Autofluorescence lifetime imaging resolves cell heterogeneity within peripheral blood mononuclear cells

Significance Standard methods to characterize peripheral blood mononuclear cells (PBMCs) are often destructive, lack metabolic information, or do not provide single-cell resolution. Label-free tools that non-destructively measure single-cell metabolism within PBMCs can provide new layers of information to characterize disease state and cell therapy potential. Aim Determine whether non-destructive fluorescence lifetime imaging microscopy (FLIM) of endogenous metabolic co-factors NAD(P)H and FAD, or optical metabolic imaging (OMI), can identify immune cell subsets and activation state within heterogeneous PBMC cultures. Approach OMI measured single-cell metabolism of PBMCs from 3 different human donors in the quiescent or activated (phorbol 12-myristate 13-acetate and ionomycin) state. Fluorescent antibodies were used as ground truth labels for single-cell classifiers of immune cell subtypes. Results OMI identified quiescent vs. activated PBMCs with 93% accuracy at only 2 hours post-stimulation, identified monocytes within quiescent and activated PBMCs with 96% and 88% accuracy, respectively, and identified NK cells within quiescent and activated PBMCs with 74% accuracy. Conclusion OMI identifies activation state and immune cell subpopulations within PBMCs, enabling single-cell and label-free measurements of metabolic heterogeneity within complex PBMC samples. Therefore, OMI could enhance PBMC immunophenotyping for diagnostic and therapeutic applications. Statement of Discovery We demonstrate that autofluorescence lifetime imaging can resolve functional and phenotypic metabolic subpopulations within a mixed culture of immune cells from human blood. This provides a new technique to characterize metabolic activity within immune cells from the peripheral blood of patients, which could improve disease diagnostics and the production of cell therapies.