May 20, 2025

Public workspaceTEBV fabrication and perfusion

Peer-reviewed method
  • 1Duke University
  • PLOS ONE Lab Protocols
    Tech. support email: plosone@plos.org
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Protocol CitationJingyi Zhu, Halie Hotchkiss, Kevin Shores, Stacey Maskarinec, George A. Truskey 2025. TEBV fabrication and perfusion. protocols.io https://dx.doi.org/10.17504/protocols.io.3byl4wpwzvo5/v1
License: This is an open access protocol distributed under the terms of the Creative Commons Attribution License,  which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Protocol status: Working
We use this protocol and it's working
Created: February 04, 2025
Last Modified: May 20, 2025
Protocol Integer ID: 123465
Keywords: Fabrication, THP-1 monocytes perfusion , Embedding, Fixation, Immunofluorescence staining , Engineered vessels, Microphysiological model systems
Funders Acknowledgements:
American Heart Association
Grant ID: 388000147
American Heart Association
Grant ID: 957133
National Institutes of Health
Grant ID: HL159275
National Institutes of Health
Grant ID: HL138252
Abstract
This protocol details the TEBV fabrication and perfusion.
Attachments
Guidelines
Troubleshooting:

Troubleshooting advice can be found in Table 2.

ABCD
Step ProblemPossible reasonSolution
Procedure 1 Step 12Collagen solution does not gel after 60 minutes incubation. Air pockets form after 60 minutes incubation.Improper pH of the collagen solution. The chamber is not sealed tightly. Insufficient mixing before injection.Adjust the pH of the mixture. Change the O-ring seal the chamber tightly. Keep injecting while the collagen solution leaks into the space between two adjacent vessels. Briefly pipette to mix thoroughly before injection.
Procedure 2 Step 14Micro bubbles observed in vessel wall after dehydration. Aggresive pipetting during mixing.Mix all the components gently in an Eppendorf tube. Briefly centrifuge before injecting collagen solution into the molds.
Procedure 2 Step 17Perfusion chamber cannot be tightened evenly.The PDMS clamps are too thick.Trim the PDMS clamps. Change O-ring.
Procedure 2 Step 20Additional vessels begin to leak following the repair process. The extraction of media causes a meniscus to form, resulting in increased vessel leakage.Disassemble the chamber while keeping the media in place and use absorbent Kimwipes to contain the liquid.
Procedure 3 Step 28Bubbles inside lumen after rotation.Medium leaks out or evaporates during rotation.Fix the chamber orientation so that the mandrels are parallel to the rotator platform. Fabricate PDMS caps to seal the mandrels after the injection of the endothelial cell suspension.
Procedure 4 Step 33.6Bubbles keep growing in the TEBV perfusion chamber during perfusion.The chamber does not seal tightly. Bubbles in the side loop tubing. Possible leakage in vessels.Seal the chamber tightly and evenly. Remove bubbles as much as possible in the chamber and side loop. Perform leakage test and replace leaky vessels.


Timing:

The following timeline assumes fabrication of one chamber of TEBVs. PDMS and tubing materials required for TEBV fabrication and perfusion can be prepared in advance.

  • Procedure 0: PDMS clamps fabrication and sterilize TEBV chamber components 2-3 days
  • Procedure 1: Harvest hNDFs and prepare collagen mixture ~1 hour
  • Procedure 2: Plastic compression and dehydration ~30 minutes
  • Procedure 3: Endothelial cell seeding and set up rotation ~45 minutes
  • Procedure 4: Perfusion set up ~ 3.5 hours
  • Procedure 5: Daily media change 5-10 minutes
  • Procedure 6: Downstream experiments: Activation of endothelium and THP-1 monocytes perfusion
TEBV fixation, en face staining of TEBVs


Note
Procedures 1 (Harvesting hNDFs and preparing the collagen mixture) and 2 (Plastic compression and dehydration) were modified from the previously published protocol described in reference 4 in the main text.




Materials
Cells

  • ReagentHuman Dermal Fibroblasts, neonatal hNDFInvitrogenCatalog #C0045C , passages 5–11
  • Reagent RFP Expressing Human Umbilical Vein Endothelial CellsAngio-ProteomieCatalog #cAP-0001RFP , passages 2-11
  • ReagentHUVEC – Human Umbilical Vein Endothelial CellsLonzaCatalog #C2517A , passages 2-11
  • ReagentTHP-1 monocytesATCCCatalog #TIB-202 , passages 2-25
Note
Alternative cell sources may be used for fabrication (see reference 4 in the main text).

Cells culture supplies

  • hNDF growth media: ReagentDMEM, high glucose, no glutamineGibcoCatalog #11960044 with 4.5 g/L D-glucose supplemented with 10% ReagentFetal Bovine Serum, certified, heat inactivatedGibcoCatalog #10082147 , 1% ReagentPenicillin-Streptomycin GibcoCatalog #15140122 , 1× ReagentMEM Non-Essential Amino AcidsGibcoCatalog #11140050 , 1×ReagentSodium PyruvateGibcoCatalog #11360070 , 1× ReagentGlutaMAX™ SupplementGibcoCatalog #35050061 and 0.1% Reagent2-MercaptoethanolGibcoCatalog #21985023
  • HUVEC and RFP-HUVEC media: ReagentHuman Endothelial Cell MediaCell ApplicationsCatalog #211-500 supplemented with 1% ReagentPenicillin-Streptomycin GibcoCatalog #15140122
  • THP-1 cell media: ReagentRPMI 1640 Medium (ATCC modification)GibcoCatalog #A1049101 supplemented with 10% ReagentFetal Bovine Serum, certified, heat inactivatedGibcoCatalog #10082147 , 1% ReagentPenicillin-Streptomycin GibcoCatalog #15140122
  • ReagentNunc™ EasYFlask™ Cell Culture FlasksThermo Fisher ScientificCatalog #156499
  • 1X ReagentPBS, pH 7.4GibcoCatalog #10010023
  • ReagentTrypsin-EDTA (0.25%), phenol redGibcoCatalog #25200056 : diluted 1:5 in sterile PBS without Ca++ and Mg++
  • ReagentBovine GelatinMerck MilliporeSigma (Sigma-Aldrich)Catalog #G1393

Materials for Polydimethylsiloxane (PDMS) clamps fabrication and sterilization

  • SYLGARD 184 silicone elastomer (PDMS, Dow, #2646340)
  • ReagentSterilization PouchCardinal HealthCatalog #92510
  • Digital lab oven (VWR # 97025-630)
  • ReagentVacuum desiccatorMerck MilliporeSigma (Sigma-Aldrich)Catalog #Z119008
  • ReagentRazor BladesVWR International (Avantor)Catalog #55411-050

Materials for TEBV mold chamber and perfusion/viewing chamber

  • Six computer numerical control machined (CNC) polycarbonate chamber pieces (Protolabs) and one CNC machined viewing top (Protolabs) for viewing chamber (Fig 1)
  • Eight stainless steel hypodermic tubes of 0.8” length (20XTW - New England Small Tube Corporation)
  • Four stainless steel hypodermic tubes of 3” length referred to as the TEBV mandrels, will be used in the following sections (23RW - New England Small Tube Corporation)
  • 22 mm × 40 mm #1.5 Coverglass (VWR, #48393-172), cut into 22mm × 19mm to fit the viewing chamber
  • Buna-N O-RingsReagentDurometer 70A (Medium), 2 mm wide and 28.5 mm inner diameter McMaster-CarrCatalog #9262K679
  • 1/16” Tube Adapter with 10-32 Threaded Pipe Fitting (McMasterCarr, #2974K123)
  • Four pedicle screws with four nuts (6/32 Thread Size 1" long, McMasterCarr, #99607A128 and #91240A007)
  • 2 mm ReagentStandard Biopsy PunchesFisher ScientificCatalog #12-460-399
  • ReagentPTFE tapeMerck MilliporeSigma (Sigma-Aldrich)Catalog #20808-U
  • Epoxy (Henkel, #235033)

Materials for preparing collagen matrix and harvesting hNDFs

  • ReagentCollagen I, High Concentration, Rat Tail, 100 mgCorningCatalog #354249
  • 10X ReagentDMEM - low glucoseMerck MilliporeSigma (Sigma-Aldrich)Catalog #D2429
  • 1M ReagentSodium hydroxideMerck MilliporeSigma (Sigma-Aldrich)Catalog #S8045 , sterile, prepared by dissolving NaOH pellets in deionized water and sterile filtering after cooling
  • 2.5 mL ReagentMicrocentrifuge Tubes: 2.0 mLFisher ScientificCatalog #05-408-138
  • ReagentLSE™ Mini MicrocentrifugeCorningCatalog #6770

Materials for TEBV plastic compression/dehydration and endothelialization

  • Two Reagent50 mL PP Centrifuge TubesCorningCatalog #430828
  • One Reagent1 mL Tuberculin Syringe BD BiosciencesCatalog #309659
  • One Reagent5 mL Luer-Lok™ Syringe BD BiosciencesCatalog #309646
  • 5–6 Kimwipes
  • 2 cm × 2 cm Kimwipes (cut)
  • One 5 mL syringe adapter (McMasterCarr, #51525K281)
  • One 1mL syringe adapter (Strategic Applications Inc., #B23-50)
  • As syringe tubing Reagent L/S® Precision Pump TubingVWR International (Avantor)Catalog #MFLX96410-13
  • One ReagentStraight Tapered Fine Tip ForcepsFisher ScientificCatalog #16-100-113
  • ReagentPetri DishesFisher ScientificCatalog #FB0875711
  • Customized rotator with 24 rotations per hour (LABQUAKE SHAKER, Barnstead)
  • Mechanical Accurate Countdown Timer with 15 Minute Increments (BN-LINK)

Materials for TEBV Perfusion

  • Stainless steel tray (SouthPointe Surgical Supply, #RT-1350S)
  • Y-shaped connecters, for 1/1600 tube (McMasterCarr, #5117K65)
  • ReagentMasterflex® Microbore Transfer Tubing, TygonVWR International (Avantor)Catalog #MFLX06419-03
  • Reagent L/S® Precision Pump TubingVWR International (Avantor)Catalog #MFLX96410-13
  • ReagentMasterflex® Ismatec® Pump Tubing, 3-Stop, PharMed® BPT, 0.89 mmVWR International (Avantor)Catalog #MFLX95714-26
  • Two-way straight connectors (McMaster-Carr, #5117K41)
  • Masterflex L/S Precision Modular Drive pump (VWR, #MFLX07557-10)ReagentMasterflex® Ismatec® Minicartridge Multichannel Pump Head for Masterflex® L/S® Drives, 8-Channel, 8-VWR International (Avantor)Catalog #MFLX07623-10
  • ReagentSyringe Filters, 0.22 µmVWR International (Avantor)Catalog #76479-044
  • Reagent25 mL Round Media Storage Bottles, with GL25 Screw CapCorningCatalog #1395-25
  • ReagentGlass GlueLoctiteCatalog #233841

Materials for evaluating monocyte adhesion in TEBVs and immunofluorescence staining

  • Human monocytic THP-1 cells, passages 5-20
  • 1X ReagentPBS, pH 7.4GibcoCatalog #10010023
  • Reagent16% ParaformaldehydeElectron Microscopy SciencesCatalog #15710 , diluted 1:4 in PBS without Ca++ and Mg++
  • ReagentGoat serumMerck MilliporeSigma (Sigma-Aldrich)Catalog #G9023
  • 10% BSA: 5 g ReagentBovine Serum AlbuminMerck MilliporeSigma (Sigma-Aldrich)Catalog #A9647 in 50 mL PBS.
  • 0.1% Triton-X solution: 10 uL ReagentTriton X-100 Merck MilliporeSigma (Sigma-Aldrich)Catalog #X100 in 10 mL PBS
  • ReagentTween 20 100% Nonionic DetergentBio-Rad LaboratoriesCatalog #1706531
  • 30% sucrose solution: 30 grams of ReagentSucroseMerck MilliporeSigma (Sigma-Aldrich)Catalog #S0389 in 100 mL PBS.
  • ReagentOlympus 5ml Centrifuge Tubes, Clear Natural, PolypropyleneGenesee ScientificCatalog #24-285
  • ReagentImmEdge hydrophobic barrier pap penVector LaboratoriesCatalog #H-4000
  • ReagentCD54/ICAM-1 (VF27-516) Mouse mAbCell Signaling TechnologyCatalog #62133S
  • ReagentAnti-von Willebrand Factor antibodyMerck MilliporeSigma (Sigma-Aldrich)Catalog #F3520
  • ReagentVE-Cadherin Cell Signaling TechnologyCatalog #2500S
  • ReagentHoechst 33342, Trihydrochloride, Trihydrate - 10 mg/mL Solution in WaterThermo Fisher ScientificCatalog #H3570
  • ReagentCellTracker™ Red CMTPXThermo Fisher ScientificCatalog #C34552
  • ReagentMicroscope Slides, Diamond White Glass, 25 x 75mm, Charged, 90° Ground Edges, White FrostedGlobe ScientificCatalog #1358W
  • ReagentMicro cover glassesVWR International (Avantor)Catalog #48368-040
  • ReagentExtra Fine Bonn ScissorsFine Science ToolsCatalog #14084-08
  • Tissue-Tek O.C.T. Compound (Sakura Finetech, #4583)
  • ReagentTruncated Shape Mold, 12X12mmElectron Microscopy SciencesCatalog # 70181
  • Leica SP5 inverted confocal microscope
  • Zeiss Axio Imager fluorescence microscope (5X, 10X objectives) outfitted with an AxioCam MRm digital camera with ZEN Pro software

Fig 1. Design and schematic of the TEBV chambers. The mold, perfusion and viewing chamber are assembled by combining various top and bottom pieces with the core chamber component.

























Procedure 0: PDMS clamps fabrication and sterilization of TEBV chamber components (Timing: 2-3 days before the TEBV fabrication)
Procedure 0: PDMS clamps fabrication and sterilization of TEBV chamber components (Timing: 2-3 days before the TEBV fabrication)
21h 40m
21h 40m
PDMS clamp mold fabrication

Print molds for the PDMS clamps using a Stratsys J750 3D printer with the proprietary VeroPure White filament acrylic formulation. Clean molds thoroughly with sodium hydroxide prior to casting with PDMS.

PDMS clamps fabrication

Note
CRITICAL STEP Clean the master mold by removing excess PDMS to ensure a flat fit on the dish surface.

Prepare SYLGARD 184 silicone Elastomer (PDMS) mixture by adding 5 parts of the elastomer base and 1 part of the curing agent into a 50 mL falcon tube. Inverting the tube several times to ensure thorough mixing of the two components.

Critical
Centrifuge the tube (Centrifigation1400 rpm, 00:05:00 ) and degas the mixture for Duration01:30:00 .

Note
CRITICAL No visible bubbles should be present in the PDMS solution.

1h 35m
Centrifigation
Critical
Slowly pour the PDMS into the dish containing the master mold of TEBV clamps. Ensure there is at least 5 mm of PDMS above the top of the molds.

Place PDMS-coated molds under vacuum for at least Duration02:00:00 to ensure thorough degasification.

2h
After degassing, remove molds from vacuum. Using forceps, gently press down so that each is flat against the bottom of the petri dish.

Place PDMS-coated molds in an oven set at Temperature50 °C and let them incubate DurationOvernight .

Note
CRITICAL Ensure the oven temperature does not exceed Temperature55 °C to avoid reaching the glass transition temperature of the VeroPure White molds.

8h
Incubation
Critical
Overnight
Once cured, retrieve the molds from the oven and collectively cut them out of the PDMS using a scalpel.

Separate each mold with a straight edge razor, eliminating excess PDMS to leave only 1-2 mm on each side of the molds.

With fine-tip forceps, delicately detach the PDMS from all four sides of each mold, taking care to avoid splitting or breaking any part of the PDMS.

After separating PDMS from all sides, slowly lift one end of the mold out of the PDMS encasement using fine-tip forceps.

Note
CRITICAL Proceed with caution to maintain fidelity of the clamp grooves and prevent PDMS breakage or splitting.

Critical
Upon complete removal of the mold, trim away the excess PDMS layer from the top of the clamp.

Use a straight edge razor to longitudinally cut the clamps on each side, exposing the grooves. Exercise care by positioning the razor appropriately and pressing straight down, ensuring the clamps are approximately 5 mm in width and avoiding excessive cuts on each side.

Utilizing a straight edge razor, trim the lateral sides of the clamp, maintaining a gap of approximately 1 mm between the edge of each groove and the clamp's edge.

Rotate the clamp 90 degrees, and employing the same technique used for removing excess PDMS from the longitudinal sides, reduce the height of the clamp to 2.75-3 mm.

The clamps are now ready for steam sterilization.

Fabrication of PDMS side port caps

Prepare SYLGARD 184 silicone Elastomer (PDMS) mixture by adding 5 parts of the elastomer base and 1 part of the curing agent into a 50 mL falcon tube. Inverting the tube several times to ensure thorough mixing of the two components.

Centrifuge the tube (Centrifigation1400 rpm, 00:05:00 ) and slowly pour the PDMS into a petri dish.

5m
Centrifigation
Degas the dish with PDMS mixture for Duration01:30:00 -Duration02:00:00 .

Note
CRITICAL No visible bubbles should be present in the PDMS solution.

2h
Critical
Preheat the oven to Temperature50 °C and let PDMS mixture incubate DurationOvernight .

8h
Overnight
After curing, carefully remove the dish from the oven. Use a blade to cut out a piece of PDMS at least 0.5 cm in depth.

Employ a 2 mm biopsy punch to create a space for covering side ports in the PDMS material.

The side port caps are now ready for steam sterilization.

TEBV mold chamber assembly and materials preparation
TEBV mold chamber assembly and materials preparation
21h 40m
21h 40m
Wrap Teflon tape around the two side ports and install them into the side holes on each side of the core chamber component.

Use epoxy to attach the eight 0.8’’ stainless steel tubes to the core chamber component and allow the epoxy to cure at TemperatureRoom temperature .

Note
CRITICAL Ensure that the distance between the two ends of the tube on the opposing sides is approximately 1.2 cm, as this determines the length of the TEBVs.

Critical
Fit the silicone O-rings into the rectangular groove on each side of the core chamber component.

Note
CRITICAL STEP Ensure that the O-rings are sealed into the grooves on either side of the core chamber component. Replace O-rings and epoxy adhesive after 3-4 uses or if they appear worn.

Critical
Assemble the top and bottom pieces of the TEBV mold chamber to the assembled core chamber component and then insert four TEBV mandrels into the chamber.

Note
CRITICAL Make sure that the mandrels do not have any sharp areas that may tear the TEBVs.

Critical
Sterilize all the following materials prior to use (Table 1). All the materials are placed into autoclave pouches unless otherwise indicated.
AB
Procedure 1Assembled TEBV mold chamber (mold chamber top and bottom, core chamber component, four screws and nuts, four TEBV mandrels, and two PDMS side port caps)
Procedure 2Viewing/ Perfusion chamber top and bottom; four PDMS clamps; small tubes with varying lengths to replace dysfunctional TEBVs; one pair forceps; stainless steel surgical tray; small square Kimwipes for dehydration; 1 mL syringe with a 23G needle; 5 mL syringe connected to tubing through a luer adapter; Kimwipes for cleanup
Procedure 31 mL syringe with a 23G needle; one pair forceps
Procedure 4Vessel loop tubing; side loop tubing; media reservoir; two pairs of forceps; 5 mL syringe connected to tubing through a luer adapter; Kimwipes for cleanup
Procedure 5Two pairs of forceps; 5 mL syringe connected to tubing through a luer adapter; Kimwipes for cleanup
Table 1: Materials list for sterilization.  
Note
All the following procedures should be performed in Class II Biosafety cabinets unless specified.

Procedure 1: Harvest hNDFs and prepare collagen mixture, Day 0 (Timing 1 h)
Procedure 1: Harvest hNDFs and prepare collagen mixture, Day 0 (Timing 1 h)
1h 10m
1h 10m
Prepare a collagen solution with a final concentration of Amount7 mg/ml . To achieve this, calculate the required volumes of collagen, 10× DMEM, 1M NaOH, and hNDF media needed for dilution.

The formula for 1 mL collagen and cell mixture for the four TEBV system is
  • Volume of 10× DMEM = Amount94 µL
  • Volume of collagen solution (Vc) = Amount1 mL × (Amount7 mg/ml / collagen stock concentration)
  • Volume 1 M NaOH (VNaOH) = Volume of collagen solution × 0.023
  • Volume of hDNF suspension= Amount60 µL
  • Volume of hNDF media (VhNDF) = Amount1 mL - Amount94 µL – Vc – VNaOHAmount60 µL (if negative then do not add this extra media)

Note
CRITICAL May need to aliquot extra volume (>1 mL) to compensate for pipetting error and possible bubble formation.

Critical
Aliquot the calculated volumes of collagen, 10X DMEM, 1M NaOH solutions in separate sterile 2.5 mL Eppendorf tubes and keep TemperatureOn ice .

Note
CRITICAL STEP Avoid making bubbles while pipetting collagen solution.

Critical
Tighten the nuts on the pre-assembled TEBV mold chamber using pliers. Place on autoclaved surgical tray.

Note
CRITICAL STEP Adjust the tightness of the screws in a diagonal, alternating fashion and avoid touching the mandrels. Uneven tightening will cause deformation of the O-ring.

Critical
Add the calculated volumes of collagen, 10 ×DMEM, 1M NaOH and hNDF media into a sterile 2.5-mL Eppendorf tube and mix gently.

Note
CRITICAL STEP Avoid making bubbles while pipetting.

Pipetting
Mix
Critical
Harvest hNDFs by trypsinization and centrifugation. Treat hNDFs (~80% confluent) with trypsin-EDTA for Duration00:03:00 , then add Amount3 mL fresh DMEM media to neutralize typsin-EDTA. Centrifuge the cells (Centrifigation180 x g, 00:07:00 ). Resuspend the cell pellet in a density of 1×106 hNDFs/60 μL DMEM media.

10m
Centrifigation
Quickly add Amount60 µL of hNDF suspension and mix thoroughly by gently swirling the cells in the gel mixture. Then add extra volume of 1M NaOH to adjust pH until the mixture turns magenta (as demonstrated in the video provided in S3).

Note
CRITICAL STEP Use a benchtop mini centrifuge to briefly centrifuge the collagen mixture before adding into the mold chamber. Act quickly to avoid collagen gelation.

Pipetting
Mix
Critical
Use 200 μL pipette to slowly add the collagen mixture into each of the 4 vessels of the mold chamber. Stop injecting when the collagen mixture begins to extrude from the contralateral opening.

Note
CRITICAL Using a P200 pipette, load Amount200 µL of the collagen solution, even though each vessel only requires approximately 180 μL. Loading slightly more than the vessel mold capacity ensures that there is enough material to fully fill the mold and compensate for any material lost due to potential bubble formation during injection. Ensure there are no significant bubbles in the mold.

Critical
Put the mold in a petri dish and seal with parafilm. Incubate in the cell culture incubator for Duration00:45:00 -Duration01:00:00 .

?TROUBLESHOOTING

1h
Procedure 2: Plastic compression and dehydration, Day 0 (Timing: ~45 minutes)
Procedure 2: Plastic compression and dehydration, Day 0 (Timing: ~45 minutes)
1m
1m
Remove petri dish containing TEBV mold chamber from incubator to biosafety hood. Remove the chamber from the petri dish. Use pliers to unscrew the nuts and peel off the top and bottom pieces of the mold chamber gently.

Note
CRITICAL Avoid touching mandrels on each side during the manipulation to prevent damage to the lumens and contamination.

Critical
Use forceps to gently apply 2 cm x 2 cm pre-cut sterile Kimwipes directly onto the TEBVs. The Kimwipes should become soaked through as part of the dehydration process. Apply double-layer Kimwipes on each side (~3 times per side) followed by single-layer Kimwipes (~1-2 times per side). Stop the dehydration process once the water absorption on the wipe is isolated to individual TEBVs.

Note
CRITICAL STEP Avoid pressing directly on TEBVs during dehydration. Use forceps to gently press the space between TEBVs to ensure uniform fluid dehydration.

?TROUBLESHOOTING

Critical
Assemble the bottom piece of the TEBV viewing chamber and hand tighten the screws. Add Amount2 mL - Amount2.5 mL warm media into the chamber using a P1000 pipette to soak the dehydrated TEBVs for at least Duration00:01:00 . Carefully remove the media from chamber using a P1000.

Note
CRITICAL STEP Put pipette tip at the corner of the chamber and slightly tilt the chamber to pull-out media. Avoid touching TEBVs!

1m
Pipetting
Critical
Firmly secure TEBVs to the mandrels with PDMS clamps using forceps.

Hand tighten the top layer of the perfusion chamber first and use plier to gradually tighten the four conners evenly. Tighten the screws in a diagonally alternating pattern.

?TROUBLESHOOTING

Prime a sterile 5 mL syringe with luer adaptor with warm hNDF media. Invert the syringe to ensure that the media coming out from the syringe is bubble-free. Fill the chamber with media trough the barbed side port using the primed syringe. Tilt the chamber while injecting the media to expel as many bubbles as possible. Cap the side ports using PDMS caps.

Note
CRITICAL Use forceps to connect the tube on syringe to the side port to avoid contamination.

Critical
Remove all the inserted 23RW mandrels carefully using forceps.

Note
CRITICAL Pull out the mandrel horizontally, slowing down at both ends to avoid ripping the TEBV lumens during mandrel removal.

Critical
Perform a leakage test for all the vessels.

Note
CRITICAL Use a 1mL syringe with a BD syringe adaptor filled with PBS for easy observation. Be attentive to bubbles traversing the TEBV and examine for PBS emerging from the opposite side. If leakage is observed, replace the TEBV with a short section of tubing (see Go togo to step #22 for details). ?TROUBLESHOOTING

Critical

Note
OPTIONAL Place the mold into a petri dish and seal it using parafilm. Inspect each vessel under a phase contrast microscope (5X objective). Look for clear demarcation of the lumen and an intact collagen layer. Replace any vessels showing signs of rupture or a collapsed lumen, as outlined in the step 22 .

Optional
TEBV replacement: Place the chamber on sterile absorbent wipes. Choose the suitable length of sterilized Tygon tubing prior to opening the chamber. Use pliers to open the perfusion chamber. Gently detach the dysfunctional vessel from the connected mandrels using tweezers, ensuring careful handling to prevent displacement of PDMS clamps. Use tweezers to affix the tubing. Seal the perfusion chamber and replenish the chamber with media through the barbed side port.

Note
CRITICAL Execute the replacement procedure quickly to prevent adjacent vessel damage.

Critical
Procedure 3: Endothelial cell seeding and rotation, Day 0-1 (Timing: ~ 45 minutes)
Procedure 3: Endothelial cell seeding and rotation, Day 0-1 (Timing: ~ 45 minutes)
8h 8m
8h 8m
Prepare a HUVEC suspension of 4.5×106 cells in Amount600 µL warm EC media. Harvest the cells by using trypsin-EDTA for Duration00:03:00 (~80% confluent), followed by the addition of Amount3 mL of fresh EC media to neutralize the trypsin-EDTA. Centrifuge the cells at Centrifigation1000 rpm, 00:05:00 .

Note
CRITICAL STEP Prepare extra volume of HUVEC suspension for each chamber to compensate for the dead volume of the syringe (~Amount100 µL ).

8m
Centrifigation
Critical
Fill a sterile 1-mL syringe with HUVEC suspension and tap to avoid any bubbles until a meniscus is formed at the top of the syringe.

Attach the syringe to one end of the vessel mandrel using forceps. Gently push the HUVEC suspension through, perfusing each vessel with ~Amount100 µL of the HUVEC suspension (seeding density: 1.5×105 cell/cm2). The cloudy HUVEC suspension drops emerging from the opposite side of the mandrel indicate the presence of HUVECs.

Repeat the step 25 for all the vessels.

Note
CRITICAL STEP Tap the syringe for before each injection to ensure that the HUVEC suspension is well mixed.

Critical
Place the chamber in a dish and seal it with parafilm. Securely affix the chamber to the rotator using lab tape, ensuring that the vessels are parallel to the rotator pole.

Set the timer to 12 hours and keep the chamber in the incubator DurationOvernight .
?TROUBLESHOOTING

8h
Incubation
Overnight
Procedure 4: Perfusion set up, Day 1 (Timing: ~ 3.5 hours)
Procedure 4: Perfusion set up, Day 1 (Timing: ~ 3.5 hours)
There are two perfusion loops for the TEBV chamber as shown in the Fig 2: the vessel loop and the side loop. All the numbers in the parentheses refer to the components in the Fig 2.

Note
CRITICAL All tubing should be sterilized before TEBV perfusion.

Fig. 2 Perfusion System Configuration. The tubing and pump arrangement for TEBV perfusion. Ensure all components undergo sterilization and leak testing prior to perfusion. For the output vessel loop, substituting the Ismatec 3-stop Microbore Tubing with L/S® Precision Pump Tubing. Refer to the materials section for detailed product specifications.

Critical
Side Loop Tubing Assembly:

Prepare two pieces of L/S Precision pump tubing with desired length to connect to the MasterFlex pump head. Attach 3-stop microbore tubing to each end of the tubing using a two-way straight connector. Connect the prepared pump tubing to the two-way straight connector (Fig 2, part 1-2-3).

Vessel Loop Tubing Assembly:

Prepare eight pieces of L/S Precision pump tubing and four pieces of Tygon tubing with desired length. Connect a 3-stop microbore tubing with a two-way straight connector on each end of the tubing (Fig 2, part 11-12). Connect one end of the two-way straight connector with a L/S Precision pump tubing (Fig 2, part 10-11-12). Assemble branched tubing by connecting each branch of the Y-shaped connecter with L/S Precision pump tubing (Fig 2, part 10-13). Insert a portion of the small metal mandrel into each Tygon tubing and connect the end branch of the L/S Precision pump tubing, repeating this step four times (Fig 2, part 14-15). Connect branched tubing to the other two-way straight connector. For the outlet tubing of the vessel loop, replace the 3-stop microbore tubing with a L/S Precision pump tubing.

Side Perfusion Loop Setup:

Critical
Connect one end of the side tubing to the chamber side port first, then prime side loop tubing with warm EC media.

Note
CRITICAL Clamp the other end of tube securely with forceps to avoid bubbles.

Use forceps to connect the side loop tubing to the side port.

Vessel Perfusion Loop Setup:

First, prime the outlet tubing by filling it with media and then connect it to the perfusion chamber.

Prepare the inlet tubing by filling it with media and secure it by clamping it at the Y-shaped tubing. Any small bubbles trapped in the tubing can be eliminated by either pulsating the syringe plunger or gently squeezing the tubing.

Connect each branch of the inlet tubing to the mandrels one by one using forceps.

Use forceps to insert the other end of the inlet tubing into the media reservoir.

Attach a 0.22 μm syringe filter to the male luer connector on the cap of media reservoir.

Set up the pump and start the perfusion at the flow rate of Amount70 µL /min per TEBV (the readout pump number is 5 rpm). Monitor the media flow from each vessel and replace the vessel if any abnormalities are observed. Adjust the flow rate hourly until it reaches Amount500 µL /min per TEBV (the readout pump number is 40 rpm).

Note
CRITICAL STEP Make sure the flow direction is from the inlet tubing to the outlet.
? TROUBLESHOOTING

Critical
Calculate the wall shear stress τw in the TEBV for a given volumetric flow rate (Q, m3/s) using the equation τw = 4µQ/πR3, where R (m) is average TEBV inner lumen radius and µ (Pa•s) is Newtonian fluid of viscosity for cell culture media at Temperature37 °C .

Procedure 5: Daily media change (Timing: 5-10 minutes)
Procedure 5: Daily media change (Timing: 5-10 minutes)
Disconnect the tubes from the pump and carefully transfer the system into hood.

Disconnect one end of the side loop from the barbed side port and place the tube in the waste container.

Fill one 5 mL syringe with warm EC media and tap the syringe to remove any bubbles.

Use forceps to connect the syringe to the barbed side port and gradually push fresh EC media through the chamber. Meanwhile, expel any bubbles that may form in the chamber during perfusion.

Securely clamp the other end of the tube with forceps to prevent the backflow of media. Use forceps to reconnect the tube to the side port.

Clamp the inlet tube and aspirate the media in the reservoir.

Add Amount5 mL -Amount10 mL fresh EC media to the reservoir and then remove the clamp.

Pipetting
Reconnect the tubes to the pump and monitor the perfusion system to ensure no bubbles are visible in the perfusion loop.

Note
CRITICAL Make sure to avoid introducing bubbles into the perfusion loops during media changes as this can results in EC detachment and possible TEBV loss.

Critical
Procedure 6: Downstream experiments
Procedure 6: Downstream experiments
4h 35m
4h 35m

Note
The following procedures can be selected and modified according to specific experiment needs. They are not included in the TEBV fabrication and daily maintenance procedures.

Activation of endothelium and THP-1 monocytes perfusion (Timing: 4.5 hours)

Change the perfusion media to fresh EC media containing 200U/mL TNF-α, then perfuse the TEBVs at Amount500 µL /min per TEBV for Duration04:00:00 .

4h
During the 4-hour endothelium activation step, stain 3×106 THP-1 cells for each chamber of TEBVs using 1μM cell tracker red-CMTPX in warm RPMI media without serum for Duration00:30:00 .

30m
CRITICAL Following incubation, centrifuge THP-1 cell suspension (Centrifigation1000 rpm, 00:05:00 ) and wash cells with fresh RPMI media to remove any residual staining reagent.

5m
Centrifigation
Wash
Critical
Change the media in the TEBV reservoir before adding stained monocytes. Add THP-1 cells into the main vessel loop at a concentration of 1×106 cells/mL, ensuring a total volume of Amount3 mL in the media reservoir.

Note
CRITICAL Avoid adding monocytes in a large volume to prevent cell deposition in the reservoir.

Critical
TEBV fixation (Timing: 1.5 hours)
TEBV fixation (Timing: 1.5 hours)
1h 5m
1h 5m
Disconnect the chamber from perfusion pump and place the chamber in a chemical fume hood.

Load a 5 mL syringe with a luer adaptor attached to a tube with 4% PFA and substitute the medium in the perfusion chamber through the side port. Incubate the vessels for Duration00:05:00 while exchanging the medium in the reservoir with 4% PFA.

5m
Incubation
After the 5-minutes incubation, reconnect the TEBVs to the pump in the chemical fume hood and perfuse vessel lumen with 4% PFA for an additional 5 minutes. Gently open the perfusion chamber and carefully detach the TEBVs from the mandrels using tweezers.

Transfer the TEBVs to a 6-well plate and continue fixation (4% PFA) for Duration01:00:00 . Rinse the TEBVs three times with PBS and store in PBS at Temperature4 °C .

1h
Wash
Procedure 6: Downstream experiments
Procedure 6: Downstream experiments
Embedding and sectioning of TEBVs (Timing: 2 days)

Dehydrate each TEBV in a 5 mL centrifuge tube filled with 30% glucose solution until the vessel sinks at Temperature4 °C .

Remove excess collagen at ends of TEBV then use a 1 mL syringe with a blunt needle to inject a small amount of OCT into the vessel lumen. Stereoscope may be used here to facilitate observation.

Transfer the vessels into an embedding cup and hold the vessel vertically using forceps. Gradually fill the cup with OCT.

Note
CRITICAL Do not clamp on the vessels while transferring the vessel into the block which leads to closed lumen. Hold the vessel only at the remaining clamped end using tweezers.

Critical
Carefully position the block flat on dry ice and wait till the OCT turns white.

Note
CRITICAL Monitor the vessels and use tweezers to hold them in place as vessels may bend while freezing.

Critical
Store blocks at Temperature-80 °C until ready for cryosectioning.

Immunofluorescence staining of TEBVs (Timing: 2 days)
Immunofluorescence staining of TEBVs (Timing: 2 days)
17h 40m
17h 40m
For en face staining, use a blade to cut a small section of TEBV and delicately insert fine-tip scissors into the vessel lumen to make the incision. Utilize square glass slides during this process to facilitate cutting and opening of the vessels. For TEBV sections, warm the slides to TemperatureRoom temperature and rinse off OCT using PBS. Outline the sections using an ImmEdgeTM pen.

Note
CRITICAL Avoid excessive manipulation during cutting the vessels en face as the tools used can damage the integrity of endothelium.

Critical
For en face staining, permeabilize with 0.1% Triton-X in PBS for Duration00:30:00 . For TEBV section staining, permeabilize for Duration00:10:00 . Then rinse samples three times with PBS.

40m
Wash
Block the TEBV samples with blocking buffer (10% goat serum + 10% BSA + PBS with 0.1% Tween) for Duration08:00:00 at TemperatureRoom temperature on a shaker.

  • For section slides, block for Duration01:00:00 in a humified chamber at TemperatureRoom temperature .

9h
Add primary antibody at desired dilution ratio in blocking buffer and incubate at Temperature4 °C DurationOvernight .

8h
Incubation
Overnight
After primary antibody staining, wash the samples three times with PBS. Subsequently, add secondary antibody at desired dilution ratio in blocking buffer.

Wash
Rinse the samples 3 times with PBS before being placed on a glass slide and image using fluorescence or confocal microscopy.

Wash