Segmentation of the carotid section encompassing the common carotid artery (CCA), the bifurcation and the internal carotid artery (ICA) from three-dimensional ultrasound (3DUS) is required to measure the vessel wall volume (VWV) and localized vessel-wall-plus-plaque thickness (VWT), shown to be sensitive to treatment effect. We proposed an approach to combine a centerline extraction network (CHG-Net) and a dual-stream centerline-guided network (DSCG-Net) to segment the lumen-intima (LIB) and media-adventitia boundaries (MAB) from 3DUS images. Correct arterial location is essential for successful segmentation of the carotid section encompassing the bifurcation. We addressed this challenge by using the arterial centerline to enhance the localization accuracy of the segmentation network. The CHG-Net was developed to generate a heatmap indicating high probability regions for the centerline location, which was then integrated with the 3DUS image by the DSCG-Net to generate the MAB and LIB. The DSCG-Net includes a scale-based and a spatial attention mechanism to fuse multi-level features extracted by the encoder, and a centerline heatmap reconstruction side-branch connected to the end of the encoder to increase the generalization ability of the network. Experiments involving 224 3DUS volumes produce a Dice similarity coefficient (DSC) of 95.8±1.9% and 92.3±5.4% for CCA MAB and LIB, respectively, and 93.2±4.4% and 89.0±10.0% for ICA MAB and LIB, respectively. Our approach outperformed four state-of-the-art 3D CNN models, even after their performances were boosted by centerline guidance. The efficiency afforded by the framework would allow it to be incorporated into the clinical workflow for improved quantification of plaque change.

2023-02-01·Transfusion and Apheresis Science

Mechanism of TLR4 mediated immune effect in transfusion-induced acute lung injury based on Slit2/Robo4 signaling pathway

Article

作者: Xie, WenJie ; Xiao, Kun ; OuYang, ChenSi ; Zhao, Fei ; Le, Ai Ping ; Gong, XiaoAn ; Ding, Jian

BACKGROUNDTransfusion-related acute lung injury (TRALI) is the infusion of blood or blood system.OBJECTIVETo explore the mechanism of TLR4-mediated T cell immune effect in TRALI.METHODSIn this animal study, a mouse model of LPS-induced TRALI was established. Sixty adult C57/BL6 mice (wild-type, WT) were randomly divided into 5 groups: 1) normal WT type, 2) LPS control group of WT type lipopolysaccharide, 3) WT type TRALI group (LPS + MHC-I mAb), 4) (TLR4 antibody) lipopolysaccharide LPS control group, 5) (TLR4 antibody) TRALI group (LPS + MHC-I mAb). Mice were injected with LPS (0.1 mg/kg) and MHC-I mAb (2 mg/kg) into the tail vein. H&E staining was performed to detect pathological features. The myeloperoxidase (MPO) activity and the level of inflammatory cytokines in lung tissue homogenate supernatant were measured. Blood, spleen single-cell suspension, and bronchoalveolar lavage fluid were collected to detect the ratio of Treg and Th17 cells by flow cytometry. RT-PCR and WB were used to detect mRNA or protein expression.RESULTSTLR4 mAb treatment alleviated the pathogenesis of LPS-induced TRALI in vivo, the MPO activity, and the level of proinflammatory factors in lung tissues. TLR4 exerted its function by changing of Treg/Th17 ratio via the SLIT2/ROBO4 signaling pathway and downregulating CDH5 and SETSIP.CONCLUSIONTLR4 mediates immune response in the LPS-induced TRALI model through the SLIT2/ROBO4 signaling pathway.

2020-10-07·Current Molecular Pharmacology4区 · 生物学

Molecular mechanism of TLR4 mediated T cell immune effect in transfusion-induced acute lung injury based on Slit2/Robo4 signaling pathway

4区 · 生物学

Article

作者: Xie, WenJie ; Xiao, Kun ; OuYang, ChenSi ; Zhao, Fei ; Gong, XiaoAn ; Le, AiPing ; Ding, Jian

Objective:To explore and investigate the molecular mechanism of TLR4 mediated T cell immune effect in transfusion-induced acute injury based on SLIT2/ROBO4 signaling pathway.Methods:Sixty C57/BL6 male mice (Wild type, WT) aged 8 to 10 weeks were randomly divided into 5 groups: 1) normal type WT, 2) LPS control group of WT type lipopolysaccharide, 3) WT type TRALI group (LPS + MHC-I mAb), 4) (TLR4 antibody) lipopolysaccharide LPS control group, 5) (TLR4 antibody) TRALI group (LPS + MHC-I mAb). Mice were dosed with LPS (0.1 mg / kg), and MHC-I mAb (2 mg / kg) was injected into the tail vein 24 hours later for modeling. After 2 hours, mice were sacrificed and experimental samples were collected. HE staining was performed to detect pathological features. The myeloperoxidase (MPO) activity and the level of IL-2, IL-6, TNF, IFN-γ, IL-17A as well as IL-10 were measured in the lung tissue homogenate supernatant. Blood, spleen single cell suspension and bronchoalveolar lavage fluid (BALF) were collected to detect the ratio of Treg and Th17 cells by flow cytometry, respectively. RT-PCR and WB indicated the mRNA or protein expression of CDH5 (Cadherin-5), SLIT2 and ROBO4 in mouse lung tissue and pulmonary vascular tissue respectively.Results: TLR4 mAb treatment decreases the pathological features of LPS induced ALI model in vivo. And so does the MPO activity as well as the level of proinflammatory factors in the lung tissue. TLR4 exerts its function through the changes of Treg/Th17 ratio via SLIT2/ROBO4 signaling pathway and downregulating CDH5 and SETSIP in ALI model.Conclusion:TLR4 mediates immune response in LPS induced ALI model through SLIT2/ROBO4 signaling pathway.

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