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      An Evaluation of the In Vitro Roles and Mechanisms of Silibinin in Reducing Pyrazinamide- and Isoniazid-Induced Hepatocellular Damage

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          Tuberculosis remains a significant infectious lung disease that affects millions of patients worldwide. Despite numerous existing drug regimens for tuberculosis, drug-induced liver injury is a major challenge that limits the effectiveness of these therapeutics. Two drugs that form the backbone of the commonly administered quadruple antitubercular regimen, that is, pyrazinamide (PZA) and isoniazid (INH), are associated with such hepatotoxicity. Yet, we lack safe and effective alternatives to the antitubercular regimen. Consequently, current research largely focuses on exploiting the hepatoprotective effect of nutraceutical compounds as complementary therapy. Silibinin, a herbal product widely believed to protect against various liver diseases, potentially provides a useful solution given its hepatoprotective mechanisms. In our study, we identified silibinin’s role in mitigating PZA- and INH-induced hepatotoxicity and elucidated a deeper mechanistic understanding of silibinin’s hepatoprotective ability. Silibinin preserved the viability of human foetal hepatocyte line LO2 when co-administered with 80 mM INH and decreased apoptosis induced by a combination of 40 mM INH and 10 mM PZA by reducing oxidative damage to mitochondria, proteins, and lipids. Taken together, this proof-of-concept forms the rational basis for the further investigation of silibinin’s hepatoprotective effect in subsequent preclinical studies and clinical trials.

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          Antioxidant and prooxidant properties of flavonoids.

          The interest in possible health benefits of flavonoids has increased owing to their potent antioxidant and free radical scavenging activities observed in vitro. Nevertheless, the antioxidant efficacy of flavonoids in vivo is less documented and their prooxidant properties have been actually described in vivo. Due to their prooxidant properties, they are able to cause oxidative damage by reacting with various biomolecules, such as lipids, proteins and DNA. Hence, the aim of this review is to discuss both the antioxidant and prooxidant effects of flavonoids. Copyright © 2011 Elsevier B.V. All rights reserved.
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            Advances in the development of new tuberculosis drugs and treatment regimens.

            Despite the introduction 40 years ago of the inexpensive and effective four-drug (isoniazid, rifampicin, pyrazinamide and ethambutol) treatment regimen, tuberculosis (TB) continues to cause considerable morbidity and mortality worldwide. For the first time since the 1960s, new and novel drugs and regimens for all forms of TB are emerging. Such regimens are likely to utilize both repurposed drugs and new chemical entities, and several of these regimens are now progressing through clinical trials. This article covers current concepts and recent advances in TB drug discovery and development, including an update of ongoing TB treatment trials, newer clinical trial designs, TB biomarkers and adjunct host-directed therapies.
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              OpenComet: An automated tool for comet assay image analysis

              Introduction Cellular DNA is constantly attacked by chemical agents including reactive oxygen and nitrogen species (ROS/RNS) and other environmental factors such as UV and radiation. DNA damage is associated with the etiology of many major diseases. In particular, oxidative DNA damage has been implicated in cardiovascular disease, neurodegenerative diseases and ageing, and its pathological relevance at various stages of carcinogenesis has been studied (reviewed in [1]). Oxidative DNA damage is considered to be one of the important parameters in biomonitoring the human health impact of dietary antioxidants, smoking, and other lifestyle and environmental factors such as carcinogens or UV rays [2,3]. Various experimental methods have been proposed for measuring oxidative DNA damage [3]. The comet assay, in specific, is widely used for measuring oxidative and other types of DNA damage [4]. The comet assay, also known as single-cell gel electrophoresis (SCGE), is a simple, sensitive and reliable method for studying DNA damage induced by physical and chemical agents [5–7]. The basic principle of the comet assay method is simple. Cells are embedded in agarose and lysed, followed by electrophoresis. Upon electrophoresis, undamaged DNA in a supercoiled state remains intact while damaged DNA strand breaks are revealed. These relaxed loops of damaged DNA extend to the anode to form a comet-shaped structure. Comets can then be visualized by staining with a DNA-binding dye using fluorescence microscopy. To assess the level of DNA damage, the comet size, shape and the amount of DNA within it needs to be measured. Ostling and Johanson introduced the microgel electrophoresis method to measure DNA strand breaks under neutral pH condition [8]. Later, the assay was modified and performed under alkaline pH conditions [5], which remains in its most commonly used form. Variants of the comet assay protocol have been proposed for measuring different forms of DNA damage such as single strand breaks, alkali-labile sites [5], double strand breaks [9] as well as DNA cross-links [10]. The comet assay has several features which make it an attractive choice for measuring DNA damage, including the need for a relatively low number of cells per sample and the availability of data at the individual cell level [11]. Measurements at the single-cell level allow robust statistical analysis and provide a way to assess variations in response to DNA damaging agents between cells of the same exposed population. The comet assay is used to study processes involving DNA damage in many fields such as environmental toxicology [12], bio-monitoring [13], radiation biology [14], nutritional studies and cancer studies [15,16]. While the comet assay has widespread use, a common issue in all its applications is the process of analyzing the microscope images. The time needed for scoring these images is one major drawback of the comet assay. Further, the non-availability of free automated tools for this task still poses considerable challenges. Comets can be identified and scored by visual inspection or by using image analysis software packages [11]. Visual scoring gives a simple qualitative indication of DNA damage. However it is very subjective [17]. In contrast, the use of comet analysis software provides quantitative and reproducible measurements. The currently available comet analysis tools can be broadly classified as manual or automated. Manual analysis typically requires an expert to set threshold brightness values separating the background, to select the nucleus, and to mark the comet head [17–19]. Automated tools employ image analysis techniques to recognize and measure comets, and are generally much faster than manual scoring. Due to the efficiency gained through automation, one can typically afford to measure larger sample sizes, which is critical for statistically significant results [20]. Algorithms for automated analysis [21–25] have been proposed in recent years, however, these are coupled with in-house microscope setups and the source code is not accessible to the public. Commercial automated tools such as IMSTAR Pathfinder (www.imstarsa.com) are also available, and have been used in comet assay studies [20] (for a list of commercial comet assay analysis software, see http://www.cometassay.com) but, they are expensive and provide no possibilities for examining and modifying the underlying image processing algorithm. Here we present OpenComet, a tool specifically developed to address the difficulties in the automatic analysis of comet assay images. In OpenComet, we have implemented novel image processing algorithms for finding comets and segmenting the comet head. The overall analysis time is reduced significantly compared to tools requiring manual selection of comets. Another important advantage of our tool is that it is open source, thus enabling users to modify the program for customization and improvement. OpenComet has been validated on both alkaline and neutral comet assays across different levels of damage. Our validation results demonstrate that the automated image processing methods used by the tool lead to fast and robust comet analysis. A comparison with manual measurements shows that OpenComet achieves high accuracy and significantly shortens the analysis time. We have also compared the features and capabilities of OpenComet with two of the widely used free tools for comet assay image analysis (CaspLab [17] and CometScore [18]) in Table 1. As shown in the table, other than automating the analysis process, OpenComet also overcomes some technical restrictions of these tools. In the following, we first introduce the interface of OpenComet, and then describe the image processing steps involved in analyzing comets. Next we describe the comet assay experiments used to validate OpenComet. The experiments involved measuring the DNA damage and DNA repair kinetics upon medium sub toxic hydrogen peroxide (H2O2) induced stress. We then show the performance of OpenComet on the images obtained from these experiments. Materials and methods OpenComet user interface OpenComet is deployed as a plug-in for the popular image processing platform, ImageJ. The ImageJ software (www.rsbweb.nih.gov/ij/) can display, process and analyze images, and is mainly intended for use with microscopy images. It is an ideal framework for OpenComet to run in due to its cross-platform nature, its ability to interpret a variety of image formats and due to the fact that it implements a large number of elementary image processing operations. OpenComet, once installed, can be launched from the Plugins menu of ImageJ. OpenComet has a user-friendly interface (Fig. 1) to select a set of images and run the analysis. The user first selects a set of input images to be analyzed. Any number of images inside a single folder can be selected for analysis, and the images can be of any of the widely used image formats (typically BMP or TIFF). Next, one selects an output folder, where the result spread sheet as well as copies of the input images with the analysis overlay will be saved. The measurement results are saved in a spreadsheet which includes measurements obtained for each individual comet, as well as statistics for the population of comets extracted from all input images. Further, for each input image, a result image is generated which shows the comet and head outlines, the associated profiles as well as identification numbers to easily link the comets to the measurements. The output images and the spreadsheet are saved automatically in the chosen output folder. After the automated analysis is complete, the user has the option to review the images and click on any comet to remove it from the output if needed. We have developed a live analysis function in OpenComet, which allows users to analyze images as soon as they are acquired through a microscope. This functionality can be used when launching OpenComet as a plug-in in Micro-Manager [26], an open-source microscope control software, which provides an interface between ImageJ and a large number of microscope models. To start analysis, the user captures an image of the current microscope view through Micro-Manager. The user can then launch OpenComet, and click on the Live button to analyze the captured image. A summary of the live analysis setup is shown in Supplementary Fig. 1. By working on images directly from the microscope, the live analysis function can further reduce the overall time needed to perform a comet assay experiment. Algorithm for image analysis The analysis of comet assay images relies on the fact that the intensity of emitted light is linearly related to the amount of DNA in the respective regions of the cell [11,19]. Therefore, the brightness (or intensity) of image pixels can be directly used to assess the amount of DNA damage. This brightness information can be interpreted irrespective of the particular type of staining used, and thus, OpenComet can score images that are stained with DNA specific fluorescent dyes (EtBr, DAPI, Propidium iodide, SYBR Green, SYBR Gold, YoYo-1) as well as non fluorescent staining (silver nitrate). Comet assay images are often produced as grayscale images. If the provided image contains multiple channels, OpenComet automatically finds the one containing the brightness information and uses this for analysis. We first discuss how OpenComet extracts shapes from the images and determines which ones are valid comets. Then we present the method used for separating the comet head from the tail. Finally, we show the calculations that lead to the assessment of DNA damage. The major steps of the image processing algorithm used by OpenComet are summarized in Fig. 2. Comet finding The first task in finding comets is to separate meaningful objects from the background. These objects then need to be either accepted as comets or discarded. Our approach involves extracting for the objects of interest shape parameters such as convexity ratio and the ratio of head displacement. We show that the shape parameters can be used to separate comets from non-comets. To obtain regions of interest, a threshold intensity is chosen, below which pixels are considered to be part of the background. It is important to choose this threshold adaptively, since comet assay images can differ significantly in terms of illumination. The tool uses Huang's method (implemented in ImageJ), which relies on the intensity histogram of the image and chooses the threshold value by minimizing a measure of fuzziness [27]. After applying the threshold, a binary image is obtained, which contains a set of connected regions (regions of interest) that are distinct from the background. These regions need to be further analyzed and filtered to obtain the actual regions corresponding to comets. Very small regions are discarded as these are due to noise and are not full comets. Furthermore, comets touching the edge of the image need to be filtered out since some of their brightness information is cropped. More sophisticated methods are employed to deal with overlapping comets. Overlapping comets appear as a single bright area in the original image and will form a single connected region after thresholding. Since the intensity content of multiple comets is overlapped in these objects, these should be discarded and should not be included in measurements. We note however that comets with higher damage (and longer tails) are more likely to overlap. Hence if the image contains a large number of overlaps, the measured damage is likely to be biased towards a lower value [6]. While OpenComet attempts to correctly discard all overlaps, one should attempt to minimize their occurrence when performing the comet assay. To recognize overlaps and other irregular regions, we make two important assumptions about the properties of comets. Firstly, we assume that comets have a convex shape. In other words, comets do not have irregular intrusions from their convex hull. This is due to the regular way in which damaged DNA spreads from the nucleus. To measure this property, we use the convexity ratio, also called solidity, which is the ratio of a region's area and the area of its convex hull [28]. Our second assumption is that comets are symmetric. Due to the fact that comet tails extend towards the anode during electrophoresis, comets can be expected to be aligned along the same axis and to be symmetric with respect to this axis. OpenComet assumes that cells are symmetric with respect to the horizontal axis of the image and that tails extend towards the right hand direction. This orientation is used in the majority of cases. However, occasionally images are captured in different alignments (e.g. top to bottom). In these cases, we recommend rotating the images in ImageJ before analyzing them with OpenComet. After evaluating several measures of symmetry, we found the head displacement ratio to be most robust. This parameter calculates the displacement between the centerline of the front of the region and the centerline of the back of the region, and thus detects shapes misaligned with the horizontal axis. A small convexity ratio or a large head displacement can be a sign of overlapping or otherwise irregular comets, as demonstrated in Fig. 3. A sample of 150 shapes manually labeled as comets or non-comets shows that defining a minimal convexity threshold and maximal head displacement threshold is a reasonable basis for accepting a shape as a comet. The regions filtered out are discarded. The remaining regions are accepted as comets and are analyzed subsequently. In order to further decrease the number of false positives, statistical outlier tests are applied on the shape of the comet. Comets that have irregular height or area will still be kept, but they will be flagged as outliers in both the output image and the measurement spreadsheet. Head segmentation After having recognized the regions occupied by comets, a further step of segmentation is needed to find the head of the comet. Separating the head accurately from the rest of the comet is essential, since it strongly influences the calculation of the amount of DNA damage. Our first method for finding the comet head comes from the assumption that the head is the brightest region of the comet [19]. This method is well suited for lightly damaged cells, which have little or no tail. However the brightness assumption may not always hold, as the relative size and brightness of the head and the tail can vary significantly across experimental setups and levels of damage. In case a cell is heavily damaged, the tail can be bigger and brighter than the head. We therefore introduce a second method for head finding, which overcomes this limitation. The method relies on analyzing the intensity profile of the comet. Comet segmentation based on intensity profile has previously been proposed [25] using Gaussian curve fitting. Our method does not assume that the profile is a mixture of Gaussians, and instead analyses an arbitrary intensity profile signal directly to find the border between the comet head and tail. We first show head finding based on the brightest region assumption and then introduce the method using analysis of the intensity profile. In the brightest region method we take the comet and find the set of brightest pixels. We do this by determining a brightness threshold T ⁎ so that 5% of the pixels are brighter than T ⁎: (1) T ⁎ = arg min T ( ∑ ( x , y ) ∈ C I ( P ( x , y ) > T ) ) > 0.95 | C | , where (x, y) specifies the coordinates of a pixel, P(x, y) is the brightness of the pixel, C is the set of pixels belonging to the comet and |C| denotes the number of pixels in the comet. I is a function which returns 1 if its argument is true and 0 otherwise. We calculate the center of mass of the brightest pixels (the ones above the threshold) and then take this as the horizontal position of the head center: (2) x c e n t e r = ∑ ( x , y ) ∈ C I ( P ( x , y ) > T ⁎ ) x P ( x , y ) The vertical position of the head center, y c e n t e r is simply taken on the horizontal centerline of the comet. The head region is defined as a circle around the point ( x c e n t e r , y c e n t e r ) with radius equal to the distance of the leftmost point of the comet and the head center. For heavily damaged cells, the brightest pixels may be located in the tail, which results in an incorrect position for x c e n t e r . We now introduce the head finding method based on intensity profile analysis, which performs more robustly for heavily damaged cells. The intensity profile summarizes the distribution of pixel intensities along the horizontal axis. We define the profile as a vector whose length is equal to the length of the comet (in terms of pixel number). The profile is calculated inside a bounding rectangle whose top is denoted by t, height by h and width by w. The comet profile with respect to the bounding rectangle is then calculated as follows: (3) p ( x ) = 1 h ∑ y = t t + h P ( x , y ) , x ∈ { 1 , .. . , w } , ( x , y ) ∈ C , where again, P(x, y) is the intensity of the pixel at position (x, y), and only pixels inside the comet C are considered. The profile can be thought of as a linear signal, a signature of the intensity along the comet and inside the bounded region. We first need to process this signal and find a characteristic pattern which marks the border between head and tail. We can extract useful patterns from the signal by convolving it with other vectors, referred to as kernels. In general, the convolution of the profile p with a kernel K of length n is given by: (4) ( K ⁎ p ) ( x ) = ∑ i = max ( 1 , x − n + 1 ) min ( x , w ) K ( x − i + 1 ) p ( i ) , x ∈ { 1 , .. . , w } We introduce two convolution kernels used for the analysis of the profile: (5) K s = ( 1 L , … , 1 L ) ︷ L K d = ( − 1 , 1 ) K s is a linear smoothing kernel of length L, which can be adjusted relative to the comet length and K d is used to compute the discrete differential of the profile. To find the border between head and tail, we extract the rate of change in intensity (first differential, p d ) as well as the convexity (second differential, p dd ) of the profile. Before each differentiation, we apply the smoothing kernel to filter out noise while preserving the overall trend: (6) p d = K d ⁎ K s ⁎ p p d d = K d ⁎ K s ⁎ p d We suggest that a general pattern can be recognized in these signals, which is robustly preserved across a wide range of different comet shapes and damage levels. At the right-hand side border of the head the rate of intensity change (p d ) drops, and at the beginning of the tail the rate of change quickly rises again. We define the border between head and tail as the point where the rate of change rises the quickest after the drop. This point is marked by the first maximum point in p dd after a crossing from negative to positive. Fig. 4 shows comets with their respective profiles and differentials indicating the predicted position of the border between head and tail. The head region is again taken as a circle with diameter spanning the leftmost edge of the comet and the head–tail border. OpenComet allows the user to choose the method of head finding (brightest region or profile analysis). A default automatic option is also available, which first attempts to find the head based on brightness, and if the obtained region is unacceptable, proceeds with the profile analysis. Once the head is found, the algorithm continues with local background correction and comet measurements. Comet measurements Comet assay images can have a significant amount of background illumination, and in some cases this is uneven along the image. In order to make reliable measurements, local background brightness needs to be subtracted from the comet. OpenComet automatically chooses a rectangle above or below the comet and calculates a background profile along the horizontal axis. We apply smoothing on the background profile to eliminate noise and then subtract it column wise from the comet intensities. After correcting intensities with the local background, comet parameters can be extracted that let us estimate DNA damage in the cells. The extent of DNA damage is related to the amount of DNA in the tail. However, the exact parameter to measure damage is often debated [6,23,29]. Three measures of DNA damage have been shown to be particularly good indicators of the underlying damage [29]: DNA percentage in tail, tail moment and Olive moment [30]. While tail moment and Olive moment are measured in arbitrary units (and can thus differ in value across image analysis systems), the tail DNA percentage is easily comparable across platforms [6,29]. OpenComet calculates and outputs these three important damage measures along with other parameters concerning the comet, thus allowing the user to choose the desired one for further analysis. The comet parameters measured by OpenComet are listed in Table 2. Experimental setup Cell lines and drug treatment The images used for validating OpenComet were obtained from the following experiments. Rat muscle cells (L6, ATCC CRL-1458) were grown in high glucose Dulbecco's modified Eagle's medium (Hyclone, USA) supplemented with 10% FBS (Hyclone, USA), 2 mM l-glutamine (Hyclone), 0.25 mg/ml geneticin (GIBCO) and 1 mM gentamycin sulfate (BioWhittaker) at 37 °C, with 5% CO2, in a humidified atmosphere. L6 cells were plated on day 1 and then treated with 50 µM hydrogen peroxide (Sigma, USA) for 1 h (hr) after 24 h of plating. After 1 h of H2O2 treatment, cells were replenished with fresh medium and trypsinized, and collected at different time points (1 h, 3 h, 6 h, 12 h, 24 h) after H2O2 treatment. The level of DNA damage at each time point was assessed using alkaline comet assay. CometAssay® neutral control cells (Trevigen, USA) were used to perform neutral comet assay. Neutral control cells include a healthy cell population (NC0), which was treated to increase the amount of double-strand break damage linearly in populations NC1, NC2 and NC3. Comet assay experimental protocol The comet assay was performed as described by Singh et al. [5], except for a few changes as mentioned below. L6 cells and neutral control cells were combined with molten LM Agarose (Trevigen) (at 37 °C) at a ratio of 1:10 (v/v), and immediately spread onto CometSlide (Trevigen). After 10 min of gelling at 4 °C, the cells were lysed with lysis solution (Trevigen, USA) at 4 °C for 1 h. Upon three washes in distilled water for 5 min each, alkaline comet assay was performed on the slides plated with L6 cells and neutral comet assay was performed on the slides plated with neutral control cells. In case of alkaline comet assay, the slides were placed in a horizontal electrophoresis tank containing electrophoresis solution (0.3 M NaOH (Merck, Germany), and 1 mM EDTA (Bio Rad, USA), pH>13) and allowed to denature for 30 min. Electrophoresis was run for 25 min (1 V/cm). In case of neutral comet assay, the slides were placed in TAE buffer (300 mM sodium acetate (Merck), 10 mM Tris HCl (1st BASE, Singapore), pH 8.5), and electrophoresis was run at constant 20 V for 40 min (1 V/cm). After both alkaline and neutral electrophoresis, the slides were rinsed with 0.4 M Tris, pH 7.5 neutralization buffer for 3× 5 min. The slides were then washed in distilled water and immersed in 70% ethanol for 5 min and dried at 40 °C for 10–15 min, and then stained with SYBR green 1 dye (Molecular probes, Invitrogen, USA). Comet images were captured using a Zeiss Axioplan fluorescent microscope. The images were analyzed using our OpenComet software and CometScore version 1.5 software [18]. The extent of DNA damage was expressed as a measure of percentage of DNA in tail. The Box–Whisker plots were drawn using the ggplot2 package and the R statistical software. Recommendations for preparing slides OpenComet has steps specifically aimed at filtering out overlapping comets. However (see also the section on Comet finding), overlapping comets, even if correctly discarded, may introduce a bias in the measured damage on the set of cells. One should therefore attempt to minimize the occurrence of overlaps when performing the comet assay. First, we suggest trypsinization, which is effective in reducing the clumping among cells. Further, we recommend drying the slides at 40 °C for 10–15 min. Drying brings cells in different view levels into a single plane to facilitate observation. We recommend 8000–10,000 cells per slide (Trevigen), however, user optimization may be required for other slides. OpenComet assumes that a comet appears as a single connected region in the image. In order to reliably measure heavily damaged comets, electrophoresis running time can be reduced to prevent separation of comet head and tail. Results and validation To test the performance of OpenComet, we conducted several experiments on comet assay images obtained from experiments involving cellular response to oxidative stress. In our first experiment, we used alkaline comet assay images to assess the accuracy of our tool in measuring comets in comparison with manual scoring. Next, to show that our algorithm is robust against variation in comet shapes and sizes, OpenComet was used on a series of neutral comet assay images and on sample images from other software tools. We first look at the results of validation experiments for OpenComet and then provide details about the experimental setup used to obtain the comet assay images. In our experimental setup for alkaline comet assay, L6 cells were treated with 50 μM H2O2 for 1 h, causing DNA damage. Cells were then allowed to repair this damage over 24 h. Under this medium sub toxic level of oxidative stress, we see a gradual repair process over the recovery time. Control cells indicate no treatment with H2O2. Fig. 5 A shows sample images for both control and treated cells at five time points. The images clearly depict the ongoing repair of DNA damage with time. We first measured the accuracy of OpenComet in classifying shapes as comets or non-comets. We analyzed 10 randomly chosen images (one from each gel) with OpenComet and counted whether the shapes are recognized as valid, outlier or invalid. We also classified all regions in the same images manually and compared the results. Comets flagged as outliers are considered negatives in the calculations. The results are shown in Table 3 and indicate that the shape and size attributes used for deciding whether a comet is valid are indeed useful. We next compared OpenComet with manual scoring in terms of measuring DNA damage. Manual scoring was performed with the CometScore software [18]. All together we have 10 cases (five time points, control and treated), and for each case we score exactly 100 comets both manually and with OpenComet. Choosing a fixed number of comets allows us to compare the measured damage and the time taken to perform the measurements in a consistent manner. In order to quantify the repair process, we measure the percentage of DNA in comet tails for each gel. Fig. 5B depicts the decreasing trend of DNA damage measured with OpenComet. The DNA damage, as measured manually, is shown in Fig. 5C. We see that OpenComet precisely captures the decreasing trend of DNA damage over time, and matches the trend produced by manual measurements. OpenComet was implemented on a 2.83 GHz, 4 GB RAM desktop computer. It achieved significant speedup compared to the manual measurement process. Manual scoring of 1000 comets (100 comets for each of 10 cases) took a total of 75 min. Analyzing the same number of comets using OpenComet completed in less than 2 min. Both timing results include the overhead of choosing the input images and output folder. We also validated OpenComet on neutral comet assay images. The comets in these images present different shapes and characteristics from alkaline comet assay images. Fig. 6A shows sample images from the neutral assay performed on Trevigen control cells with different levels of DNA damage. The increasing trend in damage is measured by OpenComet, as shown in Fig. 6B. Thus OpenComet measures comets accurately, irrespective of their difference in size and shape. In Figs. 5 and 6, we use percentage of DNA in tail as a measure of DNA damage. We have performed further validation using tail moment, another common measure of DNA damage, which is also calculated by OpenComet. We found that the results for tail moment are consistent with those using percentage of DNA in tail. The results are shown in Supplementary Figs. 2 and 3. Finally, we used OpenComet to score sample images provided by other comet analysis software (Supplementary Fig. 4). These images differ significantly from the ones used in our previous experiments and show diverse magnifications and illuminations. The results indicate that our tool can reliably extract a large proportion of comets from these images as well. Discussion In this paper we presented OpenComet, a tool for analyzing comet assay images. OpenComet uses robust image processing algorithms for extracting and classifying comets, separating the comet head, and measuring comet parameters. Our validation results show that OpenComet is fast and accurate in analyzing images for both alkaline and neutral comet assays. An important assumption in the proposed image analysis algorithm is that a comet appears as a single connected region in the image. However, there can be instances when under very high damage conditions, a comet's head and tail effectively appear as two separated regions in the image. Automatically identifying these comets is currently a limitation of OpenComet, and we are exploring extensions of the algorithm to deal with this special case. OpenComet fully automates the process of analyzing comet assay images. In contrast, existing free software packages often involve manual tagging of cells, resulting in a laborious, time-consuming process. Manual scoring results can be difficult to reproduce and are prone to subjective bias. These tools are also frequently platform dependent, do not recognize all common image formats and do not provide batch image processing capabilities. Commercial tools are commonly sold as a combined microscope and software package at a significant cost. Further, source code is not made available, and the functionality of the software cannot be examined or modified by the user. In contrast, OpenComet is free and can be customized to fit the user's needs. In summary, OpenComet is a useful alternative to currently available free and commercial tools that perform comet assay image analysis. Conclusions The comet assay has a well-deserved popularity, as it is simple and economical to perform. The availability of powerful automated and free comet assay imaging software is currently one of the major limitations in using the assay. OpenComet helps to overcome the current limitations in image analysis, making comet assay a more viable method to detect DNA breaks produced by ROS/RNS and other damaging agents. Implementation and availability The OpenComet plug-in and source code is available at www.opencomet.org . Instructions for installing and using the tool as well as guides for modifying it are available at the same website. OpenComet is platform independent, and thus works on Windows, Mac OS X and Linux systems. OpenComet is written in Java and deployed as a plug-in for the open-source image processing software ImageJ. It leverages image processing methods and plug-ins accessible through the ImageJ API. The plug-in development interface of ImageJ also allows for convenient modification and recompilation of OpenComet if needed. ImageJ can be downloaded from www.rsbweb.nih.gov/ij/. OpenComet can also be used within Fiji, an extended version of ImageJ containing useful plug-ins and a more convenient interface for modifying and developing plug-ins. The latest version of Fiji is available at www.fiji.sc . Micro-Manager, with which the live analysis feature of OpenComet can be used, is available at www.micro-manager.org . We have used the following versions of the tools in this work: OpenComet 1.3, ImageJ 1.47v, Micro-Manager 1.4.13 and Java 1.6.0.
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                Author and article information

                Journal
                Int J Mol Sci
                Int J Mol Sci
                ijms
                International Journal of Molecular Sciences
                MDPI
                1422-0067
                25 May 2020
                May 2020
                : 21
                : 10
                : 3714
                Affiliations
                [1 ]Department of Pharmacy, Faculty of Science, National University of Singapore, Singapore 117543, Singapore; goh.zhanghe@ 123456u.nus.edu (Z.-H.G.); a0072441@ 123456u.nus.edu (J.K.T.)
                [2 ]NUS Graduate School for Integrative Sciences & Engineering, Centre for Life Sciences, National University of Singapore, Singapore 119077, Singapore
                Author notes
                [* ]Correspondence: phahohk@ 123456nus.edu.sg ; Tel.: +65-6516-7963
                Author information
                https://orcid.org/0000-0002-0148-1729
                https://orcid.org/0000-0003-0614-3048
                Article
                ijms-21-03714
                10.3390/ijms21103714
                7279482
                32466226
                06ce4f73-93b5-4228-859e-4d910e6b87ef
                © 2020 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 10 April 2020
                : 22 May 2020
                Categories
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                Molecular biology
                drug-induced liver injury (dili),silibinin,oxidative stress,tuberculosis,pyrazinamide,isoniazid

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