Primary defects in mitochondrial function have been implicated in over 100
diverse diseases. In situ, mitochondria possess unique and well-defined mor
phology in normal healthy cells, but diseases linked to defective mitochond
rial function are characterized by the presence of morphologically abnormal
and swollen mitochondria with distorted cristae. In situ study of mitochon
drial morphology is established as an indicator of mitochondrial health but
thus far assessments have been via subjective evaluations by trained obser
vers using discontinuous scoring systems. Here we investigated the value of
digital imaging analysis to provide for unbiased, reproducible, and conven
ient evaluations of mitochondrial ultrastructure. Electron photomicrographs
of ileal mucosal mitochondria were investigated using a scoring system pre
viously described by us, and also analyzed digitally by using six digital p
arameters which define size, shape, and electron density characteristics of
over 700 individual mitochondria. Statistically significant changes in mit
ochondrial morphology were detected in LPS treated animals relative to vehi
cle control using both the subjective scoring system and digital imaging pa
rameters (p < 0.05). However, the imaging approach provided convenient and
high throughput capabilities and was easily automated to remove investigato
r influences. These results illustrate significant changes in ileal mucosal
mitochondrial ultrastructure during sepsis and demonstrate the value of di
gital imaging technology for routine assessments in this setting.