Abstract

A hallmark of subclinical atherosclerosis is the accumulation of vascular smooth muscle cell (SMC)-like cells leading to intimal thickening and lesion formation. While medial SMCs contribute to vascular lesions, the involvement of resident vascular stem cells (vSCs) remains unclear. We evaluated single cell photonics as a discriminator of cell phenotype in vitro before the presence of vSC within vascular lesions was assessed ex vivo using supervised machine learning and further validated using lineage tracing analysis. Using a novel lab-on-a-Disk(Load) platform, label-free single cell photonic emissions from normal and injured vessels ex vivo were interrogated and compared to freshly isolated aortic SMCs, cultured Movas SMCs, macrophages, B-cells, S100β+ mVSc, bone marrow derived mesenchymal stem cells (MSC) and their respective myogenic progeny across five broadband light wavelengths (λ465 - λ670 ± 20 nm). We found that profiles were of sufficient coverage, specificity, and quality to clearly distinguish medial SMCs from different vascular beds (carotid vs aorta), discriminate normal carotid medial SMCs from lesional SMC-like cells ex vivo following flow restriction, and identify SMC differentiation of a series of multipotent stem cells following treatment with transforming growth factor beta 1 (TGF- β1), the Notch ligand Jagged1, and Sonic Hedgehog using multivariate analysis, in part, due to photonic emissions from enhanced collagen III and elastin expression. Supervised machine learning supported genetic lineage tracing analysis of S100β+ vSCs and identified the presence of S100β+vSC-derived myogenic progeny within vascular lesions. We conclude disease-relevant photonic signatures may have predictive value for vascular disease.Graphical abstract

Highlights

  • Cardiovascular disease (CVD), the leading cause of death and disability world-wide, is characterized by pathological structural changes to the blood vessel wall [1]

  • A hallmark is the accumulation of smooth muscle cell (SMC)-like cells leading to intimal medial thickening (IMT) and the obstruction to blood flow that may culminate in a heart attack or stroke [2]

  • We demonstrate the feasibility of multivariate analysis of single cell photonics as a powerful discriminator of cell phenotype using optical multi-parameter interrogation of single cells on a novel Lab-on-a-Disk(LoaD) platform

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Summary

Introduction

Cardiovascular disease (CVD), the leading cause of death and disability world-wide, is characterized by pathological structural changes to the blood vessel wall [1]. Photonics enables real time measurement of single cells in very small sample volumes [11] In this context, we have developed label-free photonic technologies with highly efficient cell-to-light coupling that have been successfully deployed to measure the real-time response of individual cells in a population [12]. We have developed label-free photonic technologies with highly efficient cell-to-light coupling that have been successfully deployed to measure the real-time response of individual cells in a population [12] To accompany these photonic platforms, deep learning, a subset of machine learning based primarily on artificial neural network geometries, has rapidly grown as a predictive method to obtain real-time bio-photonic decision-making systems and analyze bio-photonic data, in particular, spectroscopic data including spectral data pre-processing and spectral classification [13]

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