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Nguyen, M.-T.

Publications and source records attributed to Nguyen, M.-T..

4 recordsLinked to original sources

Spatially Resolved Banff Tubulitis and Glomerulitis Scoring in Kidney Allograft Biopsies via Artificial Intelligent-Based Structure Segmentation and Spatial Transcriptomics

BackgroundTubulitis is a defining histologic feature of T cell-mediated rejection (TCMR), while glomerulitis is often characteristic of antibody mediated rejection (AMR). Histologic quantification of tubulitis and glomerulitis using Banff criteria is subject to interobserver variability. Bulk transcriptomic assays (e.g., MMDx) have introduced molecular correlations of tubulitis with TCMR and glomerulitis with AMR, but lack spatial resolution. MethodsWe applied a web-based platform, FUSION (Functional Unit State Identification in Whole Slide Images), to a cohort of 8 cases (n=2 per condition) with kidney allograft biopsy samples acute TCMR, active AMR, chronic active AMR, and no rejection (control). The machine-learning (ML) platform enabled integrated visualization and analysis of spatial transcriptomics (10x Genomics Visium v2) together with high-resolution whole-slide histology. ResultsTranscriptomics-derived immune cell proportions within AI-segmented tubular and glomerular regions were used to generate spatial Banff t- and g-scores. Derived t-scores showed full concordance with pathologist scores in both acute TCMR cases; g-scores showed concordance in 2 of 4 AMR cases, with discordant cases characterized by low absolute immune signal near the classification boundary. ConclusionsWe demonstrate the feasibility of using AI-based FTU segmentation integrated with spatial transcriptomics-derived immune cell proportions to generate spatially informed t- and g-scores aligned with Banff criteria, with full concordance in severe rejection and partial concordance in mild rejection. This approach lays the foundation for validated, spatial transcriptomics-augmented t-scores and g-scores that enhance diagnostic precision, reduces inter-observer variability among renal pathologists, and support potential clinical adoption.

pathology↗

Spatial Transcriptomics Using Archived Formalin-Fixed Paraffin-Embedded Core Needle Biopsy Tissues Revealed Unique Transcriptomic Signatures in Kidney Transplant Rejections

Clinical core needle biopsies present challenges for transcriptomic analysis due to limited tissue volume. In this study, we determined the feasibility of using spatial transcriptomics to evaluate rejection on formalin-fixed paraffin-embedded (FFPE) core needle biopsies from human kidney allografts. We demonstrated that non-rejection, active antibody mediated rejection (AMR), acute cell mediated rejection (TCMR) and chronic active AMR have distinct transcriptomic signatures. Subclusters of monocytes/macrophages with high Fc gamma receptor IIIA (FCGR3A) expression were identified in C4d-positive active AMR and acute TCMR, and the spatial distribution of these cells corresponded to the characteristic histopathological features. Key markers related to monocyte/macrophage activation and innate alloantigen recognition were upregulated, along with metabolic pathways associated with trained immunity in AMR and TCMR. The discovery of unique transcriptomic signatures associated with AMR and TCMR facilitates the differentiation of acute kidney allograft rejections using spatial transcriptomic data derived from FFPE core needle biopsies.

immunology↗

Sequential chromogenic immunohistochemistry: spatial analysis of lymph nodes identifies contact interactions between plasmacytoid dendritic cells and plasmablasts

Recent clinical observations highlight the importance of the spatial organization of immune cells into lymphoid structures for the success of cancer immunotherapy and patient survival. Sequential chromogenic immunohistochemistry (scIHC) supports the analysis of multiple biomarkers on a single tissue section thus providing unique information about relative location of cell types and assessment of disease states. Unfortunately, widespread implementation of scIHC is limited by lack of a standardized, rigorous guide to the development of customized biomarker panels and by the need for user-friendly analysis pipelines able to streamline the extraction of meaningful data. Here, we examine major steps from classical IHC protocols and highlight the impact they have on the scIHC procedure. We report practical examples and illustrations of the most common complications that can arise during the setup of a new biomarker panel and how to avoid them. We described in detail how to prevent and detect cross- reactivity between secondary reagents and carry over between detection antibodies. We developed a novel analysis pipeline based on non-rigid tissue deformation correction, Cellpose-inspired automated cell segmentation and computational network masking of low-quality data. The resulting biomarker panel and pipeline was used to study regional lymph nodes from head and neck cancer patients. We identified contact interactions between plasmablasts and plasmacytoid dendritic cells in vivo. Given that TLR receptors, which are highly expressed in plasmacytoid dendritic cells play a key role in vaccine efficacy, the significance of this cell-cell interaction decisively warrants further studies. In conclusion, this work streamlines the development of novel biomarker panels for scIHC, which will ultimately improve our understanding of immune responses in cancer.

pathology↗

Adaptive thermogenesis in mice requires adipocyte light-sensing via Opsin 3

Almost all life forms can decode light information for adaptive advantage. Examples include the visual system, where photoreceptor signals are interpreted as images, and the circadian system, where light entrains a physiological clock. Here we describe a local, non-visual light response in mice that employs encephalopsin (OPN3, a 480 nm, blue light responsive opsin) to regulate the function of adipocytes. Germ line null and adipocyte-specific conditional null mice show a deficit in thermogenesis that is phenocopied in mice under blue-light deficient conditions. We show that blue light stimulation of adipocytes activates hormone sensitive lipase, the rate limiting enzyme in the lipolysis pathway, and that this is OPN3-dependent. Opn3 adipocyte conditional null mice also use reduced levels of fat mass when fasted and cold exposed further suggesting a lipolysis deficit. These data suggest the hypothesis that in mice, a local, OPN3-dependent light response in adipocytes is a mechanism for regulation of energy homeostasis.

physiology↗