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Code for: Multi-modal screening for synergistic neuroprotection of mild extremely preterm brain injury: Cell counting code repository

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Aug 14, 2025 version files 107.37 KB

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Abstract

Preterm brain injury affects both white and grey matter, including altered cortical development and gyrification, with associated neurodevelopmental sequelae such as cerebral palsy and learning deficits. The preterm brain also displays regionally heterogeneous responses to both injury and treatment, supporting the need for drug combinations to provide global neuroprotection. We developed an extremely preterm-equivalent organotypic whole hemisphere (OWH) slice culture injury model using the gyrencephalic ferret brain to probe treatment mechanisms of promising therapeutic agents and their combination. Regional and global responses to injury and treatment were assessed by cell death quantification, machine learning-augmented morphological microglia assessments, and digital transcriptomics. Using two promising therapeutic agents, azithromycin (Az) and erythropoietin (Epo), we show minimal neuroprotection by either therapy alone, but evidence of synergistic neuroprotection by Az*Epo both globally and regionally. This effect of Az*Epo involved emergent augmentation of transcriptomic responses to injury related to neurogenesis and neuroplasticity and downregulation of transcripts involved in cytokine production, inflammation, and cell death. This study supports the use of the ferret OWH slice culture model to provide a powerful high-throughput platform to examine combinations of therapeutics for extremely preterm brain injury.

This repository supports our associated publication by Jin et al. in Bioengineering & Translational Medicine by supplying code used to process histology images. This codebase serves to identify nuclei in a DAPI-stained histology slide, measure geometry and intensity-based properties, and then develop and apply a random forest model to classify nuceli as pyknotic or non-pyknotic based on their measured properties.