Dynamic mechanical stimulation of alveolar epithelial-fibroblast models using the Flexcell tension system to study of lung disease mechanisms

Mechanical strain plays a significant role in lung pathophysiology. Current two-dimensional (2D) in vitro models fail to capture the lung's dynamic mechanical environment. We developed mechanically strained 2D and more complex three-dimensional (3D) alveolar epithelial-fibroblast co-cultures an...

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Main Authors: Safiya Al Yazeedi, Tony Ju Feng Guo, Joban Sohd, Filsan Ahmed Abokor, Janaeya Zuri Baher, Logan Yee, Chung Cheung, Don D. Sin, Emmanuel Twumasi Osei
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2025.1552803/full
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author Safiya Al Yazeedi
Tony Ju Feng Guo
Tony Ju Feng Guo
Joban Sohd
Filsan Ahmed Abokor
Janaeya Zuri Baher
Logan Yee
Chung Cheung
Don D. Sin
Emmanuel Twumasi Osei
Emmanuel Twumasi Osei
author_facet Safiya Al Yazeedi
Tony Ju Feng Guo
Tony Ju Feng Guo
Joban Sohd
Filsan Ahmed Abokor
Janaeya Zuri Baher
Logan Yee
Chung Cheung
Don D. Sin
Emmanuel Twumasi Osei
Emmanuel Twumasi Osei
author_sort Safiya Al Yazeedi
collection DOAJ
description Mechanical strain plays a significant role in lung pathophysiology. Current two-dimensional (2D) in vitro models fail to capture the lung's dynamic mechanical environment. We developed mechanically strained 2D and more complex three-dimensional (3D) alveolar epithelial-fibroblast co-cultures and organoids using the Flexcell cell stretching bioreactor. To do this we used readily available human A549 epithelial cells and MRC-5 lung fibroblasts to establish 2D and 3D alveolar co-cultures and collagen-I-gel-embedded organoid models in the Flexcell and then strained them at 18% amplitude, 0.4 Hz for 24 h to mimic a pathological environment. The impact of mechanical strain on cell proliferation, morphology, cytoskeletal and tight junctional protein expression, interleukin-6 and-8 (IL-6, IL-8) inflammatory cytokine release, and cell death were assessed. Mechanical strain significantly increased total cell counts in 3D co-cultures but not in 2D co-cultures, potentially signifying increased proliferation. Morphological analysis revealed a marked transition of fibroblasts into broadened shape cells under strain in the 3D co-cultures. This was in line with increased F-actin in 3D co-cultures after strain. The tight junctional protein zonula occludens-1 expression decreased after strain in all 2D and 3D models. Furthermore, exposure to strain increased the release of IL-6 and IL-8. Strain-induced cell death was also elevated across all models, particularly in 3D cultures. This study presents exploratory findings suggesting that in vitro mechanical multicellular alveolar models using the Flexcell system may replicate the dynamic environment of in vivo lung tissue. These multicellular models offer a valuable platform for investigating strain-induced cellular responses relevant to inflammatory and fibrotic mechanisms in lung diseases, particularly in exploring epithelial–mesenchymal interactions that may underlie disease progression.
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spelling doaj-art-b58027bee0b84047aeb1f3d398daadea2025-08-20T04:03:21ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-08-011210.3389/fmed.2025.15528031552803Dynamic mechanical stimulation of alveolar epithelial-fibroblast models using the Flexcell tension system to study of lung disease mechanismsSafiya Al Yazeedi0Tony Ju Feng Guo1Tony Ju Feng Guo2Joban Sohd3Filsan Ahmed Abokor4Janaeya Zuri Baher5Logan Yee6Chung Cheung7Don D. Sin8Emmanuel Twumasi Osei9Emmanuel Twumasi Osei10Department of Biology, University of British Columbia - Okanagan Campus, Kelowna, BC, CanadaDepartment of Biology, University of British Columbia - Okanagan Campus, Kelowna, BC, CanadaCentre for Heart Lung Innovation, St. Paul's Hospital, Vancouver, BC, CanadaDepartment of Biology, University of British Columbia - Okanagan Campus, Kelowna, BC, CanadaDepartment of Biology, University of British Columbia - Okanagan Campus, Kelowna, BC, CanadaDepartment of Biology, University of British Columbia - Okanagan Campus, Kelowna, BC, CanadaDepartment of Biology, University of British Columbia - Okanagan Campus, Kelowna, BC, CanadaCentre for Heart Lung Innovation, St. Paul's Hospital, Vancouver, BC, CanadaCentre for Heart Lung Innovation, St. Paul's Hospital, Vancouver, BC, CanadaDepartment of Biology, University of British Columbia - Okanagan Campus, Kelowna, BC, CanadaCentre for Heart Lung Innovation, St. Paul's Hospital, Vancouver, BC, CanadaMechanical strain plays a significant role in lung pathophysiology. Current two-dimensional (2D) in vitro models fail to capture the lung's dynamic mechanical environment. We developed mechanically strained 2D and more complex three-dimensional (3D) alveolar epithelial-fibroblast co-cultures and organoids using the Flexcell cell stretching bioreactor. To do this we used readily available human A549 epithelial cells and MRC-5 lung fibroblasts to establish 2D and 3D alveolar co-cultures and collagen-I-gel-embedded organoid models in the Flexcell and then strained them at 18% amplitude, 0.4 Hz for 24 h to mimic a pathological environment. The impact of mechanical strain on cell proliferation, morphology, cytoskeletal and tight junctional protein expression, interleukin-6 and-8 (IL-6, IL-8) inflammatory cytokine release, and cell death were assessed. Mechanical strain significantly increased total cell counts in 3D co-cultures but not in 2D co-cultures, potentially signifying increased proliferation. Morphological analysis revealed a marked transition of fibroblasts into broadened shape cells under strain in the 3D co-cultures. This was in line with increased F-actin in 3D co-cultures after strain. The tight junctional protein zonula occludens-1 expression decreased after strain in all 2D and 3D models. Furthermore, exposure to strain increased the release of IL-6 and IL-8. Strain-induced cell death was also elevated across all models, particularly in 3D cultures. This study presents exploratory findings suggesting that in vitro mechanical multicellular alveolar models using the Flexcell system may replicate the dynamic environment of in vivo lung tissue. These multicellular models offer a valuable platform for investigating strain-induced cellular responses relevant to inflammatory and fibrotic mechanisms in lung diseases, particularly in exploring epithelial–mesenchymal interactions that may underlie disease progression.https://www.frontiersin.org/articles/10.3389/fmed.2025.1552803/fullin vitro modelsmechanical modelalveolar 3D epithelial-fibroblast modelFlexcellmulticellular 3D co-culture and organoid models
spellingShingle Safiya Al Yazeedi
Tony Ju Feng Guo
Tony Ju Feng Guo
Joban Sohd
Filsan Ahmed Abokor
Janaeya Zuri Baher
Logan Yee
Chung Cheung
Don D. Sin
Emmanuel Twumasi Osei
Emmanuel Twumasi Osei
Dynamic mechanical stimulation of alveolar epithelial-fibroblast models using the Flexcell tension system to study of lung disease mechanisms
Frontiers in Medicine
in vitro models
mechanical model
alveolar 3D epithelial-fibroblast model
Flexcell
multicellular 3D co-culture and organoid models
title Dynamic mechanical stimulation of alveolar epithelial-fibroblast models using the Flexcell tension system to study of lung disease mechanisms
title_full Dynamic mechanical stimulation of alveolar epithelial-fibroblast models using the Flexcell tension system to study of lung disease mechanisms
title_fullStr Dynamic mechanical stimulation of alveolar epithelial-fibroblast models using the Flexcell tension system to study of lung disease mechanisms
title_full_unstemmed Dynamic mechanical stimulation of alveolar epithelial-fibroblast models using the Flexcell tension system to study of lung disease mechanisms
title_short Dynamic mechanical stimulation of alveolar epithelial-fibroblast models using the Flexcell tension system to study of lung disease mechanisms
title_sort dynamic mechanical stimulation of alveolar epithelial fibroblast models using the flexcell tension system to study of lung disease mechanisms
topic in vitro models
mechanical model
alveolar 3D epithelial-fibroblast model
Flexcell
multicellular 3D co-culture and organoid models
url https://www.frontiersin.org/articles/10.3389/fmed.2025.1552803/full
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