Key result
Novel 3D imaging reveals ~4-fold greater myocyte angular dispersion in AF versus healthy tissue.
Why the study?
A proven methodology to map and quantify cardiomyocyte disarray in massive cardiac tissue samples is currently lacking.
Observational (n=2)
No
The developed experimental pipeline combining tissue clearing, advanced microscopy, and 3D FFT analysis enables accurate, multi-scale quantification of cardiomyocyte disarray in massive human cardiac tissue samples.
Enables multi-scale myocyte disarray quantification in AF animal models; leaves open clinical translation and human validation.
Proper three-dimensional (3D)-cardiomyocyte orientation is important for an effective tension production in cardiac muscle. Cardiac diseases can cause severe remodeling processes in the heart, such as cellular misalignment, that can affect both the electrical and mechanical functions of the organ. To date, a proven methodology to map and quantify myocytes disarray in massive samples is missing. In this study, we present an experimental pipeline to reconstruct and analyze the 3D cardiomyocyte architecture in massive samples. We employed tissue clearing, staining, and advanced microscopy techniques to detect sarcomeres in relatively large human myocardial strips with micrometric resolution. Z-bands periodicity was exploited in a frequency analysis approach to extract the 3D myofilament orientation, providing an orientation map used to characterize the tissue organization at different spatial scales. As a proof-of-principle, we applied the proposed method to healthy and pathologically remodeled human cardiac tissue strips. Preliminary results suggest the reliability of the method: strips from a healthy donor are characterized by a well-organized tissue, where the local disarray is log-normally distributed and slightly depends on the spatial scale of analysis; on the contrary, pathological strips show pronounced tissue disorganization, characterized by local disarray significantly dependent on the spatial scale of analysis. A virtual sample generator is developed to link this multi-scale disarray analysis with the underlying cellular architecture. This approach allowed us to quantitatively assess tissue organization in terms of 3D myocyte angular dispersion and may pave the way for developing novel predictive models based on structural data at cellular resolution.
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Giardini et al. (2021) conducted an observational in Atrial Fibrillation (n=2). 3D FFT-based orientation analysis and tissue clearing pipeline was evaluated on 3D myocyte angular dispersion. An experimental pipeline combining tissue clearing, two-photon microscopy, and 3D FFT-based analysis successfully quantified 3D myocyte angular dispersion, revealing 5° dispersion in healthy tissue and 20° in atrial fibrillation tissue.
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