SCALABLE HUMAN INTESTINE MODEL WITH PERFUSABLE VASCULATURE SCALABLE HUMAN INTESTINE MODEL WITH ACCESSIBLE LUMEN AND PERFUSABLE BRANCHED VASCULATURE BY: KRISTEN L. HAYWARD, B.SC. A Thesis Submitted to the School of Graduate Studies in Partial Fulfillment of the Requirements for the Degree Master of Applied Science McMaster University © Copyright by Kristen L. Hayward, July 2021 ii McMaster University MASTER OF APPLIED SCIENCE (2021) Hamilton, Ontario (Chemical Engineering) TITLE: Scalable Human Intestine Model with Accessible Lumen and Perfusable Branched Vasculature AUTHOR: Kristen L. Hayward, Hons. B.Sc. (York University) SUPERVISOR: Boyang Zhang, Ph.D. NUMBER OF PAGES: xv, 154 Some sentences in this work have been reproduced with permission from Hayward, K. L., Kouthouridis, S. & Zhang, B. Organ-on-a-Chip Systems for Modeling Pathological Tissue Morphogenesis Associated with Fibrosis and Cancer. ACS Biomaterials Science & Engineering, doi:10.1021/acsbiomaterials.0c01089 (2020). Copyright 2020 American Chemical Society. M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering iii Lay Abstract Two-dimensional cell culture and animal models inadequately represent human drug metabolism and diseases like inflammatory bowel disease and colorectal cancer. The objective of this work is to develop a more physiologically relevant human intestine model. Using fabrication techniques pioneered by the semiconductor industry, a custom organ-on- a-chip platform in the format of a 384-well plate was developed. This platform is compatible with standard laboratory equipment and practices and can accommodate up to 128 human intestine models comprised of the intestinal epithelium and associated network of blood vessels. In this platform, the cells of the intestinal epithelium and vasculature are supported by a network of natural proteins. This allows processes like vessel growth to be modelled in this platform. Vessel growth plays a key role in the progression of inflammatory bowel disease and cancer, and this model could help scientists better understand these diseases. M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering iv Abstract Two-dimensional cell culture and animal models inadequately represent human pharmacokinetics and diseases like inflammatory bowel disease and colorectal cancer. This means missed diagnostic and therapeutic opportunities, high drug attrition rates, and a portfolio of approved drugs that underdeliver the desired benefits to patient outcomes. This encourages the development of a more physiologically relevant intestine model. The objective of this work was to develop a 384-well plate organ-on-a-chip platform, IFlowPlate™, that can accommodate up to 128 human intestine models with accessible lumens and perfusable branched vasculature in an ECM environment. Fibrin-Matrigel® was used a structurally supportive and biologically instructive substrate that enabled: (1) prolonged cell culture (at least 15 days) with routine refreshment of aprotinin-supplemented medium, (2) formation of a confluent Caco-2 monolayer with barrier function, and (3) de novo assembly of a vascular network with barrier function. A fluorescent dextran permeability assay was used for in situ real-time measurements of epithelial barrier function in a high-throughput manner. Mixed co-culture of endothelial cells and fibroblasts in fibrin-Matrigel® resulted in the formation of an interconnected network of patent vessels that retained an albumin surrogate tracer within the luminal space indicating endothelial barrier function. To improve the success rate of anastomoses between living vessels and fluidic channels, the modification of inherently hydrophobic PDMS and polystyrene culture surfaces with ECM protein was explored. To address the limitations of a cancer cell line-derived intestine model, the replacement of Caco-2 cells with biopsied-derived colon organoid cells was investigated. Different gel formulations were assessed for their ability to induce colon organoid fragments to form monolayers. Finally, the incorporation of multiscale intestinal topography and luminal flow was considered through a modified approach to plate fabrication, whereby moulded alginate is embedded in ECM and sacrificed to generate a scaffold. Work to make the moulded alginate more robust is presented. M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering v Acknowledgements I would like to thank my supervisor, Dr. Boyang Zhang, for introducing me to organ-on-a-chip technology and giving me an opportunity to engage in challenging and innovative work. I greatly value the breadth of knowledge and skills I have cultivated by working at the intersection of engineering, biomaterials science, and cell biology. I would also like to thank my examining committee members, Dr. Li Xi and Dr. Sandeep Raha, for the time and effort they extended in this role. Thank you to all the past and present members of the Zhang Lab that I had the pleasure of working with. I appreciate that sharing was an important pillar of our workplace culture. We shared more than just a Google calendar. We shared knowledge, resources, the joy of each other’s successes, laughs, but thankfully never coronavirus. I would like to express my gratitude for the financial support I received during my graduate studies in the form of the Queen Elizabeth II Graduate Scholarship in Science and Technology and the Clifton W. Sherman Scholarship. Many thanks to the patients who consent to the biobanking of collected tissue for research. Your contribution is invaluable for advancing scientific understanding of health and disease. To my extraordinary parents, Judy and Terry, this accomplishment is as much yours as it is mine. Thank you for all your sacrifices, love, and support that made this possible. M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering vi Table of Contents Lay Abstract ......................................................................................................... iii Abstract ................................................................................................................ iv Acknowledgements ............................................................................................... v List of Figures ....................................................................................................... x List of Tables ...................................................................................................... xiii List of Abbreviations ......................................................................................... xiv Declaration of Academic Achievement ............................................................. xv 1. Introduction ...................................................................................................... 1 2. Literature Review ............................................................................................. 3 2.1 Intestine Physiology ........................................................................................ 3 2.2 In Vitro Models ............................................................................................... 4 2.2.1 2D Cell Line Cultures .................................................................................. 4 2.2.2 Organoids ..................................................................................................... 6 2.2.3 Microstructured Scaffolds .......................................................................... 6 2.2.4 Organ-on-a-chip ........................................................................................... 8 3. Materials and Methods .................................................................................. 12 3.1 IFlowPlate™ Fabrication .............................................................................. 12 3.1.1 Photolithography for SU-8 Master Template Fabrication ............... 13 3.1.2 Soft Lithography for PDMS Mould 1 Fabrication ............................ 14 3.1.3 Replica Moulding for Fabrication of Epoxy and PDMS Moulds ..... 14 3.1.4 Silanization ............................................................................................ 19 M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering vii 3.1.5 Injection Moulding to Pattern Styrene Plate Bottom ........................ 21 3.1.6 IFlowPlate™ Assembly and Disinfection ............................................. 24 3.2 SynoPlate™ Fabrication ................................................................................ 26 3.3 SynoPlate™ Cell Culture .............................................................................. 33 3.4 IFlowPlate™ Cell Culture ............................................................................. 35 3.4.1 Cells and Culture Conditions .............................................................. 36 Endothelial Cells ......................................................................................... 36 Fibroblasts ................................................................................................... 37 Caco-2 Cells ............................................................................................... 38 Cell Passage Number ................................................................................. 38 Culture Conditions for Cell Lines .............................................................. 39 3.4.2 Hydrogels ............................................................................................... 39 Fibrin .......................................................................................................... 42 Matrigel® ..................................................................................................... 44 Fibrin-Matrigel® ......................................................................................... 46 Collagen ...................................................................................................... 47 Gelatin ........................................................................................................ 51 3.4.3 Cell Culture in IFlowPlate™ ................................................................. 52 Selection of Microfluidic Systems ............................................................... 52 Temporary Sealing of Microfluidic Channels with Gelatin ....................... 53 Cell Harvest and Encapsulation ................................................................. 53 Replacement of Gelatin with Culture Medium ........................................... 55 M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering viii Endothelialization of Microfluidic Channels with GFP-HUVECs .............. 58 Seeding Caco-2 Cells on Gel Surface ......................................................... 58 Gravity-Driven Flow .................................................................................. 58 3.5 Characterization of Epithelial Barrier ....................................................... 59 3.5.1 Formation of Caco-2 Confluent Monolayer on Fibrin-Matrigel® .... 59 3.5.2 Immunofluorescence Staining ............................................................. 59 3.5.3 Paracellular Permeability to Fluorescent-Dextrans .......................... 61 3.5.4 Transepithelial Electrical Resistance (TEER) ................................... 70 3.6 Characterization of Self-Assembled Vessels .............................................. 71 3.6.1 Paracellular Permeability of Vessels to 70 kDa TRITC-dextran ..... 72 3.6.2 Image Acquisition ................................................................................. 72 3.7 Coating IFlowPlate™ Microfluidic Channels with ECM Protein ............. 73 3.8 Colon Organoid-Derived Monolayer Experiment ..................................... 76 3.8.1 Source of Colon Organoids .................................................................. 76 3.8.2 Seeding Colon Organoid Fragments on Collagen Gel Surface ........ 76 3.8.3 Colon Organoid Culture Conditions .................................................... 77 Chapter 4: Results and Discussion .................................................................... 78 4.1 IFlowPlate™ Avascular Intestine Model ..................................................... 78 4.1.1 Modelling Intestine Epithelium with Caco-2 Cell Line ..................... 78 Caco-2 Cells Polarize and Form a Functional Barrier ............................. 78 Caco-2 Cells Form Confluent Monolayers on Fibrin-Matrigel® ............... 81 Caco-2 Cells Express E-cadherin ............................................................... 85 M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering ix 4.1.2 Barrier Function ................................................................................... 86 Paracellular Permeability to Fluorescent-Dextrans .................................. 86 Transepithelial Electrical Resistance (TEER ............................................. 92 4.2 IFlowPlate™ Vascular Intestine Model ....................................................... 96 4.2.1 Self-Assembled Vascular Networks .................................................... 98 4.2.2 Anastomoses of Self-Assembled Vessels with Fluidic Channels ..... 104 Sealing Gel ............................................................................................... 104 Bidirectional Anastomoses ........................................................................ 108 Coating IFlowPlate™ Microfluidic Channels with ECM Protein ............. 114 4.3 Enhancing Physiological Relevance of IFlowPlate™ Intestine Model .... 121 4.3.1 IFlowPlate™ Primary Intestine Model .............................................. 121 4.3.2 SynoPlate™ Intestine Model ............................................................... 129 Chapter 5: Conclusion ...................................................................................... 135 5.1 Summary ...................................................................................................... 135 5.2 Prospective Application of IFlowPlate™ Intestine Model ....................... 141 M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering x List of Figures Figure No. Figure Title Page Figure 1 Anatomy of the small and large intestine 10 Figure 2 Timeline figure showing important milestones in the history of in vitro intestine model development 11 Figure 3 Schematic showing Part A and B of IFlowPlate™ fabrication 17 Figure 4 Schematic showing Part C of IFlowPlate™ fabrication 18 Figure 5 Schematic showing the possible arrangements of Pluronic® tri- block co-polymers on a hydrophobic PDMS substrate 22 Figure 6 Exploded diagram showing one of the 40 microfluidic systems of the intestine SynoPlate™ 27 Figure 7 Schematic showing Part A of SynoPlate™ fabrication 31 Figure 8 Structure and swelling behaviour of calcium-alginate gel 32 Figure 9 Schematic showing Part B of SynoPlate™ fabrication 33 Figure 10 Exploded diagram showing one of the 128 microfluidic systems of IFlowPlate™ 36 Figure 11 Cross-linkable natural polymers can reversibly form hydrogels in response to physical, chemical, and enzymatic stimuli 42 Figure 12 1 mg/mL collagen prepared by neutralization of acid-solubilized concentrated rat-tail collagen type I 49 Figure 13 Schematic showing stepwise procedure for establishing a vascular tissue model in an IFlowPlate™ microfluidic system 57 M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering xi Figure 14 Schematic overview of the permeability assay procedure for assessing barrier function in IFlowPlate™ intestine model systems 63 Figure 15 Two-fold serial dilution of 0.5 mg/mL FITC- and TRITC-dextran solution 67 Figure 16 Day 7 standard curves of fluorescence intensity as a function of the amount of FITC- and TRITC-dextran 68 Figure 17 Day 15 standard curves of fluorescence intensity as a function of the amount of FITC- and TRITC-dextran 69 Figure 18 Exploded diagram showing the procedure for measuring the transepithelial electrical resistance of a Caco-2 monolayer in IFlowPlate™ using the EVOM2 71 Figure 19 PDMS has high surface hydrophobicity and requires surface modification treatment to increase hydrophilicity and facilitate cell adhesion 74 Figure 20 Caco-2 cells cultured on non-porous polystyrene substrates spontaneously form domes (arrows) indicating polarization and barrier function 79 Figure 21 Caco-2 cells form hallmark cobblestone epithelium on fibrin- Matrigel® and in mixed media that supports vasculature growth 84 Figure 22 Caco-2 cells stained for junction marker E-cadherin to assess barrier integrity 85 Figure 23 Microscopy images showing the permeability of a representative subconfluent (~80 % confluent) Caco-2 monolayer to high and low molecular weight fluorescent dextrans 89 Figure 24 Microscopy images showing the permeability of a representative postconfluent (+8 days from confluence) Caco-2 monolayer to high and low molecular weight fluorescent dextrans 90 Figure 25 Quantification of amount of eluted fluorescent dextran as an indicator of the barrier function of Caco-2 monolayers in IFlowPlate™ 91 Figure 26 In-house fabricated IFlowPlate™ microfluidic systems exhibit inconsistent geometries 94 M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering xii Figure 27 Fibrin gel-encapsulated GFP-HUVECs self-assemble into a vascular network by Day 6 of culture in IFlowPlate™ 101 Figure 28 70 kDa TRITC-dextran is transported and retained in lumens indicating the formation of patent vessels with a functional endothelial barrier 103 Figure 29 Fibrin pre-gel cast in the middle well leaks into fluidic channels of IFlowPlate™ microfluidic systems and compromises perfusion of vascular networks 106 Figure 30 Schematic showing that anastomoses between living vessels embedded in gel and fluidic channels of IFlowPlate™ microfluidic systems can be induced bidirectionally 110 Figure 31 Encapsulated GFP-HUVECs migrate from the gel into fluidic channels and form a “leaky” anastomotic connection with only one of the fluidic channels 111 Figure 32 GFP-HUVECs loaded into fluidic channels of IFlowPlate™ microfluidic systems insufficiently endothelialize channels under perfusion culture conditions 112 Figure 33 GFP-HUVECs loaded into fluidic channels of IFlowPlate™ microfluidic systems insufficiently endothelialize channels under static culture conditions 113 Figure 34 IFlowPlate™ microfluidic systems were coated with ECM protein to modify inherently hydrophobic PDMS and polystyrene surfaces and enhance GFP-HUVEC adhesion 117 Figure 35 Migration of gel-encapsulated GFP-HUVECs from tissue chamber into ECM-coated lateral fluidic channels in response to a strong chemoattractant gradient 118 Figure 36 Patient-derived colon organoid fragments seeded on top of collagen hydrogels to assess substrate-dependent monolayer formation 124 Figure 37 Microscopy images of polystyrene patterned with alginate via injection moulding using a two-level or single-level PDMS template 134 M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering xiii List of Tables Table No. Table Title Page Table 1 Results of pilot study testing the measurement of electrical resistance of Caco-2 monolayers in IFlowPlate™ as a non-invasive method for assessing barrier function 93 M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering xiv List of Abbreviations ECM extracellular matrix PEGDM poly(ethylene glycol) dimethyl ether PDMS polydimethylsiloxane UV ultraviolet HEPA high-efficiency particulate air dH2O distilled water PEO poly(ethylene oxide) PPO poly(propylene oxide) CMC critical micelle concentration GFP-HUVECs green-fluorescent protein-human umbilical vein endothelial cells ECGM-2 endothelial cell growth medium 2 DMEM Dulbecco’s modified Eagle’s medium FBS fetal bovine serum G α-L-guluronic acid D-PBS Dulbecco’s phosphate buffered saline BSA bovine serum albumin EHS Engelbreth-Holm-Swarm TEER transepithelial electrical resistance RGD Arg-Gly-Asp RCF relative centrifugal force FITC fluorescein isothiocyanate TRITC tetramethylrhodamine isothiocyanate PFA paraformaldehyde PI propidium iodide VEGF vascular endothelial growth factor MP microplastic PCBs polychlorinated biphenyls M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering xv Declaration of Academic Achievement I, Kristen Hayward, declare this thesis to be my own work, apart from the contributions outlined below. Dr. Boyang Zhang conceptualized IFlowPlate™ and SynoPlate™ and drew their designs using AutoCAD. Feng Zhang fabricated SU-8 master templates on silicon wafers in a clean room facility at the University of Toronto. Feng Zhang and Mandeep Kaur Marway fabricated IFlowPlate™ epoxy moulds. Shravanthi Rajasekar dissociated and seeded colon organoids. Scientific drawings were created with BioRender.com M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 1 Chapter 1: Introduction Angiogenesis is a hallmark of inflammatory bowel disorders1 and cancer.2 Angiogenesis plays a critical role in the proliferation and metastasis of colorectal cancer.2 Colorectal cancer is among the top three most prevalent cancers worldwide and is the third leading cause of cancer-related deaths.2 New vessels (1) supply the growing tumour with oxygen and nutrients to meet its increasing metabolic demands and (2) permit the dissemination of tumour cells to secondary sites; thus, contributing to metastasis. Not surprisingly, cancers with a poor prognosis are correlated with increasing production of angiogenic factors and increased density of tumour vasculature.3 For these reasons, antiangiogenic therapies represent an attractive approach to treating cancer. However, despite the widespread attention antiangiogenic therapies have received from the research community, they have not delivered the anticipated improvements to patient outcomes.4 Possible reasons for this are that antiangiogenic compounds can 1) promote metastasis through hypoxia-induced upregulation of paracrine factors that promote cancer cell motility and invasion,5 and/or 2) reinforce tumour circumvention of angiogenesis whereby tumours use alternative strategies for gaining access to blood supply, such as vasculogenic mimicry6 or vessel cooption.4 There is also growing interest in therapeutically targeting the tumour extracellular matrix (ECM) because it might represent less of a moving target than the genetically unstable cancer cells which frequently acquire new genetic alterations as they divide – a mechanism that can lead to drug resistance.7-9 While targeting the tumour ECM or the fibroblasts that produce/remodel it could represent an effective cancer therapy, current M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 2 understanding of how the ECM contributes to cancer morphogenesis is limited. Deciphering the complex bidirectional relationships between cells and the ECM encourages the reductionist approach of in vitro models. Experimentally tractable human intestine models that can model angiogenesis and the ECM with stromal cells, have the potential to improve scientific understanding of complex intestinal diseases, and facilitate the development of more effective therapies. The most well-established intestine-on-a-chip systems (Section 2.3.4) are configured as two stacked planar channels which are made of PDMS and separated by a synthetic membrane. In the upper compartment, epithelial cells are cultured, and in the lower compartment, endothelial cells are cultured. Two notable limitations of these traditional organ-on-a-chip systems are: (1) they are low-throughput and poorly compatible with standard laboratory equipment and practices, and (2) they impose non-physiological constraints and thus are not suited for modelling tissue morphogenesis (e.g., angiogenesis) which occurs in the context of a three-dimensional ECM environment. The objective of this work is to address the shortcomings of gut-on-a-chip systems through the development of a scalable vascularized intestine model in a custom 384-well microfluidic platform termed IFlowPlate™. This platform is (1) free of non-physiological constraints and incorporates an ECM-based hydrogel that supports tissue morphogenesis and incorporation of stromal cells, (2) compatible with standard laboratory equipment and practices, and (3) has the potential to deliver high-throughput experimental capabilities. To make judicious use of resources and to make it easier to diagnose and address problems, the development of an intestine model in IFlowPlate™ was pursued incrementally. This M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 3 work can be organized into three aims: (1) develop a Caco-2 epithelial barrier model, (2) develop a gel-embedded network of perfusable branched vasculature, and (3) enhance the physiological relevance of the model by a) incorporating primary intestine tissue, b) luminal flow, and c) multiscale intestine topography (i.e., tubular structure and crypts). Part b) and c) of the third aim requires reconfiguration of the IFlowPlate™ platform and a modified biofabrication approach. To reflect this departure, this platform is trademarked as SynoPlate™. Chapter 2: Literature Review 2.1 Intestine Physiology The lower gastrointestinal tract is comprised of the stomach, small intestine, and large intestine.10 The epithelial surfaces of the small and large intestine have distinct microstructures that support their specialized functions (Figure 1).10 Consistent with its role in nutrient absorption, the surface area of the small intestine is maximized by repeating units of luminal projections, villi, and invaginations, crypts.10 The epithelium of the large intestine possesses only crypts.10 This is consistent with its role in housing a highly dense and diverse community of microbes that ferment indigestible carbohydrates and produce absorbable metabolites essential for overall host health.10 A muscular layer surrounds the intestine and through a series of wave-like contractions, referred to as peristalsis, food/waste is simultaneously mixed and propelled unidirectionally along the gastrointestinal tract.10 M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 4 The intestinal epithelium serves as a barrier between the luminal contents and the body.10 The lumen environment can be very harsh, and this requires the rapid turnover of epithelial cells.10,11 To support rapid tissue regeneration, stem cells are compartmentalized in sheltered niches at the base of crypts.10,11 The differentiated cells of the intestine originate from stem cells and migrate up the crypt to the villi (small intestine) or luminal surface (large intestine) where they can perform their special functions.10 Absorptive cells are the most abundant cell type in the intestine.10 They are covered in microvilli to maximize the absorptive surface area.10 Other cell types include mucus-secreting goblet cells, hormone-secreting enteroendocrine cells, and in the small intestine, specifically, microfold cells which present luminal antigens.10 2.2 In Vitro Models In this section, important milestones in the history of in vitro intestine model development (Figure 2) will be discussed. 2.2.1 2D Cell Line Cultures The failure to sustain differentiated normal primary intestinal epithelial cells ex vivo has led to the extensive use of cell lines established from gastrointestinal tumours.12,13 The Caco-2 cell line is the most well-established and widely used intestinal epithelial cell line for modelling the intestinal epithelium because it exhibits spontaneous differentiation and barrier and transport functions.13-16 In the body, intestinal epithelial cells are fed nutrients from their basolateral side surface which is in contact with the ECM facing the blood supply.17 When cultured on an M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 5 impermeable substrate (e.g., polystyrene or glass) (Figure 2), Caco-2 cells are fed from their apical luminal surface and this can induce abnormal phenotypes.17 Transwell culture systems represent a more physiological model, as they are based on a porous membrane insert that is inserted into wells of standard multi-well cell culture plate. In these systems, Caco-2 cells are cultured on top of the insert allowing both the apical and basolateral surfaces access to nutrients leading to improved morphological and functional differentiation (Figure 2).13 Moreover, these systems can be used to assess transport across the epithelial monolayer. Oral drug administration is the most common and most preferred method of drug administration because it does not require trained medical personnel, is non-invasive, and has high patient compliance.18,19 The major site of metabolism of orally administered drugs is the intestine.20,21 Drug metabolism in the intestine is largely determined by the types and abundance of cytochrome P-450 enzymes which are different between mice and humans and thus undermine the efficacy of preclinical animal models to predict human pharmacokinetics.20,21 For this reason, Caco-2 transwell systems are routinely employed by the pharmaceutical industry to model the human small intestine.20 However, the extrapolation of data from these models to predict drug metabolism and drug-drug interactions in humans is challenged by the low expression of cytochrome P-450 enzymes.20 Other limitations of Caco-2 models include: (1) they do not not distinctly represent the small intestine or colon, rather they display characteristics of both,13 (2) they can form M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 6 multilayer regions that resemble polyp-like masses,22 and (3) having originated from a tumour, they cannot be used to study the transformation of precancerous cells. 2.2.2 Organoids Organoid models rely on intestinal stem cells that reside in the crypts of biopsied intestinal tissue to generate a self-organizing miniaturized intestine that possesses all the differentiated cell types of the native epithelium.23 Intestine stem cells are cultured in a 3D Matrigel® matrix.23 This growth environment promotes the formation of polarized cysts with a central lumen (Figure 2).24 The closed, cyst-like morphology characteristic of intestinal organoids complicates their use in studies of nutrient transport, drug absorption, and microbe-epithelium interactions that require direct access to the inside of the organoid which is analogous to the intestinal lumen.25,26 Moreover, the accumulation of secreted material and shed apoptosed cells inside of the organoid is non-physiological and necessitates their regular passaging to maintain them in culture.27,28 In the body, debris/waste that is shed into the intestinal lumen is continuously cleared by luminal flow. To overcome the limitations presented by the closed, spherical geometry of organoids, model systems that “open-up” 3D organoids into 2D monolayers with an accessible lumen have been developed.25-27,29 2.3.3 Microstructured Scaffolds Work in the field of mechanobiology supports the existence of a multiscale structural hierarchy from organ structure to intracellular structure (i.e., the cytoskeleton) that physically integrates mechanical forces with the nucleus, suggesting a mechanism by M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 7 which tissue geometry can regulate gene expression.30 Tissue geometry can also exert its effects on cell phenotype and behaviour in a mechanical-independent manner by defining cell proximity and the local concentrations of secreted factors.31-33 Reconstituting the 3D geometry of the native intestine has been shown to increase mucin production and improve metabolic function of cultured Caco-2 cells, compared to 2D models.34 A significant limitation of 2D cell culture models and organoids is their lack of representation of native intestine 3D geometries. For example, a distinguishing feature of the small intestine is the presence of villus structures which are finger-like luminal projections that increase the absorptive surface area of the small intestine. Small intestine organoids inappropriately resemble colon organoids in that no villus structures are present. Villous atrophy is a characteristic of many intestinal disorders, such as celiac disease, Crohn’s disease,35 and acute radiation syndrome,36 and is diagnosed by visual inspection of tissue obtained from a biopsy. Villous atrophy results in malabsorption leading to nutrient deficiencies, weight loss, and diarrhea.35 Modelling villous atrophy can facilitate the development of medical counter measures.37 A typical approach to creating intestine models with villus and/or crypt structures, is the fabrication of a hydrogel mould upon which epithelial cells can be seeded. Laser ablation and soft lithography have been used to generate a PDMS template for moulding calcium-alginate into a secondary dissolvable template.38 This calcium-alginate template was used to mould collagen gel into villi, before it was sacrificed to generate the final microstructured collagen scaffold which can be placed on a transwell insert (Figure 2).34,38 In contrast to the subtractive manufacturing approach just described, Creff et al. used a M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 8 high-resolution additive manufacturing approach to reproduce the complex villus-crypt geometries of the small intestine39 Specifically, they employed 3D stereolithography printing whereby a UV laser is directed in a specific path across a photopolymerizable hydrogel to induce cross-linking of polymers into a hardened layer.39 2.2.4 Organ-on-a-chip Since scientists began culturing cells ex vivo, the focus has been on the chemical environment of cells. By manipulating the chemical composition of the cell culture medium, gene expression can be regulated to control cell survival, proliferation, and differentiation. Organ form and function emerge from the dynamic and complex interactions between cells and their surroundings. This urges the development of in vitro models that not only represent the chemical environment, but also the diversity and spatial organization of cell types, and the physical (e.g., ECM microstructure) and mechanical (e.g., flow and cyclic strain) environment. This has been accomplished by the convergence of biological principles with engineering to create organ-on-a-chip systems. The wide appeal garnered by organ-on-a-chip systems is largely for two reasons, (1) they can model human physiology/pathophysiology more closely than 2D cell culture and animal models and (2) they offer unprecedented control over the components of living systems that are represented and thus make it easier to disentangle cause and effect relationships. The first and most well-established organ-on-a-chip model of the human intestine, Gut-on-a-Chip,40 (Figure 2) is a PDMS-based device with two stacked perfusable planar channels for independent 2D culture of epithelium and endothelium. Epithelial cells are M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 9 cultured on top of an ECM-coated porous membrane that separates the upper and lower compartment.40 Cyclic suction applied to lateral hollow vacuum chambers is used to mimic peristaltic motions of the gut.40 It has been shown that when cultured in a mechanically active environment reminiscent of the living intestine, Caco-2 cells can be stimulated to undergo spontaneous morphogenesis into villi-like structures and differentiate into four different epithelial cell types of the small intestine – absorptive, enteroendocrine, Paneth and Goblet cells.41 To enhance the physiological relevance of the Gut-on-a-Chip cultured with Caco-2 cells, historically independent organoid and organ-on-a-chip approaches to tissue modelling were combined to create a new category of in vitro model – the organoid-on-a- chip. Compared to Caco-2 chip models, intestinal organoid-on-a-chip models have gene expression profiles that more closely resemble the native human intestine.20,27 For example, the Duodenum Intestine-Chip showed levels of CYP3A4 expression comparable to levels observed in the human adult duodenum and thus could be used to better predict human pharmacokinetics.20 Moreover, intestinal organoid-on-a-chip models exhibit higher functional fidelity.27 The Intestine-Chip (Figure 2) displayed a 10 times higher concentration of mucus which plays a critical role in tissue homeostasis.27 It has also been shown that when cultured in the Intestine-Chip, organoid-derived duodenal cells display gene expression profiles that are more similar to the living human duodenum than duodenal organoids.27 This suggests that recapitulation of the native cellular environment which includes endothelium and mechanical stimuli, plays an important role in modulating cellular gene expression. M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 10 Most recently, an intestine organoid-on-a-chip system that incorporates a microstructured ECM scaffold has been reported.28 Laser ablation was used to generate crypt-like cavities in a natural collagen-Matrigel® hydrogel (Figure 2). Sox2 staining showed the physiological spatial segregation of stem cells to the base of crypts.28 Figure 1. Anatomy of the small and large intestine. The epithelial surfaces of the small and large intestine have distinct microstructures that support their specialized functions. Stem cells (green) are enriched at the bases of crypts and differentiated cells (white) along the villi (small intestine) or luminal (large intestine) surface. The generic structure of the capillary bed within the intestinal mucosa is shown. Arterial (red) and veinous (blue) circulation run parallel to each other. Lacteals are shown in yellow. Figure reproduced from Ref. 10. M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 11 Figure 2. Timeline figure showing important milestones in the history of in vitro intestine model development. Organ- on-a-chip figures reproduced from Refs. 40 (Gut-on-a-Chip), 27 (Intestine-Chip, emulatebio.com), 28 (scaffold-guided homeostatic mini-intestine). M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 12 Chapter 3: Materials and Methods 3.1 IFlowPlate™ Fabrication IFlowPlate™ is a custom 384-well plate with 128 independent microfluidic systems comprised of three-well units. The wells of each unit are connected by microfluidic channels allowing for the flow and exchange of fluid between wells. ECM pre-gel solution (with/without cells) is cast in the middle well and fluid flows from/into adjacent reservoir wells through the hydrogel. This is representative of interstitial flow in the body which is the flow of fluid around interstitial cells and through the ECM that surrounds tissues.42 Interstitial flow through ECM differs from open-channel flow through a conduit, such as a microfluidic channel or blood vessel, as fluid moves in all directions through the ECM and flow velocity is retarded by the high flow resistance of the ECM.42 “IFlowPlate™” is a portmanteau of the words “interstitial flow” and “plate.” IFlowPlate™ is comprised of a standard black 384-well bottomless plate (Cat. # 82051-544, Greiner Bio-One) and a 11.6 cm x 7.5 cm x 0.081 cm (length x width x height) polystyrene sheet that serves as the plate bottom. The polystyrene sheet is patterned with a sacrificial polymer – poly(ethylene glycol) dimethyl ether (PEGDM, Mn ~2,000, Cat. # 445908, Sigma-Aldrich) using injection moulding. PEGDM is injected into a polydimethylsiloxane (PDMS) elastomer mould (SYLGARD™ 184 silicone elastomer clear, Cat. # 4019862, Dow) of an array of 128 channel-like grooves that bridge three adjacent wells. The PEGDM-patterned polystyrene sheet is glued to the bottomless plate and the PEGDM is subsequently dissolved with water to generate channels that connect three adjacent wells. This method represents a relatively inexpensive and technically facile M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 13 approach to integrating microfluidics with multiwell plates of different configurations (e.g., 6-well to 384-well plates) to deliver high-throughput experimental capabilities. The IFlowPlate™ fabrication method is described in detail in the sections below and a schematic illustrating the stepwise process is shown in Figures 3 and 4. 3.1.1 Photolithography for SU-8 Master Template Fabrication The design for IFlowPlate™ was drawn using computer-aided software (AutoCAD, Autodesk). A photomask that met the specifications of the design was manufactured by an external supplier and used to fabricate the SU-8 master template on a silicon wafer (diameter: 150 mm, thickness: 0.65 mm, UniversityWafer, Inc., South Boston, MA) via conventional photolithography. A thin film of light-sensitive epoxy-based material, SU-8 2050 negative photoresist (Cat. # Y1110720500L1GL, MicroChem, Westborough, MA) was spin-coated onto the silicon wafer and soft baked (Figure 3A, step 1). The patterned photomask was applied to the surface of the photoresist and the wafer was exposed to ultraviolet (UV) light (Figure 3A, step 2). Portions of the photoresist that were not masked were cross-linked by UV light and rendered insoluble by the liquid developer which the SU-8 was immersed in following a post-exposure hard bake step (Figure 3A, step 3). Fabrication of the SU-8 master template was done at the University of Toronto in a clean room equipped with a high- efficiency particulate air (HEPA) filter and UV filters. The SU-8 master template was placed inside a square bioassay dish (245 mm x 245 mm, Cat. # 29186-491, Corning) and secured using adhesive tape. M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 14 3.1.2 Soft Lithography for PDMS Mould 1 Fabrication Unlike photolithography which relies on light exposure to transfer a pattern to a substrate, soft lithography relies on the physical deformation of a soft, elastomeric material (e.g., PDMS). To replicate the inverse of the SU-8 master features in PDMS, PDMS (SYLGARD™ 184) comprised of five parts by weight elastomer base and one part curing agent was poured on top of the SU-8 wafer in a bioassay dish. The PDMS was degassed under vacuum (−0.09 MPa gauge pressure, 30 minutes), cured at room temperature for 48 hours, and was cut and peeled from the SU-8 wafer (Figure 3B, step 1). This PDMS mould will hereafter be referred to as PDMS mould 1 to distinguish it from the PDMS moulds used as templates for injection moulding. 3.1.3 Replica Moulding for Fabrication of Epoxy and PDMS Moulds PDMS mould 1 replicates the inverse features of the SU-8 master template and was used to create an epoxy mould that replicates the SU-8 master features in a process referred to as replica moulding. With the feature surface facing up, PDMS mould 1 was cut using a single edge blade. A 2 mm biopsy punch (Cat. # 21909-132, Integra York PA, Inc.) was used to punch a hole at the ends of each channel (Figure 3B, step 2). Punch waste was pushed through the holes using the fine tips of precision stainless steel tweezers and discarded. The holes in PDMS mould 1 generated posts in the epoxy mould which in turn generated holes in the cast and demoulded PDMS used as a template to pattern the polystyrene plate bottom. The holes in the PDMS template serve as ports for the injection of PEGDM and permit the escape of air during filling of microchannels with PEGDM. M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 15 The featureless surface of PDMS mould 1 was cleaned of debris using adhesive tape and activated using a BD-20A high frequency plasma generator (Cat. # 12011A, Electro-Technic Products, Chicago, IL) before being bonded to a cleaned and activated PDMS (SYLGARD™ 184) slab (Figure 3B, step 3). This PDMS slab was prepared by pouring 90 g of a mixture of 5:1 by weight PDMS elastomer base to curing agent into an empty square bioassay dish (245 mm x 245 mm, Cat. # 29186-491, Corning). After curing at room temperature, the PDMS was peeled from the dish and a single edge blade was used to cut a PDMS slab to the same length and width as PDMS mould 1. The two-layer PDMS mould 1 was treated with vapored trichloro (1H, 1H, 2H, 2H-perfluorooctyl) silane to deposit a “nonstick” film that would prevent irreversible bonding of the PDMS with epoxy (Section 3.1.5). To fabricate the epoxy mould, a 15 cm x 9 cm x 5 cm (length x width x height) cardboard rectangular box was lined with a smooth aluminum foil insert. 18 g of PDMS (SYLGARD™ 184), prepared by mixing the elastomer base and curing agent in a ratio of 5:1 by weight, was poured into the box. The box was rotated to coat the bottom and half the height of the side walls with a thin film of PDMS. The liquid PDMS was partially cured at room temperature to achieve a semi-solid state with a viscosity and stickiness that resembles that of glue. Both faces (feature and featureless) of the silanized two-layer PDMS mould 1 were cleaned with adhesive tape to lift any debris. With the feature surface facing up, PDMS mould 1 was placed in the middle of the box on top of the glue-like PDMS. Following overnight incubation at room temperature, the glue-like PDMS was fully cured. 80 mL of equal parts by volume of epoxy resin and hardener (EasyCast® clear casting M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 16 epoxy, Cat. # 33016, Environmental Technology, Inc., Galesburg, MI) was vigorously mixed and cast on top of PDMS mould 1. After degassing under vacuum (- 0.09 MPa gauge pressure, 10 minutes), unpopped air bubbles that had risen to the surface of the resin were lifted off with a dry wooden craft stick and the epoxy was left to cure at room temperature. The epoxy mould was released from the aluminum foil and PDMS mould 1 was lifted from the epoxy mould using a double-ended microtapered stainless steel spatula and discarded (Figure 3B, steps 4 – 5). The epoxy mould was silanized with vapored trichloro (1H, 1H, 2H, 2H-perfluorooctyl) silane (See 3.1.5) and subsequently used to create PDMS moulds with holes and channel-like grooves to be used as templates for patterning the polystyrene plate bottom. The PDMS mould for patterning the polystyrene IFlowPlate™ bottom was made by pouring PDMS (SYLGARD™ 184) comprised of thirty parts by weight elastomer base and one part curing agent into the IFlowPlate™ epoxy mould. The cast PDMS was degassed under vacuum (−0.09 MPa gauge pressure) for 1 hour to decrease the solubility of gas in the PDMS and remove air bubbles which could lead to defects in the cured mold. The PDMS mould was cured at 47 °C overnight and subsequently demoulded (Figure 3B, steps 6 – 8). M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 17 128 features Figure 3. Schematic showing Part A and B of IFlowPlate™ fabrication. (A) Photolithography to generate SU-8 master template with 128 positive features on silicon wafer. (B) Soft lithography and replica moulding to generate PDMS moulds with negative features for patterning styrene sheets via injection moulding (See Part C, Fig. 4). (3) Posts Holes Groove Ridge (5) (8) M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 18 Figure 4. Schematic showing Part C of IFlowPlate™ fabrication (Figure 1 Cont’d). (C) Stepwise process to pattern a styrene sheet (plate bottom) with PEGDM via injection moulding and bond it to a 384-well bottomless plate to generate a custom 384-well microfluidic platform termed IFlowPlate™. IFlowPlate™ has 128 independent three-well microfluidic units. Channels between wells permit the flow and exchange of fluids. TOP BOTTOM (6) (8) M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 19 3.1.4 Silanization To prevent bonding of PDMS with epoxy, a “nonstick” film of vapored trichloro (1H, 1H, 2H, 2H-perfluorooctyl) silane was deposited on (1) the two-layer PDMS mould used to make the epoxy mould (i.e., PDMS mould 1), and (2) the epoxy mould used to make PDMS moulds for patterning polystyrene plate bottoms. A square bioassay dish (245 mm x 245 mm, Cat. # 29186-491, Corning) with lid was used to create a closed chamber in which the liquid silane would vaporize at room temperature to generate a silane atmosphere. Due to the toxicity of trichloro (1H, 1H, 2H, 2H-perfluorooctyl) silane, silanization was performed inside a chemical fume hood. The procedures for silanizing two-layer PDMS moulds and epoxy moulds were nearly identical apart from how the moulds were secured to the square bioassay dish. PDMS moulds were secured to the dish using double-sided adhesive tape placed on the featureless surface of the two-layer mould. To secure epoxy moulds to the dish, masking tape was placed along the long and short edges of the mould. Two PDMS/epoxy moulds were secured to the dish one above the other in landscape orientation. The inside of the lid was covered with aluminum foil and 90 µl of silane was deposited on the aluminum foil in equally spaced beads. Using a pipette tip, silane beads were streaked in a grid-like pattern for even exposure of mould surfaces to evaporated silane. To create the chamber, the dish was put inside the lid so that the moulds were suspended above the silane. Silanization time was 45 minutes and 1 hour for PDMS and epoxy moulds, respectively. Using the procedure described, the vapor phase silane formed an opaque, white- coloured film on PDMS mould 1 indicating multi-layer deposition of silane molecules on M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 20 the PDMS surface. This proved to be problematic for downstream fabrication steps as the epoxy moulds generated from the silanized two-layer PDMS mould 1 also had an opaque, white-coloured film, as did the PDMS moulds generated from the epoxy moulds. These PDMS moulds were used as templates for patterning the polystyrene plate bottom via injection moulding and their precise alignment with a reference 384-well bottomless plate (See 3.1.6) relies on being able to see through a transparent mould to the reference plate. Moreover, polystyrene sheets patterned with PEGDM using opaque PDMS moulds showed substantial PEGDM leakage. It is speculated that the thick film of silane and/or mould of the surface roughness on the PDMS mould undermines bonding with the polystyrene sheet (See 3.1.6). Lastly, excess silane can fill in the negative features (e.g., holes) of a template mould and negatively change the dimensions of positive features (e.g., posts) of the replica mould.43 This is particularly relevant for nanoscale features. While silanes are known to chemically adsorb to material surfaces and form self- assembled monolayers, this process is usually highly variable.43 Manipulating the volume of silane, duration of silanization, and ambient pressure by performing the reaction in a vacuum chamber/desiccator can help to improve the quality and consistency of silane deposition.43 In addition to manipulating these parameters, a post-silanization processing step to remove silane can also help to achieve the desired result. Indeed, it was discovered serendipitously that adhesive tape works well to lift excess layers of silane molecules from PDMS mould 1 and restore its transparency. It is speculated that the ease with which the silane molecules could be removed is due to the disorganized multi-layer arrangement of silane molecules.43 Therefore, following the removal of PDMS mould 1 from the silane M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 21 chamber, overlapping pieces of adhesive tape were placed on the feature face of the mould, smoothed over, and peeled off after 2 hours. This was repeated once more as lines of silane remained after the first tape application. These lines corresponded to the borders of tape pieces suggesting that the borders might be less adhesive than the interior of the tape. 3.1.5 Injection Moulding to Pattern Polystyrene Plate Bottom Using a box cutter, a 0.081 cm optically transparent polystyrene sheet (Cat. # V16010, Jerry’s Artarama) was cut to 11.5 cm x 7.6 cm to fit the dimensions of a black bottomless 384-well plate (Cat. # 82051-544, Greiner Bio-One). Using a single edge blade, the perimeter of the PDMS mould was trimmed to fit the dimensions of the polystyrene sheet and then bathed for 30 minutes in a 5% (w/v) solution of Pluronic® F-127 (Cat. # P2443, Sigma-Aldrich) in distilled water (dH2O). With the mould submerged, features were tapped with fingertips to simultaneously purge inlet/outlet holes and microchannels of trapped air and fill them with amphiphilic Pluronic® F-127 solution (Figure 4, step 1). Pluronics® are tri-block co-polymers comprised of poly(ethylene oxide) (PEO) and poly(propylene oxide) (PPO).44 These co-polymers self-assemble with the hydrophobic PPO block interfacing with the hydrophobic PDMS substrate and the hydrophilic PEO blocks interfacing with the water layer.44,45 This arrangement improves the hydrophilicity of the PDMS and deters other molecules from interfacing with the substrate via the large excluded volume and configurational entropic repulsion mechanisms.44,45 Previous studies have shown that the success of Pluronic® surface treatment is dependent on the solution concentration, and a concentration that does not exceed 5% - the critical micelle M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 22 concentration (CMC), is ideal to achieve a surface saturated with exposed PEO blocks (Figure 5a).44 At concentrations below the CMC there is incomplete surface coverage (Figure 5b). At concentrations above the CMC, Pluronic® co-polymers can form bilayers with poorly exposed PEO blocks (Figure 5c), or micelle/aggregates (Figure 5d) that can be rinsed away. Modification of the PDMS mould surface chemistry using 5% Pluronic® F-127 solution was ideal for preventing irreversible bonding of the PDMS mould with the injected PEGDM or the polystyrene sheet. The PDMS mould was rinsed with dH2O and placed on top of low-linting absorbent tissue to dry. A 11.5 cm x 7.6 cm x 0.081 cm polystyrene sheet was plasma treated to functionalize the surface and enhance bonding of the PEGDM with the polystyrene sheet. Adhesive tape was used to lift debris off the feature surface of the dry PDMS mould before Figure 5. Schematic showing the possible arrangements of Pluronic® tri-block co- polymers on a hydrophobic PDMS substrate. (a) high density monolayer, (b) low density monolayer, (c) bilayer, (d) micelle/aggregates. Figure is reproduced from Ref. 1. M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 23 it was superimposed onto the functionalized polystyrene sheet. For precise alignment of the mould features with wells, the polystyrene sheet was placed on a bottomless 384-well plate for reference of well positions. The PDMS mould was bonded with the polystyrene sheet (Figure 4, step 2). The device was lifted off the reference bottomless 384-well plate and exposed to vacuum (- 0.04 MPa gauge pressure) for 15 minutes to remove air trapped between the PDMS mould and the polystyrene sheet. The polystyrene sheet was patterned with poly (ethylene glycol) dimethyl ether (PEGDM, Mn ~2,000, Cat. # 445908-50G, Sigma-Aldrich) using injection moulding. The water solubility of PEGDM makes it attractive for use in applications requiring a sacrificial polymer, such as the fabrication of IFlowPlate™. Using a 10 mL syringe with a cropped 19 G needle, liquid PEGDM (melted at 65 °C) was injected into the inlet and outlet holes of the PDMS mould of an array of channel-like grooves that connect three adjacent wells (Figure 4, step 3). Because PEGDM quickly solidifies at room temperature, following injection, the device was placed in a 65 °C oven to return the PEGDM to a liquid state. With the PEGDM in a liquid state, the device was pulse centrifuged at 1000 RPM, and then incubated in a 65 °C vacuum oven at −0.05 MPa gauge pressure for 30 minutes. After incubation, the polystyrene sheet was pulse centrifuged at 1000 RPM and incubated at 65 °C for 30 minutes. This technique is a modification of a technique referred to as “vacuum filling” described in microfluidics literature.46 When the polystyrene sheet is exposed to vacuum, displaced air in the channels will escape through the PEGDM liquid or the gas- permeable PDMS walls. Eventually, a pressure equilibrium will be reached and the pressure in the channels will be low. When the device is returned to atmospheric pressure, M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 24 there is higher pressure at the surface of the mould compared to inside the channels. This positive pressure differential pushes the PEGDM into the channels. After channels were filled, excess PEGDM was removed from the inlet and outlet holes using a multichannel pipette attached to a vacuum aspirator. To minimize the risk of inadvertently aspirating PEGDM from the channel-like grooves, the pipette tips were oriented in the opposite direction of channels. To accelerate solidification of PEGDM, the polystyrene sheet was incubated at –20 °C for 10 minutes. The PDMS mould was peeled from the styrene sheet (Figure 4, steps 4 – 5) revealing the patterned 300 µm x 150 µm PEGDM features. Localized debonding/incomplete bonding at the PDMS-polystyrene interface due to contaminants or air bubbles can result in PEGDM leakage. Patterned polystyrene sheets were inspected prior to assembly of IFlowPlate™. Leaked PEGDM on the back and edges of the polystyrene sheet was cleaned with a small, wetted polyfoam paint brush. For more delicate cleaning of leaked PEGDM around patterned features, a wetted pointed end tortillon (i.e., paper pencil used by artists for blending) was used. 3.1.6 IFlowPlate™ Assembly and Disinfection To assemble IFlowPlate™, a black 384-well bottomless plate was bonded to the PEGDM-patterned polystyrene sheet using high-viscosity PDMS (SYLGARD™ 186 silicone elastomer clear, Cat. # 2137054, Dow) comprised of 10 parts by weight elastomer base and one part curing agent. PDMS is widely used in biomedical applications because it has many desirable properties including optical transparency, biocompatibility, and gas permeability.47 It is because of these properties that PDMS was chosen to bond the M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 25 polystyrene plate bottom to the 384-well bottomless plate. The PDMS glue encases the PEGDM and when the PEGDM is dissolved, the PDMS will form the walls of the microfluidic channel, and thus be in direct contact with culture medium and cells. 5 g of high-viscosity PDMS (SYLGARD™ 186) was evenly spread in a thin layer across a glass slide (large glass microscope slide, Cat. # 260233, Ted Pella, Inc., Redding, CA) that was cut to the approximate size of the polystyrene sheet. For greater control over the amount of glue spread on the glass slide and thus transferred to the bottomless plate, two pieces of masking tape were layered on each long edge of the glass slide before spreading glue. The glass slide was placed on a plasma-treated 384-well bottomless plate to facilitate the transfer of the PDMS glue to the bottomless plate. The increased surface wettability of the plasma-treated bottomless plate improves the spread of the PDMS glue. The glass slide was lifted off of the bottomless plate and the PEGDM-patterned polystyrene sheet was aligned with the bottomless plate and then dropped into position. Gentle compression was used to bond the polystyrene sheet to the 384-well bottomless plate. A clean glass slide was placed on top of the polystyrene sheet and clamped to the assembled IFlowPlate™ using four extra-large paper clamps. After overnight curing of the PDMS glue at room temperature, the clamps and glass slide were removed (Figure 4, step 6). Glass slides with PDMS were cleaned with acetone and re-used. To dissolve the PEGDM and reveal channels that connect units of three adjacent wells, dH2O was added to the wells (Figure 4, step 7). The plate was pulse centrifuged at 40 G to simultaneously fill wells/channels with water and purge trapped air. The plate was placed on a rocker and incubated at 37 °C for 1 – 2 days before the PEGDM-dH2O solution M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 26 was aspirated out. To disinfect IFlowPlate™ in preparation for cell culture, the plate was placed inside a square bioassay dish inside the biosafety cabinet. The bioassay dish, and IFlowPlate™ lid and wells were filled with 70% (v/v) ethanol. The bioassay dish was covered with the lid to minimize evaporative loss of ethanol and was left undisturbed for 1.5 to 2 hours (Figure 4, step 8). Fabrication flaws that affect the performance of IFlowPlate™ microfluidic systems should be identified prior to cell culture. Each fabricated IFlowPlate™ was inspected for glue-related defects, such as too little or too much glue, that could result in leaking wells or obstructed channels, respectively. Firstly, the open connection between three-well units was confirmed by aspirating liquid from the middle well and observing a negative change in the liquid level in the connected inlet and outlet wells. Secondly, dried plates were inspected for incomplete seals around wells and channels. The alphanumeric codes of three- well units that met quality standards were recorded and these microfluidic systems were available for cell culture. To avoid edge of plate effects, microfluidic systems at the plate periphery were not selected for cell culture. 3.2 SynoPlate™ Fabrication SynoPlate™ is a custom 384-well plate with 40 independent microfluidic systems. Each microfluidic system is a nine-well unit comprised of a triad of three-well units. Aside from having three times the number of interconnected three-well units, the most notable attribute of SynoPlate™ that distinguishes it from IFlowPlate™, is the integration of biologically inspired tissue-specific scaffolds. These scaffolds are tubular cavities that are M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 27 patterned in a fibrin-based hydrogel and serve as a compliant boundary that guides the assembly of cells into tissues that resemble their in vivo counterparts. Cell attachment to the ECM substrate supports open-channel flow through the cell-lined conduits. Each three- well unit is comprised of a dedicated inlet and outlet reservoir well connected via channels to a tissue scaffold in the centre well where the triad of three-well units converge. This configuration enables three compartmentalized, yet biologically interactive tissues with unique architectures, cell types, media requirements, and opportunities for independent sampling of effluent. The intestine SynoPlate™ has three independently addressable tissue scaffolds that guide the assembly of cells into a tubular intestine with crypt-like invaginations, and a branching vascular network above and below the intestine tube (Figure 6). Intestine SynoPlate™ (Bottom) Centre Well (Zoomed) 9-well Microphysiological System Upper Vascular Network Lower Vascular Network Intestine Tube Figure 6. Exploded diagram showing one of the 40 microfluidic systems of the intestine SynoPlate™. Each microfluidic system is comprised of a triad of three-well units. Each three-well unit has a dedicated inlet and outlet reservoir well connected via channels to a tissue scaffold in a shared centre well. This configuration allows tissue scaffolds to be populated with different cell types (e.g., endothelial or intestinal epithelial cells) that can be nourished with different media. Tissues converge in the centre well (zoomed view) to form a microscale organ with intestinal tissue and supportive vasculature embedded in an extracellular matrix. Figure adapted from a grant proposal prepared and submitted by Boyang Zhang, Ph.D. M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 28 SynoPlate™ fabrication is like IFlowPlate™ fabrication with a few key differences that will be highlighted in the text and accompanying figures of this section. The 11.6 cm x 7.5 cm x 0.081 cm polystyrene sheet that serves as the bottom of SynoPlate™ was sequentially patterned with two different sacrificial materials. First, the polystyrene sheet was patterned with a 3% (w/v) solution of sodium alginate (Alginic acid sodium salt from brown algae, low viscosity, Cat. # A1112, Sigma-Aldrich) in dH2O. Alginate is a polysaccharide derived from marine algae and is composed of 1,4-linked β-D-mannuronic acid (M) and α-L-guluronic acid (G) residues.48,49 Sodium alginate is dissolved in water to form a viscous solution that can be gelled at room temperature in the presence of divalent metal cations, such as Cu2+, Ba2+, and Ca2+.48,49 With the SynoPlate™ PDMS mould bonded with the polystyrene sheet, the device was submerged in a bath of 3% (w/v) sodium alginate solution (Figure 7, step 2). Features were filled with alginate using the vacuum filling approach described in Section 3.1.6, with all steps occurring at room temperature. To minimize spillage of alginate solution inside the centrifuge during pulse centrifugation, a custom lid was made for the one-well plate into which the alginate solution was poured. To prepare this lid, 41 g of PDMS (SYLGARD™ 184) comprised of forty parts by weight elastomer base and one part curing agent was poured into the one-well plate lid and cured at room temperature. Using three elastic bands, the custom PDMS lid was secured to the one-well plate filled with alginate. After a 40-minute incubation of the device in the alginate bath at atmospheric pressure, all features were filled (Figure 7, step 2). The alginate solution was discarded, and excess alginate was aspirated from inlet and outlet holes using a multichannel pipette attached to a vacuum aspirator. M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 29 The device was submerged in a bath of 5.5% (w/v) calcium chloride (Calcium chloride dihydrate, MW 147.01, Cat. # 223506, Sigma-Aldrich) and pulse centrifuged at 1000 RPM. Unpopped air bubbles at the surface of the inlet/outlet holes were eliminated by injecting calcium chloride solution into the inlet/outlet holes using a syringe and 19 G needle. In the presence of divalent calcium ions, alginate polymers are cross-linked, and a sol-gel transition occurs almost immediately (Figure 7, step 3 – 4). The gelation takes place via an ion-exchange mechanism in which monovalent sodium cations are exchanged for divalent cations that induce association between GG blocks of neighbouring polymer chains.48,49 The resulting structure of the calcium-alginate gel is popularly represented by the “egg-box model” (Figure 8A).49 Among different divalent metal ions, such as copper and barium, the ability for alginate to bind calcium is comparatively weaker.48 Calcium was chosen to induce gelation because it allows rehydration/swelling in the presence of a sodium ion-containing solution (e.g., fibrin pre-gel solution) to occur with ease – this is desirable for our application. After overnight incubation at room temperature, the calcium chloride solution was discarded, and the device was cleaned by briefly immersing it in a dH2O bath to gently lift excess calcium-alginate gel from the PDMS and back surface of the device for removal. Excess water was absorbed with tissue before the device was placed inside the fume hood under a stream of compressed air to accelerate dehydration of the calcium-alginate gel. After 48 hours of drying, calcium-alginate features were microscopically examined (Figure 7, step 5). Dehydrated calcium-alginate features exhibited volumetric shrinkage which has been attributed to the formation of “egg-box multimers” resulting in more tightly packed polymers.50 During air-drying, the increase in M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 30 calcium ion concentration induces the association of junction zones (i.e., where two alginate chains cross-link to form an “egg-box dimer”) and therefore, the formation of “egg-box multimers” (Figure 8B).49,50 Dehydrated calcium-alginate features patterned on the polystyrene sheet were encapsulated with PEGDM using injection moulding as described in Section 3.1.6. SynoPlate™ was assembled as described in Section 3.1.7. M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 31 Unfilled Filled Dehydrated Ca2+-alginate gel Figure 7. Schematic showing Part A of SynoPlate™ fabrication. Stepwise process to sequentially pattern a styrene sheet with alginate and PEGDM to generate a custom 384-well microfluidic platform termed SynoPlate™. PEGDM-encapsulated Ca2+-alginate gel (2) (3) M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 32 Figure 8. Structure and swelling behaviour of calcium-alginate gel. Schematic illustration of the (A) egg-box model for calcium-alginate gel and (B) association and disassociation of junction zones in calcium-alginate gel during dehydration and rehydration, respectively. (C) Photomicrograph of the swelling behaviour of a calcium- alginate fibre in saline solution, 200X. Figure (A) is reproduced from Ref. 49. Figure (B) is reproduced from Ref. 50. Figure (C) is reproduced from Ref. 48. A B C M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 33 3.3 SynoPlate™ Cell Culture SynoPlate™ was not used for any cell culture experiments; however, this paragraph will provide a brief description of how the plate is intended to be used as it gives context for work to minimize breakage of patterned calcium-alginate features (See Section 4.3.2) To prepare SynoPlate™ for cell culture, PEGDM is dissolved with dH2O and the plate is disinfected with 70% (v/v) ethanol (Figure 9, steps 10 – 11). Acellular fibrin pre-gel solution is cast in the centre well and encapsulates the patterned calcium-alginate feature. Fibrin pre-gel solution is a source of sodium ions as its primary constituent, fibrinogen, is dissolved in 1 X Dulbecco’s phosphate buffered saline (D-PBS, without calcium or magnesium, Cat. # 311-425-CL, WISENT Inc., Saint-Bruno, Quebec). In the presence of competing monovalent sodium ions which are non-crosslinking, the weak electrostatic egg- box dimer-dimer interactions are readily disrupted and the calcium-alginate gel is Figure 9. Schematic showing Part B of SynoPlate™ fabrication. To assemble SynoPlate™, alginate/PEGDM-patterned styrene sheet is bonded to a standard 384-well bottomless plate using high viscosity PDMS as glue. Water is added to the wells to dissolve PEGDM. Finally, SynoPlate™ is disinfected with 70% (v/v) ethanol in preparation for cell culture. M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 34 rehydrated and swells (Figure 8C).50 As a result, the calcium-alginate feature, initially patterned in two-dimensions, lifts from the polystyrene plate bottom and changes volume and shape in three dimensions inside of the fibrin gel. The appeal of this approach, which combines 2D patterning with the stochasticity of swelling kinetics, is that it yields microtissues of highly reproducible shapes and sizes while introducing some anatomical variability. This parallels the robustness and plasticity that is characteristic of tissue morphogenesis during human development to generate organs of stereotypical, but not identical size and shape. As a high-throughput platform that could be applied to testing the safety and efficacy of drugs – a “clinical-trial-on-a-plate”, the inherent variability in SynoPlate™ microtissues is an attribute that is embraced as it simulates inter-individual anatomical variation. The importance of representing population-level variation is underscored by the drug approval process which involves large-scale randomized clinical trials to better estimate population-level treatment effects. After gelation of the fibrin pre-gel solution, the re-hydrated calcium-alginate gel is degraded by perfusing D-PBS through the tissue networks. In the presence of a high concentration of salt ions, “egg-box dimers” are disrupted and the alginate polymers un- crosslink and dissolve in aqueous solution. After the system is flushed, a moulded cavity within the fibrin gel is revealed. These independently addressable tissue-specific cavities are populated with endothelial and intestinal epithelial cells to form a 3D microtissue with perfusable branched vasculature and an intestine tube. Overall, the (1) water insolubility of the cross-linked alginate which enables the calcium-alginate gel to remain intact during PEGDM dissolution in water and 70% (v/v) ethanol disinfection, (2) M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 35 dehydration/rehydration dynamics and (3) mild degradation conditions, make calcium- alginate gel an idealistic sacrificial material for the described application. 3.4 IFlowPlate™ Cell Culture IFlowPlate™ is an array of 128 microfluidic systems each consisting of two reservoir wells connected via channels to a middle tissue well with a fibrin-based hydrogel51 (Figure 10). Hydrogel-encapsulated endothelial cells self-assemble into a vascular network. Anastomotic connections of vessels with microfluidic channels enables perfusion of the vascular network. The reservoir wells hold culture medium that is passively and bidirectionally circulated between the three wells using gravity-driven flow sustained by placing the plate on an interval rocker. Intestine cells are cultured as a monolayer on the surface of the hydrogel to give access to the luminal surface and emulate the anatomical organization of the intestine and associated microcirculation. M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 36 3.4.1 Cells and Culture Conditions Endothelial Cells Green fluorescent protein-expressing human umbilical vein endothelial cells (GFP- HUVECs) were purchased from Angio-Proteomie (Cat. # cAP-0001GFP) and cultured in endothelial cell growth medium 2 (ECGM-2, Cat. # C-22111, PromoCell). HUVECs are the most widely studied and commonly used human endothelial cell type.52 Of note, more than half of the studies involving endothelial cell assembly in fibrin gel have used HUVECs.52 Given the interspecies differences in endothelial cell biology, the popularity of HUVECs can be explained by their human relevance and the ease with which they can be Reservoir IFlowPlate™ Reservoir Channel Hydrogel Figure 10. Exploded diagram showing one of the 128 microfluidic systems of IFlowPlate™. Each microfluidic system is comprised of three adjacent wells connected by channels. The middle well contains an ECM-based hydrogel. The height of the medium column in reservoir wells is manipulated to establish a hydrostatic pressure gradient that stimulates the passive flow of fluid down the gradient (i.e., from higher pressure to lower pressure). For indefinite perfusion, the plate is placed on an interval rocker platform that continuously re-establishes the medium height differential between reservoir wells. Figure adapted from Ref. 51. M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 37 acquired and cultured.52 Indeed, HUVECs are isolated from the veins of umbilical cords which are frequently discarded as biomedical waste, and they can be expanded to very large numbers in vitro. The stable expression of GFP by HUVECs enables real-time fluorescence imaging of live cells for continuous monitoring of vascular network formation and anastomoses with channels. For these reasons, GFP-HUVECs were exclusively used for the development of IFlowPlate™ vascular models. Fibroblasts Human normal lung fibroblasts (ATCC® Cat. # PCS-201-013™, American Type Culture Collection, Manassas, VA) were cultured in Dulbecco’s modified Eagle’s medium (DMEM, Cat. # 319-005-CL, WISENT Inc., Saint-Bruno, Quebec) supplemented with 10% (v/v) fetal bovine serum (FBS, Cat. # 098-150, WISENT Inc., Saint-Bruno, Quebec), 1% (v/v) 1M HEPES (Cat. # 330-050-EL, WISENT Inc., Saint-Bruno, Quebec) and 1% (v/v) Penicillin-Streptomycin (Pen-Strep, 450-200-EL, WISENT Inc., Saint-Bruno, Quebec). Human normal lung fibroblasts are commonly cocultured with endothelial cells to support the spontaneous formation of microvascular networks in vitro.53-55 Fibroblasts stimulate the formation of microvascular networks and sustain them through the release of paracrine factors (e.g., hepatocyte growth factor), deposition of ECM proteins,54,55 and pericyte-like behaviour, as demonstrated by their close physical association with endothelial tubes.53,56 For these reasons, IFlowPlate™ vascular models were established by coculturing human normal lung fibroblasts and GFP-HUVECs in a 3D fibrin-based matrix. M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 38 Caco-2 Cells For modelling the intestine, the human intestinal colorectal adenocarcinoma cell line Caco-2 (C2BBe1, ATCC® Cat. # CRL-2102™, American Type Culture Collection, Manassas, VA) was used. The original Caco-2 cell line represents a heterogenous population of cells of which only a subset assemble a brush border upon reaching confluence.57 The presence of an apical brush-border membrane is a morphological indicator of a polarized and differentiated intestinal epithelial cell.58 Caco-2 BBe1 cells were cloned from the parental Caco-2 cell line to create a homogenous population of brush border expressing (BBe) cells.57 Relative to their sister clone Caco-2 BBe2, BBe1 cells achieve confluency with less culture time and are more easily dissociated in the presence of trypsin during cell passaging.57 For proof-of-concept studies in a nascent microfluidic platform, such as IFlowPlate™, the retention of some stem cell-like properties makes Caco- 2 cells a valuable surrogate for primary intestinal tissue which is more difficult to acquire and resource intensive and costly to culture. Caco-2 BBe1 cells, hereafter referred to as Caco-2 cells, were cultured in DMEM (with glucose and L-glutamine) supplemented with 10% (v/v) FBS, 1% (v/v) 1M HEPES, and 1% (v/v) Pen-Strep. This formulation will hereafter be referred to as complete DMEM. Cell Passage Number In all experiments, cells between passage 2 and 4 were used, as passage number is associated with phenotypic and genotypic changes which could have experimentally M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 39 relevant consequences. For example, it has been reported that HUVECs older than passage 5 form tip cells and intracellular vacuoles less frequently and tubulogenesis is delayed.59 A study of Caco-2 characteristics and passage number has shown that as passage number increases, growth rate, transepithelial electrical resistance (TEER) and sucrase activity also increase.22 Another study reported that early (P22) and late (P198) passage Caco-2 cells can differ as much as 50-fold in their glucose consumption rate and expression of sucrase-isomaltase.60 Culture Conditions for Cell Lines Cells were cultured in a humidified 37 °C, 5% CO2 incubator. Cells were expanded in T75 flasks until approximately 80% confluent. For GFP-HUVEC expansion, T75 flasks were coated with 10 mL of 0.2% bovine skin, type B gelatin (Cat. # A9418, Sigma- Aldrich,) in D-PBS for 30 minutes at 37 °C. For IFlowPlateTM bi- and tri-culture experiments involving GFP-HUVECs and fibroblasts, and GFP-HUVECs, fibroblasts, and Caco-2 cells, respectively, a 1:1 mixture by volume of ECGM-2 and complete DMEM was used for culture. For all experiments with fibrin gel, cell culture medium was supplemented with 1% (v/v) 2 mg/mL aprotinin (Aprotinin, Bovine Lung, Crystalline, Cat. # 616370, Sigma-Aldrich) in dH2O to slow protease-mediated fibrin degradation. 3.4.2 Hydrogels M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 40 Hydrogels are three-dimensional networks of hydrophilic polymers that can hold large amounts of water.61 The cross-linkable nature of the polymers prevents their dissolution and maintains the three-dimensional structure of the hydrogel.61 The high water content and insolubility of the cross-linked polymers gives hydrogels physical characteristics similar to ECM of soft tissues making them well-suited for applications in research (e.g., 3D cell culture) and medicine (e.g., contact lenses, drug delivery systems, and scaffolds for tissue engineering).62,63 Hydrogels can be broadly classified as natural, synthetic, or semi-synthetic according to the origin of polymer constituents.63 Natural polymers derived from living tissue present high biofunctionality.62 Natural polymers (1) assemble into supramolecular architectures (e.g., fibres) that resemble the topography of native ECM, (2) contain cell- binding motifs that support cell adhesion, migration, and activation of intracellular signaling pathways, and (3) are recognized and metabolically processed by cells allowing for cell-mediated remodelling and release of sequestered bioactive molecules (e.g., growth factors).62,64 Therefore, natural hydrogels can provide a bioinstructive environment in which cells can proliferate, differentiate, and develop into tissues that more closely resemble the native tissue.62 The structural and mechanical properties of natural hydrogels can be manipulated to elicit different cellular responses. For example, the microstructure (e.g., fibre thickness and density) of fibrin gels is determined by fibrinogen concentration and gelation time which is significantly affected by thrombin concentration.65 Manipulation of these parameters can be used to modulate matrix (1) pore size, and thus transport of M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 41 macromolecules and nutrients for growth, survival, and cell-cell communication, and (2) stiffness.65,66 The effect of fibrin stiffness on cell behaviour has been widely investigated. Broguiere et al. showed that intestinal organoid expansion, defined as the frequency of cyst formation, was optimal in lower fibrinogen concentrations which corresponded to lower stiffness.67 Duong et al. showed that based on proliferation and spreading morphology, fibroblasts favoured fibrin matrices of lower stiffness.66 In this work, a diversity of cross-linkable natural polymers that can reversibly form gels in response to physical (e.g., temperature), chemical (e.g., ions, pH), or enzymatic stimuli (e.g., thrombin) were used (Figure 11). Importantly, while distinct triggers are used to initiate polymerization, the polymers have in common polymerization conditions mild enough to take place in the presence of cells without inducing cytotoxic effects. Section 3.2 introduced alginate which undergoes a reversible sol-gel transition in the presence of divalent metal ions (Figure 11A). Alginate hydrogel was used as a sacrificial material to mould fibrin gel into pre-defined geometries that when populated with cells guide the formation of 3D microtissues. This section will discuss the use of natural hydrogels, such as fibrin, Matrigel®, and collagen, as mimetics of soft tissue ECM for cell culture. Particular attention will be paid to the preparation of a fibrin-Matrigel® composite gel to serve as a suitable scaffold for establishing a vascular intestine model in IFlowPlate™. The application of gelatin to temporarily seal IFlowPlate™ microfluidic channels will also be discussed. M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 42 Fibrin In vivo, fibrin plays a central role in haemostasis and wound healing making it well- suited for use in vitro as a scaffold for the development of microvasculature.52,68 Following vascular injury, provisional fibrin matrices are rapidly assembled from fibrinogen, an abundant protein of blood plasma.68 Fibrin possesses cell-binding motifs that support the attachment of many cell types integral to the wound healing response, including platelets Figure 11. Cross-linkable natural polymers can reversibly form hydrogels in response to physical, chemical, and enzymatic stimuli. (A) Alginate cross-links in the presence of divalent calcium ions via an ion-exchange mechanism. Figure reproduced from Ref. 42. (B) Enzyme-activated polymerization of fibrin occurs when thrombin cleaves A fibrinopeptides (FpA) exposing knobs that interact with complementary holes on neighbouring fibrin monomers. (C) Hierarchical self-assembly of collagen I occurs at neutral pH. (D) Intermolecular crosslinks between aqueous gelatin (from bovine skin) form upon cooling (< 30 °C). Matrigel® (not shown) is also representative of a thermoresponsive natural hydrogel. C pH D TemperatureB Enzyme A Ions Alginate Calcium Gelatin M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 43 that form clots to stop bleeding, immune cells that phagocytize dead/damaged tissue, fibroblasts that produce and deposit components of the basement membrane, and endothelial cells that rebuild the vasculature.52,68,69 From a biological performance perspective, the natural capacity of fibrin to promote the development of blood vessels is a large part of its appeal for use in endothelial assembly models. However, in selecting a hydrogel for IFlowPlate™, fibrin also had to be considered from a practical application perspective. The suspension of GFP-HUVECs and fibroblasts in a liquid pre-cursor solution requires that the gelation process is cell friendly. As shown in Figure 11B, polymerization of fibrin is initiated by the cleavage of A fibrinopeptides (FpA) by thrombin.70 The removal of A fibrinopeptides exposes knobs ‘A’ that are complementary to holes ‘a’. Knob-hole interactions give rise to fibrin oligomers which grow to become protofibrils that laterally aggregate to generate fibres.70 The enzyme- activated polymerization of fibrin can occur at room temperature under physiological conditions making the process compatible with cells. Moreover, these conditions are compatible with the conditions required for gelation of Matrigel® which is a component of the fibrin-based gel used in IFlowPlate™, and gelatin which is loaded into fluidic channels, undergoes a sol-gel transition, and is used to prevent entry of the fibrin-based pre-gel solution. Another important feature of fibrin is the ability to slow its degradation by supplementing culture medium with aprotinin, a small molecule that is a competitive inhibitor for the active site of the protease plasmin.55,71,72 This preserves fibrin architecture for an extended period and allows for long-term cell culture. M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 44 Stock solutions of fibrinogen were prepared by dissolving fibrinogen from human plasma (Cat. # F3879, Sigma-Aldrich) in D-PBS to a concentration of 30 mg/mL or 10 mg/mL. Stock solutions of 10 U/mL thrombin from bovine plasma (Cat. # T4648, Sigma- Aldrich) were prepared by dissolving thrombin in 0.1% (wt/v) BSA. Stock solutions of 0.1% (wt/v) BSA (Cat. # A9418, Sigma-Aldrich) were prepared by dissolving BSA in D- PBS. Stock solutions of 2 mg/mL aprotinin (Bovine Lung, Crystalline, Cat. # 616370, Sigma-Aldrich) were prepared by dissolving aprotinin in dH2O. Stock solutions were sterile filtered and stored at −20 °C as single use aliquots. Culture medium was supplemented with 1% (v/v) aprotinin to inhibit fibrinolysis. Matrigel® In the body, the basolateral surface of epithelial and endothelial cell monolayers is separated from connective tissue by the basement membrane.73 The basement membrane is a 50 to 100 nm layer of specialized extracellular matrix that provides structural support to cells and can affect changes in cell behaviour via outside-in signalling.73 The most abundant components of basement membrane are laminin, type IV collagen, nidogen and perlecan.73,74 The mouse Engelbreth-Holm-Swarm (EHS) tumour produces large amounts of basement membrane components that can be extracted, solubilized, and assembled into a gel when warmed to 24 to 37 °C.73,74 The stability and structural integrity of basement membrane depends on the interaction of its major components. Collagen IV and laminin individually self-assemble into networks that are linked by nidogen and perlecan.73 Sterile M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 45 EHS-derived basement membrane commercialized as “Matrigel®”, a portmanteau of the words “matrix” and “gel”, is commonly used as scaffold to support cell survival and differentiation ex vivo.73,74 Pioneers in organoid development Sato et al. first reported that isolated intestinal stem cells, which are prone to anoikis outside of the normal tissue context, could be successfully cultured in Matrigel® to generate organoids that display the hallmarks of intestinal epithelium (i.e., crypt-villus compartmentalization, cell type composition, and self-renewal capacity).75 Matrigel® is rich in laminin – a key component of intestinal crypt basement membrane.75 Recent studies using soluble RGD (Arg-Gly-Asp) peptides as a competitive inhibitor suggest that integrin binding to RGD sites on matrix components, such as laminin, is necessary for organoid growth.76 Fibrin also contains RGD domains; however, in fibrin alone, colony formation efficiencies were significantly lower compared to fibrin gels supplemented with Matrigel®.76 Doubling or tripling RGD concentration by coupling RGD ligands to the fibrin matrix had no effect on organoid growth suggesting that RGD concentration on fibrin was optimal.76 It was hypothesized that Matrigel® possessed one or more components that provide the biological signals necessary for organoid growth.76 Further experiments using purified preparations of the main components of Matrigel® identified laminin as the major biological signalling molecule that is required for organoid growth.76 Matrigel® is a complex mixture of ill-defined chemical composition and high batch to batch variability. In-depth proteomic analysis of Matrigel® samples has revealed that Matrigel® is an assortment of identifiable and unidentifiable species with a range of M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 46 molecular weights.77 In addition to the structurally important ECM proteins that constitute the bulk of Matrigel® (e.g., laminin and collagen IV), there are numerous other proteins including growth factors, transcription factors, binding proteins, and proteins with unknown roles in cell culture.77 These proteins may play a supportive role in the survival and growth of certain cell types, such as stem cells, that are more sensitive to traditional culture conditions.44 However, the ill-defined chemical composition and high batch to batch variability of Matrigel® could complicate the interpretation of experimental results and limit the application of Matrigel® cell cultures.76-78 Compared to standard Matrigel®, growth factor-reduced Matrigel® is a more defined Matrigel® preparation that has been purified to a greater extent to reduce the abundance of growth factors (e.g., basic fibroblast growth factor, epidermal growth factor, insulin-like growth factor 1, transforming growth factor beta, etc.).77 Single use aliquots of undiluted phenol red-free growth factor-reduced Matrigel® (9.06 mg/mL, lot 0055015, Cat. # CACB356231, Corning®) were stored at –20 °C and thawed on ice before use. Fibrin-Matrigel® Fibrin-Matrigel® composite gels were prepared by mixing 5 mg/mL fibrinogen (with or without cells) with 10% (v/v) phenol red-free growth-factor reduced Matrigel®. 10 mg/mL fibrinogen stock solution stored at –20 °C was warmed in a water bath and diluted with D-PBS to a final working concentration of 5 mg/mL. Matrigel® (9.06 mg/mL, lot 0055015) was thawed on ice and used undiluted. 10 U/mL thrombin stock solution stored M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 47 at –20 °C was thawed at room temperature and diluted with 0.1% (wt/v) BSA to a final working concentration of 1 U/mL. 125 µl of 5 mg/mL fibrinogen was dispensed into a microcentrifuge tube. To this, 12.5 µl of cold, undiluted Matrigel® was added. Matrigel® was kept cold to prevent premature gelation at warmer temperatures. 25 µl of 1 U/mL thrombin was added to the fibrinogen-Matrigel® solution to initiate polymerization. The final concentrations of fibrinogen and Matrigel® were 3.85 mg/mL and 7.7% (v/v), respectively. Collagen Human primary intestine monolayer models have been accomplished by culturing crypts/stem cells on collagen hydrogels.25,28 Collagen I is commonly used for cellular scaffolds because of its biocompatibility and availability which can be attributed to its abundance in natural ECM and relative ease of extraction with minimal contamination by other proteins.79 Figure 11C shows a schematic illustration of the hierarchical assembly of a collagen fibre from collagen I polypeptide chains. Three collagen I polypeptide chains twist together to form a triple helix structure referred to as tropocollagen.79,80 Tropocollagen molecules assemble into a collagen fibril, and many collagen fibrils bundle together to form a collagen fibre.79,80 Finally, crosslinking of collagen fibres generates a matrix structure that in the presence of a water-based solvent will swell to produce a hydrogel.79 Polymerization of acid-solubilized collagen polypeptides is initiated upon neutralization of the solution.79 Collagen polymerization progresses in two phases: the nucleation phase during which collagen molecules assemble into fibrils, and the growth M.A.Sc. Thesis – K.L. Hayward; McMaster University – Chemical Engineering 48 phase during which crosslinking occurs.81 Reaction kinetics are temperature-dependent and can have a significant effect on hydrogel properties and cellular response.79,81,82 At higher temperatures, polymerization rate is accelerated resulting in a shorter nucleation phase and fibres with reduced diameter.79,81,82 Conversely, lower temperatures prolong the nucleation phase producing thicker fibres.81,82 Xie et al. found that compared to collagen gels polymerized at 4 °C, collagen gels polymerized at 37 °C form thinner, softer fibres that support increased spreading and proliferation of human mesenchymal stem cells.82 Collagen gels polymerized at 37 °C have been reported to support the formation of a self- renewing primary intestinal epithelial monolayer.25,28 In the interest of replicating these results for the development of a primary intestine model with an accessible lumen in IFlowPlate™, collagen gels were prepared and polymerized at 37 °C. Collagen gels were prepared from acid-solubilized 10.80 mg/mL rat tail collagen type I (Cat. # CACB354249, Corning®). Neutralization solution was prepared with 10X Medi