Abstract
Background
Understanding lung deposition dose of black carbon is critical to fully reconcile epidemiological evidence of combustion particles induced health effects and inform the development of air quality metrics concerning black carbon. Macrophage carbon load (MaCL) is a novel cytology method that quantifies lung deposition dose of black carbon, however it has limited feasibility in large-scale epidemiological study due to the labor-intensive manual counting.
Objective
To assess the association between MaCL and episodic elevation of combustion particles; to develop artificial intelligence based counting algorithm for MaCL assay.
Methods
Sputum slides were collected during episodic elevation of ambient PM2.5 (n = 49, daily PM2.5 > 10 µg/m3 for over 2 weeks due to wildfire smoke intrusion in summer and local wood burning in winter) and low PM2.5 period (n = 39, 30-day average PM2.5 < 4 µg/m3) from the Lovelace Smokers cohort.
Results
Over 98% individual carbon particles in macrophages had diameter <1 µm. MaCL levels scored manually were highly responsive to episodic elevation of ambient PM2.5 and also correlated with lung injury biomarker, plasma CC16. The association with CC16 became more robust when the assessment focused on macrophages with higher carbon load. A Machine-Learning algorithm for Engulfed cArbon Particles (MacLEAP) was developed based on the Mask Region-based Convolutional Neural Network. MacLEAP algorithm yielded excellent correlations with manual counting for number and area of the particles. The algorithm produced associations with ambient PM2.5 and plasma CC16 that were nearly identical in magnitude to those obtained through manual counting.
Impact statement
Understanding lung black carbon deposition is crucial for comprehending health effects of combustion particles. We developed “Machine-Learning algorithm for Engulfed cArbon Particles (MacLEAP)”, the first artificial intelligence algorithm for quantifying airway macrophage black carbon. Our study bolstered the algorithm with more training images and its first use in air pollution epidemiology. We revealed macrophage carbon load as a sensitive biomarker for heightened ambient combustion particles due to wildfires and residential wood burning.
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Data availability
Sputum images and MaCL measures were submitted to the Lovelace Smokers cohort with Dr. Steven A. Belinsky as the Principal Investigator for the cohort. The Lovelace Respiratory Research Institute owns the cohort and manages all data and tissue request to ensure compliance with the Institutional Review Board protocol, consent form, institutional regulations, as well as related National Institute of Health policies. Ms. Maria Picchi as the data manager for the Lovelace Smokers cohort is the contact person for handling any request for data and samples from the Lovelace Smokers cohort. Researchers who would like to request training script and masking images of macrophages and black carbons need to reach out to Ms. Picchi and correspondence authors. Finalized weigh file for MacLEAP algorithm and quantification/application script are now shared via GitHub Platform (https://github.com/yuxz99/MacLEAP).
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Acknowledgements
Our initial work of establishing the MacLEAP: Machine-Learning algorithm for Engulfed cArbon Particles was presented as an abstract and in details as an ePoster at the Society of Toxicology 61st Annual Meeting in San Diego 2022. The ePoster is attached as a supplementary material for this article.
Funding
Supported by National Cancer Institute grant P30 CA118100 (Leng), National Institute of General Medical Sciences U54 GM104944 (Leng), National Institute of Environmental Health grant NM-INSPIRES P30 ES032755 (Yu) and UNM-METALS P42ES025589 (Yu and Lin), and National Institute on Minority Health and Health Disparities P50MD015706 (Lin).
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XY and SL conceived of and designed the study; CJH, CLR, CPD, and JW performed the data collection and management; CJH, HK, and SL conducted data analyses and tabulated the results; CJH, HK, and SL interpreted the results and drafted the manuscript; and MJ, XG, YL, AS, YG, YZ, NEL, FDG, SAB, XY and SL critically edited the manuscript. All authors have read the manuscript and approved its submission.
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This study (1054101) was approved by the Western Institutional Review Board and all participants signed consent forms.
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Jiang, M., Hu, C.J., Rowe, C.L. et al. Application of artificial intelligence in quantifying lung deposition dose of black carbon in people with exposure to ambient combustion particles. J Expo Sci Environ Epidemiol (2023). https://doi.org/10.1038/s41370-023-00607-0
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DOI: https://doi.org/10.1038/s41370-023-00607-0