3D deconvolution of human skin immune architecture with Multiplex Annotated Tissue Imaging System

Manon Scholaert1,2, Raissa Houmadi1, Jeremy Martin1

  • 1Toulouse Institute for Infectious and Inflammatory Diseases (Infinity), INSERM UMR1291, CNRS UMR5051, and University Toulouse III, Toulouse, France.

Science Advances
|June 7, 2023
PubMed

Insights

A new system called MANTIS (Multiplex Annotated Tissue Imaging System) analyzes skin inflammation with high spatial resolution. It reveals common immune features in severe skin diseases and identifies disease-specific structures.

Area of Science:

  • Dermatology
  • Immunology
  • Computational Pathology

Background:

  • Conventional immunohistochemistry struggles to capture the complex immune cell distribution in skin diseases.
  • Understanding regional immune heterogeneity is crucial for diagnosing and treating inflammatory skin conditions.

Purpose of the Study:

  • To introduce MANTIS (Multiplex Annotated Tissue Imaging System), a novel analytical pipeline for spatially resolved immune phenotyping of skin tissues.
  • To enable automated detection and quantification of immune cells and biomarkers within complex inflammatory skin lesions.

Main Methods:

  • Development of MANTIS, a flexible pipeline compatible with routine clinical practice.
  • Utilizing phenotype attribution matrices and α-shape algorithms for digital immune landscape projection.
  • Automated detection of inflammatory clusters and single-cell biomarker quantification.

Main Results:

  • MANTIS successfully projects digital immune landscapes and quantifies biomarkers in skin samples.
  • Severe lesions in systemic lupus erythematosus, Kawasaki syndrome, and COVID-19-associated skin issues share common immune features.
  • Nonrandom cell distribution and disease-specific dermal immune structures were identified.

Conclusions:

  • MANTIS offers accurate and flexible spatial immune phenotyping for skin manifestations.
  • The system aids in understanding the spatial organization of immune environments in skin diseases.
  • MANTIS facilitates a deeper comprehension of the pathophysiology of various skin conditions.