Li Dongguang, DeSouza Ngoc, Nguyen Kathy, Li Shaoguang
Division of Hematology/Oncology, Department of Medicine, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA.
J Cell Mol Med. 2025 May;29(10):e70564. doi: 10.1111/jcmm.70564.
Leukaemia stem cells (LSCs) are a rare population among the bulk of leukaemia cells and are responsible for disease initiation, progression/relapse and insensitivity to therapies in numerous haematologic malignancies. Identification of LSCs and monitoring of their quantity before, during, and after treatments will provide a guidance for choosing a correct treatment and assessing therapy response and disease prognosis, but such a method is still lacking simply because there are no distinct morphological features recognisable for distinguishing LSCs from normal stem cell counterparts. Using artificial intelligence (AI) deep learning and polycythemia vera (PV) as a disease model (a type of human myeloproliferative neoplasms derived from a haematopoietic stem cell harbouring the JAK2V617F oncogene), we combine 19 convolutional neural networks as a whole to build AI models for analysing single-cell images, allowing for distinguishing between LSCs from JAK2V617F knock-in mice and normal stem counterparts from healthy mice with a high accuracy (> 99%). We prove the concept that LSCs possess unique morphological features compared to their normal stem cell counterparts, and AI, but not microscopic visualisation by pathologists, can extract and identify these features. In addition, we show that LSCs and other cell lineages in PV mice are also distinguishable by AI. Our study opens up a potential AI morphology field for identifying various primitive leukaemia cells, especially including LSCs, to help assess therapy responses and disease prognosis in the future.
白血病干细胞(LSCs)是大量白血病细胞中的一个稀有群体,在众多血液系统恶性肿瘤中,它们是疾病起始、进展/复发以及对治疗不敏感的原因。识别LSCs并在治疗前、治疗期间和治疗后监测其数量,将为选择正确的治疗方法以及评估治疗反应和疾病预后提供指导,但目前仍缺乏这样一种方法,仅仅是因为没有可识别的明显形态特征来区分LSCs和正常干细胞。我们以人工智能(AI)深度学习和真性红细胞增多症(PV)作为疾病模型(一种源自携带JAK2V617F致癌基因的造血干细胞的人类骨髓增殖性肿瘤),将19个卷积神经网络整合在一起构建AI模型来分析单细胞图像,从而能够高精度(>99%)地区分JAK2V617F基因敲入小鼠的LSCs和健康小鼠的正常干细胞。我们证明了这样一个概念,即与正常干细胞相比,LSCs具有独特的形态特征,并且人工智能而非病理学家的显微镜观察能够提取和识别这些特征。此外,我们还表明,PV小鼠中的LSCs和其他细胞谱系也可以通过人工智能进行区分。我们的研究为识别各种原始白血病细胞,特别是包括LSCs,开辟了一个潜在的人工智能形态学领域,以帮助未来评估治疗反应和疾病预后。