This protocol describes a defined hydrogel-based method to generate human breast organoids that recapitulate key features of mammary morphogenesis in a controlled three-dimensional culture system.
Method Article
This protocol describes a defined hydrogel-based method to generate human breast organoids that recapitulate key features of mammary morphogenesis in a controlled three-dimensional culture system.
The development of physiologically relevant human model systems that recapitulate tissue architecture and cell-state dynamics remains a major challenge in studying breast development and early events in carcinogenesis. Conventional two-dimensional cultures and many three-dimensional systems fail to capture the structural organization and microenvironmental cues that define the human mammary gland. Here, we describe a reproducible method for generating three-dimensional human breast organoids from primary epithelial cells embedded within a defined hydrogel matrix composed of type I collagen, laminin, fibronectin, and hyaluronic acid. This system supports the progression of single cells through key stages of mammary morphogenesis, including progenitor expansion, epithelial patterning, and the formation of terminal ductal lobular unit-like structures, as well as the emergence of a mesenchyme-like compartment, over a 21-day culture period. We provide a step-by-step protocol for hydrogel preparation, cell seeding and culture conditions. The method is compatible with high-content imaging and quantitative analysis of organoid number, size distribution, and architectural complexity. This platform enables mechanistic studies of epithelial plasticity and environmental perturbations, providing a scalable and biologically relevant system for investigating early tissue-level changes associated with breast cancer risk.
Understanding human mammary gland development and the early events that predispose tissue to malignant transformation requires experimental systems that faithfully recapitulate tissue architecture, cellular hierarchy, and microenvironmental signaling. While two-dimensional epithelial cultures have provided important mechanistic insights, they lack the structural context necessary to model epithelial organization and morphogenesis1. Existing three-dimensional culture systems, including those based on basement membrane extracts, have advanced the field but remain limited by variable composition, incomplete control over extracellular matrix components, and inconsistent support of higher-order tissue architecture1. In addition, many organoid systems based on basement membrane extracts are constrained by their inability to consistently support the emergence of tissue-like organization1. In particular, many systems rely on exogenous stromal components rather than enabling the endogenous development of supportive microenvironments, thereby limiting their ability to model epithelial–mesenchymal interactions that are central to tissue development and disease. These limitations restrict the reproducible study of developmental processes, epithelial plasticity, and the effects of environmental or molecular perturbations on tissue organization.
To address these limitations, we developed a defined hydrogel-based three-dimensional human breast organoid model that enables primary epithelial cells to generate organized structures within a defined extracellular matrix2,3,4,5,8. The hydrogel consists of type I collagen, laminin, fibronectin, and hyaluronic acid, components selected based on their established roles in mammary gland development and epithelial morphogenesis. These extracellular matrix molecules engage distinct cellular receptors, including integrins, discoidin domain receptors, CD44, and RHAMM, and are known to regulate epithelial polarity, branching morphogenesis, stem cell maintenance, mechanotransduction, and tissue organization in the mammary gland6,7. Previous studies describing this hydrogel system demonstrated that incorporation of these extracellular matrix components markedly improved ductal-lobular morphogenesis and epithelial maturation compared to collagen-only or Matrigel-based conditions3,8. In addition, the physical properties of this hydrogel formulation were previously characterized by atomic force microscopy, demonstrating that the composite extracellular matrix hydrogel exhibited lower stiffness and increased swelling relative to collagen-only gels (Young’s modulus: 256.7 ± 20.0 Pa versus 559.2 ± 204.0 Pa, respectively), consistent with a softer and more hydrated matrix environment8.
Importantly, this model supports the emergence of a mesenchyme-like compartment that arises alongside epithelial structures, providing endogenous structural and signaling support that more closely reflects native tissue organization3. The physiological relevance of this hydrogel system has been evaluated through direct comparisons with conventional Matrigel-based organoid cultures using both morphological and transcriptomic analyses. Earlier studies demonstrated that hydrogel cultures supported more organized ductal-lobular tissue formation and multilineage differentiation than Matrigel-based cultures while also preserving hormone responsiveness8. More recently, integrated single-cell RNA sequencing analyses comparing hydrogel-derived organoids, Matrigel-grown organoids, and primary human breast tissue demonstrated that hydrogel-grown organoids more faithfully recapitulate the epithelial hierarchy, cellular diversity, and epithelial–mesenchymal interactions present in native human breast tissue3. In contrast, Matrigel-grown organoids were enriched for proliferative hybrid basal states and lacked stromal-like populations, consistent with epithelial self-assembly rather than directed organogenesis.
The protocol described here provides a reproducible and scalable method for generating organoids from primary human tissue, with optional steps for fibroblast depletion and dissociation to single cells. Because this platform is compatible with live imaging, high-content imaging, quantitative morphometric analysis, cell tracking, and genetic perturbation studies, it can be integrated with downstream approaches assessing organoid number, size, architecture, and growth dynamics. This platform therefore provides a biologically relevant system for studying human breast development, epithelial plasticity, epithelial–microenvironment interactions, and tissue-level responses to developmental, molecular, or environmental perturbations.
A schematic overview of the workflow, including tissue processing, hydrogel preparation, organoid culture, developmental progression, and downstream analyses, is provided in Figure 1, while representative organoid morphologies generated using this platform are shown in Figure 2.

Figure 1. Overview of the hydrogel-based organoid generation workflow. (A) Flowchart summarizing the protocol workflow, including tissue collection, tissue processing, cryopreservation, recovery and optional cell preparation, hydrogel preparation, organoid culture, organoid development, and downstream analytical applications. (B) Visual schematic depicting the major stages of the hydrogel-based organoid generation protocol, including tissue processing and preparation, recovery and optional cell preparation, and hydrogel preparation and organoid seeding. Please click here to view a larger version of this figure.

Figure 2. Representative organoid morphologies generated in the defined hydrogel system. Representative brightfield images of organoids derived from different human tissues cultured in the defined hydrogel matrix. Breast organoids generated from reduction mammoplasty-derived single epithelial cells were imaged at day 21 of culture. Patient-derived xenograft organoids generated from tumor fragments were imaged at day 16 of culture. Salivary gland organoids generated from epithelial fragments were imaged at day 3 of culture. Kidney organoids generated from epithelial fragments were imaged at day 17 of culture. Scale bars = 50 µm. Please click here to view a larger version of this figure.
Primary tissues that would otherwise have been discarded as medical waste following surgery were obtained in compliance with all relevant laws using protocols approved by the institutional review boards at Maine Medical Center and Tufts Medical Center. All tissues were anonymized prior to transfer and could not be traced to specific patients. For this reason, this research was granted exemption status by the Committee on the Use of Humans as Experimental Subjects at the Massachusetts Institute of Technology and at Tufts University Health Sciences (IRB #13521). All patients enrolled in this study signed an informed consent form agreeing to participate in the study and to the publication of the results.
1. Tissue Processing and Preparation
NOTE: Perform all procedures involving human tissue in accordance with institutional biosafety and ethical guidelines. Refer to the workflow schematics shown in Figure 1A and 1B for a visual overview of the protocol steps and organoid preparation workflow prior to beginning the procedure.
2. Recovery and Optional Cell Preparation
3. Hydrogel Preparation and Organoid Seeding


Successful execution of this protocol results in the formation of three-dimensional organoid structures that exhibit organized epithelial morphology and tissue-specific architectural features. Organoids begin to form within 3–7 days following seeding and continue to develop throughout the culture period. Previous characterization of this hydrogel organoid system demonstrated reproducible organoid formation across multiple independent primary human donors3. In that study, primary epithelial cells isolated from 12 disease-free reduction mammoplasty donors were evaluated, and 11 of 12 donor samples successfully generated organoids under the described culture conditions. Across donors, the median number of organoid structures formed per 100 seeded cells was 1.775 (95% CI: 0.45–4.10). Although substantial inter-donor variability in organoid formation efficiency and growth dynamics was observed, complex ductal-lobular and acinar morphologies were reproducibly generated across donors.
Breast organoids derived from single epithelial cells display progressive morphogenesis, forming branching structures by day 21 of culture (Figure 2). These structures are characterized by elongated projections and multicellular organization. Organoids exhibited projected areas ranging from 10,000–90,000 µm2 by day 18, with circularity values below 0.3, calculated as 4π × (Area/Perimeter2)3,9. Organoids derived from tissue fragments typically formed structures exceeding 90,000 µm2 by day 18, whereas organoids derived from tumor fragments formed denser and more irregular structures with reduced organization and increased radial projections, consistent with altered growth behavior.
Organoids derived from salivary gland and kidney epithelial fragments also exhibit distinct morphologies under the same hydrogel conditions (Figure 2). Salivary gland organoids form compact structures at early time points (day 3), whereas kidney organoids develop elongated and asymmetric morphologies by day 17. These observations are included to demonstrate the broader adaptability of the hydrogel-based organoid system beyond mammary tissue and illustrate its ability to support organoid formation from multiple epithelial tissue sources.
Immunostaining and molecular analyses previously performed3,5,8 demonstrated the presence of epithelial lineage markers, including the luminal markers KRT8, KRT18, KRT19, E-cadherin, GATA3, JAG1, Notch1, and MUC1, as well as the basal or myoepithelial markers KRT5, KRT14, Slug, SOX9, and TP63, indicating preservation of epithelial heterogeneity within the organoids. Structural features consistent with terminal ductal lobular unit-like organization were observed by confocal microscopy and three-dimensional reconstruction and were defined as structures containing elongated ductal regions connected to terminal lobule- or alveolar-like buds resembling the organization of native human terminal ductal lobular units. These structures also exhibited layered epithelial organization with luminal and basal cell patterning consistent with previously published analyses of this platform3.
A mesenchyme-like compartment was observed in association with and between epithelial structures and was characterized by migratory behavior and expression of markers including VIM, SNAI1, ZEB1, S100A, CD90, and FAPα. Together with time-lapse microscopy analyses, these observations support the emergence of a supportive microenvironment within the culture system3.
Importantly, this protocol is intended to provide a broadly adaptable methodological framework rather than establish a single fixed biological benchmark. Quantitative outcomes, including organoid formation efficiency, size, branching complexity, and cellular composition, may vary depending on donor source, menopausal status, starting material (e.g., tissue fragments versus single cells), and experimental conditions.
Suboptimal outcomes include reduced organoid formation efficiency (<1 organoid per 500 seeded cells), excessive cellular debris, failure of collagen polymerization or failure to establish organized structures. These outcomes are commonly associated with low cell viability, incomplete tissue dissociation, incorrect hydrogel composition, or improper pH neutralization.
Quantitative analysis of organoid development can be performed using live imaging and high-content imaging approaches to measure organoid number, size distribution, branching behavior, structural complexity, and cell dynamics. Previous studies using this platform performed longitudinal live imaging, cell tracking, morphometric analysis, and genetic perturbation studies to quantify organoid growth dynamics and lineage behavior over time3,5. Imaging was performed using confocal microscopy, and image analysis was conducted using NIS-Elements software.
Supplementary Figure 1. Representative example of a collapsed hydrogel during long-term organoid culture at day 18. Collapsed hydrogels appear as dense, opaque, plug-like structures resulting from extensive cellular outgrowth and matrix contraction. These morphological features were used as criteria for terminating cultures prior to complete hydrogel collapse. Scale bar = 500 µm.Please click here to download this file.
The protocol described here enables the reproducible generation of three-dimensional human breast organoids within a defined hydrogel microenvironment that supports key features of mammary morphogenesis3. Several steps are critical for the success of this method. First, tissue processing and enzymatic dissociation must be carefully controlled to preserve epithelial viability while minimizing overdigestion, which can reduce cell yield and impair subsequent morphogenesis10. In particular, brief and sequential enzymatic treatments, combined with gentle mechanical dissociation are essential for maintaining functional epithelial populations. Second, hydrogel preparation requires precise control of collagen concentration, pH, and timing11. Neutralization of collagen initiates polymerization; therefore, all steps following sodium hydroxide addition must be performed rapidly and on ice to ensure consistent gel formation. Incomplete or delayed polymerization can result in poorly structured or collapsed hydrogels that do not support organoid development. Finally, seeding density must be empirically optimized for each donor sample, as excessive tissue or cell loading can lead to rapid gel contraction and loss of structural integrity12.
Several troubleshooting considerations can improve reproducibility. Poor organoid formation may result from low cell viability, suboptimal hydrogel composition, or improper gel handling during deposition13. Ensuring that collagen stocks are maintained at 4°C and have not undergone premature polymerization is essential for consistent gel quality11. Additionally, successful detachment of hydrogels from the culture surface following polymerization serves as an indicator of proper gel formation; failure to detach typically reflects incomplete polymerization or inappropriate surface conditions14. Variability in organoid size and morphology is expected across donor samples and reflects biological heterogeneity rather than technical failure. Previous studies using this platform demonstrated reproducible organoid formation across a broad set of independent primary human donors despite substantial inter-donor variability in organoid formation efficiency and morphogenesis3.
This method has several limitations. While the model supports the emergence of a mesenchyme-like compartment alongside epithelial structures, it does not fully recapitulate the complexity of the in vivo stromal, immune, and vascular microenvironment. The composition of the hydrogel, although defined, represents a simplified extracellular matrix and may not capture all biomechanical or biochemical cues present in native tissue15,16. Additionally, donor-to-donor variability can influence organoid growth dynamics and morphology, necessitating empirical optimization for specific applications. Despite these limitations, the ability of this system to support self-organization and endogenous epithelial–mesenchymal interactions represents a significant advance over many existing culture models3.
Compared to commonly used basement membrane extract-based systems, this approach provides greater control over extracellular matrix composition and reduces variability associated with undefined materials17. Previous studies directly comparing this hydrogel platform with Matrigel-based organoid systems demonstrated substantial differences in tissue organization and cellular composition3,8. Hydrogel-grown organoids more closely resembled native human breast tissue at both the morphological and transcriptomic levels, preserving multilineage epithelial populations, including luminal, basal, progenitor, and mesenchymal-like compartments, whereas Matrigel-grown organoids were dominated by proliferative hybrid basal-like states and lacked stromal populations. In addition, unlike co-culture systems that rely on the addition of exogenous stromal cells, this model enables the intrinsic emergence of a supportive mesenchyme-like compartment, allowing the study of epithelial–microenvironment interactions in a more physiologically relevant and less artificially engineered context. Emerging mesenchymal-like populations within the hydrogels were previously validated through complementary live imaging, immunostaining, and single-cell transcriptomic analyses3. These studies demonstrated the emergence of highly motile stromal-like cells expressing mesenchymal and epithelial–mesenchymal transition-associated markers including Vimentin, THY1/CD90, FAP, S100A4, ZEB1, and Snail, together with reciprocal epithelial–mesenchymal signaling interactions identified through ligand–receptor analyses. These features make the system particularly well suited for investigating processes that depend on tissue architecture and cell–cell communication, including morphogenesis, epithelial plasticity, and early tissue remodeling4,5.
The described platform has broad applications in basic and translational research. It can be used to study human breast development, model early events in disease initiation, and evaluate the effects of molecular or environmental perturbations on tissue organization. Previous studies using this platform demonstrated that functional perturbation of developmental regulators such as DDR1 and RUNX1 alters lineage differentiation, epithelial organization, and ductal-lobular morphogenesis in three-dimensional culture5,18. Compatibility with quantitative imaging and high-content analysis further enables systematic interrogation of phenotypic outcomes, including changes in organoid size, structure, and complexity. As such, this method provides a scalable and biologically relevant platform for studying human tissue organization and its disruption in disease-relevant contexts.
C.K. is co-founder and consultant of Naveris.
We gratefully acknowledge Karla Murga, Daniela Requena, and Megan Maloney at the Tufts Biomedical Repository for tissue support. This research was supported by the Find The Cause Breast Cancer Foundation and the Tufts CTSI NIH Clinical and Translational Science Award (UM1TR0043, G.R.).
| Name | Company | Catalog Number | Comments |
|---|---|---|---|
| 15 mL conical tubes | VWR | 89039-664 | Sterile tubes for tissue processing and centrifugation |
| 40 μm cell strainer | VWR | 732-2757 | Filtration device for single-cell suspension preparation |
| 40 μm cell strainer for low volumes | Bel-Art | 136800040 | Filtration device for single-cell suspension preparation |
| Automated cell counter | Bio-Rad | 1450102 | Device used to count cells and determine viability |
| Bovine pituitary extract | Thermo Scientific | 13028014 | Supplement for epithelial cell media |
| Cell counting slides | Bio-Rad | 145-0011 | Dual-chamber slides used for cell counting |
| Centrifuge | N/A | N/A | Benchtop centrifuge/s need to have at least 500 x g speed capability and accommodation of 15 mL and 1.5 mL tubes. |
| Collagen I | Millipore Sigma | 08-115 | Extracellular matrix protein used for hydrogel formation |
| Collagenase A | Sigma-Aldrich | 11088793001 | Enzyme used for tissue dissociation |
| Cryovials | Corning | 976171 | Sterile vials for cryogenic storage of samples |
| Culture vessels (e.g., chamber slides, multiwell plates) | Corning | 354104 354108 3603 | Platforms for hydrogel deposition and organoid culture. |
| Dimethyl sulfoxide | Millipore Sigma | 317275 | Cryoprotectant used in freezing medium |
| Dispase II | Roche | 4942078001 | Enzyme used for secondary tissue dissociation |
| DNase I | Roche | 10104159001 | Enzyme used during cell dissociation. |
| Fetal bovine serum | Gibco | 10437 | Serum supplement used in wash and neutralization media |
| Fibronectin | Sigma-Aldrich | F2006 | Extracellular matrix protein component |
| GlutaMAX | Thermo Scientific | 35050061 | Supplement for epithelial cell media |
| Human epidermal growth factor | Sigma-Aldrich | E9644 | Supplement for epithelial cell media |
| Hydrocortisone | Sigma-Aldrich | H0888 | Supplement for epithelial cell media |
| Hyaluronic acid | Millipore Sigma | 385908 | Extracellular matrix component for hydrogel formulation |
| Hyaluronidase | Sigma-Aldrich | H3506 | Enzyme used for tissue dissociation |
| Incubator | Thermo Scientific | 3598 | Device used for tissue culture incubation |
| Insulin | Sigma-Aldrich | I9278 | Supplement for epithelial cell media |
| Laminin | Gibco | 23017-015 | Extracellular matrix protein component |
| Mammary epithelial basal medium | Thermo Scientific | M171500 | Growth medium for epithelial cells |
| Microcentrifuge tubes (1.5 mL) | Thermo Scientific | 3451 | Tubes used for small-volume reactions |
| Orbital rotator | Thermo Scientific | 400110 | Rotator used for tissue dispersion during enzymatic dissociation |
| P1000 pipette | Gilson | P1000 | Device used to mix and transfer volumes up to 1,000 μL |
| Penicillin-streptomycin | Thermo Scientific | 15140122 | Antibiotic supplement for epithelial cell media |
| Phosphate-buffered saline | Gibco | 20012-027 | Buffer solution used for washing and rinsing |
| Precision balance | Mettler Toledo | ML303E | Balance used for tissue weighing |
| Serological pipette | Nunc | 170356N | Pipette used for harvesting non-adherent epithelial cells |
| Sodium hydroxide (1 N) | Fisher Chemical | SS261 | Reagent used for collagen neutralization |
| Sterile scalpels | Bard-Parker | 372615 | Tools used for mechanical tissue mincing |
| Trypan blue solution | Gibco | 15250061 | Dye used for cell viability assessment |
| Trypsin (0.25%) | Gibco | 25200056 | Enzymatic reagent used for cell dissociation |
| Water bath (37 °C) | VWR | 10LA | Device used for controlled thawing of samples |
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