Method and Apparatus for Time-Resolved Measurements of Lymphocyte and Aggregate Structure Using
Computer-Automated Microscopy

Kyriacos Zygourakis 1
John L. Bednarczyk 2
Bradley W. McIntyre 2
Michael W. Glacken 1,3

 

1 Department of Chemical Engineering, Rice University, Houston, Texas

2 Department of Immunology, M.D. Anderson Cancer Center, University of Texas, Houston, Texas

3 Currently with Bristol Myers

 

 

ABSTRACT

 

The invention is a method and apparatus for direct testing and quantification of the physiological function of cells of the immune system. This assay can become a clinical tool to identify and differentiate between normal and diseased immune cells from the blood of patients with cancer, AIDS or other diseases of the immune system.

 

SIGNIFICANCE

All current assays used for clinical diagnosis simply test for the presence or amount of easily measurable physical or chemical parameters. For instance, blood from patients who have recently had tumor surgery may be tested for the presence of tumor-associated proteins to determine whether or not the surgery was successful. Or, suspected leukocyte adhesion deficiency patients (LAD, an immunodeficiency disease) may have their lymphocytes (cells of the immune system) tested for the absence of the protein LFA-1, a critical adhesion molecule. The point to be made from these examples is that present diagnostic assays test for specific molecular properties, but not for physiological function. Function can usually only be inferred indirectly, if at all, from a battery of tests and the analysis of an experienced expert.

Our group is developing a diagnostic tool that will be able to directly assay the functional properties of cell populations taken from patients. Presently, we are using this assay to investigate a critical function of lymphocytes: cell-cell adhesion. Lymphocytes are the primary line of defense against tumors and viruses, and the adhesion of lymphocytes to tumors and virally infected cells is required before any killing action by the lymphocyte against the target cell can occur. Our goal is to develop a clinical assay that will delineate between cell populations based on molecular content, morphology, adhesiveness, cell surface phenotype, and the extent and the ability to which various adhesion events may be stimulated.

We envision the implementation of a clinical study in the near future in which cancerous cells and/or cells from a patient with multiple sclerosis or other autoimmune diseases may be distinguished from normal cells based on the values of the functional and structural indices measured using this assay. Our goal is that this assay becomes a standard clinical tool for evaluating patient health, formulating treatment strategies and analyzing their effectiveness.

 

BRIEF DESCRIPTION OF ASSAY AND SOME CURRENT RESULTS

The assay, as currently developed involves:

  • inducing aggregation of lymphocytes using monoclonal antibodies (or other protocols) in a custom-built incubator placed on the motorized stage of a microscope equipped with a video camera;
  • using a digital time-lapse technique to acquire and store on disk a sequence of high-resolution digital images showing the aggregation of cells at specified times; and
  • processing the sequence of digitized images with in-house developed software to obtain morphological indices that quantitatively characterize the kinetics of the aggregation event.

We have so far identified several indices that describe the morphological structure of lymphocytes induced to aggregate by chemical or biological means. The most useful indices are (a) the moments of the size distribution of the aggregates; (b) the average aggregate size at specified time points; and (c) the fractional decrease of the viewing area covered with aggregates. The last index accurately characterizes the three-dimensional structure of the formed aggregates. Another useful morphological index is the shape factor of the cell aggregates.

By following the temporal evolution of these morphological indices, we have shown that the assay can accurately quantify the rates of aggregation events and allow comparisons of mechanical binding strengths and cytoskeletal activity (Munn et. al., 1993; Neelamegham and Zygourakis, 1996). Our results also show that the assay has small repeatability errors and is sensitive enough to compare aggregation events induced through distinct molecular epitopes (Munn et. al., 1993; Neelamegham and Zygourakis, 1996). Used in conjunction with current biochemical detection assays and adhesion pathway modulation experiments, the developed assay will facilitate the study of cellular adhesion and aggregation mechanisms.

Using the temporal evolution patterns of the morphological indices, we have also shown that spontaneous adhesion of a lymphocyte cell line was morphologically similar to chemically induced adhesion and different from the adhesion induced by antibodies to adhesion molecules. This is intriguing, since we know that both the spontaneous chemically induced adhesion are mediated by the same adhesion molecule, LFA-1, while antibody-induced aggregation is not. Clearly, this is an indication that this assay has the ability to identify and distinguish between various adhesion mechanisms and functions.

 

OTHER APPLICATIONS OF THE IMAGE ANALYSIS ASSAY

The developed assay is not limited to the study of homotypic lymphocyte aggregation. Using a variation of the approach outlined above, we were successful in quantifying the kinetics of lymphocyte activation and proliferation (Teague et. al, 1993). Our approach has several advantages over the other currently used assays (like MTT or 3H-thymidine incorporation): it is non-invasive, allows for continuous monitoring of cells, does not require sample harvesting, does not produce radioactive waste, allows us to observe single cells or detect subpopulations, and scores directly cell activation, cell division and DNA synthesis. The use of this assay could aid the clinician in making diagnostic and prognostic assessments of leukemia patients by providing for quick detection and enumeration of blasting and proliferating lymphocytes.

 

REFERENCES

  1. L.L. Munn, M.W. Glacken, B.W. McIntyre and K. Zygourakis, "Analysis of Lymphocyte Aggregation Using Digital Image Analysis, " Journal of Immunological Methods, 166, 11-25 (1993). [ABSTRACT]

  2. T. K. Teague, L.L. Munn, K. Zygourakis and B.W. McIntyre, "Analysis of Lymphocyte Activation and Proliferation by Video Microscopy and Digital Imaging," Cytometry, 14, 772-782 (1993). [ABSTRACT]

  3. S. Neelamegham and K, Zygourakis, "A Quantitative Assay for Intercellelular Aggregation," Annals Biomed. Engrg., 25, in press (1996). [ABSTRACT]


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