The prerequisite to perform this co-culture model is a well-performed isolation of both cell types to prevent any cross-contamination. The purity of both cell preparations was evaluated by the gene expression of the TC-specific marker CYP17A1 and the GC-specific marker CYP19A1. As shown before, the technique of GC and TC isolation showed no relevant cross-contamination30.
This co-culture model allows for the simultaneous culture of theca and granulosa cells on opposite sides of a membrane, mimicking their spatial organization within the follicle and supporting the physiological state of both cell populations3. The model's validity is reinforced by its hormone production profile and gene expression patterns that align with the 2-cell-2-gonadotropin hypothesis15. As expected, the low estradiol levels in the TC mono-culture confirm that theca cells alone are unable to synthesize estradiol, supporting established knowledge of follicular steroidogenesis35. Despite the higher CYP19A1 expression in co-cultured GCs, estradiol levels remained comparable to the GC mono-culture, suggesting the influence of regulatory mechanisms such as substrate availability, feedback inhibition, or enzyme activity differences. Further exploration into the signaling pathways and underlying mechanisms is warranted, as a subject for future studies. Nevertheless, the establishment of a functional co-culture system of bovine TCs and GCs is imperative, as provided in this study. The present study focused on estradiol production and mRNA expression levels of CYP17A1 and CYP19A1 as key indicators of the co-culture model's functionality. Both represent sensitive markers of granulosa and theca cell function4,8,36 and are directly aligned with the 2-cell-2-gonadotropin hypothesis15. While recognizing the importance of protein expression, the lack of reliable antibodies precluded its accurate assessment; therefore, a comprehensive analysis of protein levels was beyond the scope of this initial investigation.
In general, this model is a further development of the traditional 2D culture model, which partly mimics the structure of the ovarian follicle3. The results support a physiological status of both cell compartments revealed by the expression of sensitive markers for GC and TC physiology.
An advantage over traditional 2D culture models is facilitating paracrine interactions between theca and granulosa cells while maintaining their spatial separation, better mimicking the in vivo follicular structure. In contrast, on-dish co-culture systems, where TCs and GCs are mixed in a single well, lack this structural organization. Studies using such systems have commonly applied a GC:TC ratio of 4:119,20,21, but this approach does not reflect the compartmentalization found in vivo and might, therefore, not be feasible for analyzing substrate exchange. Furthermore, alterations found on the cell level cannot be easily detected, when this GC-TC mixture has to be sorted in a complex manner.
Three-dimensional co-culture models for granulosa and theca cells remain scarce, but early attempts have shown promising results. The group of Kotsuji22,23,24,37 previously described the interaction of granulosa and theca cells in culture using a collagen membrane as a physical separator. However, this system relied on a custom-built collagen membrane, making reproducibility and standardization challenging. In contrast, the presented co-culture model benefits from commercially available hanging culture inserts, which enhance reproducibility, standardization, and product quality, ensuring broader applicability across laboratories. Although the herein presented model resulted in higher estradiol production than the previous models, the comparison of these models is difficult, as it lacks unity of cell culture supplements, especially the concentrations used26 or the additional usage of IGF-122,23,24,37.
One of the most crucial steps in the procedure is the culture of TCs within the inoculation chamber. Ensuring that the chamber is securely placed on the inverted insert is essential to prevent media leakage, which could otherwise compromise TC attachment and survival. Therefore, it is advised to firmly press the inoculation chamber on the inverted insert with the help of tweezers and visually inspect the placement of the inoculation chamber. Additionally, removing the inoculation chamber and flipping the insert after three days requires technical precision. Some skill training may be necessary to perform this step without disrupting and/or damaging the attached cells. Another important consideration is the seeding density of GCs. Higher cell density exceeding optimal levels of 1.0 x 105 cells per insert can lead to differentiation of GCs, potentially affecting steroidogenic output. Moreover, the presented cryo-preservation method yielded in viability after thawing of 80-90% for both cell types.
Although the described model offers a physiological and reproducible system to study granulosa and theca cell interactions, some limitations should be considered. The method is adaptable to other species as well; however, species-specific differences might require optimization of cell culture parameters, like cell densities, timing, or media composition. The scalability of this model is limited to the availability of the cell culture inserts, but it might be sufficient for most effector studies. Finally, this co-culture model is a further step towards mimicking the in vivo situation of the follicle, but still lacks the full complexity of the ovarian follicle.
In conclusion, the presented model can be easily modified to accommodate different experimental needs, such as extending the culture period, adjusting cell numbers or ratios, or incorporating additional factors. With further development, this system represents a valuable tool for studying follicular function, steroidogenesis and cell signaling between both cell compartments. Additionally, it holds potential for applications in reproductive toxicology, providing a controlled platform to assess the impact of different compounds on follicular cells.