Standardization of a Novel Semi-Automatic Software for Neurite Outgrowth Measurement

In sciatic nerves, it is possible to measure axonal regeneration¹. Additionally, in vitro studies have shown the feasibility of monitoring axonal outgrowth^2,3 to comprehend its various phases, from axonal sprouting to axonal degeneration, in both healthy and injured neurons. By tracking these processes, it is possible to measure parameters such as axonal polarity, initiation, stability, and branching. The last parameter is crucial to understand neuropathic pain perception^4,5,6. Similarly, axonal degeneration can be monitored in vivo⁷ or in vitro^8,9. During neurite outgrowth, actin and microtubule cytoskeletal networks stabilize or change according to the needs of the cell¹⁰. The actin cytoskeleton reorganizes to allow the formation of the axonal growth cone, and the microtubules re-align into bundles to stabilize the growing neurite¹¹. In order to study neurite outgrowth of central and peripheral neurons in vitro, three common parameters are quantified: total axonal length, maximal distance, and branch points. These parameters are used to study the neuronal outgrowth response to treatment (i.e., neurotrophins, compounds, inhibitors, retinoic acid, siRNA, shRNA) or in genetically modified animals^12,13,14. In order to assess if neurons have more elongated neurites and/or more branching, these three parameters allow us to assess the morphology of a neuron. Neurite length measurement is the top-interest parameter in several in vitro experimental setups. From dorsal root ganglia, mainly two types of cultures are performed: dissociated in vitro culture or organotypic culture of whole DRG explants. In either case, neurite length is a gold parameter to assess the outcome of the experiment. In a motor neuron-like cell line (NSC-34), axonal outgrowth and branching are measured after differentiation induced by retinoic acid^15,16. In fact, by measuring the neurite outgrowth, it is possible to determine if a specific treatment has worked¹⁷, the growth rate¹⁸, or the regeneration capacity after an injury procedure¹⁹.

How to properly assess neurite outgrowth has posed a significant number of challenges over the years in the research field. However, there is no standardization of neurite length measurements. Some of the most utilized methods for in vitro cell cultures are, for example, the manual NeuronJ plug-in on Fiji^18,20 or MetaMorph^21,23 and the semi-automatic Neurolucida^23,24. Other than manual methodologies, there are automatic methods, too, such as the NeuriteTracer plug-in on Fiji²⁵, HCA Vision software^26,27, or WIS-NeuroMath^2,28. Other less accurate methodologies rely on the measurement of the overall dimension of the neurons. These methods include the measurement of the vector distance from the cell body to the tip of the longest axon²⁹ or the Sholl analysis³⁰. However, these measurement methods are suitable for very low-density cultures or single neurons. Moreover, all these methodologies are mainly utilized on stained neurons or neurons that are expressing genetically encoded fluorophores (i.e., GFP, Venus, mCherry). The type of neuron and the density of the cell culture deeply affect the choice of measurement methodology. For example, manually segmenting neurons with very intricate and complicated morphologies, such as DRG neurons, can easily become an impossible task. If convoluted neurons are already a challenge to segment, neural nets are completely out of reach for manual approaches due to their highly complex organization.

On the one hand, manual segmentation is very precise because it is performed by human eyes and intelligence; on the other hand, it is really time-consuming. The elevated time expenditure required by manual methods is the main drawback. For this reason, only a few neurons are acquired for analysis, making it less accurate and costly in terms of time. Automatic or semi-automatic approaches, on the other hand, partially reduce the time expenditure. However, they also have some disadvantages. Automatic methods need to be trained in order to work properly, and if the software is not interactive enough with the user, the segmentation can be wrong.

Other than neurite outgrowth measurement, the number of branch points is also valuable information. With manual segmentation, the number of branch points can be calculated, whereas this is not possible with a vector distance. With automatic methods, the number of branch points is usually provided, whereas with the Sholl analysis, it has to be calculated with a mathematical formula.

In this methods paper, we aim to describe the functionality and effectiveness of this semi-automatic software in measuring the total axonal length and other parameters. The machine allows for the automatic acquisition of images at defined time points or for conducting long-term studies (days, weeks, months), preserving a physiological environment for live cells. Measuring neurite outgrowth using phase-contrast time-lapse imaging has the benefit of enabling continuous monitoring of neurite kinetics and growth. Additionally, it is also possible to monitor cell death through the addition in the media of specific dyes that target dead cells^31,32,33. Although the software has been released in 2012, we are the first to standardize this methodology in a reproducible and unbiased way for the accurate quantification of neurite outgrowth. However, it is important to note that the software is not included with the purchase of the machine. Despite this additional expense, its use offers significant advantages in measuring total axonal length and other parameters, thereby contributing to research in the field of neuroscience.