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The microwell plate used here is in the 24-well format and has 8 wells holding the microwell sheets, each of which supports formation of up to 1,200 EBs. From approximately 24 million of 4i naïve pluripotency cells, this microwell plate typically generates ~8,000 EBs consisting of ~3,000 cells per EB. During non-adherent culture of EBs with constant rocking, the number of intact EBs gradually decreases due to spontaneous self-dismantling, and ~3,000 EBs survive until Day 13 of the protocol. Most of these surviving EBs have 50-200 hPGCLCs on their surface (estimated by immunohistochemical detection of OCT4+ cells in serial sections of EBs; see Figure 8), yielding ~100,000 OCT4+ hPGCLCs in total. Enzymatic digestion of EBs into single cells is a relatively inefficient process, reducing the yield of FACS-enriched CD38+ hPGCLCs to 9,000 - 47,000 cells. In our hands, an average of six independent but consecutive batches of experiments was 14,038 ± 5,731 (mean ± SEM). Because CD38-negative EB cells cells express OCT4 mRNA (qPCR) or protein (Immunohistochemistry) only very weakly, if not completely absent, all EB cells strongly expressing OCT4 protein are practically equivalent to the whole population of the CD38+ hPGCLCs.
The critical parameter of this protocol includes cell density. When 2.0 x 105 human iPSCs are inoculated in an extracellular matrix protein-coated well of 6-well cell culture plate (9.60 cm2 growth area per well) with 2 mL Y27632-supplemented medium (2.2.9), cells will reach to about 20-30% confluency at 24 hours after inoculation (Figure 1). After an additional 24-hour culture in the mTeSR1 medium in the absence of Y7632, cells aggregate and form colonies, occupying ~30% of the growth area (Figure 2). Cells are then cultured in the 4i reprogramming medium (2.3.2). After 24 hours of culture in the 4i medium, cells become confluent (Figure 3). An additional 24-hour culture in the 4i medium makes cells densely packed (Figure 4). The exact timing of medium change (every 24 hours +/- 4 hours) and cell densities are critical for successful formation of EBs and hPGCLCs.
After 48-hour culture in the 4i medium, cells are dissociated and inoculated to the microwell plate, which has wells 400 µm in size (2.4). Although this commercially available microwell plate is coated for low-adhesion surface by the manufacturer, fresh re-coating with detergent (2.4.3) is recommended to reduce the risk of unwanted cell adhesion. 800 µm microwells resulted in reduced yield of hPGCLCs, suggesting the importance of EB size for properly directed differentiation. Cells inoculated in the 4i medium will form EBs in microwells at 24-30 hours, which can be observed using a standard, inverted phase contrast microscope (Figure 5). The circular contour of EBs become clearly visible at and after 24 hours of incubation. Harvesting EBs at an earlier time (e.g., 16 hours after inoculation) before their circular contour is clearly visible is not recommended because such EBs are very vulnerable to mechanistic damages and easily dismantle. Note that significant amounts of naïve hiPSCs are NOT incorporated in EBs, which is normal. These unincorporated cells will be washed away before initiation of rocking culture of EBs on low-adherent surface (2.5.2). Also note that, in our protocol, EBs are formed in the 4i naïve pluripotency medium - not in the hPGCLC medium. Pre-formation of solid EBs in the 4i medium before exposure to the hPGCLC medium is important for distribution of hPGCLCs on the surface of EBs.
EBs maintained in the hPGCLC medium under a rocking, non-adherent culture condition will maintain their spherical shape without aggregation or fusion (Figure 6 and Figure 7). Too weak rocking condition will cause EB aggregation and fusion, but too harsh condition will dismantle EBs. Human PGCLCs emerge as OCT4-expressing cells on the surface of EBs after as early as the 5-day culture in the hPGCLC medium, and their number increases until the 8-day culture (Figure 8). Further incubation of EBs may cause dismantling of EBs and loss of hPGCLCs. Human PGCLCs can be enriched from enzymatically dissociated EB cells after 5-8 days of culture in the hPGCLC medium by FACS as CD38+ cells (Figure 9).

Figure 1: Human iPSC cell culture in Y27632-supplemented medium 24 hours after inoculation. Cell density is about 20-30% confluent. In the presence of ROCK inhibitor Y27632, cells tend to spread well with long, spike-like elongation. Scale bar = 100 μm. Please click here to view a larger version of this figure.

Figure 2: Human iPSC cell culture 48 hours after inoculation. Cells aggregate to form colonies, occupying ~30% of growth area. Scale bar = 100 μm. Please click here to view a larger version of this figure.

Figure 3: Human iPSC cell culture incubated in the 4i reprogramming medium for 24 hours. Cells reach to confluency. Scale bar = 100 μm. Please click here to view a larger version of this figure.

Figure 4: Human iPSC cell culture incubated in the 4i reprogramming medium for 48 hours. Confluent cells are densely packed. Scale bar = 100 μm. Please click here to view a larger version of this figure.

Figure 5: Human iPSC EBs formed in microwells after 24-hour incubation in the 4i reprogramming medium. The circular contour of EBs become visible at 24-30 hours after inoculation. When the contour is confirmed under a phase contrast microscope, EBs are ready for transfer to a rocking culture condition. Scale bar = 500 μm. Please click here to view a larger version of this figure.

Figure 6: Human iPSC EBs incubated for 24 hours in the hPGCLC medium. EBs largely maintain their spherical shape. Scale bar = 500 μm. Please click here to view a larger version of this figure.

Figure 7: Human iPSC EBs incubated for 192 hours in the hPGCLC medium. EBs are enlarged compared to their appearance at 24-hour culture, but they still largely maintain spherical shapes with no aggregation or fusion. Scale bar = 500 μm. Please click here to view a larger version of this figure.

Figure 8: Human PGCLCs expressing OCT4 are localized on the surface of hiPSC EBs incubated for 192 hours in the hPGCLC medium. EBs were embedded in extracellular matrix protein and processed for FFPE slide immunohistochemical staining of OCT4 (DAB substrate). Scale bar = 1 mm. Please click here to view a larger version of this figure.

Figure 9: Human PGCLCs are enriched from enzymatically dissociated EB cells by FACS as CD38+ cells. After incubation in the hPGCLC medium for 5-8 days, EBs can be dissociated by enzymatic digestion to prepare single cell suspension. hPGCLCs can be enriched as CD38+ cells by FACS (red dots). EB cells that do not express CD38 (blue dots) should also be collected as negative control. FACS gates of CD38-positive and CD38-negative cells should be separated with a wide margin (green dots) to avoid contamination of each type of cells. The upper and lower panels show FACS profiles without or with anti-CD38 antibody staining, respectively. Please click here to view a larger version of this figure.