Membrane Seal Integrity Test
In order to test the integrity of the sealed chip, the top culture chamber is filled with demi-water with blue dye, and the bottom with pure demi-water. Chips are left overnight to assess possible leakage of blue dye from the top chamber around the membrane into the bottom chamber.
Fully constructed silicone chips prepared with our method can be deformed lengthwise to 35° without disrupting the membrane integrity, now encased and bound to the top half with flexible PDMS mortar on both sides. Deforming of PDMS chips is a normal part of use, for example, when the halves or chips stick to a petri dish.
Chips were connected to a bi-directional syringe pump system to test their performance with flow-induced pressure. Chips with PET and PC membranes can be run without leakage between chambers or rupture of the chips up to and including 30 kPa (the maximum pressure provided by the pumps). In previous studies, the chips are standardly run at 150 µL/h, which exerts 0.7 Pa of pressure on the chambers of each device8.
Visualization of membrane binding
To visualize the intrusion of the liquid PDMS mortar into the 0.4 µm pores of the membrane under the microscope as a result of the RT vacuum sealing, PDMS mortar was dyed with Nile Red. Nile Red was selected as it is a hydrophobic dye and will mix well with PDMS in its liquid form. The stain was prepared by thoroughly mixing 1% Nile Red in liquid PDMS to produce a red color under light microscopy. The RT curing procedure was repeated as described above. Membranes with dyed mortar were embedded in paraffin and sectioned using a microtome. Membrane slices were mounted on glass slides and imaged using a light microscope (Figure 4). To validate the necessity of both thinning PDMS into mortar with toluene and applying a vacuum for intrusion of the PDMS into membrane pores, a comparison of membranes with and without these methods can be seen in Supplementary Figure 3.
Cell Viability Test
In a previous study, potential chemical toxicity from the use of toluene in the construction of the devices was tested. The chips were prepared with and without toluene in a PDMS mortar, human lung adenocarcinoma epithelial Calu-3 cells were grown to confluency over 2 days, and cultured for 1 day in the chips as previously described8. Cell death was assessed by Trypan blue staining, removing all cells from the device, and counting dead cells (blue) against unstained viable cells. Proliferation was assessed by incubating the reagents in the chip media before performing an AlamarBlue assay, reading the fluorescent absorbance via plate reader, which reflects proliferation (Figure 5)8.
ECM Basement Membrane Attachment
To show the general applicability of this procedure in producing strong and flexible binding with a range of membranes, the protocol was repeated with a fully extracellular matrix (ECM) based membrane (Figure 6). Basement membrane containing ECM scaffolds were prepared from Porcine urinary bladders as described before17. Briefly, porcine urinary bladders from female animals between 4 and 8 months old were obtained from a local slaughterhouse (Kroon Vlees b.v., Groningen, The Netherlands) and processed within 3h after collection. Connective tissue and fat were removed from the bladder, the bladder was flipped inside-out, and the epithelial layer was blunt-dissected, while keeping the tissue in PBS at room temperature. ECM scaffolds were dehydrated for the membrane attachment procedure17. Prepared scaffolds were cut and bound to PDMS chip halves as described in the protocol above. A new mold was produced with extra chambers for membrane stretch within the device to show that the vacuumed silicone bonds can also endure horizontal mechanical strain (Supplementary File 2).
ECM Membrane Integrity Test
The membrane seal integrity test was conducted as above. Next, the stretch chip was attached to syringe pumps, which pulled a vacuum on the side chambers of the device to produce 1 mm of horizontal stretch on the ECM membrane overnight (Figure 7).
Differentiation of Epithelial cells and Fibroblast co-culture in the standard Airway-on-Chip with PET membrane
To validate the performance of the provided chip as an Airway-on-Chip for ALI cell, human lung adenocarcinoma epithelial Calu-3 cells (ATCC, Manassas, VA, USA) were grown to confluence and air-exposed in the device, in a previous study8. After 10 days of apical air exposure, Calu-3 epithelial cells can be seen to differentiate into mucus-producing cells, demonstrated by the mucus production, measured by Alcian blue staining (Figure 8)8.
To validate our procedure for prolonged leak-free flow and co-culture, an example can be seen from a previous publication; for full cell culture methodology, see this article8. Human airway epithelial cells were cultured in the apical culture chamber of the chip under constant airflow for 21 days, with primary airway fibroblasts cultured upside down on the opposite side of the membrane. In short, primary airway epithelial cells were isolated by protease treatment (0.2 mg/mL in HBSS, 2 hours, 37 °C), cell scraping, and cryopreservation of cells removed from leftover tracheobronchial tissue from 3 healthy lung donors, from whom no further information was available. Human airway fibroblasts (AFs) were isolated in the same fashion from the bronchial tissue of transplanted COPD lung tissue from a single donor.
In Figure 9, a graphic of the chip and how the above-mentioned cells appear both through and along the chambers of the device can be seen.
Culture of Epithelial Cells in co-culture with Fibroblasts on the ECM membrane
The basement membrane-containing scaffold facilitates epithelial and mesenchymal cell culture. Immortalized human keratinocytes (HaCaT cells) were seeded at a density of 60 x 103 cells/cm2 on the epithelial (inner) side of the membrane, and the viability was 95% after 24h as compared to 91% in a plastic cell culture flask (Figure 10A). Next, normal human lung MRC-5 fibroblasts were seeded at a density of 60 x 103 cells/cm2 to the stromal (outer) side and grown in coculture with the HaCat cells for 14 days to assess the long-term epithelial-mesenchymal viability for co-culture on the native ECM membrane (Figure 10D). The epithelial cells formed a confluent monolayer on the inner side of the membrane, while fibroblasts distributed less densely across the outer surface of the ECM membrane but retained their characteristic spindle-like morphology (Figure 10C). The 3D reconstruction video can be seen in Supplementary File 417.
The current study presented an improved membrane sealing procedure that produces a strong PDMS-membrane connection, capable of resisting disruptions caused by manual handling of the chip, and allowing long-term culture under flow using pressures of up to 0.7 Pa. We showed that these membranes are bound by silicone that has penetrated the culture membranes through their pores, facilitating covalent silane bonds between the two chip halves and the vacuumed PDMS mortar. Additionally, the presented procedure does not induce cytotoxicity, provided the mortar is applied correctly. Moreover, the produced chips facilitated long-term epithelial mono- and epithelial-mesenchymal co-cultures. While this procedure is only applicable to porous membranes, it remains a low-input procedure for the production of reliable and cell culture-ready ALI-chips.

Figure 1. Graphics of PDMS chip-half production and membrane preparation. For PDMS chip-half production (step 1.2), chip molds are filled with liquid PDMS with a wide nozzle syringe, 4.4 mL in the top mold and 2.4 mL in the bottom mold. PDMS halves are cured for 2h at 65 °C, after which 4 inlets in the top chip-half are punched at the ends of the chamber and points indicated in the mold. For membrane preparation (step 1.3) printed membrane stencil is held firmly to the membrane surface. Using a new blade, one cuts around the stencil and removes the chip membrane from the surrounding material. Membranes can be coated for cell culture or used directly in step 2. Created in BioRender. Please click here to view a larger version of this figure.

Figure 2. Membrane binding procedure. PDMS mortar is mixed as described above immediately before use. Mortar is dripped onto the four corners around the culture chamber and spread gently around the membrane binding location with the angled end of a pipette. One end of the membrane is placed on the mortar, then, once aligned with the culture chamber, gently allowed to fall into place. Mortar is reapplied drip-wise and painted over the edges of the membrane with great care taken not to allow any silicone to touch the membrane surface inside the culture area. Chip-half bound membranes are immediately put in a vacuum chamber to remove microbubbles, ensure silicone invasion into the surface and pores, and remove toluene to minimize chemical attack on the membrane. Created in BioRender. Please click here to view a larger version of this figure.

Figure 3. Membrane placement examples. (A) Successful membrane placement, curing at RT. (B) Membrane binding cured in an oven (65 °C instead of at RT, the membrane can be seen to have distended into the chamber as the silicone contracted after heating. (C) Complete chips with correct PET and PC membrane placement. (D) Incorrect membrane placement will cause the volume of each side of the chip to change with membrane movement, causing variable flow, applying stress to the cells within the chip as well as the pumps attached to the chip. Created in BioRender. Please click here to view a larger version of this figure.

Figure 4. Light microscope images of sliced and mounted PET and PC membranes. Showing silicone invasion into membrane pores as a result of our vacuum RT curing procedure. (A) Images of the same membrane with no PDMS applied to the membrane, clear pores can be seen, as well as a clean surface in the polarized image. (B) PDMS Mortar has been stained with Nile Red, and silicone can be seen in magenta to have successfully invaded the pores and thinly coated the surface under vacuum. Highlighted in white/magenta shapes. Please click here to view a larger version of this figure.

Figure 5. Cell viability in the chip devices was not altered by construction with or without toluene as a thinning agent in the PDMS mortar. Calu-3 cells were seeded at 6.5 × 104 cells per chip and, upon reaching confluency, were incubated overnight before an AlamarBlue assay was performed on the supernatant and TrypanBlue on the cells. Differences between groups (n=4) prepared with and without toluene were tested by unpaired Student's t test, p > 0.05 = ns (not significant)8. Please click here to view a larger version of this figure.

Figure 6. Basement membrane chips. (A) Membrane integrity has failed as the PDMS/toluene mortar was not vacuumed off fast enough; this has damaged the matrix proteins and disrupted chip sealing. (B) Membrane and chip sealing have succeeded, but the membrane has been sealed in a loose state. (C) Successful membrane and chip sealing, the chip is functional for flow and stretch. Please click here to view a larger version of this figure.

Figure 7. Two images of the ECM chip under stretch. (A) Chip at rest. (B) Chip under 1.2 mm horizontal stretch. Please click here to view a larger version of this figure.

Figure 8. Alcian Blue (Nuclei in magenta, mucous in blue) staining of human lung Calu-3 epithelial cells grown in the chips after air exposure in the device. Calu-3 cells were grown to confluency and cultured for 10 days under a continuous flow rate of 150 µL/h in the basal compartment and either medium- or air-exposed from the apical side. Flow was produced with a peristaltic pump within an incubator at 37 °C and 5% CO2. At the end of culturing, the membranes were removed and stained. Transverse view of Alcian Blue staining of Calu-3 cells grown for 10 days submerged (A) and air-exposed (B)8. Please click here to view a larger version of this figure.

Figure 9. Visualization of primary human epithelial cells and fibroblasts in extended co-culture within the device. Airway fibroblasts were seeded into the device and allowed to attach overnight before inverting the device and seeding epithelial cells on the other side of the membrane. The cells were grown to confluency, air-exposed, and cultured for 21 days under a continuous flow rate of 150 µL/h produced with a peristaltic pump within an incubator at 37 °C and 5% CO2. The membranes were removed post-culture, fixed, embedded, and mounted on slides before staining. Epithelial cells were stained for Mucin 5AC (MUC5AC)18, a component of mucus, and forkhead box protein J1 (FOXJ1)19, a transcription factor involved in signaling for cilia production. Fibroblasts were stained with wheat germ agglutinin (WGA) to visualize the cellular phospholipid bilayers. Cells were incubated with 5 µg/mL in HBSS for 15 minutes and washed three times with PBS before imaging. All cell nuclei were visualized with DAPI. (A) Cross-section view: produced from a Z-stack projection of images of (B) and (C). (B) Epithelial MUC5AC/FOXJ1/DAPI stain on a chip membrane. (C) Complete external structure of the fibroblast layer in the basal chamber8. Please click here to view a larger version of this figure.

Figure 10. Cell viability and coculture on the basement membrane scaffold. (A) LIVE/DEAD viability of HaCaT cells seeded on the epithelial side, 3 independent samples were tested, 3 random fields were captured from each sample (n = 3). Ordinary one way ANOVA test with Tukey's correction was performed. The graph shows the mean with the standard deviation. Coculture of (B) HaCaT cells on the epithelial side and (C) MRC-5 lung fibroblasts on the stromal side of the basement membrane-containing scaffold surrounded by collagen fibers, scale bars are 50 µm. (D) 3D view of the coculture from top and bottom isometric views, scale bars are 100 µm, animated visualization can be found in Supplementary Figure 4. (E) Thickness of basement membrane scaffold before and after decellularization, 14 mucosas were measured, and from those, 6 (represented by triangles) were taken for decellularization. On each of the samples, three random fields were scanned and at least 10 points per field were measure17. Please click here to view a larger version of this figure.
Supplementary Figure 1. Chip mold designs for the top and bottom halves of the standard PET/PC chip. (A) Image of the bottom mold of the chip that can be produced from the .STL in Supplementary File 1. (B) Image of the top mold of the chip that can be produced from the .STL in Supplementary File 2. (C) Image of the membrane stencil for cutting membranes for the chip that can be produced from the .STL in Supplementary File 3. Please click here to download this File.
Supplementary Figure 2. Chip mold designs for the top and bottom halves of the stretch ECM membrane chip. (A) Image of the bottom mold of the chip that can be produced from the .STL in Supplementary File 4. (B) Image of the top mold of the chip that can be produced from the .STL in Supplementary File 5. Please click here to download this File.
Supplementary Figure 3. Validation of sealing procedure: comparison of PDMS intrusion into pores without toluene to lower the mortar's viscosity and cured at RT without vacuum. All conditions are with PET membranes (0.4 µm pores), after PDMS (Nile Red 1%) treatment, membranes were embedded in paraffin before mounting and light microscope imaging. (A) Unthinned PDMS vacuumed onto a PET membrane. A thick layer of PDMS can be seen on the surface of the membrane, while no PDMS can be observed to have entered the pores (highlighted with white boxes). (B) Thinned PDMS mortar vacuumed onto a PET membrane. A layer of PDMS can be seen on the surface of the membrane, while no PDMS can be observed to have entered the pores (highlighted with white boxes). (C) Thinned PDMS mortar vacuumed onto a PET membrane. A thin layer of PDMS can be seen on the surface of the membrane as well as intrusion into the pores along the membrane (highlighted with white boxes). Please click here to download this File.
Supplementary Figure 4. 3D visualization of Co-culture HaCat (epithelial) and MRC-5 (stromal) cells on the porcine ECM scaffold. An animated 3D view of the coculture from top and bottom isometric views, images of which can be seen in Figure 10D, scale bars are 100 µm. Please click here to download this File.
Supplementary File 1. 3D .STL file of the bottom mold. The mold can be used to produce the bottom half of the standard chip by 3D printing or an equivalent fabrication method. Please click here to download this File.
Supplementary File 2. 3D .STL file of the top mold. The mold can be used to produce the top half of the standard chip by 3D printing or an equivalent fabrication method. Please click here to download this File.
Supplementary File 3. 3D .STL file of the membrane stencil. The stencil can be used to produce membranes of the correct size for the provided chip and can be produced by 3D printing or an equivalent fabrication method. Please click here to download this File.
Supplementary File 4. 3D .STL file of the bottom mold of the stretch chip. The mold can be used to produce the bottom half of the stretch chip by 3D printing or an equivalent fabrication method. Please click here to download this File.
Supplementary File 5. 3D .STL file of the top mold of the stretch chip. The mold can be used to produce the top half of the stretch chip by 3D printing or an equivalent fabrication method. Please click here to download this File.