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FAQs on Human Airway Air-Liquid Interface Cultures

Find answers to frequently asked questions (FAQs) about culturing human airway epithelial cells (HAECs) at the air-liquid interface (ALI) using ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢.

General Information

Which ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢ media should I use?

The ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢ product line consists of serum- and bovine pituitary extract (BPE)-free culture media for culturing human airway epithelial cells. ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-Ex Plus Medium is the most suitable choice for expanding primary human bronchial epithelial cells (HBECs) or human small airway epithelial cells (HSAECs) in 2D adherent culture. To differentiate HBECs or HSAECs at the air-liquid interface (ALI), use ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-ALI Medium or ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-ALI-S Medium, respectively. Differentiation of HBECs to three-dimensional (3D) airway organoids can be achieved using ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢ Airway Organoid Kit.

Learn more about ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢ culture media for airway epithelial cells >

What is the difference between ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-Ex Medium and ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-Ex Plus Medium for the culture of HAECs?

±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-Ex Medium and ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-Ex Plus Medium, respectively, are the first and second generation expansion media in the ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢ product line. We recommend using ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-Ex Plus Medium as it supports more expansion at each passage (i.e. at least two more population doublings) while also maintaining robust mucociliary differentiation potential even after extended passaging (at least two additional passages), compared to other commercially available expansion media.

Find out how you can generate more airway epithelial cells for extended passages using ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-Ex Plus Medium >

Is ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-ALI Medium interchangeable with ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-ALI-S Medium?

I am culturing HBECs in ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-ALI Medium. What is the distribution of airway cell types after differentiation at air-liquid interface?

HBECs cultured in ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-ALI Medium generate the following approximate distribution of cell types after differentiation:

  • Basal cells (~20 - 30%)
  • Ciliated cells (~50%)
  • Goblet cells (~5 - 10%)

Studies have reported that HBECs cultured in ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-ALI Medium can also generate rarer cell types such as ionocytes.

  • Scudieri P, et al. (2020) . Cells 9(9):2090

I am culturing HSAECs in ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-ALI-S Medium. What is the distribution of airway cell types after differentiation at air-liquid interface?

HSAECs cultured in ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-ALI-S Medium generate the following approximate distribution of cell types after differentiation:

  • Basal cells (~5 - 10%)
  • Ciliated cells (~60 - 80%)
  • Club cells (~5 - 10%)

Materials and Plate Preparation

Which Transwell® inserts should I use?

We recommend using 0.4 μm pore polyester membrane inserts to culture airway epithelial cells at the ALI using ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-ALI Medium and ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-ALI-S Medium. Use Costar® 6.5 mm Transwell®, 0.4 µm Pore Polyester Membrane Inserts (Catalog #38024) for 24-well plates and Costar® 12 mm Transwell®, 0.4 µm Pore Polyester Membrane Inserts (Catalog #38023) for 12-well plates—both have been validated to support optimal ALI cultures using ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢.

See data showing superior ALI culture morphology and higher epithelial cell marker expression using these recommended Transwell® inserts >

How can I scale up my ALI cultures for high-throughput applications?

Culturing HSAECs at the ALI using ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-ALI-S Medium and HTS Transwell®-96, 0.4 µm Pore Polyester Membrane Inserts (Catalog #100-0419) can support high-throughput screening (HTS) applications up to 96-well format as reported in published literature.1 Culturing HBECs using ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-ALI Medium and HTS Transwell®-96 performed similarly via in-house testing in 96-well plates.

Do I need to coat my inserts with collagen?

Collagen coating of Transwell® inserts and tissue culture-treated cell culture flasks is not required when expanding HAECs in ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-Ex Plus Medium or differentiating in ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-ALI Medium or ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-ALI-S Medium. We have not found any performance differences between coated and non-coated conditions; however, collagen coating may improve differentiation in some donors, or if working with freshly isolated cells.

Sample Preparation

Which primary airway epithelial cell vendors have you tested for establishing ALI cultures?

There are many commercially available sources for primary airway epithelial cells. We have tested HAECs from two vendors, Lonza and Epithelix — both have resulted in successful ALI cultures.

Does ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢ support the culture of nasal epithelial cells?

Although we have not directly tested nasal epithelial cells in-house, there are publications that report ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢ supporting this cell type.

Here is a list of published literature that cites culturing of nasal epithelial cells using ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢ culture media:

Expansion using ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-Ex Plus Medium:

  • Villamizar et al. (2019) Mol Ther 27(10): 1737–48.

Differentiation using ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-ALI Medium:

  • Müller L et al. (2013) J Vis Exp (80): 50646.
  • Cao H et al. (2015) Mol Ther Methods Clin Dev 2: 15034.
  • Schogler A et al. (2017) Respir Res 18(1):215.
  • Garcia et al. (2019) Development 146(20): dev177428.
  • Dobzanski et al. (2018) Int Forum Allergy Rhinol 8(12):1412–20.

Expansion and differentiation using ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-Ex Medium and ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-ALI Medium, respectively:

  • Eckford PDW et al. (2019) J Cyst Fibros 18(1):35–43.
  • Cooksley C et al. (2015) Mol Immunol 68(2 Pt B):476–83.

Does ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢ support the culture of murine airway epithelial cells?

Although we have not tested ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢ media for use with murine epithelial cells, there are publications that report this application.

Explore these published literature citing the culture of mourin epithelial cells using ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-ALI Medium to learn more:

  • Tata et al. (2013) Nature 503(7475): 218–23.
  • Johnson et al. (2018) Biol Open 7(4): bio033944.

Setup & Culture

When should I passage my expansion cultures using ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-Ex Plus Medium?

HBECs and HSAECs cultured in ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-Ex Plus Medium should be passaged once they reach 50 - 60% confluence. Visualize the cellular morphology of HBEC cultures at this recommended confluence in this protocol video (skip to 02:45) >

For optimal differentiation, which passage of expanded HBECs should I use to initiate my ALI culture?

ALI cultures initiated using early passage (P3/P4) HBECs expanded in ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-Ex Plus Medium display the most optimal morphology. Although this is donor-dependent, and some donor variability is expected, mid to late passages cultured in ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-Ex Plus Medium can still exhibit pseudostratified mucociliary differentiation. As a precaution, we recommend not initiating a differentiation assay after P7/P8.

Compare the morphology of HBECs expanded in ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-Ex Plus Medium followed by differentiation in ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-ALI Medium at different passages (Figure 7) >

For optimal differentiation, which passage of expanded HSAECs should I use to initiate my ALI culture?

The best results are seen when using early passage (P3) HSAECs expanded in ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-Ex Plus Medium. Although this is donor-dependent, and some donor variability is expected, mid-passages (P4/P5) can still have generally acceptable results. As a precaution, we recommend not initiating a differentiation assay after P5/P6.

How do I know when the submerged cultures in inserts are ready to be air-lifted?

It is critical that the submerged expansion cultures in inserts reach 100% confluence before air-lifting. At 100% confluence, the cells will cover the surface across the insert forming a complete, uniform monolayer.

View an HBEC culture that has reached the desired confluence and is ready to be air-lifted in this video (skip to 07:00) >

I seeded my cells at a higher density than that recommended in the product information sheet (PIS) and they reached confluence before 2 - 4 days. Can I proceed with air-lift?

Yes. Once your submerged culture reaches 100% confluence, it is ready to be air-lifted.

How long can I maintain my air-liquid interface culture in ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-ALI Medium or ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-ALI-S Medium?

Differentiated HBECs can be maintained in complete ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-ALI Maintenance Medium for years, depending on the operators’ aseptic technique and how well they adhere to the protocol. We’ve maintained these cells for up to 5 years. HSAECs differentiated with ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-ALI-S Medium were maintained in-house for at least 6 months.

How long does it take for HSAECs to fully differentiate?

Generally, HSAECs cultured in ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-ALI-S Medium will form a fully differentiated cuboidal epithelium after four to five weeks of culture. Some donor variability may be expected.

When and how often should I wash the mucus off the cultures maintained in ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-ALI Medium and ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢ALI-S Medium?

Mucus can be washed off the surface of the cells once a week starting at week 3, after the cells have been cultured in ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-ALI Medium. Depending on the amount of mucus accumulation, a second wash may also be required. See how a mucus wash is performed in this ALI culture differentiation video (skip to 02:24) >

We find that a mucus washing step is not required for the ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-ALI-S Medium protocol.

My culture has thicker mucus. How can I improve on the PBS wash?

To remove thicker mucus, you can add D-PBS without Ca++ and Mg++ (Catalog #37350) to the apical compartment and incubate the culture for 10 - 20 minutes at 37°C.

Cryopreservation

Can HAECs expanded in ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-Ex Plus Medium be cryopreserved? Do you have any recommendations for freezing medium?

Yes, HAECs expanded in ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-Ex Plus Medium can be cryopreserved. We recommend freezing them down at 1 x 106 cells/mL using CryoStor® CS10 (Catalog #07930).

Characterization

How am I able to tell if the HBEC ALI differentiation assay has been successful?

There are two live-culture morphology indicators for good differentiation and readiness for further potential characterization. These are:

  • visibly beating cilia at the ALI culture’s apical surface.
  • visualization of secreted mucus being swept by coordinated cilia beating.

How do I assess the regional specificity of the small airway (HSAECs) vs large airway (HBECs) cultured in ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-ALI-S Medium and ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-ALI Medium, respectively?

To assess the regional specificity of the small vs large airway, you can perform the following assays:

  • Cross-section histology followed by hematoxylin and eosin (H&E) staining to assess the thickness of the small or large airway epithelium
  • Immunocytochemistry (ICC) followed by fluorescent imaging to visualize region-specific marker expression
  • qPCR to evaluate differences in regional gene expression

Compare the morphology and marker expression of HSAECs and HBECs cultured in ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-ALI-S Medium or ±Ê²Ô±ð³Ü³¾²¹°ä³Ü±ô³Ùâ„¢-ALI Medium in this product page (Figure 3 and 4) >

Do you have a protocol or suggested antibodies to perform ICC staining on my fully differentiated ALI cultures?

Yes, you’ll find the steps to perform an ICC staining on your epithelial cells cultured at the ALI in this protocol. Here is a list of antibodies that can be used for the characterization of airway cultures:

Product Catalog # Culture Type
Acetylated Tubulin e.g. 100-0753; Sigma-Aldrich, T7451 Large and small airway ALI cultures
Anti-Mucin 5AC Antibody e.g. Abcam, ab212636 Large airway ALI cultures
ZO-1 Antibody e.g. Invitrogen, 40-2200 Large airway ALI cultures
CC10 Antibody (SCGB1A1) e.g. Santa Cruz Biotechnology, sc-365992 Small airway ALI cultures
Anti-SCGB3A2 Antibody e.g. Abcam, ab181853 Small airway ALI cultures

Do you have a protocol for measuring transepithelial electrical resistance (TEER)? When should I perform the measurement?

Yes, you’ll find the step-by-step protocol for TEER measurement to evaluate the epithelial barrier integrity in ALI cultures here.

TEER measurements can be performed repeatedly, without causing damage to the cell culture. You can conduct a weekly TEER time course to describe the barrier function throughout the process of ALI culture differentiation. The readings can also be conducted before the culture is evaluated for endpoint characterizations, like electrophysiology or airway marker expression.

To learn how TEER values correlate with ALI culture morphology, watch this informative video.


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  1. Bluhmki T et al. (2020) Sci Rep 10(1):13022