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Peer-reviewedCC BY 4.0Communications Biology

Machine learning analysis of cilia driven particle transport distinguishes primary ciliary dyskinesia from normal cilia

Abstract

Primary ciliary dyskinesia (PCD) is a genetic condition causing dysmotile cilia and abnormal mucociliary clearance. Despite advances in understanding disease pathogenesis, diagnosis remains challenging. Here, we show that machine learning analysis of cilia-driven particle transport can objectively detect primary ciliary dyskinesia-related dysfunction. Using high-speed video microscopy, we captured fluorescent microsphere movement on cultured multiciliated cells from 14 individuals with primary ciliary dyskinesia and 10 healthy donors (602 videos). We developed CiliaTracks, an open-source computational framework that extracts measures of micropsphere movement, visualizes transport patterns, and classifies cilia-propelled particle transport. Quantitative and visual analyses reveal distinct motility profiles between PCD and non-primary ciliary dyskinesia and normal recordings. Classical machine learning models and a convolutional neural network classify recordings with 95-97% accuracy and differentiate affected from normal samples. Machine learning provides an objective, accurate framework for characterizing ciliary dysfunction, offering potential as a diagnostic tool for primary ciliary dyskinesia.

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BibTeX
@article{hadas2026machine,
  title = {{Machine learning analysis of cilia driven particle transport distinguishes primary ciliary dyskinesia from normal cilia}},
  author = {Nicholas Hadas and Huihui Xu and Shambhawee Neupane and Wang K. Twan and Ahmed Elgamal and Andrew Lunel and Moe R. Mahjoub and Amjad Horani},
  journal = {Communications Biology},
  year = {2026},
  month = oct,
  doi = {10.1038/s42003-026-11149-0},
  url = {https://www.nature.com/articles/s42003-026-11149-0},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Machine learning analysis of cilia driven particle transport distinguishes primary ciliary dyskinesia from normal cilia
AU  - Nicholas Hadas
AU  - Huihui Xu
AU  - Shambhawee Neupane
AU  - Wang K. Twan
AU  - Ahmed Elgamal
AU  - Andrew Lunel
AU  - Moe R. Mahjoub
AU  - Amjad Horani
PY  - 2026
DA  - 2026/10/12
JO  - Communications Biology
DO  - 10.1038/s42003-026-11149-0
UR  - https://www.nature.com/articles/s42003-026-11149-0
AB  - Primary ciliary dyskinesia (PCD) is a genetic condition causing dysmotile cilia and abnormal mucociliary clearance. Despite advances in understanding disease pathogenesis, diagnosis remains challenging. Here, we show that machine learning analysis of cilia-driven particle transport can objectively detect primary ciliary dyskinesia-related dysfunction. Using high-speed video microscopy, we captured fluorescent microsphere movement on cultured multiciliated cells from 14 individuals with primary ciliary dyskinesia and 10 healthy donors (602 videos). We developed CiliaTracks, an open-source computational framework that extracts measures of micropsphere movement, visualizes transport patterns, and classifies cilia-propelled particle transport. Quantitative and visual analyses reveal distinct motility profiles between PCD and non-primary ciliary dyskinesia and normal recordings. Classical machine learning models and a convolutional neural network classify recordings with 95-97% accuracy and differentiate affected from normal samples. Machine learning provides an objective, accurate framework for characterizing ciliary dysfunction, offering potential as a diagnostic tool for primary ciliary dyskinesia.
SN  - 2399-3642
ER  -