Abstract 1069: Novel Approaches Dissecting Human Thrombus Composition

Introduction: Thrombus formation is a key contributor to ischemic stroke and cardiovascular diseases. Variations in thrombus composition involving platelets, fibrin, and leukocytes play a pivotal role in the pathophysiology, impacting clinical outcomes. Understanding its character and the interplay with Neutrophil Extracellular Traps (NETs) is clinically vital due to treatment response and outcome. This study introduces light-sheet microscopy and holotomography to dissect clot composition, aiming to enhance clinical insights into thrombosis. Unraveling these complexities holds promise for targeted interventions and improved patient outcomes. Aims: This study aimed to enhance our understanding of human blood thrombus composition by employing a novel approach using light-sheet microscopy and holotomography. Methods: Human thrombus samples were obtained by mechanical thrombectomy from acute ischemic stroke patients. To access the thrombus structure, the samples were cleared by a tissue-clearing rapid system, and light-sheet microscope imaging was obtained with CitH3, CD45, P-selectin, and fibrin. Holotomography images were obtained from cryosectioned thrombus at 5μm thickness and stained with DAPI and CitH3. Holotomography provided quantitative information on the refractive index of thrombus components. Comparative analysis with traditional imaging methods was performed to assess the advantages of the novel approaches. Results: The results revealed a comprehensive visualization of the spatial arrangement of human thrombus composition through light-sheet microscopy imaging. Holotomography successfully acquired a three-dimensional image of a thrombus section sample. HT images were used to qualitatively distinguish differences in neutrophil RI distribution by NETosis and differences in RI values within the immune cell population. Conclusion: This study demonstrates the efficacy of combining light sheet microscopy and holotomography to comprehensively dissect human thrombus composition. The integration of these advanced imaging techniques provides an understanding of thrombosis, surpassing the limitations of traditional methods.