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Planchette AL, Schmidt C, Burri O, Gomez de Agüero M, Radenovic A, Mylonas A, Extermann J. Optical imaging of the small intestine immune compartment across scales. Commun Biol 2023; 6:352. [PMID: 37002381 PMCID: PMC10066397 DOI: 10.1038/s42003-023-04642-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Accepted: 02/28/2023] [Indexed: 04/03/2023] Open
Abstract
The limitations of 2D microscopy constrain our ability to observe and understand tissue-wide networks that are, by nature, 3-dimensional. Optical projection tomography (OPT) enables the acquisition of large volumes (ranging from micrometres to centimetres) in various tissues. We present a multi-modal workflow for the characterization of both structural and quantitative parameters of the mouse small intestine. As proof of principle, we evidence its applicability for imaging the mouse intestinal immune compartment and surrounding mucosal structures. We quantify the volumetric size and spatial distribution of Isolated Lymphoid Follicles (ILFs) and quantify the density of villi throughout centimetre-long segments of intestine. Furthermore, we exhibit the age and microbiota dependence for ILF development, and leverage a technique that we call reverse-OPT for identifying and homing in on regions of interest. Several quantification capabilities are displayed, including villous density in the autofluorescent channel and the size and spatial distribution of the signal of interest at millimetre-scale volumes. The concatenation of 3D imaging with reverse-OPT and high-resolution 2D imaging allows accurate localisation of ROIs and adds value to interpretations made in 3D. Importantly, OPT may be used to identify sparsely-distributed regions of interest in large volumes whilst retaining compatibility with high-resolution microscopy modalities, including confocal microscopy. We believe this pipeline to be approachable for a wide-range of specialties, and to provide a new method for characterisation of the mouse intestinal immune compartment.
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Affiliation(s)
- Arielle Louise Planchette
- Institute of Bioengineering, École Polytechnique Fédérale de Lausanne (EPFL), 1015, Lausanne, Switzerland.
| | - Cédric Schmidt
- HEPIA/HES-SO, University of Applied Sciences of Western Switzerland, Rue de la Prairie 4, 1202, Geneva, Switzerland
| | - Olivier Burri
- BioImaging & Optics Platform, Ecole Polytechnique Fédérale de Lausanne (EPFL), 1015, Lausanne, Switzerland
| | - Mercedes Gomez de Agüero
- Host-microbial interactions group, Institute of Systems Immunology, Max Planck research group, University of Würzburg, Würzburg, Germany
- Mucosal Immunology Group, Department for Biomedical Research, University of Bern, Bern, Switzerland
| | - Aleksandra Radenovic
- Institute of Bioengineering, École Polytechnique Fédérale de Lausanne (EPFL), 1015, Lausanne, Switzerland.
| | - Alessio Mylonas
- Institute of Bioengineering, École Polytechnique Fédérale de Lausanne (EPFL), 1015, Lausanne, Switzerland
| | - Jérôme Extermann
- HEPIA/HES-SO, University of Applied Sciences of Western Switzerland, Rue de la Prairie 4, 1202, Geneva, Switzerland
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Rostami K, Ensari A, Marsh MN, Srivastava A, Villanacci V, Carroccio A, Asadzadeh Aghdaei H, Bai JC, Bassotti G, Becheanu G, Bell P, Di Bella C, Bozzola AM, Cadei M, Casella G, Catassi C, Ciacci C, Apostol Ciobanu DG, Cross SS, Danciu M, Das P, Del Sordo R, Drage M, Elli L, Fasano A, Florena AM, Fusco N, Going JJ, Guandalini S, Hagen CE, Hayman DTS, Ishaq S, Jericho H, Johncilla M, Johnson M, Kaukinen K, Levene A, Liptrot S, Lu L, Makharia GK, Mathews S, Mazzarella G, Maxim R, La Win Myint K, Mohaghegh-Shalmani H, Moradi A, Mulder CJJ, Ray R, Ricci C, Rostami-Nejad M, Sapone A, Sanders DS, Taavela J, Volta U, Walker M, Derakhshan M. Gluten Induces Subtle Histological Changes in Duodenal Mucosa of Patients with Non-Coeliac Gluten Sensitivity: A Multicentre Study. Nutrients 2022; 14:2487. [PMID: 35745217 PMCID: PMC9230100 DOI: 10.3390/nu14122487] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Revised: 06/06/2022] [Accepted: 06/10/2022] [Indexed: 02/07/2023] Open
Abstract
Background: Histological changes induced by gluten in the duodenal mucosa of patients with non-coeliac gluten sensitivity (NCGS) are poorly defined. Objectives: To evaluate the structural and inflammatory features of NCGS compared to controls and coeliac disease (CeD) with milder enteropathy (Marsh I-II). Methods: Well-oriented biopsies of 262 control cases with normal gastroscopy and histologic findings, 261 CeD, and 175 NCGS biopsies from 9 contributing countries were examined. Villus height (VH, in μm), crypt depth (CrD, in μm), villus-to-crypt ratios (VCR), IELs (intraepithelial lymphocytes/100 enterocytes), and other relevant histological, serologic, and demographic parameters were quantified. Results: The median VH in NCGS was significantly shorter (600, IQR: 400−705) than controls (900, IQR: 667−1112) (p < 0.001). NCGS patients with Marsh I-II had similar VH and VCR to CeD [465 µm (IQR: 390−620) vs. 427 µm (IQR: 348−569, p = 0·176)]. The VCR in NCGS with Marsh 0 was lower than controls (p < 0.001). The median IEL in NCGS with Marsh 0 was higher than controls (23.0 vs. 13.7, p < 0.001). To distinguish Marsh 0 NCGS from controls, an IEL cut-off of 14 showed 79% sensitivity and 55% specificity. IEL densities in Marsh I-II NCGS and CeD groups were similar. Conclusion: NCGS duodenal mucosa exhibits distinctive changes consistent with an intestinal response to luminal antigens, even at the Marsh 0 stage of villus architecture.
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Affiliation(s)
- Kamran Rostami
- Department of Gastroenterology, Palmerston North District Health Board (DHB), Palmerston North 4442, New Zealand
- Gastroenterology Unit, Milton Keynes University Hospital, Milton Keynes MK6 5LD, UK
| | - Arzu Ensari
- Department of Pathology, Ankara University Medical School, Ankara 06620, Turkey;
| | - Michael N. Marsh
- Oxford & Department of Gastroenterology, Wolfson College, University of Oxford, Luton & Dunstable University Hospital Trust, Bedfordshire LU4 0DZ, UK;
| | | | - Vincenzo Villanacci
- Spedali Civili, Institute of Pathology, 25100 Brescia, Italy; (V.V.); (A.M.B.); (M.C.)
| | - Antonio Carroccio
- Palermo, Internal Medicine Unit, Department ‘PROMISE’, University of Palermo, “V. Cervello Hospital”, 90100 Palermo, Italy;
| | - Hamid Asadzadeh Aghdaei
- Gastroenterology and Liver Diseases Reseach Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran 1985717411, Iran; (H.A.A.); (H.M.-S.); (M.R.-N.)
| | - Julio C. Bai
- Department of Medicine, Dr. C. Bonorino Udaondo Gastroenterology Hospital, Buenos Aires 1264, Argentina;
| | - Gabrio Bassotti
- Department of Medicine, University of Perugia School of Medicine, 06129 Perugia, Italy;
| | - Gabriel Becheanu
- Department of Pathology, Carol Davila University of Medicine & Pharmacy, 050474 Bucharest, Romania;
| | - Phoenix Bell
- Gastrointestinal Pathology Center of Excellence University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA;
| | - Camillo Di Bella
- Department of Pathology, University of Milan-Bicocca, 20900 Monza, Italy;
| | - Anna Maria Bozzola
- Spedali Civili, Institute of Pathology, 25100 Brescia, Italy; (V.V.); (A.M.B.); (M.C.)
| | - Moris Cadei
- Spedali Civili, Institute of Pathology, 25100 Brescia, Italy; (V.V.); (A.M.B.); (M.C.)
| | | | - Carlo Catassi
- Deptartment of Pediatrics, Universita Politecnica delle Marche, 60123 Ancona, Italy;
| | - Carolina Ciacci
- Dipartimento di Medicina, Chirurgia e Odontoiatria, Scuola Medica Salernitana, Università di Salerno Gastroenterologia, 84084 Salerno, Italy;
| | - Delia Gabriela Apostol Ciobanu
- Pathology Department, Grigore T. Popa University of Medicine and Pharmacy, 700115 Iasi, Romania; (D.G.A.C.); (M.D.); (R.M.)
| | - Simon S. Cross
- Gastroenterology and Pathology, Sheffield Teaching Hospitals, Sheffield S10 2JF, UK; (S.S.C.); (D.S.S.)
| | - Mihai Danciu
- Pathology Department, Grigore T. Popa University of Medicine and Pharmacy, 700115 Iasi, Romania; (D.G.A.C.); (M.D.); (R.M.)
| | - Prasenjit Das
- Department of Pathology, All India Institute of Medical Sciences, New Delhi 110029, India;
| | - Rachele Del Sordo
- Department of Experimental Medicine, Section of Anatomic Pathology and Histology, Medical School, University of Perugia, 06125 Perugia, Italy;
| | - Michael Drage
- Department of Pathology and Laboratory Medicine, University of Rochester, Rochester, NY 14607, USA;
| | - Luca Elli
- Center for Prevention and Diagnosis of Coeliac Disease, Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy;
| | - Alessio Fasano
- Massachusetts General Hospital, Center for Celiac Research & Treatment, Boston, MA 02114, USA; (A.F.); (A.S.)
| | - Ada Maria Florena
- Anatomic Pathology Unit, Department ‘PROMISE’, Palermo, University of Palermo, A.O.U. Policlinico “P. Giaccone”, 17491 Palermo, Italy;
| | - Nicola Fusco
- Division of Pathology, Fondazione IRCSS Ca’ Granda-Ospedale Maggiore Policlinico, University of Milan, 20832 Milan, Italy;
| | - James J. Going
- Department of Pathology, Queen Elizabeth University Hospital, Glasgow G51 4TF, UK; (J.J.G.); (S.L.); (K.L.W.M.); (M.D.)
| | - Stefano Guandalini
- Department of Pediatrics, University of Chicago Medicine, Chicago, IL 60637, USA; (S.G.); (H.J.)
| | - Catherine E. Hagen
- Department of Pathology and Laboratory Medicine, Mayo Clinic, Rochester, MN 55907, USA;
| | - David T. S. Hayman
- Molecular Epidemiology & Public Health Laboratory, School of Veterinary Science, Massey University, Palmerston North 4472, New Zealand;
| | - Sauid Ishaq
- Dudley Group NHS Foundation Trust, Birmingham City University, Birmingham B5 5JU, UK;
| | - Hilary Jericho
- Department of Pediatrics, University of Chicago Medicine, Chicago, IL 60637, USA; (S.G.); (H.J.)
| | | | - Matt Johnson
- Luton Dunstable University Hospital, Gastroenterology, Luton LU4 0DZ, UK; (M.J.); (A.L.); (R.R.)
| | - Katri Kaukinen
- Department of Internal Medicine, Tampere University Hospital, 33100 Tampere, Finland;
- Faculty of Medicine and Health Technology, Tampere University, 33100 Tampere, Finland
| | - Adam Levene
- Luton Dunstable University Hospital, Gastroenterology, Luton LU4 0DZ, UK; (M.J.); (A.L.); (R.R.)
| | - Sarah Liptrot
- Department of Pathology, Queen Elizabeth University Hospital, Glasgow G51 4TF, UK; (J.J.G.); (S.L.); (K.L.W.M.); (M.D.)
| | - Laura Lu
- Department of Histopathology, Royal Wolverhampton NHS Trust, Newcross Hospitals, Wolverhempton WV10 0QP, UK;
| | - Govind K. Makharia
- Department of Gastroenterology, Human Nutrition, All India Institute of Medical Sciences, New Delhi 110029, India;
| | - Sherly Mathews
- Haematology Unit, Milton Keynes University Hospital, Milton Keynes MK6 5LD, UK;
| | | | - Roxana Maxim
- Pathology Department, Grigore T. Popa University of Medicine and Pharmacy, 700115 Iasi, Romania; (D.G.A.C.); (M.D.); (R.M.)
| | - Khun La Win Myint
- Department of Pathology, Queen Elizabeth University Hospital, Glasgow G51 4TF, UK; (J.J.G.); (S.L.); (K.L.W.M.); (M.D.)
| | - Hamid Mohaghegh-Shalmani
- Gastroenterology and Liver Diseases Reseach Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran 1985717411, Iran; (H.A.A.); (H.M.-S.); (M.R.-N.)
| | - Afshin Moradi
- Department of Pathology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran 1985717411, Iran;
| | - Chris J. J. Mulder
- Department of Gastroenterology and Hepatology, Amsterdam University Medical Center, 1081 HV Amsterdam, The Netherlands;
| | - Ronnie Ray
- Luton Dunstable University Hospital, Gastroenterology, Luton LU4 0DZ, UK; (M.J.); (A.L.); (R.R.)
| | - Chiara Ricci
- Department of Experimental and Clinical Sciences, University of Brescia, 25100 Brescia, Italy;
| | - Mohammad Rostami-Nejad
- Gastroenterology and Liver Diseases Reseach Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran 1985717411, Iran; (H.A.A.); (H.M.-S.); (M.R.-N.)
| | - Anna Sapone
- Massachusetts General Hospital, Center for Celiac Research & Treatment, Boston, MA 02114, USA; (A.F.); (A.S.)
| | - David S. Sanders
- Gastroenterology and Pathology, Sheffield Teaching Hospitals, Sheffield S10 2JF, UK; (S.S.C.); (D.S.S.)
| | - Juha Taavela
- Central Finland Central Hospital, 33520 Jyväskylä, Finland;
| | - Umberto Volta
- Department of Medical and Surgical Sciences, University of Bologna, 40126 Bologna, Italy;
| | - Marjorie Walker
- Department of Anatomical Pathology, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, NSW 2308, Australia;
| | - Mohammad Derakhshan
- Department of Pathology, Queen Elizabeth University Hospital, Glasgow G51 4TF, UK; (J.J.G.); (S.L.); (K.L.W.M.); (M.D.)
- College of Medical, Veterinary & Life Sciences, University of Glasgow, Glasgow G12 8QQ, UK
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