Overview of 3D Cell Culture Model Systems & Validating Cell-based Assays for Use with 3D Cultures Terry Riss, PhD March 2014



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Overview of 3D Cell Culture Model Systems & Validating Cell-based Assays for Use with 3D Cultures Terry Riss, PhD March 2014 Promega Corporation

Outline Justification for using 3D culture models Overview of 3D culture methods Unmet need for validated assays Example assays and how they work Path forward The take home message Promega Corporation 2

Justification for Using 3D Culture Models Progression Toward More Physiological Relevant (i.e. Predictive) Assay Approaches Primary cells Co-cultures of different cell types Three dimensional (3D) models Devices with microfluidic control Promega Corporation 3

Justification for Using 3D Culture Models 3D culture models mimic tissue-like structures more effectively than monolayer cultures 3D cultures can exhibit differentiated cellular function absent in 2D cultures 3D cultures hold promise for being more predictive of in vivo responses to drug treatments Promega Corporation 4

Outline Justification for using 3D culture models Overview of 3D culture methods Unmet need for validated assays Example assays and how they work Path forward The take home message Promega Corporation 5

General Classification of 3D Culture Methods Scaffold Hydrogels Inert matrix Scaffold-free Low adhesion plates Micropatterened surfaces Hanging drop Suspension using methyl cellulose, rolling vessel or magnetic levitation Promega Corporation 6

Hydrogel Examples Animal-derived Matrigel Collagen Alginate / Agarose (Plant-derived) Synthetic QGel Matrix 3-D Life Biomimetic Puramatrix Promega Corporation 7

Matrigel Hydrogel Most widely used hydrogel that represents a reconstituted basement membrane Extract from Engelbreth-Holm-Swarm (EHS) mouse sarcoma Contains: Laminin, Collagen IV, Entactin, growth factors Generally provided at 8-11 mg/ml Forms a gel when shifted from 4 C to 37 C Developed at NIH Several commercial vendors http://www.bdbiosciences.com Promega Corporation 8

Collagen Hydrogel Collagens are the most abundant class of ECM proteins Several types of collagen from various tissues Purified collagens are used to coat plastic surfaces or form gels to support or embed cells in culture RGD amino acid sequence interacts with integrin receptors on cells Commercial sources and description of use of collagen http://www.corning.com/lifesciences/surfaces/en/collagen.aspx https://www.millipore.com/publications.nsf/a73664f9f981af8c852569b9005b4eee/3a3d5e1f86ebeed98525730600724f3 0/$FILE/ECM675.pdf Promega Corporation 9

RAFT System using Collagen Hydrogel RAFT (Real Architecture for 3D Tissue) System from TAP Biosystems Cells suspended in dilute collagen are dispensed into a culture plate Liquid is absorbed from well with absorbent plug resulting in concentrating cells and collagen gel Overcomes problem of detachment and shrinking of collagen gels as cells grow and differentiate Promega Corporation 10

RAFT System Example using Collagen Hydrogel https://www.raft3dcellculture.com/ Promega Corporation 11

Hydrogels (Animal-derived) Advantages: Long history of use of collagen and Matrigel Natural biological ligand for integrins Often contains magic potion ingredients similar to serum Pre-coated surfaces are commercially available Disadvantages: Animal derived / Growth factor contamination Lot-to-lot variability Challenging to handle at low temperatures May need special equipment (e.g. for RAFT system) Promega Corporation 12

Alginate Hydrogels (Plant-derived) Alginate is a polysaccharide found in the cell walls of brown algae Alginate monomers can be cross-linked to form hydrogels and entrap cells ECM proteins may be added during cell immobilization Cell-matrix interactions can be modified using peptidecoupled alginates Promega Corporation 13

Alginate Hydrogels (Plant-derived) Alginate entrapment procedure Suspend cells in sodium alginate Drip into calcium chloride solution Gel forms by Ca +2 crosslinking monomers to entrap cells Size of drips and cell number can be controlled Cells and multi-cellular structures can be recovered intact by dissolving gel using divalent chelators (e.g. EDTA and citrate) Promega Corporation 14

Alginate Hydrogels Advantages: No contamination with animal proteins Controlled stiffness Controlled size of spheres Can recover cells Disadvantages: Artificial substrate Not HTS friendly Promega Corporation 15

Synthetic Chemically Defined Hydrogels QGel Matrix Composed of synthetic PEG-based molecules that can be modified to contain bioactive domains (e.g. RGD sites) Polymerized to for a gel to mimic ECM http://www.qgelbio.com/ 3-D Life Biomimetic Synthetic Hydrogel Dextran, polyvinyl alcohol, or PEG-based Polymers can be modified with RGD or protease sites http://www.cellendes.com/ Promega Corporation 16

Synthetic Chemically Defined Hydrogels PuraMatrix Peptide Hydrogel Monomer is repeating amino acid sequence of Arginine- Alanine-Aspartic Acid-Alanine prepared in an aqueous solution Peptide self-assembles into nanofiber structures that form a hydrogel that resembles native ECM Can be further functionalized by adding specific biologically relevant amino acid sequences www.puramatrix.com Liu X et al. Functionalized self-assembling peptide nanofiber hydrogels mimic stem cell niche to control human adipose stem cell behavior in vitro. Acta Biomater (2013) Promega Corporation 17

Chemically Modified Alginate Hydrogels Alginate can be chemically modified Covalently attached peptide (Gly-Arg-Gly-Asp-Ser-Pro) facilitates cell binding and signaling via integrin-rgd interaction. NovaMatrix -3D w/novatach pre-formed dried alginate foam discs Cell suspension in alginate monomer is added to foam disc www.novamatrix-3d.com Promega Corporation 18

Hydrogels (Synthetic) Advantages: Chemically defined with lot-to-lot consistency Polymer is usually biologically inert Can be modified to contain RGD ligand for integrins or other amino acid sequences Control over gel stiffness Disadvantages: Artificial substrate Some are not HTS friendly Promega Corporation 19

Inert Matrix Scaffold Alvetex (from Reinnervate) Highly porous 200µm thick polystyrene scaffold Pore sizes of 36-40 µm Available as inserts for 6-24 well plates or welded in the bottom of 96 & 384 well plates http://www.reinnervate.com Promega Corporation 20

Inert Matrix Scaffold Alvetex Workflow: Rehydrate (70% EtOH) and rinse wells with PBS Seed cells on Alvetex scaffold ECM components can be added (optional) Cells migrate into pores and assume morphology representative of in vivo Detection reagents can be added directly to wells for assay Promega Corporation 21

Inert Matrix Scaffold Advantages: Thin (200µm) scaffold so oxygen and nutrient diffusion is less limited Use with 96 or 384 well plates can be automated Disadvantages: Unable to view cells in wells with microscope Wetting and rinsing required Biomass may overwhelm some assay chemistries Promega Corporation 22

Scaffold-free Methods for 3D Culture Low adhesion plates Micropatterned surfaces Hanging drop methods Promega Corporation 23

Low Adhesion Plates Plastic is coated with hydrophilic polymer to prevent cells from sticking to surface Cells stick to each other, form clusters and generate their own extracellular matrix Flat bottom plates or flasks result in many irregular size clusters U- or V-bottom wells can generate a single cluster of cells in 2-4 days (dependent on cell type) Promega Corporation 24

Low Adhesion Plates Example sources: Corning (Ultra-Low Attachment) http://www.corning.com/lifesciences/us_canada/en/technical_resources/surfaces/cell_culture/ultra_low_attachme nt_coated_polystyrene.aspx Sumitomo Bakelite (PrimeSurface) http://www.sumibe.co.jp/english/product/sbio/cell-culture/primesurface-96u/index.html Promega Corporation 25

Well Shape Promotes Cell Aggregation Example well shapes for 96 and 384 well plates from Sumitomo Bakelite Different cell types may form more intact spheroids in V- vs. U-bottom wells Max 106ul http://www.sumibe.co.jp/english/product/s-bio/cell-culture/primesurface-96u/index.html Promega Corporation 26

Low Adhesion Plates Advantages: Can generate single spheroid per well in U- or V-bottom 96 or 384 well plates (HTS friendly) Can generate large numbers of spheroids in flasks Disadvantages: Variable size range spheroids form in flat bottom vessels Difficult to select uniform size and dispense from flasks Cell type dependent variability in forming spheroids May have mixture of spheroid and attached cells Promega Corporation 27

Micropatterned Surfaces Plastic surfaces can be modified to provide a micropattern or microwells to influence cell growth Example Micropattern: Scivax NanoCulture Plate multi-well plate for 3D spheroid cell culture Square or honeycomb pattern on plastic surface induces cells to grow as clusters http://www.scivax.com/usa/ Promega Corporation 28

Micropatterned Surfaces Example Micropattern: Photolithography process used to create specific areas for cell attachment on surface of plates Spheroids form on surface of plate (800 x 100µm circles/well of 96 well plate) Cell-able System from Transparent Inc. http://transparent.co.jp/en/application/technology/index.html Promega Corporation 29

Micropatterned Surfaces Example Micropattern: CYTOO Adhesive Micropatterns Growth of micropatterned spheroids in 96P http://www.cytoo.com/ Promega Corporation 30

265 µm Micropatterned Surfaces Example images of spheroids grown on CYTOO plate 226 µm 284 µm 520 µm Biphoton image courtesy of CYTOO SA http://www.cytoo.com/ Promega Corporation 31

Micropatterned Surfaces Microwell Example: Elplasia Microspace Cell culture Microwells provide confined spaces Various sizes available divided by walls Many microspaces in each well of multiwell plate Can be coated with polyhema to modulate attachment http://www.elplasia.com/ Promega Corporation 32

Micropatterned Surfaces Advantages: Can generate multiple spheroid structures per well Can make many small (controlled size) spheroids Disadvantages: May be difficult to generate uniform size spheroids for some technologies dependent on uniform settling of cells Medium change may lead to loss of spheroids Biomass of multiple spheroids may overwhelm assay chemistry Promega Corporation 33

Hanging Drop Method Addition of ECM is not required Cells produce endogenous extracellular matrix Cell-cell and cell-ecm interactions form naturally Size and composition of spheroid is defined by initial cell number and proliferation Seeding After 1 hour After 2-4 days Tumor tissue Medium/air interface Cells Medium Promega Corporation 34

Hanging Drop Method Ways to Form Hanging Drop Cultures 1. Home brew method Add suspension of cells in a drip on lid of petri dish or multiwell plate Gently turn it upside down Hope the drip doesn t move or fall off 2. Use commercially available devices designed to form hanging drop cultures Promega Corporation 35

Perfecta3D Hanging Drop Plates Promega Corporation 36 http://3dbiomatrix.com/

Perfecta3D Hanging Drop Plates Spheroids can be transferred to microwell plate Promega Corporation 37

GravityPLUS 3D Cell Culture Kits Promega Corporation 38 http://www.insphero.com

Example Spheroids Resulting from Seeding Different Numbers of Cells 1mm diameter bottom of GravityTRAP Plate is useful for estimating size of spheroids 1mm HCT116 HeLa HepG2 10K 1K Promega Corporation 39

Advantages of Hanging Drop Method Advantages: One spheroid per well Automatable using liquid handling systems Size can be controlled and is reproducible well-to-well Can mimic hypoxic condition using large spheroids Offers flexibility to mix cell types at beginning or add cells later to form microtissues Disadvantages: Challenging to image center of very large spheroids Cell number can be too low for some assays (e.g. MTT) Promega Corporation 40

Which 3D Model System Should I Use? Depends on Experimental model system Goals of experiment Number of samples Promega Corporation 41

Limitations of 3D Culture Models They are still just a model Size limitations lead to: Heterogeneity of cell population within spheroids Oxygen and nutrient diffusion limits Proliferation Gradient of O 2, nutrients, and assay reagents Quiescence Necrosis Gradient of CO 2 and metabolites Modified from Metha et al., Journal of Controlled Release 164: 192, 2012 Promega Corporation 42

Limitations of 3D Culture Models They are still just a model Size limitations lead to: Heterogeneity of cell population within spheroids Oxygen and nutrient diffusion Availability of validated assay methods to monitor biology Promega Corporation 43

Outline Justification for using 3D culture models Overview of 3D culture methods Unmet need for validated assays Example assays and how they work Path forward The take home message Promega Corporation 44

Unmet Need for Assay Methods to Interrogate Markers in 3D Culture Models Most existing cell-based assays were designed for monolayer or suspension cultures. Will reagents effectively lyse 3D structures? Will reagents penetrate to center of 3D spheroids? Will mass of cells block/quench signal before it reaches detector? Questions prompted collaborations with 3D culture system providers to evaluate effectiveness of various assay chemistries. Promega Corporation 45

First Approach Chosen was Hanging Drop Method & ATP Assay for Viability Hanging drop method Single spheroid per well Matrix free Size can be controlled Can easily estimate size with InSphero plates ATP Assay Most widely used assay for viable cells Fastest and most sensitive method Strong lytic capacity enabled by stabilized luciferase Promega Corporation 46

Outline Justification for using 3D culture models Overview of 3D culture methods Unmet need for validated assays Example assays and how they work Path forward The take home message Promega Corporation 47

Why Not Use MTT or Resazurin Assays? MTT and resazurin assays have been used for 3D culture models (e.g. MTT used in MatTek's multilayered keratinocyte EpiDerm System) Little information is available on penetration of reagents MTT and resazurin have been observed to be toxic to cells (Assay Guidance Manual: http://www.ncbi.nlm.nih.gov/books/nbk144065/) Sensitivity of MTT assay limits signal to background ratio Promega Corporation 48

Toxicity of Balb 3T3 Cells Caused by Treatment with Resazurin for 4 Hours Time Zero 4 hours Promega Corporation 49 Images captured by Tracy Worzella using Incucyte instrument from Essen Biosciences Assay Guidance Manual: http://www.ncbi.nlm.nih.gov/books/nbk144065/

Signal-to-Background Comparison of Signal:Background Among Three Cell Viability Assays Measuring Spheroids 100,000 10,000 1,000 640 µm 340 µm 100 10 1 CellTiter-Glo 3D alamarblue MTT Promega Corporation 50

ATP Assay for Cell Viability (How it Works) ATP Assay Reagent Lysis Solution ATPase Inhibitors Luciferin UltraGlo Luciferase Viable Cell Dead Cell ATP ADP Light Luciferin + Luciferase X No Reaction Promega Corporation 51

DNA Dye Staining to Detect Dead Cells (How it Works) Non-permeable DNA dye Staining of dead cells results in a fluorescent signal that is stable. Viable Cell X Dead Cell Promega Corporation 52 Dye is excluded from live cells DNA dye only stains nucleus of dead cells or debris

Critical Experiment that Prompted Effort to Validate Assays Observation of Lytic Efficiency of ATP Assay Reagents Spheroids grown to ~350mm using hanging drop method Add ATP assay reagents + DNA dye to indicate lytic effectiveness Photograph using laser confocal microscopy ATPLite 1-Step Reagent CellTiter-Glo Reagent ~350 mm spheroids Promega Corporation 53 Chad Zimprich, Mike Valley

ATP (nm) Evidence Suggests Large Spheroids Require Mixing to Extract ATP HCT116 cells grown for 4 days seeded recovery +/- diam (um) 10,000 66.6% 0.7% 614 5,000 74.8% 3.3% 483 2,500 82.8% 10.3% 424 1,250 107.7% 14.0% 367 625 90.9% 10.6% 254 1,000 10,000 2,000 1,800 1,600 1,400 1,200 1,000 800 600 400 200 0 CTG acid 0 250 500 750 1000 1250 volume x 10^5 (um^3) Data suggested protocol may need to be modified to capture higher % of ATP. Promega Corporation 54

ATP Assay Improvements for 3D Cultures CellTiter-Glo 3D Assay Higher concentration of detergents to more effectively lyse cells in larger 3D structures Protocol modification to incorporate Physical disruption (shaking for 5 min) Longer incubation with lysis buffer (30min) Has been used with hanging drop, inert scaffold, low binding plates, Matrigel and collagen models. Promega Corporation 55

ATP Recovery from Cells Cultured Four Days with Matrigel : Comparison of ATP Assays Promega Corporation 56

Luminescence (RLU x 10-6 ) Fluorescence (RFU x 10-3 ) Multiplexing ATP Detection and DNA Staining 3.5 3.0 CellTiter-Glo ATP 3D CellTox DNA Staining Green 3.5 3.0 2.5 2.0 1.5 1.0 0.5 2.5 2.0 1.5 1.0 0.5 0.0 0.0 0.0001 0.001 0.01 0.1 1 10 100 panobinostat (mm) HCT116 cells were cultured in InSphero GravityPLUS 3D Cell Culture system for 4 days to form ~350 mm microtissues. Samples were treated with CellTox Green and panobinostat for 48 hr. After recording fluorescence, an equal volume of CellTiter-Glo 3D Reagent was added, plate was shaken for 5, and the luminescence was recorded after a 30 incubation. Promega Corporation 57

Homogeneous Caspase Assay (How it Works) Caspase Detection Reagent Lysis Solution Z-DEVD-aminoluciferin Stable Luciferase ATP Viable Cell Apoptotic Cell Dead Cell Inactive Pro-Caspase Active Caspase Inactive Pro-Caspase Reagent X No Rxn Reagent Luminescence Reagent X No Rxn Promega Corporation 58

Caspase Assays of 3D Spheroids Stability of caspase limits ability to adjust detergent formulation used in reagent designed for 2D cultures Stability of luciferase in reagent is not an issue Caspase-Glo 3/7 protocol was modified to incorporate Physical disruption (shaking for 30 min) Includes longer incubation with lysis buffer Promega Corporation 59

Caspase Assay Protocol Optimization to Facilitate Enhanced Spheroid Cell Lysis HCT116 cell spheroids grown to ~330µm using hanging drop method Add Caspase-3/7 assay reagent + DNA dye to indicate lysis Shake with assay reagent for 5 or 30 min Image with confocal after a total of 30 min incubation with reagent 5 min shake 30 min shake Increased shake time results in near complete spheroid cell lysis Promega Corporation 60

Outline Justification for using 3D culture models Overview of 3D culture methods Unmet need for validated assays Example assays and how they work Path forward The take home message Promega Corporation 61

Path Forward Validation of additional cell-based assays Oxidative stress markers (GSH & ROS) Stress response reporter assays Demonstrating additional multiplex assay combinations Improving lysis of large spheroids Promega Corporation 62

Luminescence (% RLU) GSH Assay for Oxidative Stress of Spheroids GSH and ATP determined from parallel samples. 140% 120% 100% 80% 60% 40% ATP total glutathione 20% 0% 0.01 0.1 1 10 100 1000 Buthionine Sulfoximine (mm) For GSH assay, the medium was removed from 4-day ~350 mm HCT116 spheroids treated for 48 hr with buthionine sulfoximine. 50ml of total glutathione lysis reagent was added and the plates shaken for 30. 50ml of luciferin generation reagent was then added, and after a 30 incubation, 100 ml of luciferin detection reagent was added. After a final 15 incubation, luminescence was recorded. ATP was assayed from parallel samples using the CellTiter-Glo 3D Assay. Promega Corporation 63

Reporter (RLU x 10-6 ) CTG 3D (RLU x 10-6 ) Measurement of Luciferase Reporter Activity from Different Size Spheroids 18 16 14 A Constitutive NanoLuc Reporter 12 10 12 10 8 6 4 2 Nano-Glo CTG3D 8 6 4 2 0 0 0 1000 2000 3000 4000 5000 6000 7000 8000 cells seeded HCT116 cells expressing NanoLuc luciferase under a constitutive promoter (A) or a HIF-1 promoter (B) were cultured in InSphero GravityPLUS 3D Cell Culture system for 4 days to form ~200-700 mm microtissues. An equal volume of NanoGlo Reagent or CellTiter-Glo 3D Reagent was added to each well, the plate shaken for 10, and luminescence recorded after a total of 30 min incubation. Promega Corporation 64

Reporter (RLU x 10-4 ) CTG 3D (RLU x 10-6 ) Measurement of Luciferase Reporter Activity from Different Size Spheroids HIF-1 Hypoxia Marker 25 20 B Nano-Glo CTG3D 20 16 15 12 10 8 5 4 0 0 0 2000 4000 6000 8000 cells seeded HCT116 cells expressing NanoLuc luciferase under a constitutive promoter (A) or a HIF-1 promoter (B) were cultured in InSphero GravityPLUS 3D Cell Culture system for 4 days to form ~200-700 mm microtissues. An equal volume of NanoGlo Reagent or CellTiter-Glo 3D Reagent was added to each well, the plate shaken for 10, and luminescence recorded after a total of 30 min incubation. Promega Corporation 65

Path Forward Improving Lysis of Large Spheroids General Approach Change detergent formulation when possible Longer incubation in lysis solution Incorporate mixing or physical disruption step Promega Corporation 66

Physical Disruption Options Plate shakers to mix 96 or 384 well plates (motion and speed matter) Pipetting sample up-and-down can be used instead of shaking, but our results show greater variability among replicates Ultrasonic treatment (potential for future) Promega Corporation 67

Take Home Message There is a growing number of approaches to choose from for generating 3D spheroids Most in vitro cell-based assays were originally designed for 2D monolayers or cells in suspension Validation of assays with each 3D model is recommended Size / mass of 3D structure may limit efficient lysis of all cells or overwhelm assay chemistry Optimizing incubation time with lysis solution and mixing or physical disruption are recommended first steps for validating assays Promega Corporation 68

Thank you for attending! Questions are Welcome Promega Corporation 69