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Representative photographs of the inserts
Photographs of the inserts before and after release from the print platform are shown in Figure 3A,B. An image of a finished insert from which the support has been removed is shown in Figure 3C. The result is a batch of 3D-printed inserts, ready for sterilization and subsequent use.
Lifting and handling of FN-silk membranes
A general schematic of the FN-silk membrane formation and manual lifting is shown in Figure 1. The result is a number of inserts with an FN-silk membrane attached. To ensure the highest success rate with lifting intact membranes, the steps outlined in the protocol should be followed precisely. Figure 4 shows photographs of a membrane while intact (A,D) and after tearing (B,E,F). The tear can be visualized with the use of brightfield microscopy (Figure 4E,F) and/or by the dripping of liquid through the membrane (Figure 4B). It is important to lift and lower the inserts perpendicular to the membrane, to ensure that the membrane adheres evenly and stretches below the inserts. Membrane adhesion can be visually observed, as shown in Figure 4A. If the insert is lowered as instructed and the liquid levels are kept as shown in Figure 2, the membrane remains attached to the insert throughout long culture periods.
Herein, membrane attachment to the insert is validated by conducting a permeation experiment15,16,17 on membranes that had been kept under standard cell culture conditions for 9 days. Briefly, when adding a fluorescent molecule on top of the membrane and measuring the signal in the solution below, the permeation profile of the silk membranes follows that of a commercially available tissue culture insert (Figure 4C), showing no leakage over 36 h of permeation and indicating that the membrane remains both intact and attached to the insert. Similar experiments have previously been conducted with cells seeded on one15 or both sides of the silk membrane17. The strength of the adhesion has previously been shown using macro indentation16 and inflation tests16,17. Within the macro indentation experiments, a stylus was used to stretch the membrane, which ruptured under a force of 1.4 mN, while remaining attached to the insert16.
It should be noted that the success rate of lifting intact membranes is related to the material and posttreatment of the inserts. With this protocol, 95% of the membranes lifted using inserts printed with the resin used were appropriate for cell seeding, compared to 74% when a comparable resin was used instead. We speculate that the adhesion is aided by hydrophobic interactions and van der Waals forces, and thus altering the material properties changes the strength of the adhesion. This is further supported by the fact that the membranes do not adhere well to hydrophilic materials (data not shown).
Representative results of cell culture on the FN-silk membranes
Immunofluorescence images of keratinocytes (HaCaT) cultured on the apical or basal side of the membrane are shown in Figure 5. The adhered cells (Figure 5D.i) were observed to evenly cover the culture area on Day 1 while acquiring the typical keratinocyte cobblestone morphology (Figure 5A.i-B.i). On Day 3, the keratinocytes had established a confluent layer (Figure 5A.ii-B.ii) and formed a network of tight junctions (Figure 5D.ii), indicating they were assuming physiologic epithelial functions. The high levels of cell viability achieved in FN-silk matrices15,17,23,24 were also featured in the silk membrane-insert culture setup described herein. After 3 days in culture, keratinocytes remained highly viable (Figure 5C.i-iv). Additionally, no difference in the distribution of dead cells was observed between the center (Figure 5C.i-ii) and the periphery of the membrane (Figure 5C.iii-iv), revealing no significant effect of the insert material on the viability of HaCaT. Overall, the silk-insert culture system offered a similar (Figure 5i-ii, v-vi) if not improved (Figure 5iii-iv, vii-viii) keratinocyte viability with that of a commercial PET membrane-insert system.

Figure 1: Detailed illustration of formation and lifting of singular FN-silk membranes. (A) Fill every second well (avoid the outer row/column) in a 48-well plate with FN-silk protein solution where (B) it self-assembles into a membrane at the liquid-air interface overnight. (C) Grab the insert with a pair of tweezers and slowly lower it down onto the membrane using the (D,E) guides on the 3D-printed insert to ensure that the insert is lowered perpendicular to the membrane. Magnification of the silk membrane adhesion showing a cross section of the insert (F) right above the membrane and (G) as it touches the silk membrane. Over the 2 h incubation period, (H) the silk membrane spontaneously attaches to the insert, which is then (I) used to lift the membrane from the interface. Abbreviations: FN = fibronectin; PBS = phosphate-buffered saline. Please click here to view a larger version of this figure.

Figure 2: Detailed illustration showing how to handle the FN-silk membrane after lifting it from the formation plate. (A) The insert (gray) with the membrane (purple) directly after lifting. (B) Liquid (blue) is added on the apical side of the membrane, which then is placed in a (C) 24-well plate where the longer part of the insert arms hangs on the walls, and the shorter part keeps the insert positioned in the center of the plate. (D) Liquid is added into the well, ensuring that the liquid level is balanced and above the edge of the membrane. Please click here to view a larger version of this figure.

Figure 3: Photographs of the 3D-printed inserts. (A) The inserts directly after being removed from the 3D printer, still attached to the build plate.(B) One insert after being removed from the build plate, prior to breaking the supports. (C) One insert after the supports have been removed. Please click here to view a larger version of this figure.

Figure 4: A FN-silk membrane before and after breaking. (A) Photograph of an intact membrane carrying 200 µL of dyed (blue) PBS on the apical side. The membrane edge wrapped around the insert is indicated by white arrows. (B) Photograph of the same membrane after tearing. PBS is leaking through the membrane. (C) Plot showing the permeation of a 3 kDa fluorescent molecule over 36 h through a silk membrane or a commercially available PET-membrane kept under standard cell culture conditions for 9 days. (D) Brightfield image of a membrane before tearing. (E) Brightfield image of the same membrane after tearing. The defective area is indicated by the blue dashed outline. (F) Magnified view of the tear shown in D with the edge of the torn membrane indicated by blue arrows. Scale bars = 1 mm (D,E), 200 µm (F). Abbreviations: FN = fibronectin; PBS = phosphate-buffered saline; PET = poly(ethylene terephthalate). Please click here to view a larger version of this figure.

Figure 5: Keratinocytes (HaCaT) cultured on the FN-silk membrane. On Day 1, keratinocytes have adhered and evenly covered the surface area of the membrane on the apical (A.i) or basal side (B.i) (phalloidin, green). On Day 3, a confluent monolayer is established on the apical (A.ii) or basal (B.ii) side (phalloidin, green). (C) Evaluation of cell viability on the silk membrane (i-iv) compared with a commercial PET membrane (v-viii) in the center (i, ii, v, vi) and periphery (iii, iv, vii, viii) of the cell layer. Live cells are shown in green (i, iii, v, vii) and dead cells in red (i, iii, v, vii) or white (ii, iv, vi, viii). The dashed line marks the membrane-insert interphase. (D) Zoomed in detail, (i) indicating (white arrows) cell adhesion to the membrane (phalloidin, white) and(ii) a tight junction network formed after 3 days in culture (ZO-1, white). Scale bars = 1 mm (top row: A,B), 100 µm (bottom row: A,B,Ci, ii, v, vi), 500 µm (C iii, iv, vii, viii), 50 µm (D). Please click here to view a larger version of this figure.
Table 1: Overview of previous work where membranes have been integrated into cell-culture inserts. Abbreviations: PCL = polycaprolactone; PEGDA = poly (ethylene glycol) diacrylate; PLGA = poly(lactic-co-glycolic acid); PDMS = Polydimethylsiloxane; PC = Polycarbonate; RSS = Recombinant spider silk protein; PLCL = Poly(lactide-co-caprolactone); RHSIF = Recombinant hagfish slime intermediate filament proteins Please click here to download this Table.
Table 2: Overview of previous work summarizing the different cell types cultured on the FN-silk membranes. FN-4repCT (FN-silk) is a short version of the dragline silk of Euprosthenops australis, which is recombinantly produced and functionalized with an RGD motif from fibronectin at a genetic level. This protein is used in all the cases summarized here. Please click here to download this Table.
Table 3: Troubleshooting. Please click here to download this Table.
Supplemental File 1: Design file (.stl) for 3D printing the inserts. Please click here to download this File.
Supplemental File 2: Protocol for printing, post-treatment, and sterilization when using the printer and resin specified in the Table of Materials. Please click here to download this File.
Supplemental Figure S1: Schematic of the pattern suggested to use when placing the FN-silk solution in the 48-well plate. Please click here to download this File.