Method Article

3D Flipwell Engineering for Developing Asynchronous Systems for Toxicologic and Immunomodulatory Therapies in Bacterial, Gut, and Immune Cells

DOI:

10.3791/68701

October 17th, 2025

In This Article

Summary

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This article provides a detailed protocol with key steps to guide the 3D Flipwell engineering and utilization. We describe and show how to assemble the co-culture insert stacks and utilize them for co-culturing stratified layers of gut bacteria, gut epithelia, and macrophages to model the gut mucosal environment.

Abstract

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To study the roles of bacterial secretome in immune cell polarization and gut mucosal homeostasis, we developed a 3-dimensional co-culture model using commercially available inserts in a back-to-back stacked format. We termed this system 3D Flipwells, and successfully co-cultured bacteria, colon epithelial, and immune cells in stratified layers to recapitulate the gut mucosal microenvironment. This co-culture system enables the seeding of colon epithelial cells on one side of the membrane and undifferentiated non-adherent monocytes on the other, allowing for the synchronous progression of colon epithelial polarization, mucus formation, and monocyte-macrophage differentiation and polarization within a single co-culture without the need for detaching and replating pre-differentiated macrophages. This system is easy to construct and only requires a few readily available materials and tools. We tested its utility by analyzing the responses of co-culture components to sepiapterin (SEP), the endogenous precursor of BH4 (tetrahydrobiopterin) -- a cofactor of nitric oxide synthase (NOS). We demonstrated that SEP treatment of 3D Flipwell induced biofilm formation by gut bacteria, mucus production by colon epithelium, and pro-immunogenic polarization of macrophages. This indicated that SEP triggered activation of a mucosal defense mechanism through crosstalk between different cellular components. Further experiments are needed to investigate the role of mucosal communications that lead to immune cell reprogramming and to evaluate the utility of this co-culture system to screen for novel immunomodulatory therapies.

Introduction

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Immune cell-gut microbiome crosstalk greatly influences the efficacy of different disease treatments. Such a crosstalk is markedly modified by external stimuli, including but not limited to host metabolic abnormalities, dietary changes, disease manifestation, and pharmacologic treatment. These changes could lead to an imbalance in the microflora composition, a condition termed dysbiosis1,2,3.

To better understand the interactions between microbes and host immune cells in the gut, elaborate co-culture systems have been developed by different groups ....

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Protocol

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1. 3D Flipwell engineering

  1. All work should be done inside a cell culture cabinet. Place all supplies inside the cabinet.
  2. Open the Petri dish cover and set aside. Open the scalpel blade from its protective casing and place it on the edge of the Petri dish bottom. Ensure sterility.
    CAUTION: Careful handling of the scalpel blade is required. Use cut resistant, fiber reinforced gloves to protect hands if needed.
  3. Open the sterile protective packaging of the 12-well commercial insert. Ensure sterility. Take a set of sterile tweezers. Gently grab the insert and remove it from the packaging.
  4. Hold the insert so ....

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Results

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To determine the biological relevance of Flipwell co-cultures of gut bacteria, colon epithelia, and macrophages, we treated the co-cultures with sepiapterin (SEP), a modulator of arginine metabolism, to promote the production of nitric oxide9,10,11 in comparison to the control DMSO. We determined the effects of SEP treatment on each component of co-cultures using immunofluorescent (IF) microscopy and scanning electron microscopy.......

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Discussion

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To recreate gut mucosal architecture in vitro, we have designed a simple co-culture system that comprises stratified layers of gut bacteria, mucus-producing colon epithelial cells, and macrophages. This multi-co-culture system has allowed us to study the effects of crosstalk between the bacterial secretome, gut epithelia, and macrophages on inducing immunogenic reprogramming and mucosal defense mechanisms.

One of the important cautions for creating 3D Flipwells is that the assembly mu.......

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Disclosures

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The authors declare no conflict of interest. The authors hereby disclaim all warranties, whether expressed or implied, to the fullest extent permitted by law. Under no circumstances shall the authors be held liable, whether under any statute, contract, tort, or any other legal theory, for any special, incidental, indirect, punitive, multiple, or consequential damages arising from or related to the use of tools in constructing the Flipwells, the use of BSL reagents, cell lines, bacterial cultures, the use of Flipwell system under anaerobic environment in an anaerobic chamber. This limitation of liability includes, but is not limited to, any unspecified manner of Flipwell usage not explicitly described herein.

Acknowledgements

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The primary author expresses sincere gratitude to Dr. Saori Furuta for her superb mentorship skills, continuing guidance and support across long distances, and skillful and continuous project design that foster fantastic learning opportunities. The authors also thank Dr. Vandana Sharma for microbiology expertise and guidance and Dr. Veani R. Fernando for the preparation of THP-1 macrophages, Gebremichal Gebretsadik Weidengus and Syed Islam for their help with the preparation of the necessary media, cell and bacterial cultures prior to filming.

The authors also thank Metro Health Medical Center/Division of Cancer Biology for their hospitalit....

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Materials

List of materials used in this article
NameCompanyCatalog NumberComments
0.4% PFA (see recipe in Reagents and Solutions)described in text
10-ml serological pipetteCorning4488
12 well TC Plate,  CostarCorning3513
15-ml conical tubes, SpectraTubeAlkali ScientificC2715
200 µl tips USA Scientific1111-1700
24-well inserts - Culture Inserts for 24-well plates, PET 0.4 µm BrandTech Scientific782710
3D Flipwells pre-made, UV sterilized Make in lab
4% PFA (see recipe in Reagents and Solutions)described in text
50 mM Sepiapterin stock (SEP, See recipe in Reagents and Solution)Career Henan Chemical CoCAS#: 17094-01-8
50-ml conical tubesGreiner Bio-One227261
5-ml serological pipetteCorning4487
70-95% Ethanol (Ethyl Alcohol)Decon Labs04-355-151
Aluminum foilFisher Scientific01-213-100
Animal Feeding needles, 20 gauge 1.5” length, single use Fisher Scientific01-208-87
Antibody Dilution Buffer (see recipe in Reagents and Solutions)described in text
Attofluor Cell Chamber ThermoFisher ScientificA7816
Autoclave tapeFisher Scientific15-901-111
Bacillus subtilis wt (3A1T) strains in glycerol stock ()Bacillus Genetic Stock Center (https:// bgsc. org/
BioGrip Pink Nitrile powder free latex free glovesTop Quality ManufacturingP2810
Blocking Buffer (see recipe in Reagents and Solutions - 10% Normal Goat Serum in PBS)described in text
Blocking Buffer (see recipe in Reagents and Solutions)described in text
Brightfield microscope (Nikon or equivalent) Eclipse Ts2NikonTS2
Caco-2 cellsATCCHTB-37
Cell culture incubator, 37°C, 5% CO2 (Eppendorf CellXpert)Eppendorf6734010015
Centrifuge (Eppendorf, Centrifuge 5804/5804 R or equivalentEppendorf22622501
Centrifuge tubes 50 ml SpectraTubeAlkali ScientificC2750
Culture inserts for 12-well plate, PET, 0.4 µm, sterileBrandTech Scientific, BRAND Insert 2in1, BIO-CERT782730
DAPI VectaShield mounting mediumVector LaboratoriesH-1000
Deep petri dish bottoms, 100 x 25 mm Deep Polystyrene Stackable Petri Dish, sterile USA Scientific8609-0625
Drummond Pipet Aid XPDrummond 4-000-101
Eppendorf 5804 Centrifuge with a swing bucket rotor for 50 ml conical tubesEppendorf22622501
Forceps, stainless steel, sterile autoclaved, 2x setsVWR82027-438
Forceps, stainless steel, sterile autoclaved, 2x sets, Specimen ForcepsVWR82027-438
Glass flask 500 mlCorning 4980-500
Hemacytometer (Neubauer with cover slips)Thermo Fisher Scientific50-312-90
HT-29-MTX-E12 cellsMillipore Sigma12040401
ImmunoPen (optional)Fisher Scientific4021761EA
Kevlar-based or other cut-resistant gloves (optional)Hardware store or Amazon
Lab tape or shipping tapeFisher Scientific 159015R
Laminar Flow hood 1300 Series A2 BSC Class IIThermoFisher Scientific1375
Laminar flow hood with UV light SterilGARDThe Baker CompanySG403A-HE
Markers solvent proofVWR52877-310 or 95042-566
Media for Caco-2 cells (DMEM High Glucose-based, see recipe in Reagents and Solutions)described in  text
Media for HT-29 cells (DMEM High Glucose, see recipe in Reagents and Solutions)described in text
Media for THP-1 cells (RPMI, see recipe in Reagents and Solutions)described in text
Microcentrifuge tube, 1.7 ml, sterile Alkali ScientificC3017-ST
Microcentrifuge tubesThermo Fisher3451
Miller LB media (see recipe in Reagents and Solutions)Sigma-Aldrich L3522
Needle nose pliers, 2x setsHardware store or Amazon
Nitrile powder free latex free gloves Aurelia AmazingMidSci92885
Petri dish lids, sterile Falcon Petri Dish sterile 100x15 mm styleCorning Inc351029
Phorbol myristate acetate (PMA) (100 ng/μl, see recipe in Reagents and Solutions) InvivoGenTlrl-pma
Pipet tips (10 µl, 200 µl, 1000 µl) PurePoint or equivalentAlkali Scientific ST1010-CS, ST1200-CS, ST1000-CS
Plastic wrapGrocery store
Purecol working collagenase solution (100 µg/mL)Advanced BioMatrix5005-100ML
Round cover slips #1 1 oz (Corning Float Glass or Fisherbrand)Corning or Fisherbrand50143822 or 12-546-2 25CIR-2
Scalpel blades, sterile, disposable Mopec or Feather #10AJ136 or 2975#10
Sepiapterin (SEP, 100 µM, see recipe in Reagents and Solution)Career Henan Chemical CoCAS#: 17094-01-8
Shaking incubator set for 220 rpm 37°CEppendorf New Brunswick ScientificM12990080
Silicone Adhesive Loctite Clear Silicone IDH or 3M Marine Grade Silicone Sealant Clear with a nosetipLoctite or 3M1745658 or PN08019
Single channel pipet Eppendorf Research Plus, 200 µlEppendorf
Single channel pipettes (10 µl, 200 µl, 1000 µl)Eppendorf2231001122
Spectrophotometer NanoDropOneCThermo Fisher Scientific13-400-519
Sterile deionized water  
Sterile phosphate buffered serine (PBS) without calcium or magnesiumFisher Scientific BSS-PBS-1X6
Syringe 3 ml or 5 ml with Luer-Lok TipBD309585 or 309603
THP-1 cellsATCCTIB-202
Transfer pipets, sterileFisherbrand13-711-20
Triton X-100Millipore SigmaX100
Trypan blue solutionVWR97063-702
Trypsin-EDTA 0.25%Thermo Fisher Scientific25200-056
Wipes Kimwipes Professional with LintGuard Anti-Stat PolyshieldKimberly-Clark34120
Primary Antibodies: 
Anti-human CD163Abcam156769
Anti-human CD68Novus BiologicalsNB100-683-0.1 mg
Anti-human CD80, E3Q9VCell Signaling Technologies15416
Anti-human CK20 Life TechnologiesPA5-82875
Anti-human MUC2 (996/1)ThermoFisherMA5-12345
Secondary Antibodies:
Alexa Fluor 488 Goat anti-Rabbit IgG (for CD80 and CK20)ThermoFisherA11008
Alexa Fluor 594 Goat anti-Mouse IgG (for MUC2 and CD68 or CD163)ThermoFisherA11005
Reagents and Solutions:  
Caco-2 Medium:
DMEM with high glucose (4.5g/L) and 1% (v:v) GlutaMax Thermo Fisher Scientific35050061
FBS 10% (v:v) heat-inactivatedSigmaF2242-500ML
Non-essential amino acids 1% for Caco-2 mediaThermo Fisher Scientific11140076
Pen Strep 1% (v:v)SigmaF2242-500ML
HT-29-MTX Medium
DMEM with high glucose (4.5g/L) and 1% (v:v) GlutaMax Thermo Fisher Scientific35050061
FBS 10% (v:v) heat-inactivatedSigmaF2242-500ML
HEPES (10 mM final concentration)Thermo Fisher Scientific15630080
Pen Strep 1% (v:v)SigmaF2242-500ML
THP-1 Medium:
FBS (10% v:v) heat-inactivated fetal bovine serumSigma F2242-500ML
Glucose (4.5 g/L final concentration)Thermo Fisher ScientificA249001
GlutaMax 1% (v:v)  2 mM final concentrationThermo Fisher Scientific35050061
HEPES (10 mM final concentration)Thermo Fisher Scientific15630080
Pen Strep 1% (v:v)SigmaF2242-500ML
Roswell Park Memorial Institute (RPMI)-1640 mediumThermo Fisher Scientific11875119
Sodium Pyruvate (1 mM final concentration)Thermo Fisher Scientific11360070
Purecol working collagenase solution (dilution to 1:30 100 µg/ml):
Purecol 3 mg/ml 1:30 to 100 µg/ml Advanced BioMatrix5005-100ML
sterile deionized water
L-Sepiapterin stock solution (50 mM):
L-Sepiapterin (SEP)Career Henan Chemical CoCAS#: 17094-01-8
Phorbol myristate acetate stock solution (PMA, 5 mg/mL)InvivoGenTlrl-pma
BSA 1% Bovine serum albumin Sigma-Aldrich5470
DMSO Sigma D2650
Miller LBSigma-Aldrich L3522
Normal Serum from the same species as the secondary antibodySigma NS02L-1ML
ParaformaldehydeSigma-Aldrich441244

References

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  1. Goldsmith, J. R., Sartor, R. B. The role of diet on intestinal microbiota metabolism: downstream impacts on host immune function and health, and therapeutic implications. J Gastroenterol. 49 (5), 785-798 (2014).
  2. Xuan, C., et al.

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Tags

3D Co CultureFlipwell EngineeringGut Mucosal ModelBacterial SecretomeImmune Cell PolarizationColon Epithelial CellsMacrophage PolarizationBiofilm FormationSepiapterin TreatmentImmunofluorescent Staining

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