In vitro biological research has seen a significant shift towards the adoption of 3D cell culture models, including cellular aggregates, microtissues, spheroids, and complex organoid models. These 3D culture systems offer distinct advantages over traditional 2D cultures, such as better physiological cellular organization, enhanced cell-to-cell and cell-to-matrix communications, and improved cellular differentiation and signaling.
Organoids, in particular, are complex 3D systems that mimic tissue-specific organogenesis, cellular heterogeneity, cytoarchitectures, and functions. Consequently, 3D culture systems hold great promise for fundamental research, drug development, personalized medicine, and regenerative medicine.
The growing popularity of 3D cultures has spurred the development of various methods and protocols for their generation. These methods include low-adherence culture plates for 3D cell culture in suspension, bioreactors that allow large-volume dynamic flow conditions to improve oxygenation, and microfluidic chips known as organ-on-chip systems that precisely control fluid flows and replicate the cellular microenvironment.
Additionally, bioengineering strategies such as the use of 3D scaffolds and bioprinting have provided researchers with greater control over critical parameters, including fluid flows, nutrient and oxygen supply, and waste management.
Transitioning from 2D to 3D culture systems presents unique challenges, particularly in assessing cell viability over time. Historically, lactate dehydrogenase (LDH) activity assays have been used to assess cellular viability in 2D cultures. LDH, a cytoplasmic enzyme present in almost all cell types, is released into the extracellular environment when the cell membrane is damaged. The LDH activity assay is based on the enzymatic conversion of lactate to pyruvate by LDH, resulting in the production of a detectable colored or luminescent molecule. The amount detected correlates with the cell viability in the culture conditions.
Implementing the LDH assay in 3D cell cultures faces several challenges, including the need for a robust normalization step. In 2D cultures, LDH activity is usually normalized by the number of seeded cells, the LDH activity in cell lysates, or the protein concentration. However, the complexity of 3D cultures makes precise quantification of cell density difficult while preserving culture integrity. Normalizing LDH activity by protein concentration in the conditioned culture medium has emerged as a potential strategy.
LDH activity is not stable over time, requiring quantification on fresh conditioned medium for accurate results. This poses a substantial obstacle to longitudinal comparisons. Using a storage buffer to preserve LDH activity at temperatures below −20 °C for several days is one solution. To address these limitations, an optimized LDH activity assay protocol specifically tailored for 3D cell cultures has been developed. This approach integrates a normalization method based on the quantification of total protein content in the conditioned culture medium and the characterization of a dedicated preservation buffer capable of maintaining LDH stability at −20 °C for one month.
Human-induced pluripotent stem cells (hiPSCs) were used to generate cerebral organoids following established protocols. The organoids were exposed to valproic acid, a known neurotoxin, at two concentrations to demonstrate the effectiveness of the optimized LDH assay in normalizing cytotoxicity levels between the organoids.
To preserve LDH activity, a conditioned medium (CM) was mixed with an LDH-preservation buffer containing Bovine Serum Albumin (BSA) as a stabilizing agent. Aliquots of CM sampled from cerebral organoids were frozen with or without the preservation buffer and analyzed monthly over four months. The preservation buffer comprised Tris-HCl buffer solution, glycerol, and BSA.
The optimized LDH assay demonstrated that the preservation buffer extended LDH stability for up to a month at −20 °C. Consistent LDH levels were observed prior to a decline after one month of storage compared to samples without the buffer. Loss of LDH activity in CM without the buffer was evident after one week at −20 °C, with a total loss of activity after three months.
The presence of BSA in the preservation buffer necessitated adapted dilutions to prevent signal saturation. Bicinchoninic assay (BCA) with CMB samples diluted in distilled water indicated that the preservation buffer maintained the proportionality between protein concentration and absorbance, ensuring linearity. Discrepancies emerged when converting absorbance to protein concentration using a BSA standard curve. Luminescence-based LDH detection revealed signal saturation at the most concentrated dilutions. Optimal CMB dilutions ranged from 1/2.5 to 1/4 with distilled water.
The optimized LDH assay was validated with cerebral organoids exposed to valproic acid. Exposure to 10 mM VPA significantly elevated LDH levels compared to controls, indicating high cytotoxicity. Exposure to 1 mM VPA showed no significant impact on LDH levels, consistent with literature findings that VPA at this concentration impairs cortical development without affecting organoid morphological integrity.
The development of this refined LDH assay represents an advancement in addressing the challenges associated with longitudinal monitoring of 3D culture viability. By tailoring the standard LDH assay to accommodate the specific constraints of 3D systems, the proposed normalization and long-term storage methodologies facilitate the transition of this routine test from 2D to 3D. This enhanced LDH assay not only paves the way for the development of quantification techniques adapted to the analysis of conditioned media from 3D cultures, but also broadens the scope of cellular viability assessment in 3D. Integration of this method in routine characterization of 3D cultures holds great promise for enhancing the versatility of these models and for advancing various biomedical and toxicological applications that rely on cytotoxicity evaluations.
Engr. Dex Marco Tiu Guibelondo, B.Sc. Pharm, R.Ph., B.Sc. CpE
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