The presented protocol describes the culture, crosslinking fixation, staining, permeabilization, and confocal microscopic visualization of NCI-H441 human lung epithelial cells in the dynamic environment of a single-channel microfluidic flow array, as well as in the static environment of a traditional eight-well chambered coverglass. With any microfluidic cell culture protocol, the flow conditions of the cell culture media are of paramount importance, as the high-rate flow has the potential to wash away the cells or interfere with the normal assembly of the cell monolayer. Meanwhile, low-rate flow has the potential to "starve" or "suffocate" (insufficient nutrient and oxygen availability, respectively) the cell layer due to the diffusion limitations imposed by the impermeable nature of the microfluidic channel as well as the flow characteristics30. By beginning with a 10 min waiting period (during which cells remain suspended in the same media that originally filled the channel), then advancing to a flow rate of 0.2 µL/min, before finally ramping up to 10 µL/min over the course of 4 h, these competing needs are balanced to promote both cell adherence and survival.
Another critical step in the protocol is the proper preparation of the microfluidic channel, including construction and pre-treatment. Care must be taken to ensure that the coverglass is mounted properly to the chamber construct to avoid leakage and potential contamination. Proper attachment of the coverglass is also necessary to ensure that the channel height is consistent and accurately reproduced between successive trials using different constructed units. Minor variability may be introduced by the tolerance in thickness of the adhesive strips used as well as the relative compressibility. Minimizing any variability will help with the consistency of experimental results. Proper pre-treatment of the constructed channel is important to ensure that the cells are allowed to adhere to and initiate proliferation on the glass surface. Ultrasonic cleaning of the glass improves Poly-D-Lysine adherence, promoting adherence to fibronectin. Adding fibronectin, a glycoprotein naturally synthesized and secreted by human epithelial cells, further promotes the adherence of the NCI-H441 cells to the coverglass surface, allowing for normal cell monolayer development31.
Further, one of the most important aspects of this protocol is the imaging location. Despite carefully controlled preparation, due to the columnar volume available in the regions of the two channel openings, more cells will be present on the coverglass surface in the area directly underneath as well as adjacent to these openings, even when adhering to proper cell culture techniques. For this reason, regions near the openings should not be considered as part of the "normal" cultured cell layer, as there will be significant multilayering/cell-stacking occurring there. Instead, the central region of the microfluidic channel is an appropriate area to image, as this location is undisturbed by the error imposed by channel height variation near the openings. The electrode locations on the flow array can be used to guide imaging locations, and as a rule of thumb, all scans intended to capture layers truly representative of the microfluidic channel conditions should be taken at analogous locations within the bounds of the two farthest-apart electrodes on the flow array. Additionally, in the protocol described, the 40x magnification objective is specified for use; however, this may be modified to suit the user's needs. 40x magnification was chosen as the optimal magnification because of its ability to offer high-resolution, high-magnification imaging while still retaining a sufficient number of cells to serve as a statistically valid sample.
One modification that can be made to the microfluidic channel includes altering the channel height, which can be achieved by varying the number of spacers and adhesives used to construct the microfluidic channel. Alteration of the channel height will likely necessitate adjusting the flow parameters to ensure that the shear stress does not remove cells during the feeding. As such, any variation in channel height will impact the ideal initial rate, rate of ramp-up, and final rate of media flow. The described protocol in this article may serve as a means by which suitable flow rates may be experimentally derived, in conjunction with indirect methods such as ECIS. Additionally, flow rates may be modified to suit the needs of different cell lines, which may require adaptation to establish optimal conditions. Another modification that may be made, with some additions to the steps in this protocol, is to expand the use-case of the described technique beyond the relative comparison of the cross-sectional area of cell layers. With appropriate calibration using microspheres or microbeads of known dimensions, accurate volumetric, topologic, and absolute cross-sectional area measurements may be taken. Calibration using a reference object is necessary in this instance due to the confocal microscope's limited Z-resolution and the potential for over- or under-sampling in the Z-dimension due to the manual control over Z-stack step size that confocal scanning systems offer32.
One limitation of this protocol is the lack of true volumetric measurement due to the lack of vertical calibration steps. The calibration mentioned above and the verification technique utilizing fluorescent microbeads of known dimensions may be used for true-to-life scaling. Additionally, the present protocol involves the use of pre-prepared, ready-to-use stains. Immunofluorescent staining using primary and secondary antibodies often requires a multi-day protocol that is more involved than the one this article discusses. However, it is likely possible to utilize immunofluorescent staining in this manner, though some experimentation may be necessary to optimize the workflow. Given the additional steps involved in immunofluorescent staining protocols, care must be taken to avoid shearing of the cultured cell layer during the numerous wash steps, as this may alter the properties of the cell layer ultimately evaluated and therefore invalidate any conclusions that would follow. Further developments of this technique may include automation of the image and data analyses, including region-of-interest (ROI) detection and quantification for the cross-sectional area determination. Additionally, expanding this technique to include different intra- and extra-cellular target structures (perhaps staining for targets such as tight-junction proteins) may broaden the use-case of this method to 3D co-localization within microfluidic cell culture devices.
To produce the most physiologically representative cell layers, lung epithelial cells must be cultured in microfluidic channels with an air-liquid interface (ALI) at the culture surface, which is typically accomplished using polydimethylsiloxane (PDMS), a flexible material made permeable by the introduction of µm-scale pores. ALI culture conditions allow for the formation of cell layers that most closely resemble the physiological features of the in vivo lung epithelium33. While technically possible, using ECIS in an ALI culture environment with a PDMS culture surface in a dynamic microfluidic environment is impractical and inaccessible for most researchers, as there are no commercially available apparatuses for such a complex cell culture assembly34. One reason for this difficulty may be the paradoxical need for a permeable culture surface that is still capable of acting as a solid electrode for the purpose of ECIS measurements. As such, there currently exists the need for a method to visually verify the characteristics and physiologic relevance of cell layers cultured in oxygen-impermeable culture environments such as those present in ECIS flow arrays.
This method expands on the traditional method of ensuring proper confluency using two-dimensional microscopy by allowing for 3D visualization, which greatly broadens the number of cell layer characteristics that can be observed, quantified, and analyzed. Additionally, this permits a subjective determination of the presence of a monolayer, layer uniformity, and other properties deemed relevant for experimental purposes. This protocol is important because it serves as a means for the visual verification and evaluation of cell layers being produced in many oxygen-impermeable environments, such as in ECIS experiments evaluating barrier function properties of epithelial cells exposed to atelectrauma. This also serves as a method that can be used in future work to determine whether a set of dynamic microfluidic culture conditions produces cell layers that are relevant and appropriate for further experimentation.