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Inflammation is the host response to infection and injury, and the endothelium plays an important role in the inflammatory response1,2,3. Inflammatory dysregulation is the underlying cause of a number of disease pathologies such as sepsis, cardiovascular diseases, asthma, inflammatory bowel disease, cancer and COVID-19. Leukocyte-endothelial cell interactions play a central role in these inflammatory diseases. During inflammation, the release of PAMPS (pathogen-associated molecular patterns) from pathogens or DAMPS (damage-associated molecular patterns) from injured tissues activate immune cells to release cytokines/chemokines and other proinflammatory mediators that lead to the activation of endothelium, resulting in alterations in vascular endothelium barrier function and increased permeability3,4. Increased activation of endothelial cells during inflammation results in enhanced leukocyte-endothelial cell interaction leading to excessive migration of activated leukocytes across the vascular endothelium into key organs1,5,6,7.
The recruitment of leukocytes is initiated by chemically diverse chemoattractants composed of bioactive lipids, cytokines, chemokines and complement components8,9. Leukocyte recruitment is a multi-step process that includes five discrete steps: 1) leukocyte margination and capture/attachment, 2) rolling, 3) firm arrest, 4) spreading and crawling and 5) extravasation/migration (Figure 1). Each step of this process requiring crosstalk between leukocytes and endothelial cells to orchestrate this dynamic phenomenon1,9. Ultimately, arrested leukocytes extravasate to inflamed tissues across endothelium via a multi-step process controlled by concurrent chemoattractant-dependent signals, adhesive events and hemodynamic shear forces1,9,10,11,12.
Given the central role of shear stress in regulating endothelial cell function and the significance of the leukocyte-endothelium cell interactions13, several in vitro models have been developed during the last few decades to study various aspects of the leukocyte migration cascade in a more controlled environment14. Traditional fluidic devices to study leukocyte-endothelial cell interactions can be classified into two broad categories14: a) devices for studying leukocyte rolling, adhesion and adhesion molecule expression such as parallel plate flow chambers and b) devices for studying leukocyte migration under static conditions such as transwell chambers. Systems like parallel plate flow chambers have been used to study the roles of adhesion molecules and their ligands in the adhesion cascade under shear forces15. However, a significant drawback is that these simplistic, idealized devices (e.g., straight channel) are not able to reproduce the scale and geometry of the in vivo microvasculature (e.g., successive vascular bifurcations, vascular morphology) and the resulting flow conditions (e.g., converging or diverging flows at bifurcations). As a result, these devices can only model adhesion but not transmigration. Transwell chambers can only study transmigration under static conditions without considering the in vivo geometrical features and flow conditions. Thus, these traditional models do not mimic the microenvironment of living tissues or resolve adhesion and migration cascade in a single assay6.
To address this limitation, we have developed and extensively validated a novel 3D biomimetic microfluidic assay (bMFA) (Figure 2), which realistically reproduces in vivo microvascular networks on a chip16,17,18. The protocol for microfabrication of this device has been published previously17 and is only briefly described here. The microvasculature of mouse cremaster muscle was digitized using a modified Geographic Information System (GIS) approach19. Then, the synthetic microvascular network was generated on polydimethylsiloxane (PDMS) using soft-lithography processes based on the digitized microvascular network14,17,20,21,22. Briefly, the digitized network images were printed on Mylar film, which was then used as a mask to pattern a SU-8 positive photoresist on top of a silicon wafer to create the masters for fabrication. Microfabricated pillars (10 µm diameter, 3 µm tall) were used to create the 3 µm high and 100 µm wide pores, an optimum size for leukocyte migration23,24,25, connecting the vascular channels and tissue compartments. PDMS was prepared according to the manufacturer's instructions and poured over the developed masters. Further, the PDMS was degassed and allowed to cure overnight in an oven (65 °C) to create complementary microchannels in PDMS. Subsequently, the cured PDMS was peeled from the SU-8 master, followed by punching ports for inlets/outlets. Then, the PMDS was plasma bonded to a glass slide. The surface of the microfluidic device comprises native glass and PDMS. In order to promote cell attachment, spreading and proliferation, extracelluar matrix (ECM) coating is required. The bMFA includes a microvascular network and a tissue compartment connected via 3 µm high and 100 µm wide pores (Figure 2). This microfluidic system reproduces the entire leukocyte adhesion/migration cascade in a physiologically relevant 3D environment of a complete microvascular network with interconnecting vessels and bifurcations, including circulation, margination, rolling, adhesion and migration of leukocytes into the extra-vascular tissue compartment in a single system14,16,17,21,26.
It should be noted that even when the flow rate at the inlet of bMFA is fixed, the flow conditions in the network vary at different locations and cannot be calculated by a simple mathematical formula. A computational fluid dynamics (CFD)-based model was developed to calculate different flow parameters (e.g., shear stress, shear rate, velocity) at different locations in the network. This CFD model was used to simulate the dye perfusion patterns and flow parameters in the bMFA. Cross-validation with experimental results suggested that the flow resistances across the network are well predicted by the computational model (Figure 3)17. This CFD model was then used to estimate velocity and shear rate profile in every vessel of bMFA (Figure 4), allowing analysis of the effects of shear flow and geometry on leukocyte rolling, adhesion and migration16. Leukocytes preferentially adhere near bifurcations and in low shear regions in vivo, and these spatial patterns of leukocyte adhesion were successfully demonstrated in bMFA using neutrophils (Figure 5)16. This paper describes the protocol for preparing bMFA to study leukocyte-endothelial cell interaction under inflammatory conditions using human lung microvascular endothelial cells (HLMVEC) and human neutrophils. Microphysiological systems, such as the bMFA, can be used to study endothelial cell interactions with different types of cells such as neutrophils, monocytes, lymphocytes and tumor cells18,27,28,29,30. The bMFA can be seeded with primary endothelial cells from different organs (e.g., lung vs. brain) and different species (e.g., human vs. murine endothelial cells), as well as endothelial cell lines21,27,31,32. The bMFA can be used to study multiple cellular responses, cell-cell interactions, barrier function, drug delivery and drug toxicity.