Journal: iScience
Article Title: Machine learning assisted immune profiling of COPD identifies a unique emphysema subtype independent of GOLD stage
doi: 10.1016/j.isci.2025.112966
Figure Lengend Snippet: Unbiased inflammatory profiling in combination with machine-learning reveals a highly divergent immune environment in COPD lungs with strong lymphocytic inflammation (A) Computational flow cytometry was performed on samples obtained from explanted lungs of patients with COPD ( n = 20) and healthy control samples ( n = 23) from downsized donor lungs (flow cytometry cohort), see for gating strategy. %CD45 + cells were taken for further analysis. (B) Stacked histogram showing relative global changes in immune cell distribution for dendritic cells (DC), macrophages, monocytes, lymphocytes, and polymorphonuclear leukocytes (PMNL) on a single patient level, see also A. (C) Principal component analysis (PCA) scores plot with biplot overlay representing the overall inflammatory profile consisting of 24 different cell populations from each lung and represented as one dot (grey-donors, red-COPD). (D) Supervised orthogonal projections to latent structures discriminant analysis (OPLS-DA) was directed toward the maximum difference between donors and COPD ( x axis) and intra-group differences on the y axis. Ellipses mark the 95% confidence interval of each group. (E) Representation of random forest (RF) analysis with 5,000 trees, model accuracy was evaluated with a split into 65% trainings set and 35% test set stratified for diagnosis. The contribution of each cell population to the RF model is illustrated by the distribution of its minimal depth (white boxes), lower value indicates higher importance. The color histograms represent the distribution how frequently and at what depth the cell type was used for splitting the trees. Cells are sorted in descending order of importance. For each population the log2 fold change (LFC) for each population is shown, dark red higher in COPD, gray higher in donor. (F) The multidimensional scaling (MDS) scores represent sample similarity and state the RF accuracy and 95% confidence interval. (G and H) The marked seven cell types occurring in >300 trees at root node were used for the simplified RF model and achieved similar accuracy. The distribution of these six cell types is shown in (H), Quantification via Wilcoxon rank-sum test with FDR multiple correction. %CD45 data was LOG-transformed as shown; ∗∗∗ p adj ≤ 0.001, black horizontal lines represent median values, see also C. (I) Representative immunofluorescence images of Donor and COPD formalin-fixed paraffin-embedded lung sections; nuclei = blue; T-cells = green, macrophages = yellow, B-cells = white, neutrophils = red, ∗indicates airways, see also . Scale bars represent 500 µm in overview panels and 100 µm in the zoom in sections. (J) Schematic summary of the changes in key immune populations. For each analyte, the direction of regulation is shown dark red higher in COPD, gray decreased in COPD.
Article Snippet: CD45 Monoclonal Antibody (HI30), PerCP-Cyanine5.5 , eBioscience , Cat#: 45-0459-42; RRID: AB_10717530.
Techniques: Flow Cytometry, Control, Biomarker Discovery, Transformation Assay, Immunofluorescence, Formalin-fixed Paraffin-Embedded