Automated quantification of axonal and myelin changes in contusion, dislocation, and distraction spinal cord injuries: Insights into targeted remyelination and axonal regeneration

Quantifying axons and myelin is essential for understanding spinal cord injury (SCI) mechanisms and developing targeted therapies. This study proposes and validates an automated method to measure axons and myelin, applied to compare contusion, dislocation, and distraction SCIs in a rat model. Spinal...

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Main Authors: Xuan Li, Yuan He, Fangyao Chen, Xin Tong, Yunlong Fan, Yuzhe Langzhou, Jie Liu, Kinon Chen
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Brain Research Bulletin
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Online Access:http://www.sciencedirect.com/science/article/pii/S036192302500005X
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author Xuan Li
Yuan He
Fangyao Chen
Xin Tong
Yunlong Fan
Yuzhe Langzhou
Jie Liu
Kinon Chen
author_facet Xuan Li
Yuan He
Fangyao Chen
Xin Tong
Yunlong Fan
Yuzhe Langzhou
Jie Liu
Kinon Chen
author_sort Xuan Li
collection DOAJ
description Quantifying axons and myelin is essential for understanding spinal cord injury (SCI) mechanisms and developing targeted therapies. This study proposes and validates an automated method to measure axons and myelin, applied to compare contusion, dislocation, and distraction SCIs in a rat model. Spinal cords were processed and stained for neurofilament, tubulin, and myelin basic protein, with histology images segmented into dorsal, lateral, and ventral white matter regions. Custom MATLAB scripts identified axons and myelin through brightness-based object detection and shape analysis, followed by an iterative dilation process to differentiate myelinated from unmyelinated axons. Validation showed a high correlation with manual counts of total and myelinated axons, with no significant differences between methods. Application of this method revealed distinct injury-specific changes: dislocation caused the greatest axonal loss, while distraction led to the lowest myelin-to-axon-area ratio, indicating preserved axons but severe demyelination. All injuries resulted in increased axon diameter and a decreased myelin-sheath-thickness-to-axon-diameter ratio, suggesting disrupted myelination. These results indicate that remyelination therapies may be most effective for distraction injuries, where preserved axons make remyelination crucial, while axonal regeneration therapies are likely better suited for dislocation injuries with extensive axonal loss. Contusion injuries, involving both axonal and myelin damage, may benefit from a combination of neuroprotective and remyelination strategies. These findings highlight the importance of tailoring treatments to the distinct pathophysiological features of each SCI type to optimize recovery outcomes.
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spelling doaj-art-93226ec046f945a09bae2d53e8f956a62025-02-07T04:46:40ZengElsevierBrain Research Bulletin1873-27472025-02-01221111193Automated quantification of axonal and myelin changes in contusion, dislocation, and distraction spinal cord injuries: Insights into targeted remyelination and axonal regenerationXuan Li0Yuan He1Fangyao Chen2Xin Tong3Yunlong Fan4Yuzhe Langzhou5Jie Liu6Kinon Chen7Key Laboratory of Biomechanics and Mechanobiology, Ministry of Education, Beijing Advanced Innovation Center for Biomedical Engineering, School of Biological Science and Medical Engineering, Beihang University – Yifu Science Hall, 37 Xueyuan Road, Haidian, Beijing 100191, ChinaKey Laboratory of Biomechanics and Mechanobiology, Ministry of Education, Beijing Advanced Innovation Center for Biomedical Engineering, School of Biological Science and Medical Engineering, Beihang University – Yifu Science Hall, 37 Xueyuan Road, Haidian, Beijing 100191, ChinaKey Laboratory of Biomechanics and Mechanobiology, Ministry of Education, Beijing Advanced Innovation Center for Biomedical Engineering, School of Biological Science and Medical Engineering, Beihang University – Yifu Science Hall, 37 Xueyuan Road, Haidian, Beijing 100191, ChinaKey Laboratory of Biomechanics and Mechanobiology, Ministry of Education, Beijing Advanced Innovation Center for Biomedical Engineering, School of Biological Science and Medical Engineering, Beihang University – Yifu Science Hall, 37 Xueyuan Road, Haidian, Beijing 100191, ChinaKey Laboratory of Biomechanics and Mechanobiology, Ministry of Education, Beijing Advanced Innovation Center for Biomedical Engineering, School of Biological Science and Medical Engineering, Beihang University – Yifu Science Hall, 37 Xueyuan Road, Haidian, Beijing 100191, ChinaKey Laboratory of Biomechanics and Mechanobiology, Ministry of Education, Beijing Advanced Innovation Center for Biomedical Engineering, School of Biological Science and Medical Engineering, Beihang University – Yifu Science Hall, 37 Xueyuan Road, Haidian, Beijing 100191, ChinaInstitute of Trauma & Orthopedics, The Third Affiliated Hospital of Xinxiang Medical University, Xinxiang, Henan 453000, ChinaKey Laboratory of Biomechanics and Mechanobiology, Ministry of Education, Beijing Advanced Innovation Center for Biomedical Engineering, School of Biological Science and Medical Engineering, Beihang University – Yifu Science Hall, 37 Xueyuan Road, Haidian, Beijing 100191, China; Corresponding author.Quantifying axons and myelin is essential for understanding spinal cord injury (SCI) mechanisms and developing targeted therapies. This study proposes and validates an automated method to measure axons and myelin, applied to compare contusion, dislocation, and distraction SCIs in a rat model. Spinal cords were processed and stained for neurofilament, tubulin, and myelin basic protein, with histology images segmented into dorsal, lateral, and ventral white matter regions. Custom MATLAB scripts identified axons and myelin through brightness-based object detection and shape analysis, followed by an iterative dilation process to differentiate myelinated from unmyelinated axons. Validation showed a high correlation with manual counts of total and myelinated axons, with no significant differences between methods. Application of this method revealed distinct injury-specific changes: dislocation caused the greatest axonal loss, while distraction led to the lowest myelin-to-axon-area ratio, indicating preserved axons but severe demyelination. All injuries resulted in increased axon diameter and a decreased myelin-sheath-thickness-to-axon-diameter ratio, suggesting disrupted myelination. These results indicate that remyelination therapies may be most effective for distraction injuries, where preserved axons make remyelination crucial, while axonal regeneration therapies are likely better suited for dislocation injuries with extensive axonal loss. Contusion injuries, involving both axonal and myelin damage, may benefit from a combination of neuroprotective and remyelination strategies. These findings highlight the importance of tailoring treatments to the distinct pathophysiological features of each SCI type to optimize recovery outcomes.http://www.sciencedirect.com/science/article/pii/S036192302500005XSpinal cord injuryAxonsMyelinNeurodegenerationRemyelinationQuantification
spellingShingle Xuan Li
Yuan He
Fangyao Chen
Xin Tong
Yunlong Fan
Yuzhe Langzhou
Jie Liu
Kinon Chen
Automated quantification of axonal and myelin changes in contusion, dislocation, and distraction spinal cord injuries: Insights into targeted remyelination and axonal regeneration
Brain Research Bulletin
Spinal cord injury
Axons
Myelin
Neurodegeneration
Remyelination
Quantification
title Automated quantification of axonal and myelin changes in contusion, dislocation, and distraction spinal cord injuries: Insights into targeted remyelination and axonal regeneration
title_full Automated quantification of axonal and myelin changes in contusion, dislocation, and distraction spinal cord injuries: Insights into targeted remyelination and axonal regeneration
title_fullStr Automated quantification of axonal and myelin changes in contusion, dislocation, and distraction spinal cord injuries: Insights into targeted remyelination and axonal regeneration
title_full_unstemmed Automated quantification of axonal and myelin changes in contusion, dislocation, and distraction spinal cord injuries: Insights into targeted remyelination and axonal regeneration
title_short Automated quantification of axonal and myelin changes in contusion, dislocation, and distraction spinal cord injuries: Insights into targeted remyelination and axonal regeneration
title_sort automated quantification of axonal and myelin changes in contusion dislocation and distraction spinal cord injuries insights into targeted remyelination and axonal regeneration
topic Spinal cord injury
Axons
Myelin
Neurodegeneration
Remyelination
Quantification
url http://www.sciencedirect.com/science/article/pii/S036192302500005X
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