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  4. MarrowQuantAcross Aging and Aplasia: A Digital Pathology Workflow for Quantification of Bone Marrow Compartments in Histological Sections
 
research article

MarrowQuantAcross Aging and Aplasia: A Digital Pathology Workflow for Quantification of Bone Marrow Compartments in Histological Sections

Tratwal, Josefine  
•
Bekri, David
•
Boussema, Chiheb
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September 24, 2020
Frontiers In Endocrinology

The bone marrow (BM) exists heterogeneously as hematopoietic/red or adipocytic/yellow marrow depending on skeletal location, age, and physiological condition. Mouse models and patients undergoing radio/chemotherapy or suffering acute BM failure endure rapid adipocytic conversion of the marrow microenvironment, the so-called "red-to-yellow" transition. Following hematopoietic recovery, such as upon BM transplantation, a "yellow-to-red" transition occurs and functional hematopoiesis is restored. Gold Standards to estimate BM cellular composition are pathologists' assessment of hematopoietic cellularity in hematoxylin and eosin (H&E) stained histological sections as well as volumetric measurements of marrow adiposity with contrast-enhanced micro-computerized tomography (CE-mu CT) upon osmium-tetroxide lipid staining. Due to user-dependent variables, reproducibility in longitudinal studies is a challenge for both methods. Here we report the development of a semi-automated image analysis plug-in,MarrowQuant, which employs the open-source software QuPath, to systematically quantify multiple bone components in H&E sections in an unbiased manner.MarrowQuantdiscerns and quantifies the areas occupied by bone, adipocyte ghosts, hematopoietic cells, and the interstitial/microvascular compartment. A separate feature,AdipoQuant, fragments adipocyte ghosts in H&E-stained sections of extramedullary adipose tissue to render adipocyte area and size distribution. Quantification of BM hematopoietic cellularity withMarrowQuantlies within the range of scoring by four independent pathologists, while quantification of the total adipocyte area in whole bone sections compares with volumetric measurements. Employing our tool, we were able to develop a standardized map of BM hematopoietic cellularity and adiposity in mid-sections of murine C57BL/6 bones in homeostatic conditions, including quantification of the highly predictable red-to-yellow transitions in the proximal section of the caudal tail and in the proximal-to-distal tibia. Additionally, we present a comparative skeletal map induced by lethal irradiation, with longitudinal quantification of the "red-to-yellow-to-red" transition over 2 months in C57BL/6 femurs and tibiae. We find that, following BM transplantation, BM adiposity inversely correlates with kinetics of hematopoietic recovery and that a proximal to distal gradient is conserved. Analysis ofin vivorecovery through magnetic resonance imaging (MRI) reveals comparable kinetics. On human trephine biopsiesMarrowQuantsuccessfully recognizes the BM compartments, opening avenues for its application in experimental, or clinical contexts that require standardized human BM evaluation.

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Type
research article
DOI
10.3389/fendo.2020.00480
Web of Science ID

WOS:000575923900001

Author(s)
Tratwal, Josefine  
Bekri, David
Boussema, Chiheb
Sarkis, Rita  
Kunz, Nicolas  
Koliqi, Tereza
Rojas-Sutterlin, Shanti  
Schyrr, Frederica  
Tavakol, Daniel Naveed
Campos, Vasco  
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Date Issued

2020-09-24

Published in
Frontiers In Endocrinology
Volume

11

Start page

480

Subjects

Endocrinology & Metabolism

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bone marrow

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hematoxylin and eosin

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histology

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adipocyte

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pathology

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skeleton

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cellularity

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hematopoietic

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hematopoietic stem-cells

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adipose-tissue

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adipocytes

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mass

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transplantation

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contributes

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expression

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obesity

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
GR-NAVEIRAS  
Available on Infoscience
October 21, 2020
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/172649
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