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The convergence of tissue engineering, regenerative medicine (TERM) and artificial intelligence (AI) has ushered in a transformative era for the biomedical field. By leveraging machine learning (ML) and deep learning (DL), researchers can enhance cell culture processes and advance organ and tissue engineering. Specifically, DL accelerates the development of regenerative therapies by analyzing vast molecular and genetic datasets, uncovering patterns and correlations that may elude human observation. This capability helps deepen our understanding of disease mechanisms and paves the way for more effective therapeutic solutions.

AI’s potential in RM is particularly notable for its ability to analyze extensive datasets to identify optimal cell types for individual patients. By examining genetic profiles and medical histories, AI can predict the most suitable cell types, optimize conditions for cell differentiation, and streamline cell culture processes. Remarkably, AI can also infer cell types based solely on morphological characteristics (shape, size, etc.). A range of algorithms underpins these advancements, and this discussion aims to highlight the most prominent approaches and their practical applications.

Deep learning in image recognition and stem cell differentiation

DL has proved to be particularly useful in image recognition by learning visual patterns through convolutional neural networks (CNNs). Roughly, a CNN processes all numbers composing a digital image and identifies the relationship between them. These relations are different according to the different objects found in the image, and at the edges of these objects. The process of finding the optimal weights that make these predictions is a key step in CNN training.

This task is performed through the application of very large amounts of weighted regressions, which can take very high computational requirements, a long time, and a significant number of images. However, once trained, applying the neural network training to get predictions is relatively fast and allows almost instant image recognition and classification.

To better enhance the training of deep CNN, Adam Witmer and Bir Bhanu used the generative adversarial networks (GANs). By generating realistic image patches of cell colonies, GANs augment existing datasets, addressing class imbalances and increasing the overall training data. This helps CNNs classify different stages of stem cell differentiation more accurately. The GAN-generated images enabled a 2 per cent improvement in both true positive rate and F1-score for the CNN models, showing the benefits of a balanced dataset. Hence, CNNs can predict cell differentiation stages early by analyzing cell morphology over time. This significantly reduces the time required for manual inspections, as researchers can rely on AI predictions to determine when differentiation has successfully occurred. 

Role of AI in quality control in stem cell research

AI, particularly CNNs, is transforming quality control in stem cell research by automating complex and time-consuming processes. Traditional validation methods rely on techniques like microscopy, qPCR, and immunocytochemistry, which are labour-intensive and require specialized expertise. CNNs, however, provide an efficient alternative by enabling automated, high-throughput analysis of cell images, drastically reducing the time, cost and human workload involved. This automation standardizes quality control, minimizing human variability and enhancing consistency, which is ideal for high-throughput stem cell therapy and research applications.

For instance, a group of researchers in Japan introduced a new technology called DeepACT, a deep learning-based system designed for non-invasive quality control and identification of human stem cells in culture. Using a combination of DL and Kalman filter algorithms, DeepACT effectively tracks individual cells within dense human epidermal keratinocyte colonies in phase-contrast images. It rapidly analyzes cell motion, allowing for a quantitative assessment of keratinocyte dynamics under different culture conditions.

Additionally, DeepACT can differentiate stem cell-derived colonies from non-stem cell colonies by analyzing spatial and velocity data. This technology exemplifies how AI can standardize and enhance the reliability of quality control in stem cell cultures, making it a valuable tool for RM applications.

Through image-based analysis, CNNs can identify morphological and textural features to classify induced pluripotent stem cells (iPSCs) with remarkable accuracy. For example, CNNs have achieved up to 99 per cent accuracy in distinguishing undifferentiated iPSCs from those beginning to differentiate, which is essential for maintaining cell quality in large-scale production. Additionally, CNNs trained to distinguish between early and late differentiation stages have demonstrated accuracy rates close to 96 per cent, effectively differentiating pre-functional cells from mature, functional cell types, such as hepatocytes. This capability aligns well with experimental markers of cell maturity, supporting scalable and consistent stem cell production.

Beyond morphology, AI is also applied to genomic and transcriptomic analyses, where it identifies critical genes and pathways involved in cell quality, maintenance and differentiation. This broadens AI’s impact, enhancing our understanding of iPSC biology and supporting the development of more personalized, precise iPSC-based treatments. Together, these AI-driven approaches are paving the way for more efficient, reproducible, and accurate quality control processes in stem cell therapy and RM.

Role of AI in drug discovery and screening

Applying AI has revolutionized high-throughput screening (HTS) in drug discovery and RM, transforming the traditionally labour-intensive and error-prone processes into efficient, precise and scalable operations. AI’s integration into HTS has catalyzed advancements in automation, data analysis, and the development of sophisticated disease models, offering unprecedented opportunities to accelerate therapeutic discoveries and improve patient outcomes.

AI-enhanced HTS leverages advanced computational algorithms to optimize the screening of therapeutic compounds, biomaterials and cellular interactions. By employing combinatorial approaches, researchers can analyze cellular microenvironments under simulated 2D and 3D conditions, studying key behaviours like differentiation, proliferation and apoptosis. AI-driven systems, such as the CompacTSelecT (CTST), streamline workflows through automated tasks like cell culture maintenance and iPSC differentiation, reducing human error and ensuring consistency across experimental runs. This synergy of AI and robotics not only improves efficiency but also enhances the reliability of biological response measurements, enabling more robust scientific discoveries.

Here are some AI applications in HTS:

  1. Gene identification: HTS platforms, coupled with AI, excel in identifying functional genes. AI models process data from RNA interference and CRISPR-based screens, identifying critical genes. For instance, AI has been instrumental in mapping the interactions of transcription factors and non-coding RNAs that drive neural lineage specification.
  2. Screening small molecules: AI aids in the discovery of chemical compounds that facilitate differentiation or mimic the action of transcription factors. By analyzing the effects of compounds on signalling pathways, AI models can identify combinations that enhance the efficiency of generating functional cells.
  3. Microenvironment optimization: AI plays a crucial role in designing and screening 3D microenvironments for in vitro cell development. Cells require specific extracellular matrix components, mechanical properties, and soluble factors to mimic in vivo conditions. AI-enhanced HTS platforms enable researchers to evaluate various combinations of these factors, optimizing conditions for cell differentiation, tissue engineering and organoid development.

In RM, imaging technologies integrated with AI play a pivotal role by offering real-time, non-invasive visualization of tissue growth and regeneration. These tools facilitate the assessment of therapeutic effectiveness, early identification of adverse effects, and the tailoring of personalized treatments. AI algorithms aid in analyzing complex datasets, including genomics, proteomics and metabolomics, enabling researchers to predict stem cell differentiation outcomes and optimize culture conditions. Furthermore, AI has proven instrumental in identifying novel drug targets, modelling diseases and advancing personalized medicine, ensuring that regenerative therapies meet clinical and ethical standards before their application.

The integration of AI into TERM and HTS has enabled transformative advancements in cell culture processes, drug discovery and quality control. By leveraging ML and DL algorithms, researchers can analyze extensive datasets, uncover patterns, and predict outcomes with remarkable accuracy, reducing reliance on traditional labour-intensive methods. Applications such as CNNs for image recognition, GANs for dataset augmentation, and AI-driven systems like DeepACT for quality control have demonstrated significant improvements in efficiency, consistency and scalability.

These technologies are not only accelerating the development of regenerative therapies but also enhancing our understanding of complex biological mechanisms, such as cell differentiation and stem cell maturation. AI’s ability to analyze morphological, genomic, and transcriptomic data has paved the way for personalized and precise treatments, aligning with clinical and ethical standards. As AI continues to evolve, its role in TERM and HTS will likely expand further, driving innovation and improving patient outcomes in ways previously unimaginable. Together, these advancements represent a new era in regenerative medicine, where AI is at the forefront of fostering reproducibility, efficiency, and precision in biomedical research and applications.

 

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Laya Kiani

Laya Kiani is a blogger at CCRM, focusing on creating content about the market analysis of regenerative medicine. With over four years of experience in health care and marketing across Canada, Dubai and Iran, she brings a diverse perspective to her work. Laya holds a B.Sc. in Pharmaceutical Chemistry from the University of Guelph. Connect with her on LinkedIn: LayaKiani