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<article xmlns:xlink="http://www.w3.org/1999/xlink">
  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>The Portraits Creating Method by Correlation Analysis of Hormone-Producing Cells Data</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Lviv Medical Institute</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Polishchuka str.</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Ukraine oriabuha@ukr.net</string-name>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Lviv Polytechnic National University</institution>
          ,
          <addr-line>S. Bandera str. 12, 79013 Lviv</addr-line>
          ,
          <country country="UA">Ukraine</country>
        </aff>
      </contrib-group>
      <fpage>0000</fpage>
      <lpage>0001</lpage>
      <abstract>
        <p>Method of using the correlation analysis for studies of the hormoneproducing cells activity is presented as exemplified by the follicular thyrocyte. Electronograms of the thyroid ultrathin sections are studied, prepared using routine technologies. Studying any type of follicular thyrocyte's activities (synthesis, secretion, transport of hormones, energy supply of these processes) involves the successive application of such stages: research objective formulation and isolation from the entire set of organelles' cells ultrastructures - implementers of the respective activity (the studied cluster formation); transformation of linguistic (qualitative) information on the cluster elements into quantitative (numeric) indices; determining of intra-cluster (intra-system) interconnections and interdependencies; graphic representation of correlation links in correlation portraits and their analysis. In need to deepen the study, a module can be formed of several clusters in which the elements most relevant for solving the task are determined. Subsequently, the correlation analysis establishes the connections between the elements of the studied clusters, which are reflected in the correlation portraits, analyze the information obtained and develop an integrative model of the module's activities. The suggested method is not connected with the strict determinism of the input information, but it permits to correctly transform qualitative/binary indices into quantitative ones and to generalize the results obtained. Establishment of interdependencies between elements of investigated clusters is an integral research approach that enables the use of correlation portraits as the basis for the further development of an expert system for solving problems in cytomorphology and cytophysiology.</p>
      </abstract>
      <kwd-group>
        <kwd>correlation analysis</kwd>
        <kwd>correlation portrait</kwd>
        <kwd>follicular thyrocyte</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>-</title>
      <p>
        The human body is the object of multi-directional influences that are acting
simultaneously. Thus, in particular, the state of a sick person’s organism is caused by a
number of internal and external factors: the features of premorbid development and life,
working conditions, living conditions, the state of all body systems during a disease,
etc. By virtue of this, the application of mathematical methods in the study of the
organism/system/organ/cell activity is a very complicated process, because it involves
the need to consider a large number of various factors whose significance is unequal
[
        <xref ref-type="bibr" rid="ref1">1</xref>
        ].
      </p>
      <p>The task of medical diagnostics is the search for the expression</p>
      <p>
        X *  (x1*, x2*,, xn* )  d j  D  (d1, d2 ,, dm ) ,
where X* is a set of a particular patient’s state parameters, and D is a set of diagnoses
inherent in the given field of medicine. Development of mathematical approaches to
the study of biological systems requires the use of a mathematical apparatus, which is
an integral part of formalized cognition. The present stage of the medicine
development as a science is characterized by quite frequent implementation of mathematical
methods into the practice of medical diagnostics, being intended to objectivize the
results obtained and to serve as the basis for making decisions on the belonging of
pathological manifestations observed in the patient to this or that nosological group
[
        <xref ref-type="bibr" rid="ref2 ref3">2, 3</xref>
        ]. Difficulties associated with solving diagnostic tasks are due to a number of
reasons, the most important of which is the necessity to know a large number of the
patient's condition parameters, which is steadily increasing with the development of
medical science. This makes it quite problematic to remember them and reduces the
opportunity of quickly taking them into account when diagnosing, even the by the
most skilled expert. At the same time, the analytical dependencies between the
parameters of the patient's condition and the diagnosis in their classical sense are usually
absent, and these parameters in particular may be of a various nature: quantitative
(age, height, body weight, content of certain substances, etc.), qualitative (the nature
of pain sensations, mood sensations, etc.) or binary (presence or absence of a state or
a process – yes/no).
      </p>
      <p>The method of correlation analysis has a long history of application. Since the task
of the method is to establish connections between the parameters under study, it is
successfully used in various branches of biology and medicine. The peculiarity of the
correlation analysis lies in the search of interdependence between two or more
indices, which nature and pronouncement are established by the pair correlation
coefficient, calculated by the formula. Durable application of the method contributed to
accumulating the information on biomedical processes at their multiple levels
(genetic, phenotypic, physiological, etc.), which predicated the development of tools to
facilitate its visualization, analysis and interpretation [4]. An example of such
scientific tools is the correlation grids, permitting to trace the interdependencies in large
amounts of quantitative data. Despite its widespread use, the method is not designed
for work with qualitative or binary data on the studied biosystem status.</p>
      <p>The concept of fuzzy sets arose in response to the requirements of the classical
theory of systems to provide artificial precision, which can not be achieved in the
biological objects life process. The theory of fuzzy sets is a means of formalizing
uncertainties [5, 6], arising in the biological system, and methods for solving
problems inherent in a living organism.</p>
      <p>It applies qualitative data, relatively simple mathematical methods, namely the
notions of membership function and the highest and the least expressiveness of any sign
(max-y and min-y). For example, in the study of the thyroid gland pathology, the
signs may have the following form: hypothyroidism may be non threatening,
moderate, severe, etc.; cytoplasmic reticulum may be narrowed, moderately expressed,
expanded, etc.</p>
      <p>The principle of linguistic diagnostic data implies that the causal relationships
between the biological system status parameters, which can be the organism/organ/cell
(cause), and the diagnosis (consequence) are initially described by words of the
language used, thereafter they are formalized as a collection of fuzzy logical statements
in the “if… – then” sort. This principle may be exemplified by the following
description of the thyrocyte morpho-functional status: “If the cell’s shape is cubic, the
electron density of the cytoplasm is moderate, the electron density of the colloid is
moderate, apical microvilli are thin, short, and their number is moderate; mitochondria in
sufficient quantities, the elements of the granular cytoplasmic reticulum are
moderately expressed, the Golgi complex elements are expressed moderately, the number of
free and bound ribosomes and the polysomes is moderate, the number of lysosomal
bodies is moderate, the number of apical secretory granules is moderate, then the
thyrocyte’s functional status is balanced“. This permits to take into account the status
quality, which considerably broadens the the researcher’s opportunities. Diagnosing
on the principles of Fuzzy Logic requires special training of the researcher for
carrying out mathematical transformations, which significantly impedes the final result
obtaining. In addition, in order to avoid excessive complications in the biological
processes simulation, one has to neglect a sufficiently large number of actual facts.
However, in biological systems, there are no minor or unnecessary processes,
therefore their neglecting leads to reduction in the reliability of conclusions based on such
incomplete data.</p>
      <p>Therefore, both of the described methods do not permit studying peculiarities of
changes in cell structures involved in the hormonopoiesis to the full extent. The
necessity in formalizing qualitative and binary information on the studied biological
object/system status is acute in cytology traditionally applying such a heuristic
method as a linguistic description. In this case, the completeness of the information
obtained and its interpretation depend on the researcher’s qualification, thus
subjectivizing the final conclusion. The use of mathematical statistics for the quantitative
parameters processing, despite the possibility of comparison, does not allow to carry out an
expanded analysis of the data obtained to the full extent and to generalize them, which
is very important for establishing the regularities of the cells activity and highlighting
peculiarities of their changes in response to the various factors’ effects.
2</p>
    </sec>
    <sec id="sec-2">
      <title>Purpose of the study</title>
      <p>The purpose of the study was to develop, based on follicular thyrocyte, a method for
analyzing the morpho-functional status of hormone-producing cells, permitting to
transform qualitative (linguistic)/binary information into objective (quantitative)
indices, which can be subjected to further mathematical transformations, analysis and
generalizing.</p>
    </sec>
    <sec id="sec-3">
      <title>Materials and methods</title>
      <p>The object of the study were electron diffraction patterns of the thyroid glands tissue
ultrathin (4-6 μm) sections of white outbred male rats, prepared for electron
microscopic studies using routine technologies, which were studied using methods of
electron diffraction patterns semi-quantitative analysis and determination of
hormoneproducing cells special possibilities, by means of separate elements of such
components as mathematical statistics, phase interval, Fuzzy logic, correlation analysis [7];
forming separate clusters of ultrastructural elements is carried out based on the
сytophysiology data on the functional role of each cell organelle [8].</p>
      <p>At all stages of the study, international requirements for the humane treatment of
vertebrate animals were observed in accordance with the “Guidelines for
Accomodation and Care of Animals” (Strasbourg, 2006, Annex 4) and Helsinki Declaration on
humane endpoints to experiment animals.
4</p>
    </sec>
    <sec id="sec-4">
      <title>The portraits creating method by correlation analysis of hormone-producing cells data: description</title>
      <p>In our opinion, the promising trend of studies in cytology, should be based on a
combination of adequate methods, which are elements of mathematical statistics, cluster
and correlation analysis, the phase interval method, the concept of fuzzy sets, all
available quantitative, qualitative and binary data being used for the research needs.
In this case, the research process will be comprehensive and objective. We have
developed a method for studying morphological and functional characteristics of
hormone-producing cells, including seven stages (see Fig. 1).</p>
      <p>At the first stage, according to the task of studying a certain field of the cell
activity (synthetic, secretory, transport, energy) create separate clusters of the studied
structural elements/signs/manifestations that are implementers of this field. For example,
the status of the intrafollicular colloid electronic density, apical microvilli, lysosomal
bodies, secretory granule indicates the secretory cluster of the thyrocyte activity (see
Table 1).</p>
      <p>At the second stage, each ultrastructural/substructural element (form, number,
subcellular location, etc.) of the cluster and its state (reduced, moderate, increased) is
assigned an alphanumeric index. Using the principle of the phase interval method for
comparing the studied system status with two diametrically opposite reference
standards, which can be conventionally defined as “health” and “studied pathological
process/disease”, a digital assessment of each cluster element is carried out, i.e.,
qualitative or binary features are transformed into quantitative ones. Special tables being
applied, the results obtained are expressed in percentage or points (see Table 2). The
cluster components are studied and valued in several fields of sight (see Table 3,
Table 4).</p>
      <sec id="sec-4-1">
        <title>Stage 1</title>
        <sec id="sec-4-1-1">
          <title>Problem definition and the studied cluster formation</title>
        </sec>
      </sec>
      <sec id="sec-4-2">
        <title>Stage 2</title>
        <sec id="sec-4-2-1">
          <title>Formalization of the cluster constituent elements status and transformation of the quantitative data obtained</title>
        </sec>
      </sec>
      <sec id="sec-4-3">
        <title>Stage 3</title>
        <sec id="sec-4-3-1">
          <title>Establishment of intra-cluster (intra-system) interdependencies</title>
        </sec>
        <sec id="sec-4-3-2">
          <title>Creating a correlation portrait and analyzing the established interdependencies</title>
        </sec>
      </sec>
      <sec id="sec-4-4">
        <title>Stage 4</title>
      </sec>
      <sec id="sec-4-5">
        <title>Stage 5</title>
        <sec id="sec-4-5-1">
          <title>Formation of a separate module from different clusters studies with the definition of meaningful elements</title>
        </sec>
      </sec>
      <sec id="sec-4-6">
        <title>Stage 6</title>
        <sec id="sec-4-6-1">
          <title>Establishment and analysis of modular (intra-cluster) interconnections</title>
        </sec>
      </sec>
      <sec id="sec-4-7">
        <title>Stage 7</title>
        <sec id="sec-4-7-1">
          <title>Development of the integrative model of module activity</title>
          <p>the study, when, using a correlation analysis, the existence of links is established
between the studied cluster constituent elements. For this purpose, the correlation
coefficients, being calculated by the Pearson formula, are used.</p>
          <p>Ultrastructural
element
Intrafollicular colloid
Microvilli
of the apical
cytosolic
membrane
Lysosome
bodies
Secretory
granules</p>
          <p>The researched
feature of the
ultrastructural element
electron
density
quantity
density,
length
quantity</p>
          <p>size
electron
density
quantity
electron
density
allocation
topographic connection
with lysosome bodies
Feature severity</p>
          <p>degree
Feature absent</p>
          <p>weak
moderate
significant
maximal</p>
          <p>Graphic
symbol
+
++
+++
++++</p>
          <p>The quality of the
rеsearched
ultrastructural element
feature
insignificant
moderate
significant
insignificant
moderate
significant
insignificant
moderate
significant
insignificant
moderate
significant
small
medium</p>
          <p>big
insignificant
moderate
significant
insignificant
moderate
significant
insignificant
moderate
significant
apical cellular pole
along the whole
cytosolic membrane
present
absent</p>
          <p>Quality designation
of the rеsearched
ultrastructural
element feature</p>
          <p>E1
E2
E3
H1
H2
H3
H4
H5
H6
G1
G2
G3
G4
G5
G6
G7
G8
G9
M1
M2
M3
M4
M5
M6
M7
M8
M9</p>
          <p>M10
Numerical assessment
(points) (percentage)
0
1
2
3
4
0
25
50
75
100</p>
          <p>Note. 0 points - state of unattended pathology under study ("disease"); 4 points - state of the studied
pathology complete absence ("health").
Note. A - series with adding 100 μg of organic iodine into the white male rats ratio under the conditions of
thyroid hyperthyroidism; B - series with adding 100 μg of inorganic iodine into the white male rats ratio
under the conditions of thyroid hyperthyroidism; # - studied electronograms.
Note. A - series with adding 100 μg of organic iodine into the white male rats ratio under the conditions of
thyroid hyperthyroidism; B - series with adding 100 μg of inorganic iodine into the white male rats ratio
under the conditions of thyroid hyperthyroidism; # - studied electronograms.</p>
          <p>The fourth stage is devoted to designing the intra-cluster (intra-system) correlation
portraits, which permits to visualize the traced correlations. Analysis of the
established connections is performed taking into account their strength, quantity and
direction (sign). The positive value of the pair correlation coefficient indicates the same
direction of change in the studied indices, the negative means that with an increase in
one of the indices another indice associated with it reduces; the value rxy = 1.0
indicates the existence of a direct proportional feedback between the x and y, rxy = -1.0
means inversely proportional feedback. In the structural organization of the
interrelations between the indices, the most significant are considered very strong and strong
connections, which on the Chaddok correlation scale are respectively within 1.0 ≥ | r |
&gt; 0.9 and 0.9 ≥ | r | ≥ 0.7; in the absence of such connections, the noticeable (0.7 ≥ | r |
&gt; 0.5) and moderate (0.5 ≥ | r | &gt; 0.3) connections are studied. We find it irrelevant to
analyze the weak (0.3 ≥ | r | &gt; 0.1) connections, since it can distort results because of
the fact that the biological system’s functioning as a whole is due to the presence of
various connections between its constituent parts. Functional analysis of the traced
correlations is carried out based on cytophysiology [8], taking into account the role of
each cluster ultrastructure and its status significance for the organelle activity.</p>
          <p>As an example of the cytophysiological information visualizing possibilities, we
report the study on the follicular thyrocytes secretory capacity in white male rats
under the conditions of administering iodine of different chemical nature against the
background of thyreoidin hyperthyroidism (see Fig. 3).</p>
          <p>The results processing was performed using the software: for the digital parameters
StatSoft Statistica v6.0 package, for correlation tables and portraits – Microsoft Office
2010 package (Microsoft Excel spreadsheet and Microsoft Word editor, respectively).</p>
          <p>If it is necessary to carry out an in-depth intra-cluster/intra-system study, several
more steps are to be added. For this purpose the module of these clusters have been
formed. At the fifth stage, the elements significant for implementing the research in
the studied area of the cell activity are determined, in particular, those elements of the
studied object, which in the studied conditions, are the most sensitive to the studied
influence ("point of reference") and elements of the surrounding systems, changes in
which under studied conditions are the most pronounced ("point of attraction"). For
example, in the case of taking iodine in some pathological conditions
(hypothyroidism, etc.), the dose of iodine consumed (“the point of action”), affecting the state of
ultrastructure of a certain protein-synthesizing organelle (“the point of response”),
causes changes in the structure of the “attraction points”, which are other cells’
organelles of the thyroid gland, functionally associated with follicular thyrocytes.</p>
          <p>At the sixth stage, the presence/absence of correlation dependencies between
“points of response” and “points of attraction” is determined and analyzed, the results
obtained are interpreted.</p>
          <p>The seventh, final, stage is devoted to the development of integrative mathematical
complexes/models as a result of the interaction between “points of response” and
“points of attraction” that are present in the studied biological object [9]. The
peculiarity of intra-thyroid control of the thyroid gland activity as an organ is the
simultaneous presence of cells in its parenchyma that produce specific thyroid hormones, and
the cells producing the hormones-antagonists. This can cause some difficulties in the
development of integrative mathematical research models. At the same time,
application of the suggested approach permits to simultaneously take into account the
features of cell activity in different areas. In this case, the “response system” are cells of
the follicular epithelium, and the “system of action” and the “target of action” are
certain substances and their doses affecting the follicular thyrocyte, the “object of
response” is the thyrocyte’s structures producing a specific hormone, the “points of
response” are the form of thyrocyte and the form and degree of its nucleus electron
density, the “attraction system” is the C-cell as a functional antagonist of the
thyrocyte, “attraction points” in the C-cell are its cytoplasm and nucleus (the number of
organelles in the cytoplasm, the nomenclature of prevailing organelles and their
status, the electron density of nuclear chromatin, etc.) [9]. Subsequent analysis,
processing and integration of the data obtained can give reason to suppose that an
increase in the number of C-cells and their ultrastructural elements, such as granular
cytoplasmic reticulum and the Golgi complex, under the condition of a certain
extension of the said organelles’ substructures at flattening of thyrocytes and their nuclei,
will indicate a reduced background of the thyrocyte functional activity. The
experimental proof of these theoretical assumptions creates the prospect of adjusting the
activity of the thyroid gland by affecting the C-cells activity.</p>
          <p>The presented method of studying hormone-producing cells was implemented by
us into studying the features of follicular thyrocytes synthetic capacity, in particular
the search for markers of changes in their morpho-functional status under the
influence of iodine-containing compounds [10]. In general, the use of mathematical
technologies as a tool for studying the biological system permits to take into account a
significant number of its qualitative characteristics, which significantly expands the
capabilities of the researcher-theorist to determine its status and possible changes, and
the researcher-clinician – to establish the correct diagnosis and choose a strategy of
treatment.</p>
          <p>Thus, the methods of analysis, on which the mathematical support of biomedical
diagnostics is based, particularly in cytology, are not sufficiently adapted to work
with high-quality information. At the same time, it is linguistic (non-numeric)
information that is a prerequisite for increasing the amount of information obtained about
the studied object, since it contains the greatest information about all the subtle
aspects of its condition. Our approach, suggested for work with linguistic information
while performing cell status analysis, is in line with the idea of expediency of using
step-by-step algorithms for the medical data analysis [11].</p>
          <p>The similar idea is suggested by [12] who believe that the process of medical
diagnosis should take place stagewise, with the first stage being processing of linguistic
information obtained from the patient. To some extent, the approach presented is
consistent with the views of [13] concerning the necessity of all the
morphofunctional module components joint activities, aimed at achieving a general beneficial
result.</p>
          <p>At testing the informativity of the studies results, obtained with their help, and
clarifying the availability of the results that was carried out in our work [7], carried out
from the standpoint of cybernetic insight into the cell as a complex self-regulating
system, it was established that the presented method of studying hormone-producing
cells is not associated with the strict determinism of the input information. Instead, it
permits the correct transformation of qualitative/binary indices into quantitative ones
and integration of the results obtained.
5</p>
        </sec>
      </sec>
    </sec>
    <sec id="sec-5">
      <title>Conclusion</title>
      <p>The suggested objectivizing of the database with a collection of morpho-functional
information on the thyrocyte as a hormone producing cell is carried out using StatSoft
Statistica and Microsoft Office (Word and Excel) software packages in accordance
with our method’s stages developed with a detailed description of each constituent
element in the studied clusters. Establishment of interdependencies between them is
an integral research approach that enables the creation of correlation portraits as the
basis for the further development of an expert system for solving problems in
cytomorphology and cytophysiology.
4. Batushansky, A., Toubiana, D., Fait, A.: Correlation-based network generation,
visualization, and analysis as a powerful tool in biological studies: a case study in cancer cell
metabolism. BioMed Research International 2016(8313272), 9 (2016).
5. Syavavko, M., Rybytska, O.: Mathematical modeling in conditions of uncertainty. Lviv,</p>
      <p>Ukrainski Tekhnolohii (2000). (in Ukrainian)
6. Zadeh, L.A.: Can mathematics deal with computational problems which are stated in a
natural language? Logic Colloquium, UC Berkeley, http://www.springer.com/lncs, last
accessed 2011/09/11.
7. Ryabukha, O.I.: Perspectives of applying new approaches to the implementation of
mathematical technologies in the study of cell activity. Medical Informatics and Engineering 1,
67–75 (2018). doi: 10.11603/mie.1996-1960.2018.1.8894 (in Ukrainian)
8. Lutsenko, M.T.: Cytophysiology: a guide. SB RAMS, Novosibirsk – Blagoveshchensk
(2011). (in Russian)
9. Ryabukha, O.I.: Substantiation of conceptual apparatus for mathematical studies on the
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