Autoprobe CP (Sunnyvale, CA) or in liquid using a Bruker Instruments Bioscope (Santa Barbara, CA). The AFM images were recorded in the non-contact mode using conventional pyramidal silicon nitride cantilevers obtained from Digital Instruments (Santa Barbara, CA). All non-contact mode images (both error-signal and height imaging modes) were acquired at the lowest possible stable scanning force (less than 10 nN) with a line scan frequency of 1 Hz. © 2012 FORMATEX 914 Current Microscopy Contributions to Advances in Science and Technology (A. Méndez-Vilas, Ed.) Image analysis. For TEM: ImageJ software (Research Services Branch NIMH & NINDS) was used to determine particle size distributions and to apply contrast enhancement to the cryo-TEM images [25]. For AFM: all AFM images were processed and analysed using the WSXM4.0 software program [26]. Fig. 2 Diagram of the different steps involved in preparing a vitreous thin film adapted for cryo-TEM observation. (a) A microdrop of a liquid dispersion is placed on a carbon holey-film recovered on the TEM grid. The grid is held in place with tweezers fixed on a holder connected to an air-pressure flow; (b) while applying an air-flow pressure of around 8 Bar, the grid is quickly plunged into liquid ethane cooled to –178°C using liquid nitrogen; (c) representation of the vitreous thin film retained in the holes of the holeytype carbon membrane laid on the TEM grid; (d)-(d’) Cryo-TEM images showing the vitreous thin film on the holey carbon membrane (d) and partly folded (d’). 3. Results and Discussion 3.1 Cryo-Transmission electron microscopy of vitreous thin films Cryo-electron microscopy includes a broad range of sample preparation and observation techniques which apply the benefits of low temperature in terms of keeping samples free of artefacts and damage. The main feature is the use of cryogenic conditions during one or more experimental steps. A cryo-observation can be achieved using a liquid nitrogen (or helium) cooling holder (TEM) or a Peltier cooling stage (SEM). Cryo-preparation is often used to harden a soft material (for example, an elastomer) or hydrated sample (cells, tissues) so that it can be cut in ultrathin slices (thinner than 100 nm) while ensure that the sample remains as native as possible. Cryo-preparation methods may differ in terms of their cooling rates and degree of vitrification free from ice crystals: cryo-plunge, metal-mirror, high pressure freezing, jet or spray freezing, cryofracture, freeze-drying, Tokoyasu cryosectioning, cryoultramicrotomy. Cryo”microscopy then refers to a preparation obtained under low temperature conditions (mainly at the temperature of liquid nitrogen) followed by observations in ambient conditions, or inversely, but is much more efficient when all preparation and observation steps are performed at a low temperature. One time again, sample thickness is an essential criterion in TEM when selecting the appropriate cryo-TEM method. When the size of particles in the aqueous dispersion is compatible with transmission of the electron beam (which also depends on the acceleration voltage and the specific density of the object), it is possible to apply the cryo-TEM method directly by plunging it into a cold liquid (liquid ethane, propane) [27], as is also described in the experimental part of this paper. Various artefacts may appear on a cryo-TEM image and they must be detected (cf. Fig. 3). A typical vitreous thin film should be flat and homogeneous across all the holes in the holey carbon film [28]. In some cases, film thickness may vary because of partial drying of the liquid water before freezing or to some liquid ethane remaining on the surface of the solid water film after freezing/removal from the liquid ethane containers (see Fig. 3a). To prevent this, any liquid ethane should be removed by carefully placing the frozen sample in contact with a filter paper maintained at liquid nitrogen temperature, close to the liquid ethane container. Water (or a buffer) remains the fluid most frequently used for the vitrification process. Organic solvents may freeze under the combined effects of cold and pressure. Many non-polar solvents (pentane, cyclohexane, dioxane, etc.) are often soluble in liquid alkanes (ethane, propane) and may easily be damaged bythe e-beam (cf. Fig. 3b). However, several organic solvents have been efficiently frozen in liquid nitrogen in their vitreous state, such as toluene [29, 30], hexane [31] or diethylphtalate [32]. Some restrictions may affect this technique when freezing large objects (in the micron range) and they may limit the vitrification of a regular film of water (Fig. 3.c); a thicker layer of water may also be retained around the object, resulting in a loss of resolution (Fig. 3.d). The vitreous thin films thus obtained must also be free of artefacts arising © 2012 FORMATEX 915 Current Microscopy Contributions to Advances in Science and Technology (A. Méndez-Vilas, Ed.) from the condensation of ambient humidity or a partial recrystallization of amorphous water in the different cubic or hexagonal phases (see Fig. 3e-h). 3.2 Characterization of dispersions of monolayered or multilayered lipid-based self-assemblies Cryo-TEM of vitreous thin films remains a method of choice for the characterisation of lipid-based self-assemblies such as vesicles [33], micelles [34] and liposomes [16]. Lipid nano-assemblies have long been developed as nanovectors because of their unique ability to encapsulate and deliver bioactive molecules for therapeutic applications [35]. Figure 4 shows some examples of typical structures that have been characterized using cryo-TEM operated at 80 kV. Under some conditions, fatty acids extracted from milk or egg yolk products spontaneously self-assemble as colloidal vesicles. Their relative instability limits any extensive study of size and morphology using microscopy. Few methods are able to retain the water content at the same time as an ability to image lipid bilayers with sufficient resolution to distinguish each layer. Cryo-TEM of vitreous thin films is a technique that can achieve detailed observations with a minimum of structural alterations. Onion-like multi-lamellar vesicles (Fig. 4a) and hybrid nanostructures containing a dense lipid particle attached to an empty vesicle (Fig. 4b) have been prepared from egg yolk lipoproteins (LDL) as vitreous thin films and then investigated using cryo-TEM in an attempt to elucidate their structures [36]. Another example is the characterization of a bimodal dispersion of sub-micrometer sized vesicles and small uni-lamellar vesicles (SUV) of DOPC:DOPG:CHOL [37], which were prepared by vitrifying their corresponding aqueous dispersions (see Fig. 4c and 4d). In the case of SUV particles, cryo-TEM analysis revealed the self-assembly of a relatively homogeneous population of nano-sized vesicles with a diameter of around 16 nm (Fig. 4d). Fig. 3 Cryo-TEM images of vitreous thin films showing typical artefacts resulting from the technique. (a) Solid water film showing two zones of differing thickness: the darker zone (thicker film) is due to the presence of liquid ethane; (b) Part of a vitreous film prepared from an aqueous/methanol solution (50:50 v:v): the film is rapidly damaged under the e-beam (whiter zones); (c) CryoTEM image of a frozen sample prepared from vitrification of an aqueous dispersion of micron-sized objects (lipid-based tubes): the tubes are too large and thick to allow the formation of a vitreous film; (d) Cryo-TEM image of an aqueous dispersion of phospholipid-based vesicles: the dimensions of larger vesicles are greater some of the hole diameters, and excessive thickness results in a loss of resolution (darker region); (e-h) Classic artefacts resulting from the crystallization of water in different cubic or hexagonal phases. Freeze fracturing is often suggested as an alternative method for the preparation of vitreous thin films in order to study vesicles and larger objects with different morphologies and sizes [38-41]. This technique is an efficient way to generate images of viscous systems from which vitreous thin films cannot be prepared as the method is restricted to fluid systems. As an illustration, Figures 4e and 4f show images of self-assembled vesicles of fatty acid salts which form viscous gels at room temperature, obtained after the freeze fracturing of high pressure-frozen gel pieces. To enhance the visualization of vesicles, a platinum/carbon shadow has been applied. A recent study of the self-assembling structures produced between fatty acids of with different chain lengths and lysine or guanidine salts demonstrated the possibility of producing new vesicles of varying diameters [42-43]. The existence of vesicles has also been proved in gels formulated using various backbone length fatty acids in the presence of guanidinium counter-ions (respectively, © 2012 FORMATEX 916 Current Microscopy Contributions to Advances in Science and Technology (A. Méndez-Vilas, Ed.) C16-palmitic acid salts of guanidinium and C18-stearic acid salts of tetramethylguanidinium), as has the influence of the type of counter-ion on vesicle size [44]. Fig. 4 Cryo-TEM characterization of lipid-based systems from either vitreous thin film preparations (a-d) or using the cryofracture technique (e-f). (a) An onion-like multi-lamellar morphology of milk lipid-based vesicles prepared as previously described [45]; (b) Example of hybrid nanoparticles from egg yolk with a dense part attached to a vesicle, or inversely (inset d’) [36]; (c) Observation of a bimodal dispersion of submicrometer-sized vesicles (the image has been filtered using ImageJ to equalize the contrast levels between larger and smaller objects); (d) Observation of nanometer uni-lamellar vesicles (SUV) of DOPC:DOPG:CHOL prepared according to data in the literature [37], from which a size distribution histogram has been deduced (inset d’); (e-f) TEM observation of a platinum/carbon shadowed replica prepared by freeze fracturing after the high-pressure freezing of micron-sized C18-stearic acid salts of tetramethylguanidinium (TMG), (e), and nano-sized C16-palmitic acid salts of guanidinium (GuHCl): self-assembled monolayered vesicles, (f) [44]. Figure 5 shows a comparison of cryo-TEM observations of a vitreous thin film with negative staining TEM, using small multi-lamellar phospholipid-based vesicles (Fig. 5a-b) [45, 46], and of a highly complex morphology based on multilayered structures generated by the self-assembly of myristic acid in the presence of organosilane counter-ions (Fig. 5c-e) [47]. The negative staining technique is often applied to the study of numerous biological systems because of its rapid application [48]. Standard negative stains are aqueous solutions of uranyl salts, ammonium molybdate and phosphotungstate salts [49]. Before applying a negative stain, its pH value must be determined and then adjusted if necessary adjusted to the correct value as this will mainly influence charged lipids (for example, the pH of 1% phosphotungstic acetate solution is close to 7.2 whereas that of 1% uranyl acetate solution is around 4.6). However, numerous artefacts may arise from either the evaporation of water that damages hydrated samples or different interactions that can occur between the lipid structures and the stain [50]. In general, the type of lipid (with a saturated or unsaturated backbone, neutral or with a cationic or anionic charge) influences the resistance of the structure and the degree of damage that may occur under drying. Lipid type is also crucial to the efficiency of staining. By comparing the Cryo-TEM images in Fig. 5a of L-alpha-phosphatidylcholine and L-alpha-phosphatidylserine (PC/PS) onion-like vesicles (prepared according to reference [46]) with the corresponding negatively-stained TEM image obtained using uranyl acetate (Fig. 5b), it is possible to measure the deformation of native morphology induced by the drying step in the staining protocol, while cryo-TEM enables preservation of the expected spherical-shaped morphology. It should also be noted that the electron dense atoms in the negative stain highlight the lipid bilayers surrounding the internal aqueous space, whereas the lipid phase appears with darker contrast when compared to the weaker contrast of the surrounding amorphous solid water. Another example that demonstrates the advantages of cryo-TEM over negative staining when trying to characterize complex vesicular-shaped particles is given in Fig. 5 c-d, which shows cryo-TEM images of myristate salts of aminopropyltriethoxysilane (APTES) self-assembled hydrated structures. Such particles may play an unique role as precursors for novel templates of mesoporous silica networks or as low-cost biosurfactants to produce thermodynamically stable assemblies [47]. Self-assembly processes and the resulting particle morphology, as well as surfactant properties, can be monitored by experimental parameters such as pH value and the nature of the counter-ion. © 2012 FORMATEX 917 Current Microscopy Contributions to Advances in Science and Technology (A. Méndez-Vilas, Ed.) The detailed characterization of dispersions resulting from an interaction between a fatty acid and counter-ion functional groups is determinant to understanding its functional properties. The cryo-TEM images (Fig. 5c-d) clear show the presence of particles with a “pine-cone”-like morphology, with a high degree of symmetry of the lipid membranes that appear to be arranged along a vertical axis. When preparing a vitreous thin film, the particles must be rapidly embedded in solid water, while maintaining all existing orientations in the initial aqueous dispersion. Fig. 5c’ presents two typical particles, with top view images (considering a principal vertical axis fitted to the longer axis of the particles) or lateral view images. The higher magnification image in Fig. 5d shows the symmetrical organization of membranes around a vertical axis. The corresponding negatively stained TEM image in Fig. 5e shows that some structural deformation has occurred under drying, resulting in a loss of evidence for a symmetrical arrangement of the lipid layers. Cryo-TEM operated at 80 kV is therefore well adapted to characterizing the complex morphology of sub-micrometer sized hydrated particles, in which the water content participates in structural integrity. Fig. 5 Cryo-TEM characterization of complex lipid-based multi-lamellar vesicles and comparison with negative staining TEM observations. (a) Cryo-TEM of nano-sized onion-like phospholipid-based multilayered vesicles (image contrast enhanced using ImageJ while the other image in the inset remains untreated). Vesicles were prepared from L-alpha-Phosphatidylcholine and L-alphaPhosphatidylserine according to a protocol described elsewhere [46]; (b) Conventional TEM image of a specimen with an onion-like morphology after negative staining with a uranyl acetate aqueous solution (pH 7.1); (c-e) Cryo-TEM image of multilayered nanoparticles resulting from myristic acid self-assembly in the presence of APTES organosilane counter-ion [47] : (c-c’) Global view of nanoparticles showing the presence of two principal orientations: some are seen from the top, and others from the side; (d) Higher magnification cryo-TEM image of a “top-viewed” submicronsized nanoparticle showing the symmetrical arrangement of the layers along a virtual vertical axis; (e) the corresponding negatively-stained TEM image where evidence of a symmetrical organization of the layers has been lost. In recent years, atomic force microscopy (AFM) operated in liquid mode has appeared to be a promising and complementary method to achieve the cryo-TEM of vitreous thin films when evaluating both the 3D morphology and physicochemical properties (elasticity and adhesion) of lipid nanoparticle dispersions [51-53]. The principal objective of sample preparation for AFM studies is to determine the adsorption and fixation of nanostructures on solid surfaces while preventing any particle spreading and morphological deformation. AFM was used as a complement to electron microscopy to identify the hybrid silica/lipid structures obtained by lowering the pH of the vesicle solutions of myristate APTES salts described above (see Fig. 5). Under highly acidic conditions (pH 2), no precipitate formed although it could logically be expected for fatty acids, but a bluish, stable solution was produced [47]. Figure 6 summarises the microscopy findings on the supramolecular structures corresponding to myristate APTES salts at pH2. Conventional TEM revealed the formation of flat, truncated lozenges of a few microns in size (see Fig. 6a-a’). The size range of the particles in the vitreous thin film was not considered adequate for further observation by cryo-TEM. The application of electron energy loss spectroscopy (EELS) and energy-filtered imaging (EF-TEM) was helpful to perform a chemical analysis and identify unambiguously the formation of hybrid silica/fatty acid composite particles (see Fig. 6b-b’). From the Si-L elemental maps of the particles, silica appeared as a fine textured network distributed throughout these lozenge-shaped fatty acid particles. However, AFM was necessary to confirm the formation of a Si/lipid hybrid structure and to provide the heights of flat particles, which ranged from 100 to 250 nm (see Fig. 6c-d). AFM showed that the silica network appeared either to be out of the fatty acid zone with different morphologies (see Fig. 6c’, 6e, 6f) or completely embedded in the lipid (see Fig. 6d). The superimposition of lipid layers, each with a thickness of around 1.5 nm was visualized under a higher magnification the AFM images, which indicated that the fatty acid was crystallized (see Fig. 6g-g’). 3.3 Complementarity of AFM, TEM and cryo-TEM for the multiscale characterisation of the supramolecular self-assembly of 12-hydroxystearate salts Structures with markedly variable morphologies are generated by systems based on fatty acids with different chain lengths and functional groups. Self-assembling supramolecular edifices based on membranes or vesicles are well known and have been studied intensively since the 1970s [54, 55]. The analogy which can be made between these structures © 2012 FORMATEX 918 Current Microscopy Contributions to Advances in Science and Technology (A. Méndez-Vilas, Ed.) formed in vitro and biological membranes, in terms of their structural and functional roles, justifies the considerable value of constructing biomimetic systems based on saturated and unsaturated lipids [56, 57]. Fig. 6AFM vs. TEM for the investigation of selfassembled micron-sized structures of myristate APTES salts at pH2, and relationship to elementary analysis by energy-filtering TEM [47]. (a-a’) Conventional TEM images from an unstained sample; (b) Zero-loss filtered TEM image of a single fatty acid/Si hybrid microparticle and (b’) the corresponding energyfiltered TEM image at the Si L-edge; (b1-b2-b3) Energy electron loss spectra from the outer zone at, the Si L-, Si K- and O K- edges, respectively; (c) AFM height image of a self-assembled particle (the c’ inset shows the corresponding 3D view); (d)-(e)-(f) AFM height images of typical morphologies of the micron-sized particles; (d’) Height profile across the AB segment indicated in the image (d); (g) Higher magnification AFM height image of the surface of a particle showing the superimposition of lipid layers; (g’) Height profile corresponding to layers 1, 2 and 3, indicated on the image (g). Although fatty acids are mainly used for the industrial manufacture of soaps, their capacity for dispersion in water opens new perspectives for the production of green detergents as an alternative to petroleum-based products [2]. The investigation of innovative systems based on hydroxyl fatty acids or ammonium salts has recently demonstrated that it is possible to generate systems with differing structural and physicochemical properties [58]. Similarly, because of their remarkable stability, hydroxyl fatty acid-based nanosized vesicles have also been used as templates for the synthesis of metallic and semiconductor nanoparticles in the form of stable aqueous dispersions [59, 60], or self-assemblies in nanoscopic optical fibres [61, 62]. The morphology of lipid-based systems, which typically ranges from the uni-lamellar phase to liquid crystals and vesicles or membranes, needs to be characterized with a high degree of precision that avoids any damage to the structure. As seen above, cryo-TEM of vitreous thin films is the appropriate method when the size range fits with the technique limitations [63]. When a supramolecular system with a larger size range is formed, the cryo-TEM of vitreous thin films encounters certain limitations to its efficient application (see Fig. 3c). As described, the freeze fracture technique can overcome this size limitation, but account must be taken of the fact that the fracturing plane occurs at random across the structures, which may complicate interpretation. In this case, the use of AFM can complement that of cryo-TEM. The multiscale characterization of a supramolecular self-assembly of a 12-hydroxystearic acid salt of hexanolamine is given in Fig. 7 as an example of complementarity of AFM with electron microscopy. Hollow tubes, more than 10 μm long and with outer diameters of 400 to 600 nm form spontaneously during the cooling of an isotropic solution of the hydroxyl fatty acid neutralized with ethanolamine [64, 65]. Whereas the TEM images of unstained samples provide valuable information on the tubular structure (see Fig. 7a), AFM observations of the surface of the tubes show a coiled ribbon-like structure with a helical pitch angle of about 45° (see Fig. 7b). It should be noted that the negatively stained TEM images confirm the structure described by AFM (not shown). Similar racemic mixtures of 12-hydroxystearic acid and hexanolamine are able to form twisted ribbons following the aging of the tubular self-assemblies described above. In this case, a translucent gel is slowly formed and corresponds to the transition from tubes to a distinct supramolecular assembly. During this transition step, unstable hybrid supramolecular structures, which result from the unfolding of tubes into twisted ribbons, are formed (see Fig. 7c-d). The final transition step is represented by a homogeneous dispersion of monodispersed twisted ribbons with a width of 100 nm and a pitch period of 400 nm (see Fig. 7e-h) [66]. The AFM images in Fig. 7c-d-d’ clearly show the link between the smallest twin ribbons and the larger micron-sized tubes from which they are produced after aging. In this context, AFM was the correct method to provide high resolution views of both the larger and smaller objects. This was due in part to the simpler sample preparation for AFM (with no limitation in sample thickness) compared with that required for cryo-TEM. However, the resolution of cryoTEM on twisted ribbons preserved in vitreous ice was the best to reveal the ribbons as being multi-lamellar and with a large water layer between the lipid bilayers, which was confirmed by neutron scattering data (see Fig. 7e-e’-e’’). © 2012 FORMATEX 919 Current Microscopy Contributions to Advances in Science and Technology (A. Méndez-Vilas, Ed.) Negatively stained TEM, and AFM observations in air, as shown in Fig. 7f and Fig. 7g, respectively, also produced clear images of twists in the ribbons, although the pitch period was markedly reduced, as could be expected following evaporation of the water content. It should be noted that uranyl acetate negative staining revealed that the ribbons were composed of both right- and left-hand twists, as illustrated in the false-coloured image in the inset (Fig. 7f). The results of AFM carried out in water using a liquid cell, and which prevented any dehydration of the structures, had the advantage of determining both the right value for the pitch period and the orientation of twisting (see Fig. 7h). Fig. 7 Characterization by electron microscopy and AFM of fatty acid-based supra-molecular assemblies with various morphologies [64-66]. (a) Unstained TEM image of micron-sized fatty acid tubes; (b) Signal-error AFM image of micron-sized fatty acid tubes with a partially unfolded end part;(c)-(d)-(d’) AFM height images of supramolecular assemblies corresponding to the intermediate states occurring while the tubes are aging; (e)-(e’)-(e’’) Cryo-TEM images of the nanosized twisted ribbon–like morphology corresponding to the final state after aging of the initial micron-sized tubes; (f) Corresponding conventional TEM images after negative staining with uranyl acetate; (g) AFM height image of the twisted ribbons recorded under dried conditions and (g’) a 3D representation; (h) AFM height image of the twisted ribbons recorded under liquid conditions with a remaining larger tube, and (h’) another view in the AFM error-signal mode. These observations were obtained under a multiscale approach and contributed to our understanding of the selfassembly mechanism of hydroxy-derivated fatty acids, and of the effects of temperature and aging on the transformation of such supramolecular structures to others with singular surfactant properties. The combination of AFM and electron microscopy is of great value to the study of fatty acid-based systems where the structure needs to be explained from the scales of the nanometer to the micrometer. Using both AFM and MET also enabled clarification of the 3D anastomose-like structure resulting from the selfassembly of myristate guanidinium salts [42]. 4. Conclusion In this chapter, we have described several examples of techniques which enable a clearer understanding of the structure of complex fatty acid-based nanoparticle dispersions. Cryo-TEM of vitreous thin films operated at 80 kV has been shown to constitute a valuable tool to elucidate the complex morphology of highly hydrated supramolecular systems produced from the self-assembly of fatty acid salts. To overcome some of the limitations of cryo-MET, such as particle size and thickness, the complementary use of AFM can help to specify the multiscale organization of pure lipid or hybrid silica/lipid systems, from the nanometer to the micron size range. The emergence of AFM liquid and advanced force spectroscopy modes may be of a great interest for studying lipid-based supramolecular assemblies, particularly since it is now possible to correlate these modes with direct fluorescence and Raman spectroscopy measurements. It thus constitutes a promising innovation to supplement the cryo-TEM investigation of lipid-based systems in order to generate data on their multiscale structure. Acknowledgements: Authors thank the Microscopy Facilities (plateforme BIBS-Microscopies) of the Centre INRA d’AngersNantes, and wish to acknowledge Ghislaine Frebourg and Jean-Pierre Lechaire for the gels preparation by freeze-fracturing performed in Service de Microscopie Electronique de l’IFR 83 at UPMC (Paris, France). © 2012 FORMATEX 920 Current Microscopy Contributions to Advances in Science and Technology (A. Méndez-Vilas, Ed.) References [1] Goursaud F, Berchel M, Guilbot J, Legros N, Lemiègre L, Marcilloux J, Plusquellec D, Benvegnu T. Glycine betaïne as a renewable raw material to greener new cationic surfactants. Green Chemistry. 2008;10:318-328. [2] Johansson I, Svensson M. Surfactants based on fatty acids and other natural hydrophobes. Curr. Opin. Colloid Interface Sci. 2001;6(2):178-188. [3] Baccile N, Reboul J, Blanc B, Coq B, Lacroix-Desmazes P, In M, Gérardin MC. Ecodesign of Ordered Mesoporous Materials Obtained with Switchable Micellar Assemblies. Angewandte Chemie Int. Ed. 2008;47:8433-8437. [4] Gaillard C. Microscopy observation of food biopolymers and related sample preparation methods. In: Luysberg M, Tillmann K, Weirich T, eds. EMC 2008, Proceedings, Vol. 1: Instrumentation and Methods. New York, NY: Springer; 2008:815-816. [5] Gaillard C, Fuchs G, Plummer CJG, Stadelmann PA. The morphology of submicronsized core-shell latex particles: An electron microscopy study. Micron. 2007;38(5):522-535. [6] Gaillard C, Fuchs G, Plummer CJG, Stadelmann PA. Practical method for high-resolution imaging of polymers by low-voltage scanning electron microscopy. Scanning. 2004;26(3),122-130. [7] Airaud C, Ibarboure E, Gaillard C, Heroguez V. Nanostructured Polymer Composite Nanoparticles Synthesized in a Single Step via Simultaneous ROMP and ATRP Under Microemulsion Conditions. Journal of Polymer Science Part A, Polymer Chemistry. 2009;47(16):4014-4027. [8] Airaud C, Ibarboure E, Gaillard C, Heroguez V. Simultaneous ROMP and ATRP in Aqueous Dispersed Media: A Straightforward Strategy to Prepare Polymer Composite Particles with Original Morphologies. Macromolecular Symposia. 2009;281:31-38. [9] Larpent C, Cannizzo C, Delgado A, Gouanvé F, Sanghvi P, Gaillard C, Bacquet G. Convenient Synthesis and Properties of Polypropyleneimine Dendrimer-Functionalized Polymer Nanoparticles. Small. 2008;4:833-840. [10] Piogé S, Fontaine L, Gaillard C, Nicol E, Pascual S. Self-Assembling Properties of Well-Defined Poly(ethylene oxide)-bpoly(ethyl acrylate) Diblock Copolymers. Macromolecules. 2009;42:4262–4272. [11] Ferreira M, Bricout H, Azaroual N, Gaillard C, Landy D, Tilloy S, Monflier E. Properties and Catalytic Activities of New Easily-Made Amphiphilic Phosphanes for Aqueous Organometallic Catalysis. Advanced Synthesis & Catalysis. 2010;352(7):1193-1203. [12] Egerton RF, Li P, Malac M. Radiation Damage in the TEM and SEM. Micron. 2004;35:399-409. [13] Sawyer LC, Grubb DT, Meyers GT. Polymer Microscopy. New York, Springer: 2008. [14] Von Schack ML, Fakan S, Villiger W, Müller M. Cryofixation and cryosubstitution: a useful alternative in the analyses of cellular fine structure. Eur J Histochem. 1993;37(1):5-18. [15] Delacroix H, Gulik-Krzywicki T, Mariani P, Luzzati V. Freeze-fracture electron microscope study of lipid systems. J. Mol. Biol. 1993;229:526-539. [16] Almgren M, Edwards K, Gustafsson J. Cryotransmission electron microscopy of thin vitrified samples. Current Opinion in Colloid & Interface Science. 1996;1(2):270-278. [17] Bohrmann B, Kellenberger E. Cryosubstitution of frozen biological specimens in electron microscopy: use and application as an alternative to chemical fixation. Micron. 2001;32(1):11-19. [18] Al-Amoudi A, Chang JJ, Leforestier A, McDowall A, Salamin LM, Norlén LPO, Richter K, Sartori-Blanc N, Studer D, Dubochet J. Cryo-electron microscopy of vitreous sections. The EMBO Journal. 2004;23:3583-3588. [19] Dubochet J, Adrian M, Chang JJ, Homo JC, Lepault J, McDowall AW, Schultz P. Cryo-electron microscopy of vitrified specimens. Q. Rev Biophys. 1988;21:129-228. [20] Rangelov S, Momekova D, Almgren M. Structural characterization of lipid-based colloidal dispersions using cryogenic transmission electron microscopy. In: Méndez-Vilas A, Díaz J, Eds. Microscopy: Science, Technology, Applications and Education. Microscopy Book Series 4. Badajoz, Spain: Formatex Research Center; 2010:1724-1734. [21] Sanz-García E, Stewart AB, Belnap DM. The random-model method enables ab initio 3D reconstruction of asymmetric particles and determination of particle symmetry. Journal of Structural Biology. 2010;171(2):216-222. [22] Dubochet J, Adrian M, Lepault M, McDowall AW. Emerging techniques: Cryo-electron microscopy of vitrified biological specimens. Trends in Biochemical Sciences. 1985;10(4):143-146. [23] Harris JR. Negative staining and cryoelectron Microscopy : the thin films techniques. In: RMS Microscopy Handbook, Number 35. Oxford, UK : Bios Scientific Publishers Ltd.; 1997:195-206. [24] Bellare JW, Davies HT, Scriven LE, Talmon Y. Controlled environment vitrification system. J. Electron. Microsc. Tech. 1988;10:87-111. [25] Research Services Branch NIMH & NINDS. ImageJ: Image processing and analysis in Java. Available at: http://rsb.info.nih.gov/ij/. Accessed June 10, 2012. [26] Horcas I, Fernandez R, Gomez-Rodriguez JM, Colchero J, Gomez-Herrero J, Baro AM. WSxM: A software for scanning probe microscopy and a tool for nanotechnology. Rev. Sci. Instrum. 2007;78(1):0137051-0137058. [27] Resch GP, Brandstetter M, Königsmaier L, Urban E, Pickl-Herk AM. Immersion freezing of suspended particles and cells for cryo-electron microscopy. Cold Spring Harb Protoc. 2011;7:803-14 [28] Dobro MJ, Melanson LA, Jensen GJ, McDowall AW. Plunge freezing for electron microscopy. Methods of enzymology. 2010;481:63-82. [29] Oostergetel GT, Esselink FJ, Hadziioannou G. Cryo-Electron Microscopy of Block Copolymers in an Organic Solvent. Langmuir. 1995;11:3721-4. [30] Boettcher C, Schade B, Fuhrhop JH. Comparative Cryo-Electron Microscopy of Noncovalent N-Dodecanoyl-(D- and L-) serine Assemblies in Vitreous Toluene and Water. Langmuir. 2001;17:873-877. [31] Danino D, Gupta R, Satyavolu J, Yeshayahu Talmon Y. Direct Cryogenic-Temperature Transmission Electron Microscopy Imaging of Phospholipid Aggregates in Soybean Oil. Journal of Colloid and Interface Science. 2002;249:180-186. © 2012 FORMATEX 921 Current Microscopy Contributions to Advances in Science and Technology (A. Méndez-Vilas, Ed.) [32] Kesselman E, Talmon Y, Bang Babbas S, Li Z, Lodge TP. Cryogenic Transmission Electron Microscopy Imaging of Vesicles Formed by a Polystyrene-Polyisoprene Diblock Copolymer. Macromolecules. 2005; 38: 6779-6781. [33] Adrian M, Dubochet J, Lepault J, McDowall AW. Cryo-electron microscopy of viruses. Nature. 1984;308(5954):32-36. [34] Burns JL, Cohen Y, Talmon Y. The Structure of Cubic Mesomorphic Phases Determined by Low-Temperature Electron Microscopy and Small-Angle X-ray Scattering. J. Phys.Chem. 1990;94:5308-5312. [35] Weiss J, Decker EA, McClements DJ, Kristbergsson K, Helgason T, Awad T. Solid lipid nanoparticles as delivery systems for bioactive food components. Food Biophys. 2008;3:146-154. [36] Sirvente H, Beaumal V, Gaillard C, Bialek L, Hamm D, Anton M. Structuring and functionalization of dispersions containing egg yolk, plasma and granules induced by mechanical treatments J. Agric. Food Chem. 2007;55:9537-9544. [37] Al-Jamal WT, Kostarelos K. Construction of nanoscale multicompartment liposomes for combinatory drug delivery. International Journal of Pharmaceutics. 2007;331(2):182-185. [38] Hope MJ, Kim F, Wong KF, Cullis PR. Freeze-Fracture of Lipids and Model Membrane Systems. Journal of electron microscopy techniques. 1989;13:277-287. [39] Meyer HW, Richter W. Freeze-fracture studies on lipids and membranes. Micron. 2001;32:615-644. [40] Mondain-Monval O. Freeze fracture TEM investigations in liquid crystals. Curr. Opin. Colloid Interface Sci., 2005;10:250-255. [41] Talmon Y. Cryogenic temperature transmission electron microscopy in the study of surfactant systems. In: Binks BP, ed. Modern characterization methods of surfactant systems, Chapter 5. New York, NY: Marcel Dekker; 1999:147-178. [42] Douliez JP, Houinsou-Houssou B, Fameau AL, Novales B, Gaillard C. Self-assembly of anastomosis-like superstructures in fatty acid/guanidine hydrochloride aqueous dispersions. Journal of Colloid and Interface Science. 2010;341:386-389. [43] Novales B, Riaublanc A, Navailles L, Houinsou Houssou B, Gaillard C, Nallet F, Douliez JP. Self-assembly and foaming properties of fatty acid−lysine aqueous dispersions. Langmuir. 2010;26(8):5329-5334. [44] Fameau AL, Houinsou-Houssou B, Ventureira JL, Navailles L, Nallet F, Novales B, Douliez JP. Self-assembly, foaming, and emulsifying properties of sodium alkyl carboxylate/guanidine hydrochloride aqueous mixtures. Langmuir. 2011;27(8):45054513. [45] Hope MJ, Bally MB, Mayer LD, Janoff A, Cullis PR. Generation of multilamellar and unilamellar phospholipid vesicles. Chemistry and Physics of Lipids. 1986;40:89-107. [46] Mui B, Chow L, Hope MJ. Extrusion technique to generate liposomes of defined size. Methods Enzymol. 2003; 367: 3-14. [47] Gaillard C, Novales B, François J, Douliez JP. Broad Polymorphism of fatty acids with amino organosilane counterions, towards novel templates. Chemistry of Materials. 2008;20(4):1206-1208. [48] De Carlo S, Harris JR. Negative staining and Cryo-negative Staining of Macromolecules and Viruses for TEM. Micron. 2011;42(2):117-131. [49] Glauert AM, Lucy JA. Electron microscopy of lipids: Effects of pH and fixatives on the appearance of a macromolecular assembly of lipid micelles in negatively stained preparations. Journal of Microscopy. 1969;89(1):1-18. [50] Melchior V, Hollingshead CJ, Cahoon ME. Stacking in lipid vesicle-tubulin mixtures is an artifact of negative staining. J Cell Biol. 1980;86(3):881-884. [51] Ruozi B, Tosi G, Tonelli M, Bondioli L, Mucci A, Forni F, Vandelli MA. AFM phase imaging of soft-hydrated samples: a versatile tool to complete the chemical-physical study of liposomes. Journal of Liposome Research. 2009;19(1):59-67. [52] Sitterberg J, Ozcetin A, Ehrhardt C, Bakowsky U. Utilising atomic force microscopy for the characterisation of nanoscale drug delivery systems. Eur J Pharm Biopharm. 2010;74(1):2-13. [53] Spyratou E, Mourelatou EA, Makropoulou M, Demetzos C. Atomic force microscopy: a tool to study the structure, dynamics and stability of liposomal drug delivery systems. Expert Opin Drug Deliv. 2009;6(3):305-17. [54] Morigaki K, Walde P. Fatty acid vesicles. Current Opinion in Colloids and Interface Science. 2007;12(2):75-80. [55] Walde P, Namani T, Morigaki K, Hauser H. Formation and properties of fatty acid vesicles (liposomes). In: G. Gregoriadis G, ed. Liposome Technology, third edition. New York, NY: Informa Healthcare; 2006:1-19. [56] Deamer DW, Dworkin JP. Chemistry and physics of primitive membranes. Top Curr Chem. 2005; 259: 1-27. [57] Cistola DP, Hamilton JA, Jackson D, Small DM. Ionization and phase behavior of fatty acids in water: application of the Gibbs phase rule. Biochemistry.1988;27:1881-1888. [58] Novales B, Navailles L, Axelos M, Nallet F, Douliez JP. Self-Assembly of Fatty Acids and Hydroxyl Derivative Salts. Langmuir. 2008;24:62-68. [59] Douliez JP, Novales B, Gaillard C. Synthesising gold nanoparticles within bola fatty acid nanosomes. Journal of Colloid and Interface Science. 2009;337(2):610-613. [60] Gaillard C, Douliez JP. Quantic boxes for agronomic research. Biofutur. 2010;308:44-45. [61] Gopalakrishnan G, Segura JM, Stamou D, Gaillard C, Gjoni M, Hovius R, Schenk K, Stadelmann PA, Vogel H. Synthesis of nanoscopic optical fibers using lipid membranes as templates. Angewandte Chemie International Edition. 2005;44(31):49574960. [62] Fameau AL, Saint-James A, Cousin F, Houinsou Houssou B, Novales B, Navailles L, Nallet F, Gaillard C, Boué F, Douliez JP. Smart Foams: Switching Reversibly between Ultrastable and Unstable Foams. Angewandte Chemie-International Edition. 2011;50(36):8264-8269. [63] Anton N, Saulnier P, Gaillard C, Porcher E, Vrignaud S, Benoit JP. Aqueous-core lipid nanocapsules for encapsulating fragile hydrophilic and or lipophilic molecules. Langmuir. 2009;25(19):11413-11419. [64] Douliez JP, Gaillard C, Navailles L, Nallet F. Novel lipid system forming hollow microtubes at high yields and concentration. Langmuir. 2006;22(7):2942-2945. [65] Douliez JP, Pontoire B, Gaillard C. Lipid tubes with a temperature-tunable diameter. Chemphyschem, 7 (10): 2071-2073, 2006 [66] Douliez JP, Navailles L, Nallet F, Gaillard, C. Self-assembly of unprecedented swollen multilamellar twisted ribbons from a racemic hydroxyl fatty acid. Chemphyschem. 2008;9(1),74-77. © 2012 FORMATEX 922