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Maintaining ESCs and iGATA4-ESCs (normoxia) and TSCs (hypoxia) under appropriate culture conditions is essential for successful blastoid generation. When cultured as described, ESCs and iGATA4-ESCs should be largely indistinguishable, forming mid-sized, round, and well-defined colonies after 3 days. The appearance of flattened colonies or protrusive edges indicates incipient differentiation, and such cultures should not be used for blastoid formation. TSCs should form flat epithelial colonies with slightly raised edges and flatter centers. Overgrown or merging TSC colonies (typically after >3 days in culture) often result in poor blastoid outcomes (Figure 1).
During iGATA4-blastoid assembly, several early hallmarks indicate protocol success (Figure 2A, B). Approximately 6 h after ESC and iGATA4-ESC aggregation, tight cell aggregates should be visible at the bottom of the microwells. Loose aggregates suggest excessive cell dissociation reagent exposure, which reduces cell–cell adhesion. Progression to the next step (TSC addition; Section 2.4) should only occur once tight aggregates are observed (Figure 2B, D0.5 timepoint). Immunostaining at this stage should show homogeneous SOX2⁺ and GATA4⁻ aggregates (Figure 2B, D0.5 timepoint).
Following TSC addition and overnight incubation, a single cohesive aggregate surrounded by CDX2⁺ cells should be evident (Figure 2B). The presence of large, unaggregated cells at the surface of aggregates often indicates residual MEFs. MEF contamination can reduce blastoid formation efficiency; therefore, adequate MEF depletion is critical to obtain a predominantly TSC population prior to aggregation. A 40 µm cell strainer may be used to remove residual MEFs, although this may reduce TSC yield. Incomplete or excessive CDX2⁺ coverage can be corrected by adjusting the number of TSCs added per microwell (recommended range: 10–15).
Following the addition of DOX and 8Br-cAMP, cavities are typically observed by day 2 and may persist until day 3. Under brightfield microscopy, cavities appear as clear, empty spaces within blastoids (Figure 2B, C; white dashed line). GATA4⁺ cells appear shortly after DOX induction and progressively sort to the surface of the ICM-like compartment (Figure 2B). Successful blastoid formation is characterized by high cavitation efficiency (typically ~80% of structures per Microwell aggregation plate; Figure 2D), a single-layered CDX2⁺ TE-like outer epithelium, a blastocoel-like cavity, and a rounded ICM-like compartment containing SOX2⁺ EPI-like cells overlaid by GATA4⁺ PE-like cells (Figure 2C–E).
Common suboptimal outcomes include non-cavitated structures, irregularly shaped blastoids with multiple cavities or ICM-like compartments, and wells containing few structures or cellular debris. While approximately 20% abnormal structures are expected (Figure 2C), higher rates may indicate issues such as incorrect TX medium preparation, poor starting cell quality, failure to add DOX or 8Br-cAMP on day 1, or displacement of structures during medium changes.
For high-throughput screening applications, untreated and vehicle control wells should yield blastoids comparable to positive-control conditions (Figure 3A,B). Experimental treatments may affect multiple quality metrics, including blastoid size (Figure 3C), cavitation efficiency, total and lineage-specific cell numbers (Figure 3D), PE sorting, and overall morphology (Figure 3E). For example, treatment with caffeine, nicotine, or ethanol during blastoid formation resulted in smaller structures with reduced cavitation efficiency, lower total or ICM cell numbers, impaired PE sorting, and poorer morphology. In contrast, increasing concentrations of branched-chain amino acids produced larger, more highly cavitated blastoids with increased cell numbers and improved morphology (Figure 3C–E). Biological variability between experiments is expected, highlighting the importance of including both blank and carrier controls in each experiment.

Figure 1: Examples of good- and poor-quality WT ESCs, iGATA4-ESCs, and TSCs. Brightfield micrographs of WT ESCs, iGATA4-ESCs, and TSCs showing expected colony morphologies after 2–3 days of culture in N2B27/2i/LIF (ESCs) or TSF4H medium (TSCs). The panel titled “WT ESCs – bad quality” shows cells with suboptimal morphology, including flattened colonies with protruding edges (red arrowheads). The panel “TSC overgrown” shows merged and enlarged TSC colonies after 4 days of culture. Scale bar: 100 µm for all panels. Please click here to view a larger version of this figure.

Figure 2: Schematic and expected morphology of iGATA4-blastoids. Reprinted from Developmental Cell, Vol. 61, Jorgensen V, Bao M, Junyent S et al., Efficient stem cell-derived mouse embryo models for environmental studies, pp. 193–207.e6, Copyright (2025)3, with permission from Elsevier. (A) Schematic representation of natural mouse blastocyst development (top) and stem cell–based blastocyst modeling using WT ESCs, iGATA4-ESCs, and TSCs.
(B) Micrographs showing expected morphology and marker expression at different stages of the protocol. Maximum intensity projection (MIP); dashed lines delineate the cavity. Scale bar: 20 µm. (C) Brightfield image of iGATA4-blastoids at day 3. Scale bar: 100 µm.
(D) Cavitation rates of iGATA4-blastoids generated using TSCs pre-cultured in normoxia or hypoxia; aggregates were cultured under hypoxic conditions. n ≥ 4; error bars represent the standard error of the mean. (E) Immunostaining of E4.5 blastocysts and day 3 iGATA4-blastoids for lineage markers (CDX2, cyan; OCT4, red; GATA4, green). Maximum intensity projection (MIP); single Z-plane shown where indicated. Scale bar: 25 µm. Please click here to view a larger version of this figure.

Figure 3. Effects of environmental factors on blastoid formation and quality. (A) Representative immunofluorescence 3D images (top) and IMARIS surface reconstructions (bottom) of iGATA4-blastoids treated with environmental factors (caffeine, nicotine, ethanol, and conditions mimicking high- and low-protein diets). Scale bars: 25 µm for all images. (B) Schematic of the experimental workflow. (C) Blastoid diameter under different treatment conditions. The range represents the 10th–90th percentiles; boxes indicate the interquartile range; the line indicates the median. Statistical analysis was performed using one-way ANOVA with multiple comparisons. (D) Quantification of total (gray), trophectoderm (cyan), epiblast (red), and primitive endoderm (green) cell numbers in control and treated blastoids. Bars represent the mean; error bars represent the standard deviation. Statistical analysis was performed using one-way ANOVA with multiple comparisons. (E) Quantification of the proportion of blastoids classified as “good” (proper lineage sorting with minimal morphological abnormalities), “mediocre” (largely correct morphology with minor abnormalities, including incomplete EPI–PE sorting), or “bad” (severely abnormal morphology with disrupted lineage organization) under control and treatment conditions. Statistical analysis was performed using two-way ANOVA relative to control conditions. For all panels, n ≥ 3. Statistical significance is indicated as *p < 0.05, **p < 0.01, ***p < 0.001, ****p < 0.0001. Please click here to view a larger version of this figure.
| Media | Reagent | Final concentration |
| FC | | |
| DMEM | n.a. |
| Heat-inactivated FBS (iFBS) | 15% |
| GlutaMax | 2 mM |
| 2-Mercaptoethanol (2-ME) | 0.1 mM |
| Non-essential amino acids (NEAA) | 1x |
| Na Pyruvate | 1x |
| Penicillin–Streptomycin | 1x |
| N2B27/2i/LIF | | |
| DMEM/F12 | 50% |
| NeurobasalA | 50% |
| B27 supplement | 1x |
| N2 supplement | 0.5x |
| 2-ME | 100 µM |
| Penicillin–Streptomycin | 1% |
| GlutaMax | 2 mM |
| PD0325901 | 1 µM |
| CHIR99021 | 3 µM |
| Mouse recombinant LIF | 10 ng/mL |
| TSF4H | | |
| Megacell RPMI-1640 Medium | n.a. |
| iFBS | 20% |
| GlutaMax | 2 mM |
| Na Pyruvate | 1x |
| Penicillin–Streptomycin | 1x |
| FGF4 | 25 ng/mL |
| Heparin | 1 μg/mL |
Table 1: Media recipes for FC, N2B27/2i/LIF, and TSF4H. Recipes to prepare FC media, N2B27/2i/LIF media, and TSF4H media, with final concentrations.
| Component | Final concentration | Stock concentration | Solvent and storage | Volume to ~20 mL |
| 8Br-cAMP | 25 µM | 5 mM | PBS, store at -20 °C | 100 µL |
| CHIR99021 | 3 µM | 10 mM | DMSO, store at -20 °C | 6 µL |
| DMEM/F12 | N/A | N/A | Store at 4 °C | 20 mL |
| FGF4 | 25 ng/mL | 100 µg/mL | 0.1% BSA in PBS, store at -20 °C | 5 µL |
| L-alanyl-L-glutamine Supplement | 2 mM | 200 mM | Store at 4 °C | 200 µL |
| Heparin | 1 µg/mL | 1 mg/mL | PBS, store at -20 °C | 20 µL |
| Holo-transferrin | 10.7 µg/mL | 10.7 mg/mL | DI water, store at -20 °C | 20 µL |
| Human TGF-β1 | 15 ng/mL | 20 µg/mL | 4 mM HCl + 0.1% BSA, store at -20 °C | 15 µL |
| IL-11 | 30 ng/mL | 25 µg/mL | 0.1% BSA in PBS, store at -20 °C | 24 µL |
| Insulin | 19.4 µg/mL | 9.5 - 11.5 mg/mL | Concentration is batch dependent, store at 4 °C | 33.7–40.8 µL, adjust volume according to stock concentration. |
| L-ascorbic acid-2-phosphate magnesium | 64 µg/mL | 32 mg/mL | DI water, store at -20 °C | 40 µL |
| Mouse recombinant LIF | 10 ng/mL | 10 µg/mL | PBS + 0.1% BSA, store at -20 °C | 20 µL |
| NaHCO3 | 543 µg/mL | 45.25 mg/mL | DI water, store at -20 °C | 240 µL |
| Penicillin/Streptomycin | 1x | 100x | Store at -20 °C | 200 µL |
| Sodium selenite | 14 ng/mL | 14 µg/mL | DI water, store at -20 °C | 20 µL |
| Y27632 | 20 µM | 20 mM | DMSO, store at -20 °C | 20 µL |
Table 2: Media recipe for TX. Recipe to prepare TX media, with details on how to prepare and store small molecules and other reagents, and final concentrations.