We describe methods to culture ovarian follicles in a novel scaffold-free agarose mold that complement in vitro gametogenesis.
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Method Article
* These authors contributed equally
We describe methods to culture ovarian follicles in a novel scaffold-free agarose mold that complement in vitro gametogenesis.
The ovarian follicle is the functional unit of the ovary that produces hormones and gametes needed to sustain female reproductive function and health. The ability to recapitulate folliculogenesis, ovulation, and luteinization in vitro has broad basic, translational, and clinical utility. The most advanced in vitro follicle growth systems maintain the follicle's three-dimensional (3D) architecture, which is crucial for the development of meiotically competent metaphase II oocytes in humans. Recently, a scaffold-free method for in vitro follicle growth of mouse multilayer secondary follicles was developed and validated. For this, custom 3D printed molds were used to micropattern agarose with microwells that accommodate the volumetric expansion of follicles. Follicles grown in this scaffold-free environment showed comparable hormone production and viability relative to well-established alginate-based encapsulated in vitro follicle growth (eIVFG) systems. Importantly, agarose microwells are a scalable method, less technically demanding, and show improved follicle growth and ovulation rates relative to eIVFG. This methodology produces customizable molds that are biocompatible with the oocyte, a cell highly sensitive to material-specific leachates and other environmental contaminants. Further, follicles in this system are cultured in the same focal plane, enabling real-time timelapse imaging and analysis. To increase the accessibility of this new approach, this article details the methods needed to design and 3D-print master molds, create silicone molds for 24- or 96-well plates, and culture isolated multilayer secondary ovarian follicles in the agarose molds. This setup can also be integrated with a cost-effective time-lapse imaging system, enabling morphokinetic analysis. In addition, molds can be paraffin-embedded for downstream histological analyses. Overall, this user-friendly method is a versatile tool for follicle culture and can be customized further to promote the differentiation and maturation of germ cells within the context of the follicle to sustain complete in vitro gametogenesis.
The oocyte, or female gamete, contributes the bulk of the cytoplasm and half of the genetic material to the embryo at fertilization, which is essential for the development of the next generation. Oogenesis starts during embryonic development when primordial germ cells enter meiosis and arrest in prophase I. These oocytes reside within primordial follicles and constitute the ovarian reserve, a finite and nonrenewable pool from which they are progressively recruited. Follicles develop in a process known as folliculogenesis, with the goal of ultimately producing a mature gamete capable of fertilization1,2,3,4,5. Follicle development begins with an early, gonadotropin-independent phase where paracrine signaling is essential for the survival and growth of the follicle. As follicles mature to the secondary stage, they become reliant on gonadotropins, marking a shift to endocrine signaling. A key characteristic of secondary follicles is an oocyte surrounded by a minimum of two complete layers of cuboidal granulosa cells, along with the newly developed theca layer. Theca cells form the follicle's outermost layer, providing androgens and structural support6,7. Finally, a fluid-filled antral cavity forms and ruptures in response to a luteinizing hormone (LH) surge during ovulation, releasing a fertilization-competent gamete arrested at Meiosis II2,8,9.
The oocyte achieves developmental competence for fertilization and the ability to support early preimplantation embryo development, referred to as nuclear and cytoplasmic maturation, during oogenesis and folliculogenesis10,11,12. Cytoplasmic maturation is apparent morphologically, as oocytes expand throughout folliculogenesis. As a result of somatic cell proliferation, including theca, granulosa, and cumulus cells, follicles themselves experience significant volumetric expansion. In mice, the diameter of the follicle increases fivefold from early secondary to pre-ovulatory follicles. Bi-directional communication between the oocyte and surrounding somatic cells is essential for oogenesis. In primary follicles, the zona pellucida forms from proteins secreted by the oocyte, and communication between these follicle compartments is partly mediated by transzonal projections, which provide physical contact between these two follicle compartments13,14. Hence, the follicular microenvironment is vital to correctly orchestrate the growth as well as nuclear and cytoplasmic maturation of the oocyte2,5. To better understand the discrete mechanisms that support these processes, there is a need for advanced and physiologically relevant in vitro culture techniques. The ability to culture follicles in vitro has broad applications, including assisted reproductive technologies and fertility preservation15,16,17,18, species conservation19,20, drug development21, and toxicology screening22,23.
In vitro follicle culture systems are also an essential intermediary step for the ability to generate gametes from pluripotent stem cells, also known as in vitro gametogenesis (IVG)24. Researchers have utilized embryonic stem cells, mesenchymal stem cells, and induced pluripotent stem cells to develop gametes in a variety of species, often relying on somatic cells to recreate the native follicle microenvironment25,26,27,28,29,30. While major proof-of-concept milestones have been achieved through these methods, there is still a challenge of low-quality oocytes, reflected in low embryo development and live offspring rates following in vitro fertilization in mice31,32. No live births have been achieved yet in other species, underscoring the need for continued refinement of protocols to fully support oogenesis and folliculogenesis.
Currently, several strategies are utilized for follicle culture. The technically least demanding and highest throughput approaches are scaffold-free methods, where follicles are placed in a plastic dish or membrane insert33,34. Here, granulosa cells adhere to the culture surface, losing contact with the oocyte33,34. The breakdown of the follicular architecture limits the usability and biological relevance of these techniques. However, scaffold-free culture in low attachment plates or inverted drops allows the follicle to maintain structural integrity in several mammalian species35,36,37. Unfortunately, with these techniques, it is difficult to control the interaction between follicles and the amount of mechanical support they receive. Hence, to better recapitulate in vivo physiology, culture methods have been developed where follicles are encapsulated in hydrogels with defined, tunable chemical compositions and/or mechanical properties33,34,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53. For example, the alginate-encapsulated in vitro follicle growth system can recapitulate key transcriptomic signatures observed in vivo21.
Despite the success and value of encapsulated culture protocols, there are several disadvantages. They can be technically challenging, laborious, low-throughput, and are not compatible with automatic imaging methods. Further, encapsulated culture methods need multi-step approaches for larger mammalian species due to the higher volumetric expansion of the follicle37. Moreover, encapsulated techniques exert uniform support in all directions, and follicles need to be released from the hydrogel prior to ovulation. This does not occur in vivo, where the follicle interacts with the surrounding ovarian microenvironment, which provides dynamic biomechanical support54. For example, the stiff ovarian cortex maintains quiescence of primordial follicles, while large growing follicles are typically found in the softer medullary compartment55,56. Once a follicle with a competent oocyte has reached its terminal size, follicle wall and ovarian surface epithelium modifications allow for ovulation. Therefore, culture techniques where follicles are allowed to grow in one single direction with little resistance could better mimic in vivo physiology.
In a novel approach, a reproducible, scalable, technically less demanding, and cost-effective culture method for mouse multilayer secondary follicles was developed57. Here, ultra-low adhesion agarose microwells with precisely controllable geometry (shape, dimensions) and spatial arrangement (number, proximity) are manufactured using affordable methods. Follicles in the agarose molds experience mechanical support in all but one direction and are cultured in the same focal plane, enabling timelapse imaging for advanced morphokinetic analysis. Stereolithography (SLA) 3D printing was utilized as an approachable method to manufacture a master mold, followed by molding steps that create leachate-free silicone molds to cast the agarose. Improved follicle growth and ovulation outcomes were achieved using the new system compared to traditional eIVFG, without compromising overall follicle survival, maturation, or luteinization57. This protocol paper describes the steps necessary to customize and manufacture agarose molds, how to seed and culture multilayer secondary follicles, process, and finally perform timelapse analysis (Figure 1).
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All animal procedures related to this protocol were approved by the Institutional Animal Care and Use Committee (IACUC) of Northwestern University and performed in accordance with the National Institutes of Health Guide for the Care and Use of Laboratory Animals.
1. Adapt master mold design
This section describes the first steps performed during the Design phase (Figure 1), where custom microwells are introduced in a computer-aided design (CAD) of a master mold for 24-well culture plates, called the 24-well master mold base design (Supplemental File 1). The dimensions of the microwells dictate the amount of support and maximal growth size of follicles, while the number of wells determines the maximal number of follicles per agarose mold. The adapted master mold design will then be used in the next section to create biocompatible silicone molds for agarose casting.
2. Creating silicone mold containers
NOTE: To prevent the leaching of cytotoxic compounds from the 3D printed parts, two biocompatible silicone molds will be made. This section describes the last steps in the design phase (Figure 1) and will result in the two containers used for silicone molding. Here, three different CAD files will be used, namely the new master mold design created from section 1, and 24-well silicone cast containers 1 and 2 (Figure 2Ci-ii and Supplemental File 2, Supplemental File 3, respectively).
3. 3D printing of silicone containers
NOTE: This section describes the first steps performed during the Manufacture phase (Figure 1) where the new CAD designs with the desired microwell design features are 3D printed.
4. Silicone mold manufacturing
NOTE: This section describes the final steps of the manufacture phase (Figure 1), where two silicone molding steps will take place. This is necessary to prevent the release of toxic leachates by 3D printed parts.
5. Preparation of culture media
NOTE: Digestion of ovarian tissue for isolation and culture of follicles, in vitro maturation of oocytes, and luteinization requires six types of media: Dissection Media (DM), Enzymatic Media (EM), Maintenance Media (MM), Growth Media (GM), Maturation Media (IVM), and Luteinization Media (LM). Preparation of these media can be found as previously described by Converse et al.38 with an explanation of the importance of different media components analyzed by Simon et al.33, and their purpose is briefly mentioned in Table 1.
6. Casting and storage of custom agarose mold and follicle culture
NOTE: This section describes how to cast custom agarose molds for follicle culture from the silicon molds generated in section 4. Agarose molds can be made and stored at 4 °C up to 2 weeks before follicle culture.
7. Isolation and culture of late secondary follicles
NOTE: This section explains how to isolate and seed follicles in the agarose micromolds for follicle culture. Multilayer secondaries are cultured for 8 days, must have over 80% viability, and produce mature oocytes. Isolation and culture of secondary follicles have been described in significant detail elsewhere38. Isolation and selection of follicles for established alginate encapsulation and for seeding in agarose molds are consistent.
8. Downstream applications of custom agarose molds
NOTE: Agarose micromolds can be utilized for histological analysis, allowing quantification and localization of different genes or proteins of interest. The micromolds create a follicle microarray that allows for multiple follicles to be stained in parallel. Optical coherence tomography (OCT) can also be performed without having to transfer follicles (Figure 1, Application). Optical Coherence Tomography is an imaging technique that allows for 3D reconstruction of samples and has higher penetration depth and resolution compared to confocal microscopy, allowing for improved imaging of 3D samples such as follicles cultured in vitro60.
9. Timelapse analysis of follicle culture
NOTE: Follicles grown in the scaffold-free culture system reside in the same focal plane and are compatible with timelapse imaging in the incubator. Timelapse imaging can be started after seeding follicles in step 7.7 (Figure 1, Application).
Make sure that all changes are accurate throughout the timelapse. Hence, pass through the entire stack after every step to ensure there are no discrepancies in the measurements.
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To determine whether follicle survival and growth were supported using this novel technology as described in protocol section 7, follicles from the same mice were isolated and cultured in parallel in agarose micromolds or encapsulated in 0.5% alginate. Representative images of follicles from every other day of culture demonstrated normal development, growth, and formation of an antral cavity throughout the culture period (Figure 6A). Previously published results demonstrated that follicle su...
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In vitro gametogenesis and maturation are key technologies for fundamental understanding of oocyte biology, with potential applications in assisted reproductive technology, fertility preservation, and species conservation. The methods to support IVG often rely on co-culture with somatic cells to create reconstructed ovaries30. The importance of these support cells is well-known in vivo, where the follicular somatic microenvironment is critical to healthy oocyte growth and develop...
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The authors have no conflicts of interest to disclose.
This work was funded by the National Institutes of Child Health and Human Development (R01HD105752 to F.E.D and T32HD094699 to E.J.Z) and the NIH Common Fund's SenNet program (U54AG075932 and UH3CA268105 to F.E.D.) and the Bill & Melinda Gates Foundation Grant (INV-003385 to F.E.D.). Under the grant conditions of the Bill & Melinda Gates Foundation, a Creative Commons Attribution 4.0 Generic License has already been assigned to the Author Accepted Manuscript version that might arise from this submission.
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| Name | Company | Catalog Number | Comments |
|---|---|---|---|
| Materials and Chemicals | |||
| 50 mL Polystyrene Centrifuge Tubes | Globe Scientific | 941-11017-CS | |
| 1.5 mL Microcentrifuge Tubes | Fisher Scientific | MCT-150 | To snap freeze and store media |
| 100 mm Dish, Non-Treated | Fisher Scientific | 08-757-100D | To make and sstore agarose micromolds |
| 100% Ethanol | Mercedes Scientific | 1200 | Tissue Processing |
| 1000 µL Pipette Tips, Low Retention | MIDSCI | PR-1000BK | Culture tips |
| 200 µL Pipette Tips, Low Retention | MIDSCI | PR-200BK | Culture tips |
| 24-well plate | Corning | 353047 | Culture |
| 35 mm dishes | Falcon | 351008 | To isolate ovaries and incubate in enyzmatic media |
| 95% Ethanol | Mercedes Scientific | 1210 | Tissue Processing |
| Agarose | Hoefer | GR140 | Micromolds |
| BioXtra Mineral Oil, Light Oil, Suitable for mouse embryo cell culture | Sigma-Aldrich | M5310-500ML | Used as a biocompatible demolding agent |
| Bovine Serum Albumin | MP Biomedicals | 103700 | Growth Media |
| Cleaning Dusters, 10 Oz., Pack Of 6 | Office Depot | 110284 | Compressed air |
| Clear V4 Resin 1 L | Formlabs, Inc | RS-F2-GPCL-04 | 3D printing resin |
| Corning Reusable Plastic Low Form 100 mL Beaker, Polypropylene, Graduated | Corning | 1000P-100 | Beaker for mixing silicone components |
| DNAse I | Qiagen | 79254 | Enzymatic Media |
| Ecoflex 00-45 Near Clear | Smooth-On, Inc | B09M8Y9PTV | Silicone material |
| F-12 + GlutaMAX | Gibco | 31765-035 | Growth Media |
| Fetal Bovine Fetuin | Sigma | F-3385 | Growth Media |
| Fetal Bovine Serum (FBS) | Peak Serum | PS-FB2 | Dissection Media, Enzymatic Media, Maintenance Media & Maturation Media |
| Fisherbrand Sterilization Pouches | Fisher Scientific | 01-812-50 | Sterilization Pouches |
| Follicle stimulating hormone (FSH) | EMD Serono, Inc. | Gonal-F Rx only | Growth Media & Maturation Media |
| Gibco DPBS, calcium, magnesium | Fisher Scientific | 14-040-182 | Dulbecco's phosphate-buffered saline |
| Human chorionic gonadotropin (hCG) | Sigma Aldrich | C1063-1VL | Maturation Media |
| Insulin-transferrin-selenium (ITS) | ThermoFisher | 41400045 | Growth Media |
| Invitrogen Molecular Probes Rhodamine Phalloidin | Fisher Scientific | R415 | Egg Cytoskeleton Stain |
| IVF Dishes | Thermo Scientific | 150260 | To isolate, select for, and pre-equilibrate follicles |
| Leibovit'z 15 (L15) | Gibco | 11415-064 | Dissection Media & Enzymatic Media |
| Liberase | Sigma Aldrich | 5401119001 | Enzymatic Media |
| MEM? + GlutaMAX | Gibco | 32561-037 | Maintenance Media, Growth Media & Maturation Media |
| Mouse epidermal growth factor (EGF) | BD Biosciences | 354010 | Maturation Media |
| Nalgene Transparent Polycarbonate Classic Design Desiccator | Thermo Scientific | 5311-0250 | Vacuum Desiccator |
| Paraffin | Fisher Scientific | 83-30 | Tissue Processing & Embedding |
| Penicillin-streptomycin | Gibco | 15140-122 | Dissection Media, Enzymatic Media & Maintenance Media |
| Stripper tips | Origio | MXL3-200 | Culture |
| VECTASHIELD PLUS Antifade Mounting Medium with DAPI | Vector Laboratories | H-2000 | Egg nucleus stain |
| Xylene | Mercedes Scientific | 9840 | Tissue Processing |
| α-Tubulin (11H10) Rabbit mAb (Alexa Fluor 488 Conjugate) | Cell Signaling Technology | 5063S | Egg Tubulin stain |
| Equipment | |||
| Build Platform 2 | Formlabs, Inc | BP-F3-02-01 | 3D printer component |
| Dino-Lite Edge AF4915ZTL, USB 2.0 | Dino-Lite | AF4915ZTL | Imager for timelapse setup |
| Form 3 Resin Tank V2.1 | Formlabs, Inc | RT-F3-02-01 | 3D printer component |
| Form 3B+ 3D Printer | Formlabs, Inc | F3B-P-PRINTER | Formlabs' stereolithography (SLA) 3D printer |
| Form cure | Formlabs, Inc | FH-CU-01 | Curing platform |
| Form wash | Formlabs, Inc | FH-WA-01 | Washing platform |
| Spray bottle w/ pump vaporizer | VWR | 0309-3005 | To apply demolding agent |
| Light focuser/concentrator cap for Edge series (excluding T5, T8 models) | Dino-Lite | N3C-R | Imager component for timelapse setup |
| Mount Holder bundle combining the RK-10 rack and RK-10-EX Arm Extension | Dino-Lite | RK-10A | Imager component for timelapse setup |
| Tissue Embedder | Leica | HistoCore Arcadia | To embed micromolds |
| Tissue Processor | Leica | TP1020 | To process micromolds |
| 211DS Shaking Incubator (Orbital Shaker) | Labnet International | I-5211-DS | To incubate ovaries in enzymatic media for release of follicles |
| Software | |||
| Autodesk Fusion | Autodesk, Inc | Computer-aided design (CAD) software. Autodesk offers free educational access through the Autodesk Education program. | |
| DinoCapture 3.0 version 1.1.1.3 | Dino-Lite | ||
| ImageJ | National Institutes of Health | To analyze OCT images and measure follicles | |
| PreForm | Formlabs, Inc | Free print preparation software designed to work with Formlabs' stereolithography (SLA) printers. |
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