An assessment of machine learning methods to quantify blood lactate from neutrophils phagocytic activity

Phagocytosis is a critical component of innate immunity that helps the body defend itself against infection, foreign particles, and cellular debris. Investigating and quantifying phagocytosis can help understand how the immune system identifies foreign particles and how phagocytosis relates to other biomarkers, e.g., cytokines, cell surface receptors, or blood lactate levels. In particular, increased blood lactate levels can be a potential biomarker to study diseases, e.g., septic shock. Establishing a relationship between phagocytosis and lactate levels can serve as an effective tool to monitor the immune response and may help stratify patients. In this study, we use phagocytosis activity data to classify the patients into two groups of blood lactate levels (High and Low) with machine learning models. The neutrophils extracted from the whole blood samples of 19 patients were used to collect data on phagocytosis, where the neutrophils were allowed to internalize IgG coated fluorescent bioparticles. The data collection process involved collecting whole blood samples, neutrophil isolation, adding fluorescent beads, incubating, and imaging the sample using a fluorescence microscope. The phagocytosis assay images were used to generate a numerical dataset by manually counting the number of particles engulfed by each cell. The study first presents an improved understanding by employing hierarchical clustering and heatmaps to generate the graphical representation of phagocytosis data. By comparing the results of heat maps and clustering techniques, it can be observed that the phagocytosis activity data can be used to differentiate blood lactate levels in two groups (control and high-risk). Later, three machine learning models (Decision Tree, k-nearest Neighbor, and Naïve Bayes) were trained on the original and pruned datasets after the outliers were removed. The AI models classified the data into high-risk and low-risk groups of blood lactate levels. A maximum classification accuracy of 78% and an area under the curve of 0.78 was achieved using the trained models.