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Macrophages play a central role in innate immune responses and tissue homeostasis, and their functional states can dynamically change in response to microenvironmental stimuli. Traditionally, macrophages have been described as adopting pro-inflammatory or anti-inflammatory/repair-associated phenotypes1,2. However, increasing evidence suggests that macrophage activation is a continuous and plastic process rather than a discrete binary state3,4. Under different stimuli, macrophages undergo gradual changes over time, accompanied by alterations in cell morphology and migratory behavior5. Therefore, time-resolved characterization of morphological and migratory changes at the single-cell level provides an important approach for studying dynamic cellular responses.
Current approaches for studying macrophage states mainly rely on immunostaining, flow cytometry, and transcriptomic or proteomic analyses6. These methods are typically based on fixed samples or discrete time points, which limits their ability to track continuous changes in the same cell under live conditions7. Fluorescence-based live-cell imaging enables dynamic observation but may be affected by phototoxicity and photobleaching during long-term experiments8,9. Optical diffraction tomography (ODT) is a label-free imaging technique that reconstructs the three-dimensional refractive index distribution of cells to provide quantitative structural information10. As it does not require exogenous labeling, ODT is suitable for long-term live-cell imaging and reduces perturbation to cellular behavior. In recent years, ODT has been applied to dynamic studies in various cell models11, with previous studies primarily focusing on imaging capability and structural characterization. In contrast, the present study establishes a standardized, label-free workflow for long-term, time-resolved single-cell analysis of macrophage morphodynamics under a defined in vitro stimulation condition.
The workflow is demonstrated using an in vitro RAW264.7 macrophage model with lipopolysaccharide (LPS) stimulation and Baicalin (BAI) pretreatment. BAI was used as a representative experimental modulator to establish a defined condition for demonstrating the workflow. Continuous imaging enables the extraction of quantitative single-cell parameters, including projected area, perimeter, and average migration speed, allowing time-resolved characterization of morphological and behavioral changes. This approach is intended to provide a descriptive analysis of dynamic phenotypic changes rather than to define functional states or polarization, and may serve as a complementary method to endpoint-based assays by providing temporal information. The workflow is validated in this model system and is potentially applicable to other adherent cell types.