The VCCC has a number of advantages in terms of recapitulating MEJs in vitro, but there are points of discussion when determining if the VCCC can be utilized for specific application. For example, if different cell types are to be used with this model, it will need to be optimized. We have used primary human cells but it is possible to isolate cells from bovine aortas24, or wildtype or knockout mice, and use them in the VCCC1,5,14.
If using the VCCC for MEJ isolation, the most important technique to master is thorough scraping of the filter to ensure that the purity of the MEJ fraction is not altered by excess endothelial or smooth muscle cells. We have shown via Western blotting that alpha hemoglobin is the best marker of a "pure" MEJ isolation13, as it should be strongly expressed in the MEJ fraction versus the endothelial cell fraction. Another is PAI-1, which regulates the formation of MEJ (Figure 2)25. We feel these may be especially good markers for a robust MEJ isolation. For extra confidence in the harvest technique, the filters may be kept after scraping for harvest, and stained for EC/SMC markers25.
Imaging protein expression in the VCCC can be performed in two main ways: en face (Figure 1A) or transverse (Figure 3). Both preparations allow for the visualization of proteins within the holes of the filter from two different perspectives. The en face technique involves arteries that are cut open longitudinally and then pinned out flat, with the EC facing up, to visualize both the EC monolayer and the holes in the IEL, the only place where MEJ can form. A fluorescent signal within the holes of the IEL indicates localization of the protein within the MEJ10,27. This same principle can be translated to the VCCC by imaging the EC monolayer from above, without needing to embed it in paraffin or make sections. The transverse method is more complex to master but is critical for distinct visualization of proteins in the EC versus the SMC monolayers (Figure 3).
The lack of flow or stretch in the system is a potential limitation, but it is possible to add flow in an endothelial-smooth muscle cell co-culture16,19. It appears that the static conditions still allow for physiologically accurate protein expression and activation, so it may be that the heterocellular contact is the most important factor in dissection of MEJ signaling pathways.
There are multiple applications of this technique beyond resistance artery signaling as the VCCC is not necessarily limited to specific cell types. Other co-culture models have utilized outgrowth endothelial cells and osteoblasts17, or modeled the blood brain barrier with endothelial and pericyte/astrocyte co-cultures21. Metastasis of tumor cells through the endothelium can also be quantified using this model21. It is also possible to grow cells on the filter and culture another cell type in the bottom of the 6-well dish to test paracrine signaling, or grow endothelial cells on the upper part of the membrane to look at polarization of the cell (our unpublished observations). Leukocytes or other circulating cells can be added to the EC media and the adhesion of cells can be quantified12. In addition, the VCCC can be used to investigate pathologies such as smooth muscle migration24 and proliferation in response to endothelial injury15,18.
In conclusion, we have presented a method to isolate MEJ from an in vitro cell culture system, which allows for the investigation of signaling processes between two coupled cell types. Importantly, the co-culture system is not limited to the study of the MEJ and can be valuable to answer a number of questions, especially those involving heterocellular communication.