DeSmoke-LAP: improved unpaired image-to-image translation for desmoking in laparoscopic surgery

Purpose Robotic-assisted laparoscopic surgery has become the trend in medicine thanks to its convenience and lower risk of infection against traditional open surgery. However, the visibility during these procedures may severely deteriorate due to electrocauterisation which generates smoke in the operating cavity. This decreased visibility hinders the procedural time and surgical performance. Recent deep learning-based techniques have shown the potential for smoke and glare removal, but few targets laparoscopic videos. Method We propose DeSmoke-LAP, a new method for removing smoke from real robotic laparoscopic hysterectomy videos. The proposed method is based on the unpaired image-to-image cycle-consistent generative adversarial network in which two novel loss functions, namely, inter-channel discrepancies and dark channel prior, are integrated to facilitate smoke removal while maintaining the true semantics and illumination of the scene. Results DeSmoke-LAP is compared with several state-of-the-art desmoking methods qualitatively and quantitatively using referenceless image quality metrics on 10 laparoscopic hysterectomy videos through 5-fold cross-validation. Conclusion DeSmoke-LAP outperformed existing methods and generated smoke-free images without applying ground truths (paired images) and atmospheric scattering model. This shows distinctive achievement in dehazing in surgery, even in scenarios with partial inhomogenenous smoke. Our code and hysterectomy dataset will be made publicly available at https://www.ucl.ac.uk/interventional-surgical-sciences/weiss-open-research/weiss-open-data-server/desmoke-lap

Metabolic interactions between dynamic bacterial subpopulations

Individual microbial species are known to occupy distinct metabolic niches within multi-species communities. However, it has remained largely unclear whether metabolic specialization can similarly occur within a clonal bacterial population. More specifically, it is not clear what functions such specialization could provide and how specialization could be coordinated dynamically. Here, we show that exponentially growing Bacillus subtilis cultures divide into distinct interacting metabolic subpopulations, including one population that produces acetate, and another population that differentially expresses metabolic genes for the production of acetoin, a pH-neutral storage molecule. These subpopulations exhibit distinct growth rates and dynamic interconversion between states. Furthermore, acetate concentration influences the relative sizes of the different subpopulations. These results show that clonal populations can use metabolic specialization to control the environment through a process of dynamic, environmentally-sensitive state-switching

Toxoplasma gondii infection drives conversion of NK cells into ILC1-like cells

Innate lymphoid cells (ILCs) were originally classified based on their cytokine profiles, placing natural killer (NK) cells and ILC1s together, but recent studies support their separation into different lineages at steady-state. However, tumors may induce NK cell conversion into ILC1-like cells that are limited to the tumor microenvironment and whether this conversion occurs beyond this environment remains unknown. Here, we describ

Repurposing the Electron Transfer Reactant Phenazine Methosulfate (PMS) for the Apoptotic Elimination of Malignant Melanoma Cells through Induction of Lethal Oxidative and Mitochondriotoxic Stress

Redox-directed pharmacophores have shown potential for the apoptotic elimination of cancer cells through chemotherapeutic induction of oxidative stress. Phenazine methosulfate (PMS), a N-alkylphenazinium cation-based redox cycler, is used widely as an electron transfer reactant coupling NAD(P)H generation to the reduction of tetrazolium salts in biochemical cell viability assays. Here, we have explored feasibility of repurposing the redox cycler PMS as a superoxide generating chemotherapeutic for the pro-oxidant induction of cancer cell apoptosis. In a panel of malignant human melanoma cells (A375, G361, LOX), low micromolar concentrations of PMS (1-10 μM, 24 h) displayed pronounced apoptogenicity as detected by annexin V-ITC/propidium iodide flow cytometry, and PMS-induced cell death was suppressed by antioxidant (NAC) or pan-caspase inhibitor (zVAD-fmk) cotreatment. Gene expression array analysis in A375 melanoma cells (PMS, 10 µM; 6 h) revealed transcriptional upregulation of heat shock (HSPA6, HSPA1A), oxidative (HMOX1) and genotoxic (EGR1, GADD45A) stress responses, confirmed by immunoblot detection demonstrating upregulation of redox regulators (NRF2, HO-1, HSP70) and modulation of pro- (BAX, PUMA) and anti-apoptotic factors (Bcl-2, Mcl-1). PMS-induced oxidative stress and glutathione depletion preceded induction of apoptotic cell death. Furthermore, the mitochondrial origin of PMS-induced superoxide production was substantiated by MitoSOX-Red live cell fluorescence imaging, and PMS-induced mitochondriotoxicity (as evidenced by diminished transmembrane potential and oxygen consumption rate) was observable at early time points. After demonstrating NADPH-driven (SOD-suppressible) superoxide radical anion generation by PMS employing a chemical NBT reduction assay, PMS-induction of oxidative genotoxic stress was substantiated by quantitative Comet analysis that confirmed the introduction of formamido-pyrimidine DNA glycosylase (Fpg)-sensitive oxidative DNA lesions in A375 melanoma cells. Taken together, these data suggest feasibility of repurposing the biochemical reactant PMS as an experimental pro-oxidant targeting mitochondrial integrity and redox homeostasis for the apoptotic elimination of malignant melanoma cells.National Institutes of Health [1R01CA229418, 1R03CA230949, ES007091, ES006694]; National Institutes of Health (Arizona Cancer Center Support Grant) [CA023074]Open access journalThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at [email protected]