1. Introduction
Compromised blood-brain barrier (BBB) function caused by neurological disease or injury leads to increased barrier permeability and infiltration of peripheral leukocytes into the CNS which can be detrimental [
1,
2]. Understanding these processes is crucial to developing interventions to protect or repair the BBB and, it is important to establish an in vitro human BBB model that reproduces barrier properties and thus advances our knowledge in the function of the human BBB in response to CNS injury. Currently, there is extensive research focusing on maintaining BBB function following CNS injuries using scratch-wound assays. However, scratch-wound assays are limited by poor consistency in the area of injuries [
3]. The impedance-based Electric Cell-substrate Impedance Sensing (ECIS)-Zθ technology (Applied Biophysics) provides an alternative approach to produce in vitro wounding models.
The ECIS-Zθ is an in vitro system that monitors real-time cellular behaviours and movements via gold film electrodes and a number of different plate configurations are available [
4]. These electrodes are 4.9 × 10
4 µm
2 and are connected to a larger counter electrode where a non-invasive alternating current flows with a frequency range of 10 to 10
5 Hz [
5]. The cell membranes essentially act as insulators. Consequently current flows unrestrained in the absence of cells and constrained once a cell monolayer is established. Changes in the current flow are measured as impedance (Z), which gives insight into two aspects of cellular behaviours and movements at different frequencies [
6]. At low frequencies (<10,000 Hz), the cell bodies force the current to flow basolaterally or through the intercellular space between the cell borders. Therefore, resistance (R) is measured at low frequencies and provides information on the barrier integrity. Conversely, the opposition created by the cell membrane is relatively small at high frequencies (>10,000 Hz), so current flows capacitively through the cell bodies. Capacitance (C) is a measure of the electrode coverage by the cells and is indicative of cell migration, as well as cell monolayer disruption following injuries [
5].
The ECIS set up can be used to wound a cell monolayer [
7] using high current pulse produced via the electrodes. The severity of injury is dependent on the level of current and the duration of the application. The injured or dead cells then detach from the electrode surface which is measured as a rapid increase in the electrode capacitance and a reduction in the resistance. The system then returns to its normal operation and monitors the subsequent recovery as neighbouring cells migrate to fill the exposed electrode and re-establish a cell monolayer.
The ECIS arrays are available in a number of different electrode formats. The standard single electrode array, 8W1E, has been recommended and adapted in a number of in vitro wound-healing studies [
7,
8]. Wounding induced on the 8W1E array is reported to be confined to the surface of the ECIS electrode, therefore, provides a highly reproducible in vitro wounding model [
7]. However, this implies that only a small proportion of the cell layer, approximately 0.1% cells in an area of 0.8 cm
2, can be wounded and monitored. The multiple electrodes array, 8W10E+, consists of 40 electrodes which allow 40 times more cells to be wounded and monitored simultaneously. Measuring across multiple electrodes may give a more accurate idea of wound recovery. Because of the relatively high number of cells compared to the 8W1E, impedance fluctuations due to micromotion are smoothed out so as to not obscure subtle changes in impedance due to the experimental conditions.
This current study highlights the similarities and differences in injuries produced with the two types of arrays. Impaired recovery of the endothelial barrier strength was observed with both 8W1E and 8W10E+ arrays. A previous study has suggested that complete recovery of the impedance readings was prevented by dead cells that failed to detach from the electrode surface [
7]. In this study, we found that in contrast to the 8W1E array, wounding on the 8W10E+ array induced complete detachment of the dead cells, and yet recovery was not complete. Unlike the 8W1E, a portion of the viable cells remained on the electrodes due to incomplete wounding. In addition, variation in the degree of injuries produced across multiple electrodes on the 8W10E+ array is addressed in this study.
2. Materials and Methods
2.1. Cell Culture
Given the complex structure of the BBB neurovascular unit, a monolayer model of microvascular endothelial cells is used as a simplified in vitro BBB model in this study. The human cerebral microvascular endothelial (hCMVEC) cell line was purchased from Applied Biological Materials (cat#T0259, ABM Good, Richmond, BC, Canada), and has been extensively characterized in terms of junctional protein expression and transendothelial electrical resistance (TEER) (O’Carroll et al., 2015; Wiltshire et al., 2016). The hCMVECs were maintained in M199 media (cat#11150-067, Gibco) supplemented with 10% FBS (cat#12203C-500ML, Sigma-Aldrich, St. Louis, MO, USA), 1 ng/mL hEGF (cat#PTAF10018B50, PeproTech, Rocky Hill, CT, USA), 3 ng/mL hFGF (cat#PTAF10015100, PeproTech), 10 μg/mL heparin (cat#H-3393, Sigma-Aldrich), 1 μg/mL hydrocortisone (cat#H0888, Sigma-Aldrich), 2 mM GlutaMAX (cat#305050-061, Thermo Fisher Scientific, Waltham, MA, USA) and 80 μM dibutryl cAMP (cat#D0627, Sigma-Aldrich). Cells were cultured under a 5% CO2 humidified condition at 37 °C and grown until reaching 80–90% confluency. Cells were used between passage 8 and 20.
2.2. Electric Cell-Substrate Impedance Sensing (ECIS) Wounding
ECIS wound-healing assays were conducted using the 8 well ECIS arrays (8W10E+, PC; 8W1E, PET) via the ECIS-Zθ station. The arrays were treated with 10 mM L-cysteine (cat#C7352-25G, Sigma-Aldrich) followed by coating with Collagen Type I (cat#A1048301, Thermo Fisher Scientific) at 1 μg/cm
2. To sterilize and clean the gold electrodes the arrays the electrical stabilization command in the ECIS software was used. The hCMVECs were seeded onto the arrays at a density of 60,000 cells/cm
2 in 500 μL of M199 growth media. ECIS was conducted using the multiple frequency/time (MFT) option to record the impedance measurements over a broad spectrum of frequencies. The hCMVECs were incubated for 48 h until impedance signals stabilized, indicating a confluent monolayer and a functional barrier had formed. The aim of this model is to be able to test interventions to strengthen an injured endothelial cell barrier. Wounding was carried out to obtain a “moderate” level of recovery of Rb that was similar between the two systems. To obtain a similar recovery profile between the two arrays, the wounding parameters were selected on the basis of the current level and its duration. For the 8W10E+ array, the maximum level of wounding current is 6500 uA in the manufacturer’s setting to avoid damage to the electrodes. However, for the 8W1E array, the level of wounding current cannot exceed 3000 uA in the manufacturer’s setting to avoid damage to the electrodes, hence only the duration of wounding was changed. Three levels of wounding parameters with different severities (
Table 1) were tested. Following wounding, the impedance measurements were monitored for up to 96 h to monitor the recovery of the wounded hCMVECs.
2.3. Mathematical Modelling
A mathematical model can be applied to the impedance measurements in order to determine the endothelial barrier resistance (Rb) of the hCMVECs as function of the time and injuries. The mathematical model is applicable based on the assumptions of a confluent monolayer of circular cells with unchanged radius and densities, in addition, current must flow radially between the cells and the culture substrate [
5]. Using the ECIS modelling software (Applied Biophysics), the multiple frequencies impedance measurements of a blank electrode, wells containing culture medium only, were calculated to exclude impedance changes due to the surface substrates. Data were analysed using GraphPad Prism 7 software, and were presented as the mean ± S.D.
2.4. Immunocytochemistry
Expression and localization of junctional proteins were analyzed by immunocytochemistry. The hCMVECs were fixed at 0 h, 2 h, 4.5 h, 24 h, and 48 h following wounding with 4% PFA and permeabilized with 0.1% Triton X-100 in PBS solution. Cells were incubated at room temperature with primary antibodies (refer to
Table 2). Cells were then incubated with AlexaFluor-488 conjugated goat anti-mouse IgG (cat#A11029, Invitrogen, Carlsbad, CA, USA) at a dilution of 1:400 and AlexaFluor-488 conjugated goat anti-rabbit IgG (cat#A11034, Invitrogen) at a dilution of 1:1000, respectively. Cells were counterstained with Hoechst nuclear stain (cat#33342, Thermo Fisher Scientific) and ActinRed 555 ReadyProbes Reagent (R37112, Thermo Fisher Scientific).
2.5. Cell Viability Assay
At 10 min after ECIS wounding, the NucBlue® Live and NucGreen® Dead reagents from ReadyProbesTM Cell Viability Imaging Kit (R37609, ThermoFisher) were added to the wells as per manufacturer’s instructions. NucBlue® Live reagent stains all nuclei whilst NucGreen® Dead reagent stains only nuclei of dead cells. Cells were then incubated for 15 min under culture conditions before microscopy analysis.
2.6. Cell Imaging
Images were acquired with a Zeiss Axioplan 2 Upright Fluorescence Microscope and a Zeiss Laser Scanning Microscope (LSM) 710 Inverted Confocal Microscope. Images were acquired at 5×, 20× and 40× magnification. Confocal images were collected as a series of 6–8 Z-stack images at 0.4–0.8 μm. Images were then processed using the MetaMorph Image Acquisition/Analysis 7.8.3 and Zeiss Zen Microscope software (blue edition), and were quantified using ImageJ software in terms of staining intensity and the number of nuclei [
9].
2.7. Statistics
Statistical analyses were performed using GraphPad Prism 7 software. Data were analysed using one-way ANOVA followed by uncorrected Fisher’s Least Significant Difference (LSD) test. Graphical representations of p values were as follows: *, p < 0.05; **, p < 0.01; ***, p < 0.001; ****, p < 0.0001; ns, p > 0.05.
4. Discussion
We propose that the 8W10E+ array can be used for electrical wounding via the ECIS-Zθ system, and herein we highlight the advantages and disadvantages for its use. The 8W10E+ presents the advantage of having a greater coverage of the cell layer. In addition to the real-time impedance measurements, we have used fluorescent immunolabelling of junctional proteins to investigate the cell recovery following ECIS wounding. Our studies illustrate that there are similarities and differences in injury produced on the two ECIS arrays, the single electrode (8W1E) and the multiple electrodes (8W10E+) arrays.
Generally, the wound healing process involves four overlapping phases including haemostasis, inflammatory response, proliferation, and cytoskeletal remodelling [
13,
14]. The last phase is evident in both 8W1E and 8W10E+ wounding models. The impedance readings revealed that the electrical wounding damaged the endothelial cell layer. Drastic reductions in the barrier resistance of the hCMVECs were observed following wounding on both 8W1E and 8W10E+ arrays (
Figure 1 and
Figure 4). Wound-induced cell detachment was reflected by increases in electrode capacitance (
Figure 2). Complete electroporation was induced on the 8W1E array, however, high-resolution confocal images revealed Cx43 protein debris and dead nuclei remained on the electrodes (
Figure 3). Incomplete detachment of cellular structures from the 8W1E electrode surface has also been reported by Keese et al. (2004) and Gamal et al. (2015), where wounding was applied to normal rat kidney cells and human induced pluripotent stem cells of retinal pigment epithelium, respectively [
7,
15]. However, capacitance readings for these experiments were suggestive of a clean electrode. An explanation for this observation is that despite the remaining cellular structures, impedance is not detected as the unconstrained current flows through the damaged cell monolayer [
7]. This is an important observation because cellular material left behind could potential impede or slow down the migration of cells moving into that space. The reformation of the barrier was generally slower on the 8W1E array, which is consistent with the cellular debris impeding or influencing reformation of the endothelial barrier. This presence of the debris is perhaps more indicative of wounding in vivo, where cellular debris would be expected.
Impedance readings indicating incomplete wounding was produced on the 8W10E+ array (
Figure 1 and
Figure 2). This was further confirmed in the degree of cell detachment seen across multiple electrodes within each well (
Figure 2E and
Supplementary Figure S1). However, there was no debris on the 8W10E+ electrodes following wounding-induced cell detachment. Viable cells, expressing junctional proteins along actin filaments, partially remained on the electrode surface (
Figure 3). Taken together this suggests that the nature of injury occurring on the 8W10E+ is different to that occurring on the 8W1E.
To further explore the differential wounding responses between the two ECIS arrays, the endothelial barrier resistance was assessed under both normal and wounded conditions. The endothelial barrier were re-established within 48 h following the injury, however, incomplete recovery of the barrier integrity was observed on both arrays in spite of the different types of injuries produced (
Figure 4). On the 8W1E array, it has been reported that the debris remaining on the electrode surface prevented complete recovery of the barrier resistance [
7]. The signal fluctuation, which is a measure of active cellular movements on and off the electrode surface [
6], was reduced following wounding on the 8W1E array (
Figure 4). Diminished fluctuation suggests that cells were not actively moving after injury, which is indicative of poor cell health. In addition, it is plausible that the increased cytoplasmic distribution of ZO-1 in the injured cells on the 8W1E was due to the debris. Consequently, cells surrounding the wounding site have to migrate over the remaining debris to re-establish a monolayer. On the 8W10E+ no cell debris is seen. Hence, cells adjacent to the site of injury would not be impeded from proceeding directly into cell migration. Nevertheless, impaired barrier integrity following wounding was also observed on the 8W10E+ array (
Figure 3). This suggests that this is not entirely due to the presence of cell debris, as previously proposed [
7]. These observations could be due to the nature of the cell line we have used. Abortive repair is commonly reported following CNS injuries as a result of excessive scarring and inability to repair damaged tissue, which subsequently leads to compromised BBB function [
16]. Importantly, our data show both the 8W1E and 8W10E+ can be used to model incomplete barrier recovery and therefore both have potential for testing of drugs to improve the endothelial barrier function following injuries.
Both arrays showed a significant increase in cell density within 24 h of wounding (
Figure 6). This increase was initially thought to be a result of wound closure. However, cell density was significantly reduced between 24 h and 48 h post-wounding on both ECIS arrays (
Figure 6). Although increasing cell migration was triggered following wounding, the progressive reduction in cell density indicates that cells following wounding were viable for only a short period of time, which possibly suggests secondary injury or an inflammatory response. This observation is certainly worthy of further investigation with respect to in vivo pathological conditions.
We have demonstrated that wound-healing assays can be produced with the 8W10E+ array. The pathology of brain injuries causes highly heterogeneous tissue damage as a result of both primary and secondary injuries [
17]. We suggest the variation in the degree of injuries produced with the 8W10E+ array could be used to model this heterogeneity that occurs in vivo. However, due to the increased number of electrodes in each well, the main concern for using the 8W10E+ array is the consistency of this variation. It is hypothesized that after the high current pulse was applied, some cells detach from the electrode surface faster than others. According to Ohm’s law (I = V/R), current travels through the path of least resistance [
5]. Consequently, the exposed electrodes became less resistant, allowing more current to flow through. Less current was distributed to the cell-covered electrodes which led to partial or no cell detachment on a number of electrodes. Therefore, variation in wounding produced across the 40 electrodes on the 8W10E+ array must be taken into consideration when developing a wounding model.