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Cells can sense a variety of physical environmental cues, which can affect not only the cells' morphology but also their gene expression and protein activity, thus affecting critical cell functions and behaviors45,46. The stiffness of the ECM of cells is increasingly appreciated as an important modulator of cellular motility, differentiation, proliferation, and ultimately cell fate47,48,49. Although there have been many recent advances in understanding the complex biomechanical interaction between cells and their ECM, little is known about how environmental stiffness affects the susceptibility of cells to bacterial infection. To facilitate such studies, we developed this novel multi-well assay based on the well-established fabrication of polyacrylamide hydrogels of tunable stiffness which is compatible with infection assays50. Traditionally, a bacterial infection of cells in tissue culture has been studied on glass or polystyrene surfaces that are approximately 1 - 3 orders of magnitude stiffer than the natural ECM of most adherent cells8,51. The assay described here opens new highways by enabling the study of bacteria-host interactions in a physiologically relevant environmental stiffness regime.
For proof of concept of the presented assay, HMEC-1 cells were chosen as model adherent host cells and Lm as a model bacterial pathogen. However, the assay can be extended for further studies if appropriately modified. Such studies can involve infection of different mammalian adherent host cell types by additional pathogens, including bacteria and viruses. For this particular assay, gels were protein-coated with collagen I, but depending on the host cell type, it is possible to use a different ECM protein-coating, such as laminin or fibronectin, to facilitate the attachment of the host cells of interest on the hydrogel52. An additional consideration that depends on the host cell type is the hydrogel stiffness range to be studied. The range of stiffness should depend on what is physiologically relevant for the specific host cell type and how well that host attaches forming a monolayer at a given stiffness hydrogel. Similarly, depending on the model pathogen desired to be examined, slight modifications might need to be implemented on the infection assay described herein.
The innovation of the assay as compared to previous methods for manufacturing polyacrylamide hydrogels24,50,53 lies in certain unique features integrated into the proposed infection assay. First, the hydrogels are built on multi-well glass bottom plates, which enables the screening of multiple conditions simultaneously as well as the automation of certain procedures. Monitoring multiple conditions at the same time or examining multiple replicates is crucial since the outcome of such an approach can be influenced by factors such as the host cell passage and the precise number of bacteria added to infect the hosts, which often change between independent experiments. An additional unique feature of this assay is that the hydrogels have a height of approximately 40 µm, which is thin enough to image using conventional microscopy. We showed that we can successfully perform both live cell microscopy and cell fixation, and immunostaining followed by imaging, without introducing high background fluorescence. Lastly, the hydrogels are made of two layers, with the upper one having embedded fluorescent microbeads, confined in a single focal plane. This attribute ensures that there will be no out-of-focus light interfering during imaging. The presence of the beads enables both the examination of the surface topography of the gels to ensure that they are uniform and improves the performance of TFM and MSM24,32,41. With TFM and MSM, it is possible to calculate the cell-ECM and cell-cell forces respectively of cells residing on varying stiffness matrices. Using this novel assay, it is possible to make such measurements of physical forces by comparing both the contribution of environmental stiffness and of infection simultaneously. Following such an approach, the effect infection has on host cell mechanics throughout its course can be determined. Additionally, the evolution of the intracellular stresses of cells can be calculated using MSM and can be used as a measure of the barrier integrity of the monolayer. Finally, given the multi-well nature of the assay, it is possible to simultaneously introduce pharmacological and genetic perturbations with a bacterial infection, to investigate in more depth the complex interplay between host cell mechanics and infection.
One inherent limitation of the technique lies in the effect substrate stiffness might have on the proliferation rate of cells. Typically, in infection assays, we need to ensure that the host cell density under different conditions is the same. That is because cell density by itself can have an effect on the susceptibility of hosts to infection. The HMEC-1 cells that were used as host cells do not show a significant difference in their number when seeded for 24 h on the hydrogels. However, different cell types might exhibit differential proliferation, depending on the hydrogel stiffness, that can bias infection studies. Similarly, infection bias can arise when cells do not form monolayers or do not attach well on the hydrogels, as occurs when certain cell types are seeded on very soft matrices (e.g., human umbilical cord endothelial cells or Madin-Darby canine kidney epithelial cells seeded on 0.6-kPa hydrogels54,55). As far as pathogens are concerned, certain bacteria (e.g., Borrelia burdgorferi) can attach onto host cells and invade them but can also transmigrate through them56. We have not yet tested if this assay would work for pathogen transmigration studies, but it seems possible since previous studies on neutrophils transmigrating endothelial cells seeded on PA hydrogels have been documented to work successfully57. There have been a lot of studies conducted showing how to manufacture polyacrylamide hydrogels of a given Young's modulus by mixing the appropriate concentrations of acrylamide and bis-acrylamide24,25,26,27. However, especially when one desires to perform TFM experiments on cells residing on hydrogels of varying stiffness, it is critical to confirm the expected stiffness of the hydrogels either through AFM or other indentation techniques58. Slight deviations from the expected value can arise due to a different solvent used or an aged acrylamide stock solution, or by the ways AFM measurements are performed (e.g., the shape of the AFM tip). Finally, the approach presented herein is based on seeding host cells on 2D matrices, which can differ from a more realistic and physiologically relevant 3D scenario. However, manufacturing 3D gels with tunable stiffness, seeding them with host cells and then infecting them with pathogens, still encompasses certain technical difficulties. Nevertheless, we anticipate that in the near future we will be able to extend the current assay for studying infection in a 3D setting.
To sum up, the described protocol together with the preliminary results provide evidence that this novel assay can become an extremely useful tool for studying infection of adherent host cells with pathogenic bacteria in a quantitative fashion and in a much more physiologically relevant environment than previously examined. The power of fabricating polyacrylamide hydrogels in the proposed setup lies in that the assay is compatible with the performance of multiple techniques such as flow cytometry, immunostaining followed by light microscopy, and traction force microscopy. The assay can be used for studies involving the infection of different adherent host cell types by pathogens, which we anticipate will have a significant impact in both unraveling the strategies by which pathogens infect hosts and in facilitating the development of therapeutic interventions against infections.