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Imaging enhanced flow cytometer enables combined morphology and flow data analysis


The Attune CytPix Flow Cytometer was named one of the 2023 Edison Awards™ winners in the Medtech category. The Edison Awards is among the most prestigious accolades honoring excellence in new product and service development, design, and innovation.

Acoustic-focusing enabled rapid brightfield imaging

As samples are acquired on the Attune CytPix Flow Cytometer, the high-speed brightfield camera captures and stores images of detected events at a rate up to 6,000 images per second, depending on the flow rate and image size. For greater flexibility, Attune Cytometric Software lets you adjust the image capture frequency as needed and select a specific gate for image capture, if required. Acoustic focusing helps to position the cells so that a sharp image is obtained.

Acoustic focusing positions cells for optimal imaging

 

Without acoustic focusing (left), beads appear off-center and often blurry. Acoustic focusing (right) reduces lateral position variation, temporal variations, and depth of field limitations to obtain a sharp image.

Consistent image quality even at high throughput

Acoustic focusing and a high-speed camera combine to image these CAR-T cells consistently at low or high flow rates. Easily adjust focus and camera settings to meet experimental requirements.


Automated image analysis for morphometric parameters

 

The Attune Cytometric Software has automated image analysis capability to derive morphometric parameters using models pre-trained on leukocytes and beads. The software processes images at a rate of up to 1,000 images/second and can be managed by users in a processing queue that runs in the background of the software. These extended image-based parameters provide data to confirm singlets with cell count (Particle Count) and morphology features such as roundness (Circularity), size (Area Square), shape (Eccentricity) and complexity (Entropy).  Gating on these extended parameters allows you to quickly and accurately identify populations of interest and confirm gating strategy with little or no manual review. 


Imaging-enhanced flow cytometry applications

Images of individual events and derived morphometric data can benefit an extensive, almost limitless, range of flow cytometry applications. The range of capabilities includes: 

Optimize and confirm gating strategy

Use image-derived data to set gates to exclude doublets and debris and confirm gate accuracy with images.

Deeper characterization of cell populations

Document and characterize morphologically distinct populations within existing flow protocols.

Analyze cell-to-cell interactions

Visualize and differentiate coincident events from cell-to-cell interactions.

Visualize structural features of large populations

Use high-throughput, detailed photographic evidence.

Measure derived image parameters

Using the image analysis feature of the Attune Cytometric Software 6.0

High-throughput quality control

Detect quality issues quickly by adding rapid imaging to cell culture QC workflows

Optimize gating strategy. Even robust manual singlet gating is error-prone and remains a subjective decision point in almost all flow cytometry assays. Imaging can be used to confirm and adjust gates to include only single cells of interest.

 

Here, an experienced user has gated singlets confidently. After evaluating the manual singlet gate, the CytPix image-derived parameter ParticleCount reveals this gate contains more than 4% aggregates.

 

Perhaps most importantly, these events contain cells of clearly different phenotypes which could lead to incorrect conclusions regarding double positive events (especially in rare populations).

Aged whole human blood (AllCells) lysed with ammonium chloride lysis buffer. Image processing was done using the Cells Model_Speed Optimized model. Statistics shown are % gated.

Cell culture QC. Adding rapid imaging to quality control (QC) workflows can detect and track down cell culture issues early in the process. In one lab, for example, a routine passage check of a Ramos (lymphoma) cell culture observed reduced cell counts and survival despite appearing confluent. Further investigation revealed substantial microbial contamination, but when and where did it begin?

 

Because the cell line had previously been analyzed on the Attune CytPix Flow Cytometer, the researchers went back to the images and were able to document the microbial infection at least five days earlier. At that time, the early signs were dismissed as debris, but the retrospective evaluation demonstrated shared characteristics with the problematic cells in culture. Tracing the infection helped the lab establish additional laboratory procedures for screening and protection of assay-critical cell lines.

Investigating the contamination of a Ramos cell culture.

Ramos (lymphoma) cells in culture showed reduced cell counts and survival during a routine passage quality check, despite appearing confluent. Further evaluation showed microbial contamination, confirmed by imaging and backgating on the Attune CytPix Flow Cytometer. Early signs of this contamination had initially been dismissed as debris. 

Characterize cell populations. Morphological information from images can add to the richness of flow cytometry data. For example, the figure shows an otherwise conventional apoptosis assay using Annexin V and PI, adding cell imaging to characterize cells in each population to reveal morphologically distinct features. These insights could not have been gained from multiplex staining alone.

Morphological characteristics of apoptotic cells.

Jurkat cells were incubated with 10 µM camptothecin for 4 hours at 37ºC to induce apoptosis. Samples were stained with Annexin V and PI and acquired on the Attune CytPix Flow Cytometer at 100 µL/minute. From the singlet population, gating strategies identified three cell subpopulations. About 50% of apoptotic live cells (Annexin V+PI–, bottom right) showed some form of apoptotic body such as blebs. About 25% of apoptotic dead cells (Annexin V+PI+, top right) showed increased cell surface granularity, and there were more partial cells. About 10% of healthy cells (Annexin V–, bottom left) showed apoptotic bodies (though not as severe as those observed among Annexin V+ cells).

"A picture isn't quite worth 1000 dots, but it really helps to see images. It is great to see images that correlate with staining. For example, AnnexinV-positive cells that are morphologically different than healthy cells, or CD14+ monocytes that are larger and more textured than CD3+/CD4+/CD14- lymphocytes. Additionally, it is illuminating to see how many doublets slip through traditional singlet gates, and great to verify the status of unexpected double-positive events in my analysis."

Kathryn Fox,

University of Wisconsin-Madison School of Medicine and Public Health

Analyze cell-to-cell interactions. Imaging can even show interactions between cells. In the figure, engineered CAR-T immunotherapy cells were co-incubated with Ramos (lymphoma) cells and stained, acquired, and imaged on the Attune CytPix Flow Cytometer. Images from quadrant Q2 (positive for both stains, acquired as a single event) show the CAR-T cells visibly targeting the Ramos cells, clear evidence of engineered cell potency.

Visualization of CAR-T cells targeting lymphoma cells.

CAR-T and Ramos cells were labeled with CellTrace Far Red and Violet respectively and incubated at a 1:1 ratio for 1 hour at 37°C. Unfiltered samples were acquired on the Attune CytPix Flow Cytometer at 200 µL/minute, >8 x 105 cells/mL. Images of quadrants Q1 (top center), Q4 (bottom right), and Q3 (bottom left) show individual Ramos cells, CAR-T cells, and debris, respectively. Images from quadrant Q2 (positive for both stains, top right) reveal both cell types fused together, acquired as a single event as the CAR-T cells engulf the Ramos cells.

We previously demonstrated the power of imaging CAR-T/Ramos cell interactions. Let’s look at just the population of greatest interest, the double positive events, to learn more. We can now use extended image-derived parameters (circularity vs skewness of intensity) to further examine the features of these populations and refine gating on these events, increasing data robustness. Here, we show that by gating strategies using image-based quantitative parameters can distinguish interacting cells from coincident events to more accurately analyze interacting cells.

Visualization of CAR-T cells targeting lymphoma cells.

CAR-T and Ramos cells were labeled with CellTrace Far Red and Violet respectively and incubated at a 1:1 ratio for 1 hour at 37°C. Unfiltered samples were acquired on the Attune CytPix flow cytometer at 200 µL/minute, >8 x 10⁵ cells/mL. Images of quadrants Q1 (top left), Q3 (bottom right), and Q4 (bottom left) show individual Ramos cells, CAR-T cells, and debris, respectively. Images from quadrant Q2 (positive for both stains, top right) reveal both cell types fused together, acquired as a single event as the CAR-T cells engulf the Ramos cells. Percentages are % gated.

In the cell image galleries, annotated events are outlined in black with yellow dots indicating center positioning. Image processing was done using the Cells_Half_Resolution_v22 model Using circularity vs skewness of intensity, we are able to differentiate between attached (cell interactions between CAR-T and Ramos cells) and detached where cells are in same field of view but not showing cell-to-cell interactions.

Discover analysis opportunities

Backgating imaged cells on the Attune CytPix Flow Cytometer also allows you to use morphological features to discover interesting subpopulations that would not be apparent from flow cytometry data alone.

 

For example, E. coli cells incubated over time develop into two types of colony-forming units (CFUs): short CFUs that resemble single cells, and elongated structures with incomplete fission rings, representing incomplete constriction at each approximate cell length. Neither a traditional singlet gate (SSC-A vs SSC-H) nor a fluorescence gate (SSC vs nucleated stain) sufficiently separates these populations. But with the Attune CytPix imaging-enhanced flow cytometer, you can view and group the images and gate the CFU types based on their morphological characteristics.

 

Discrimination of two E. coli CFU types. E. coli cells were incubated overnight at 37ºC followed by 3 days at 4ºC. Samples were acquired on the Attune CytPix Flow Cytometer at 100 µL/minute. From the images, two types of CFUs were identified: (A) short colonies resembling single cells and (B) elongated structures with incomplete fission rings. Representative images from each population are shown. Backgating on the selected images demonstrated that the two populations are distinct on FSC vs SSC dot plots (orange dots, left).


Videos and demos


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