Cell-based cancer immunotherapy is a therapeutic approach that utilizes immune cells to target cancer cells1. This strategy has demonstrated remarkable success in the treatment of blood cancers2,3,4. However, the level of success observed in blood cancers has not yet been fully translated to the treatment of solid tumors5,6,7. One major reason for this limitation is the immunosuppressive tumor microenvironment (TME) that is specific to solid tumors.
The TME is characterized by distinct mechanical cues that can regulate cellular behavior. Effective killing of tumor cells by immune cells requires them to exert forces on target cells and establish an immune synapse through which cytotoxic molecules are delivered8. Therefore, understanding how mechanical forces influence immune cell function may uncover new therapeutic strategies to improve the efficacy of cell-based immunotherapies against solid tumors.
A defining mechanical feature of the solid TME is the compressive stress that the tumor microenvironment imposes on the growing tumor9,10. To date, most compression studies have focused on the effects on tumor cell behavior10,11. Only recently has attention shifted toward understanding how compression influences immune cells within the TME12. As a result, the mechanisms by which compressive stress affects Natural Killer (NK) cell migration, immune synapse formation, and cytotoxicity activity remain poorly understood and insufficiently quantified. This gap represents a critical limitation in our understanding of how mechanical cues within TME can be leveraged to enhance immune targeting of solid tumors.
A major barrier to addressing this question is the lack of experimental platforms that can apply controlled and quantifiable compression within physiologically relevant 3D microenvironments while simultaneously enabling real-time imaging of tumor-immune interactions. Early experimental approaches to studying compressive stress involved embedding spheroids in agarose gels13. While this method effectively captured physical confinement, it eliminated native extracellular matrix (ECM)-cell interactions. Dolega et al. applied osmotic pressure to induce compressive stress; however, spheroids were suspended in culture medium and therefore remained devoid of ECM interactions9. Pandey et al. used a transwell insert and weights to compress spheroids embedded in collagen, which preserved ECM-cell interactions but limited the high-resolution imaging required to quantify immune cell motility and cytotoxic activity14. Together, these limitations underscore the need for experimental platforms that enable real-time imaging of the morphological responses of cells to compression within the TME.
Here, we present a protocol for a microfluidic compression device15 that enables controlled application of compressive stress while preserving physiologically relevant ECM-cell interactions and supporting high-resolution live-cell imaging of immune–tumor dynamics. The protocol consists of the preparation of the device components (Section 1), assembly of the device (Section 2), and the imaging of tumor–immune interactions (Section 3). We demonstrate the workflow using an NK killing assay against green fluorescent protein (GFP)-labeled tumor spheroids. Beyond this application, the platform can be readily adapted to investigate the effects of mechanical forces on a broad range of cell types and cellular interactions in 3D microenvironments.