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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Bioeng. Biotechnol.</journal-id>
<journal-title>Frontiers in Bioengineering and Biotechnology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Bioeng. Biotechnol.</abbrev-journal-title>
<issn pub-type="epub">2296-4185</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">907159</article-id>
<article-id pub-id-type="doi">10.3389/fbioe.2022.907159</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Bioengineering and Biotechnology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Human Pluripotent Stem Cell-Derived Micropatterned Ectoderm Allows Cell Sorting of Meso-Endoderm Lineages</article-title>
<alt-title alt-title-type="left-running-head">Yang et al.</alt-title>
<alt-title alt-title-type="right-running-head">Micropatterned Endoderm Guides Meso-Endoderm Sorting</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Yang</surname>
<given-names>Yang</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="fn" rid="fn1">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1879554/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Laterza</surname>
<given-names>Cecilia</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="fn" rid="fn1">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/862965/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Stuart</surname>
<given-names>Hannah T.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Michielin</surname>
<given-names>Federica</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1082096/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gagliano</surname>
<given-names>Onelia</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1210186/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Urciuolo</surname>
<given-names>Anna</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/904145/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Elvassore</surname>
<given-names>Nicola</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1105509/overview"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Department of Industrial Engineering (DII)</institution>, <institution>University of Padova</institution>, <addr-line>Padova</addr-line>, <country>Italy</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Fondazione Ricerca Biomedica Avanzata Onlus</institution>, <institution>Veneto Institute of Molecular Medicine</institution>, <addr-line>Padova</addr-line>, <country>Italy</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Great Ormond Street Institute of Child Health</institution>, <institution>University College London</institution>, <addr-line>London</addr-line>, <country>UK</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Department of Molecular Medicine, University of Padova</institution>, <addr-line>Padova</addr-line>, <country>Italy</country>
</aff>
<aff id="aff5">
<sup>5</sup>
<institution>Istituto di Ricerca Pediatrica, Citt&#x00E0; della Speranza</institution>, <addr-line>Padova</addr-line>, <country>Italy</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1362270/overview">Qun Wang</ext-link>, Iowa State University, United States</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1762185/overview">Lay Teng Ang</ext-link>, Stanford University, United States</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/684253/overview">Tiago G. Fernandes</ext-link>, University of Lisbon, Portugal</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Nicola Elvassore, <email>nicola.elvassore@ucl.ac.uk</email>
</corresp>
<fn fn-type="equal" id="fn1">
<label>
<sup>&#x2020;</sup>
</label>
<p>These authors have contributed equally to this work</p>
</fn>
<fn fn-type="other">
<p>This article was submitted to Biomaterials, a section of the journal Frontiers in Bioengineering and Biotechnology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>22</day>
<month>07</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>10</volume>
<elocation-id>907159</elocation-id>
<history>
<date date-type="received">
<day>29</day>
<month>03</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>22</day>
<month>06</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Yang, Laterza, Stuart, Michielin, Gagliano, Urciuolo and Elvassore.</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Yang, Laterza, Stuart, Michielin, Gagliano, Urciuolo and Elvassore</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>The human developmental processes during the early post-implantation stage instruct the specification and organization of the lineage progenitors into a body plan. These processes, which include patterning, cell sorting, and establishment of the three germ layers, have been classically studied in non-human model organisms and only recently, through micropatterning technology, in a human-specific context. Micropatterning technology has unveiled mechanisms during patterning and germ layer specification; however, cell sorting and their segregation in specific germ layer combinations have not been investigated yet in a human-specific <italic>in vitro</italic> system. Here, we developed an <italic>in vitro</italic> model of human ectodermal patterning, in which human pluripotent stem cells (hPSCs) self-organize to form a radially regionalized neural and non-central nervous system (CNS) ectoderm. We showed that by using micropatterning technology and by modulating BMP and WNT signals, we can regulate the appearance and spatial distribution of the different ectodermal populations. This pre-patterned ectoderm can be used to investigate the cell sorting behavior of hPSC-derived meso-endoderm cells, with an endoderm that segregates from the neural ectoderm. Thus, the combination of micro-technology with germ layer cross-mixing enables the study of cell sorting of different germ layers in a human context.</p>
</abstract>
<kwd-group>
<kwd>micropatterning</kwd>
<kwd>cell sorting</kwd>
<kwd>ectoderm</kwd>
<kwd>hPSC differentiation</kwd>
<kwd>human <italic>in vitro</italic> model</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>The process of gastrulation is the basis of the generation of all organs and is one of the most critical steps during development (<xref ref-type="bibr" rid="B11">Krens and Heisenberg, 2011</xref>). During gastrulation, the body plan is created and organ primordial form. In humans, this commences in the week immediately after the implantation of the embryo on the uterus and is thus inaccessible to study. At the cellular level, identities change and diversify as differentiation occurs into the three germ layers, while at the tissue level, appropriate cell sorting and spatial patterning must occur within the first 3&#xa0;weeks after conception (pcw). These early post-implantation processes contribute to the formation of different organs (<xref ref-type="bibr" rid="B11">Krens and Heisenberg, 2011</xref>). These phenomena have been classically studied in model organisms, but mechanisms do not always reproduce in human settings, and human development is much more prone to failure at this sensitive stage than the widely used mouse model (<xref ref-type="bibr" rid="B25">Wamaitha and Niakan, 2018</xref>).</p>
<p>Thanks to the development of <italic>in vitro</italic> culture of human pluripotent stem cells (hPSCs), which can differentiate into the three germ layers, and the use of microtechnologies, researchers have begun to create <italic>in vitro</italic> structures which can capture some features of early human embryo development (<xref ref-type="bibr" rid="B19">Srivastava and Kilian, 2019</xref>; <xref ref-type="bibr" rid="B1">Baillie-benson et al., 2020</xref>). Micropatterning technology, which enables geometric confinement of hPSCs <italic>in vitro,</italic> has emerged as a method of choice for studying signaling dynamics and cell-fate patterning in early human gastrulation (<xref ref-type="bibr" rid="B26">Warmflash et al., 2014</xref>), reproducing <italic>in vitro</italic> the critical stages of gastrulation occurring within the first three pcw of development (<xref ref-type="bibr" rid="B26">Warmflash et al., 2014</xref>; <xref ref-type="bibr" rid="B1">Baillie-benson et al., 2020</xref>; <xref ref-type="bibr" rid="B15">Minn et al., 2020</xref>). Although these 2D micropatterns do not faithfully recapitulate 3D morphogenesis in all its complexity, they can be useful in capturing specific phenomena which require a 2D setting. For instance, micropatterns can allow dissecting the role of spatial and geometric constraints in cell fate decisions, which could not be unveiled in standard adhesive conditions or 3D suspension culture (<xref ref-type="bibr" rid="B26">Warmflash et al., 2014</xref>; <xref ref-type="bibr" rid="B1">Baillie-benson et al., 2020</xref>).</p>
<p>Several micropatterning techniques have been developed for studies in which the cell colony geometry needs to be controlled. Among these, the photo-patterning method allows the <italic>ad hoc</italic> formation of cell adhesive regions with defined shape and size on a glass surface by the spatially controlled exposure of photosensitive materials to UV light (between 200&#x2013;385&#xa0;nm) through a photomask with defined micro-features (<xref ref-type="bibr" rid="B24">Th&#xe9;ry and Piel, 2009</xref>).</p>
<p>Geometrically confined hPSC colonies treated with appropriately chosen combinations of morphogens generate radially symmetric patterns of different cell types, recapitulating some aspects of the patterning of germ layers at gastrulation or ectodermal cell fates at neurulation stages (<xref ref-type="bibr" rid="B16">Peerani et al., 2007</xref>; <xref ref-type="bibr" rid="B26">Warmflash et al., 2014</xref>; <xref ref-type="bibr" rid="B4">Deglincerti et al., 2016</xref>; <xref ref-type="bibr" rid="B5">Etoc et al., 2016</xref>; <xref ref-type="bibr" rid="B23">Tewary et al., 2017</xref>; <xref ref-type="bibr" rid="B2">Britton et al., 2019</xref>; <xref ref-type="bibr" rid="B3">Chhabra et al., 2019</xref>; <xref ref-type="bibr" rid="B9">Heemskerk et al., 2019</xref>; <xref ref-type="bibr" rid="B14">Martyn et al., 2019</xref>; <xref ref-type="bibr" rid="B10">Karzbrun et al., 2021</xref>). In addition, when these morphogens are provided to geometrically confined hPSCs using gradients generated via a microfluidic approach, the intrinsic radial symmetry is broken and differentiated cells arrange into distinct domains (<xref ref-type="bibr" rid="B12">Manfrin et al., 2019</xref>).</p>
<p>Another morphogenic process occurring during early embryonic development, which is crucial for the proper segregation of different cell layers, involves the so-called &#x201c;cell sorting&#x201d; mechanism. Through cell sorting, the different germ layers achieve segregation to ensure the formation of tissue boundaries (<xref ref-type="bibr" rid="B6">Fagotto, 2014</xref>). This phenomenon has been widely demonstrated in model organisms but was only recently shown for the first time in human cells by micropatterning technology (<xref ref-type="bibr" rid="B15">Minn et al., 2020</xref>). In that work, geometrically confined hPSCs were induced to differentiate into radially organized germ layers <italic>via</italic> BMP4 stimulation (<xref ref-type="bibr" rid="B26">Warmflash et al., 2014</xref>; <xref ref-type="bibr" rid="B15">Minn et al., 2020</xref>). Upon gastruloid dissociation and re-seeding onto micropatterns, cells belonging to different germ layers segregated from each other, creating islands of layer-specific aggregates, confirming that human gastruloids exhibit evolutionarily conserved sorting behavior (<xref ref-type="bibr" rid="B15">Minn et al., 2020</xref>). In particular, ectodermal cells are segregated from endodermal cells, but mixed with mesodermal cells during human development (<xref ref-type="bibr" rid="B15">Minn et al., 2020</xref>). However, in this study, the authors did not investigate the ability of human-derived cells to spatially segregate within pre-patterned structures, nor analyzed the different behavior of single lineages within the ectoderm germ layer.</p>
<p>Here, we adapted the 2D micropatterned ectoderm culture and validated the cell sorting ability of meso-endoderm lineages when co-seeded onto a radial pre-patterned ectoderm derived from hPSCs.</p>
<p>We first performed ectoderm patterning since it is an epithelial tissue and thus needs to form its correct tissue packing and apical/basal/lateral geometry as a community. By using photo-micropatterning technology, we showed the ability of geometrical confinement to induce the formation of a radially regionalized neural and non-central nervous system (CNS) ectoderm, and that the spatial distribution of these regions was dependent on the signals provided in the culture. Afterward, we seeded mesendoderm cells on top since they are of non-epithelial, motile mesenchymal lineage and showed that the pre-patterned ectoderm can guide the cell sorting behavior of hPSC-derived meso-endoderm cells. Specifically, the endoderm tends to segregate from the neural ectoderm and preferentially localizes in non-CNS ectoderm regions, whereas the mesoderm shows a more spread localization within micropatterns. By performing in this order, we demonstrate the possibility of using this micropatterning tool as a model to study dynamic organizational processes such as tissue sorting, differential adhesion, and cell migration on top of a defined base of distinct identity domains.</p>
<p>Thus, this study shows that by modulating the signaling molecules provided to geometrically confined hPSCs, we can perturb the ectoderm micropattern formation and that the micropattern system can be used to study the interaction and cell sorting properties of different germ layers.</p>
</sec>
<sec sec-type="results" id="s2">
<title>Results</title>
<sec id="s2-1">
<title>Photo-Patterning Method Allows the Generation of Reproducible hPSC Micropatterns</title>
<p>We developed a micropatterning method used for human pluripotent stem cell (hPSC) culture and ectoderm induction (<xref ref-type="fig" rid="F1">Figure 1A</xref>). Briefly, the micropatterning method allows the generation of cell-adhesive areas of defined size and shape via the use of photomasks (<xref ref-type="fig" rid="F1">Figure 1A</xref>). First, we confirmed that we were able to generate hPSC colonies of 1&#xa0;mm diameter on a glass coverslip (12 mm&#xa0;diameter) glass coverslip (<xref ref-type="fig" rid="F1">Figure 1B</xref>) corresponding to the photo-preserved areas.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Micropatterning technology for human iPSC geometric confinement. <bold>(A)</bold> Schematic representation of the micropatterning strategy which includes step 1: glass coverslip surface functionalization; step 2: Poly-L-lysine and Matrigel surface coating; and step 3: single-cell seeding and micropatterned colony formation. <bold>(B)</bold> Brightfield images of three independent batches showing a reproducible yield in the number of well-formed micropatterns per coverslip (12&#xa0;mm diameter) using human pluripotent stem cells (iPSCs). <bold>(C,D)</bold> Optimization of the Matrigel concentration and time of rock inhibitor withdrawal. Graph showing quantification of the number of well-organized micropatterned iPSC colonies during 5&#xa0;days modifying Matrigel coating concentration <bold>(C)</bold> and the time of Rock inhibitor withdrawal <bold>(D)</bold>. <bold>(E)</bold> Number of colonies with intact round geometry (red, named without imperfection) and with non-preserved geometrical integrity (black, named imperfect) during 5&#xa0;days of differentiation by applying the established method (1% Matrigel coating, Rock inhibitor withdrawal at 240&#xa0;min). Data derived from at least three independent experiments (three coverslips per experiment). Error bars represent the standard error. <bold>(F)</bold> Representative images of micropatterns after 1 (D1) or 3 (D3) days from seeding. Scale bar &#x3d; 1&#xa0;mm.</p>
</caption>
<graphic xlink:href="fbioe-10-907159-g001.tif"/>
</fig>
<p>To find the best experimental conditions to generate micropatterns, we kept the size and shape of the micropatterns constant (round shapes of 1&#xa0;mm diameter) and tested two different influencing factors: <italic>1</italic>) Matrigel growth factor reduced (MRF) coating concentration to optimize cell adhesion, and <italic>2</italic>) the time of ROCK (Rho-associated protein kinase) inhibitor (Ri) exposure to enhance cell viability after seeding. We tested three different concentrations of MRF (0.5, 1.0, and 5.0% v/v) (<xref ref-type="fig" rid="F1">Figure 1C</xref>) and three different times of Ri withdrawal after seeding (30, 60, and 240&#xa0;min) (<xref ref-type="fig" rid="F1">Figure 1D</xref>) and counted the number of well-organized colonies over time (i.e., a colony of 1&#xa0;mm diameter with intact borders). From the results of these tests, we selected an MRF concentration of 1% and Ri treatment timing of 240&#xa0;min. Next, we evaluated the stability of the micropatterns over time, since the integrity of the micropattern&#x2019;s geometry is a requirement to increase the reproducibility of cell patterning. We longitudinally analyzed the appearance of the colonies and found that we were able to maintain at least 10 colonies showing an intact round geometry for up to 5&#xa0;days (<xref ref-type="fig" rid="F1">Figure 1E</xref>).</p>
</sec>
<sec id="s2-2">
<title>Combination of Different Signaling Molecules Influences the Spatial Distribution of Geometrically Confined hPSCs Patterned Toward Ectoderm Lineages</title>
<p>During development, the ectoderm is patterned by a combination of BMP and WNT signaling. We hypothesized that upon specific and time-regulated stimulation with BMP, TGF&#x3b2;, and WNT inhibitors coupled with the controlled administration of exogenous BMP, the micropatterned hPSCs could self-organize into different cells fates within the ectoderm cell populations. First, we confirmed the ability of dual SMAD inhibition in promoting the pluripotency exit and acquisition of homogeneous neuroectoderm fate in standard culture conditions (<xref ref-type="sec" rid="s10">Supplementary Figure S1A</xref>). We found that the neural ectodermal markers PAX6 and SOX1 started to be expressed significantly from day 3 and reached the peak between days 4 and 5, while the pluripotency marker OCT4 was highly expressed on day 1, decreased during the following days, and completely disappeared between days 4 and 5 of the culture (<xref ref-type="sec" rid="s10">Supplementary Figures S1B,C</xref>). SOX2, instead, was stably expressed during the whole 5&#xa0;days since it is a shared marker between the pluripotency and neural ectoderm (<xref ref-type="bibr" rid="B7">Feng and Wen, 2015</xref>) (<xref ref-type="sec" rid="s10">Supplementary Figures S1B,C</xref>).</p>
<p>Then we applied TGF&#x3b2;, WNT, and BMP inhibition to micropatterned hPSCs using a combination of small molecules named hereafter APD (i.e., &#x391;83-01, PNU74654, and Dorsomorphin). As shown in <xref ref-type="fig" rid="F2">Figures 2A&#x2013;D</xref>, upon ectoderm induction on micropatterns of 1&#xa0;mm diameter, we obtained radial segregation of the neural ectoderm in the outer region of the pattern (<xref ref-type="fig" rid="F2">Figure 2A</xref>) with a peak of fluorescence intensity associated with PAX6 at 370&#xa0;&#x3bc;m from the center (<xref ref-type="fig" rid="F2">Figure 2C</xref>). In addition, we observed the appearance of a non-CNS ectoderm population (defined by AP2&#x3b1; positivity) (<xref ref-type="bibr" rid="B22">Tchieu et al., 2017</xref>) in the center of the pattern (<xref ref-type="fig" rid="F2">Figure 2B</xref>) with a peak fluorescence intensity associated with AP2&#x3b1; at 200&#xa0;&#x3bc;m from the center (<xref ref-type="fig" rid="F2">Figure 2C</xref>). Thus, instead of a homogeneous layer of neural ectoderm as observed in standard culture conditions (<xref ref-type="sec" rid="s10">Supplementary Figures S2B,C</xref>), the geometric confinement resulted in the generation and segregation of two different cell populations: a neural ectoderm in the outer region and a non-CNS ectoderm in the inner part of the pattern (<xref ref-type="fig" rid="F2">Figure 2D</xref>).</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Effect of BMP and WNT signaling on neural ectoderm patterning. <bold>(A&#x2013;D)</bold> Representative images of micropatterns obtained inducing neural differentiation <italic>via</italic> exposure with APD mix (A83-01, PNU74654, and Dorsomorphin) in MEF-conditioned medium (MEF-CM) (protocol n2). Shown are immunostaining for the neural ectoderm NESTIN (green), PAX6 (purple), and SOX1 (light blue) <bold>(A)</bold>, and neural crest markers AP2a (green) and p75 (red) <bold>(B)</bold> and nuclei are counterstained with Hoechst (blue). <bold>(C)</bold> Graph showing the spatial distribution of neural ectoderm markers (PAX6, SOX1, and NESTIN) and neural crest markers (AP2a) under geometric confinement expressed as average nuclear intensities of the indicated marker as a function of distance from the colony center. <bold>(D)</bold> Schematic representation of the distribution of neural ectodermal and neural crest populations within micropatterns. <bold>(E&#x2013;H)</bold> Schematic representation of six different combinations of signaling molecules (TGFb inhibitors; BMP inhibitors; and WNT inhibitors) and basal media within 5&#xa0;days of the experiment. <bold>(E,G)</bold> Representative images of neural patterned human iPSCs by applying different induction protocols on day 5 of culture. <bold>(F,H)</bold> Shown are Pax6 (red, neuroectoderm marker) and AP-2&#x3b1; (green, neural crest marker). Scale bar &#x3d; 100&#xa0;&#x3bc;m. The dashed white circles indicate the region of micropatterns. N&#x3e; &#x3d; 5. MEF-CM &#x3d; MEF-conditioned media; LDN &#x3d; LDN193189; SB &#x3d; SB431542; APD &#x3d; A83-01, PNU74654, and Dorsomorphin; Ri &#x3d; Rock inhibitor.</p>
</caption>
<graphic xlink:href="fbioe-10-907159-g002.tif"/>
</fig>
<p>Then we tested whether different combinations of WNT and BMP signals provided to geometrically confined hPSC colonies in a time-regulated fashion affect the appearance and spatial segregation of multiple ectodermal fates (<xref ref-type="fig" rid="F2">Figures 2E&#x2013;H</xref>). We tested six different conditions based on previously published protocols for human ectoderm patterning (<xref ref-type="bibr" rid="B22">Tchieu et al., 2017</xref>; <xref ref-type="bibr" rid="B28">Xue et al., 2018</xref>; <xref ref-type="bibr" rid="B2">Britton et al., 2019</xref>). As expected, changing the stimuli had a substantial impact on the micropattern formation and multiple ectoderm fates&#x2019; acquisition: continuous TGF&#x3b2; and BMP inhibition (&#x23;1) led to the formation of an external ring of the neural ectoderm (PAX6 positive cells); continuous TGF&#x3b2;, BMP, and WNT inhibition (&#x23;2) led to the segregation of two distinct populations (neural ectoderm, PAX6 positive, and non-neural ectoderm AP2&#x3b1; positive) with a central core of the non-neural ectoderm and an outer ring of the neural ectoderm; two-step induction with continuous TGF&#x3b2; inhibition and inhibition of BMP from day 3 in DMEM-based medium (&#x23;3) abolished the formation of both populations, whereas the same combination of small molecules in an N2/B27-based medium (&#x23;5) led to the formation of a homogeneous neural ectoderm pattern; two-step induction with continuous TGF&#x3b2; inhibition and the addition of BMP4 from day 3 in the DMEM-based medium (&#x23;4) led to the formation of a central core of the non-neural ectoderm within the micropatterns, whereas the same combination of small molecules in the N2/B27-based medium (&#x23;6) led to the segregation of the two distinct ectoderm populations but with inverted localization compared to condition &#x23;2, with the vast majority of the pattern covered by the neural ectoderm and a thin outer ring of the non-neural ectoderm (<xref ref-type="fig" rid="F2">Figures 2F,H</xref>).</p>
<p>Thus, not only the temporally controlled perturbation of BMP and WNT signaling via specific inhibitors but also the stimuli contained within the basal media, among which BMP (secreted by MEFs or present in the KSR of DMEM) (<xref ref-type="bibr" rid="B27">Xu et al., 2005</xref>) could play a major role in defining the presence and spatial distribution of different fates within the ectoderm lineage.</p>
</sec>
<sec id="s2-3">
<title>Selective Cell Sorting Behavior of Meso-Endodermal Cells Reseeded Onto the Ectoderm Micropatterns</title>
<p>Then we investigated whether this micropatterning technology would be a suitable platform to create multilayer systems and to investigate the interaction between cells belonging to different germinal layers in terms of selective cell sorting (<xref ref-type="bibr" rid="B15">Minn et al., 2020</xref>). In particular, we tested whether the hPSC-derived meso-endoderm can undergo cell sorting <italic>in vitro</italic> on pre-existing patterned ectoderm structures as previously observed for human gastruloid-derived cells (<xref ref-type="bibr" rid="B15">Minn et al., 2020</xref>). To distinguish the two cell populations, the meso-endoderm was derived from a GFP-expressing hPSC line.</p>
<p>We used a published protocol to generate a homogeneous meso-endoderm layer of cells in 48&#xa0;h (<xref ref-type="sec" rid="s10">Supplementary Figure S1A</xref>) (<xref ref-type="bibr" rid="B8">Giobbe et al., 2015</xref>) and confirmed the prevalence of the mesoderm marker T/Brachyury at 24&#xa0;h of differentiation and the endoderm marker SOX17 at 48&#xa0;h of differentiation (<xref ref-type="sec" rid="s10">Supplementary Figures S1B,C</xref>).</p>
<p>Based on these data, we harvested meso-endoderm cells at 24&#xa0;h of differentiation and plated them onto 5-day-old micropatterned ectoderm structures. We tested three of the protocols described in <xref ref-type="fig" rid="F2">Figure 2F</xref>, which gave the most extreme results (i.e., &#x23;2 with an outer ring of PAX6 and an inner core of AP2&#x3b1;; &#x23;4 with only an inner core of AP2&#x3b1;; and &#x23;6 an inner core of PAX6 and an outer ring of AP2&#x3b1;) and co-cultured with meso-endodermal cells for an additional 3&#xa0;days (<xref ref-type="fig" rid="F1">Figure 1A</xref>).</p>
<p>To monitor the distribution of GFP-positive meso-endoderm cells under the three different micropattern conditions, we followed the co-cultures over time (<xref ref-type="fig" rid="F3">Figures 3B&#x2013;D</xref>). Immediately after seeding (45&#xa0;min and 2&#xa0;h), GFP-positive cells were evenly distributed in all three conditions (<xref ref-type="fig" rid="F3">Figures 3B&#x2013;D</xref>). Already at 1&#xa0;day after seeding, we observed major differences which were maintained until day 3. In condition &#x23;2 (<xref ref-type="fig" rid="F1">Figure 1B</xref>), the GFP-positive meso-endoderm was localized in the middle and at the outer border of the pattern (<xref ref-type="fig" rid="F3">Figure 3B</xref>). In condition &#x23;4 (<xref ref-type="fig" rid="F3">Figure 3C</xref>), the GFP-positive meso-endoderm spread all over the pattern. In condition &#x23;6 (<xref ref-type="fig" rid="F3">Figure 3D</xref>), the GFP-positive meso-endoderm created an outer ring. Although the spatial distribution of the meso-endoderm differed among the three conditions, they all shared the common tendency of meso-endoderm cells to avoid regions occupied by the neural ectoderm (PAX6-positive) and accumulate in regions occupied by the non-CNS ectoderm (AP2a) (<xref ref-type="fig" rid="F1">Figures 1B&#x2013;D</xref> and <xref ref-type="fig" rid="F3">Figures 3B&#x2013;D</xref>).</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>Spatial distribution of the meso-endoderm on different neuroectoderm micropatterns. <bold>(A)</bold> Schematic representation of the co-culture strategy of human iPSC micropatterned toward the neural ectoderm and human iPSC-derived GFP &#x2b; meso-endoderm M-E. <bold>(B&#x2013;D)</bold> Interaction between three extreme conditions of neuroectoderm micropatterning and GFP &#x2b; meso-endoderm. Schematic representation of the different patterning conditions and time course from seeding to day 3 of co-culture. <bold>(B)</bold> In the n2 condition, which gives rise to the central NC population (AP2a-positive), the M-E is localized within and outside the PAX6-positive ring; <bold>(C)</bold> in the n4 condition, in which there is no PAX6-positive population at day 5 and the pattern is made of AP2a-positive cells, M-E spread on top of the patterns; <bold>(D)</bold> in n6 condition, in which there is only a PAX6-positive population and no AP2a, M-E localizes at the edge of the patterns. Pax6 (CNS marker) and AP-2&#x3b1; (NC marker, &#x201c;&#x2b; &#x2b;&#x201d; represents relatively high expression and &#x201c;&#x2b;&#x201d; represents relatively low expression). Scale bar &#x3d; 100&#xa0;&#x3bc;m N &#x3e; &#x3d; 5.</p>
</caption>
<graphic xlink:href="fbioe-10-907159-g003.tif"/>
</fig>
<p>During <italic>in vivo</italic> development, the ectoderm and endoderm are spatially separated by the presence of the mesoderm (<xref ref-type="bibr" rid="B18">Solnica-Krezel and Sepich, 2012</xref>). Human gastruloids dissociated and reseeded on micropatterns showed the ability to self-organize in segregated cell clusters with ectodermal cells more associated with the mesoderm and completely segregated from the endoderm, probably through selective cadherin expression (<xref ref-type="bibr" rid="B15">Minn et al., 2020</xref>). Based on this evidence, we tested whether the mesoderm (T/Brachyury&#x2b;) and the endoderm (SOX17&#x2b;) populations show a differential distribution on ectoderm patterns (condition n2) after 3&#xa0;days of co-culture.</p>
<p>We found that both GFP &#x2b; SOX17 &#x2b; endoderm and GFP &#x2b; T/Brachyury &#x2b; cells preferentially clustered at the edges of the areas of micropatterns occupied by the non-CNS ectoderm (<xref ref-type="fig" rid="F4">Figure 4A</xref>), and GFP &#x2b; T/Brachyury &#x2b; cells partially overlapped with regions covered by the neural ectoderm as previously observed (<xref ref-type="bibr" rid="B6">Fagotto, 2014</xref>) (<xref ref-type="fig" rid="F4">Figure 4B</xref>).</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>Cell sorting of meso-endoderm cells on micropatterned ectoderm culture. Representative images of meso-endoderm at day 3 after seeding on ectoderm micropatterns stained for GFP (green) to visualize the meso-endoderm, SOX17 (red) to the mark endoderm, and Nestin (purple) to mark the neural ectoderm <bold>(A)</bold>, or coupled with PAX6 (red) to mark the neural ectoderm and Brachyury (purple) to mark the mesoderm <bold>(B).</bold> Scale bar &#x3d; 100&#xa0;&#x3bc;m.</p>
</caption>
<graphic xlink:href="fbioe-10-907159-g004.tif"/>
</fig>
</sec>
</sec>
<sec sec-type="discussion" id="s3">
<title>Discussion</title>
<p>In this study, we developed a micropatterning method in which hPSCs can self-organize to create radially distributed patterns of neural and non-neural ectoderm. As recently published (<xref ref-type="bibr" rid="B28">Xue et al., 2018</xref>; <xref ref-type="bibr" rid="B2">Britton et al., 2019</xref>), the formation of different territories within geometrically confined hiPSC colonies could be mainly attributed to the generation of a gradient of endogenous BMP signaling, which is activated by mechanical stimuli at the edge of the colonies and then gradually spread toward the center of the pattern (<xref ref-type="bibr" rid="B28">Xue et al., 2018</xref>) and plays a pivotal role in providing positional information in the ectoderm during neurulation (<xref ref-type="bibr" rid="B22">Tchieu et al., 2017</xref>). Indeed, high levels of BMP differentiate the ectoderm into the epidermis, low levels of BMP differentiate the ectoderm into the neural plate and intermediate BMP levels give rise to neural plate border specification (<xref ref-type="bibr" rid="B22">Tchieu et al., 2017</xref>). The mechanism that links the BMP dose to ectodermal lineage specification seems to be related, at least in part, to the direct effect of BMP on the upregulation of AP2a, which in turn can work together with WNT and FGF pathways to specify the different regions of the non-neural ectoderm (<xref ref-type="bibr" rid="B22">Tchieu et al., 2017</xref>). In our experimental setting, we obtained consistent segregation between the neural ectoderm PAX6-positive in the outer border of the pattern and the non-CNS ectoderm AP2&#x3b1;-positive in the central region, which is in contrast with previous publications where the non-CNS ectoderm localized at the colony border and the neural ectoderm at the center (<xref ref-type="bibr" rid="B28">Xue et al., 2018</xref>). This major difference in the spatial distribution could be in part attributed to the cell density and the size of the patterns. Indeed, in the context of ectoderm specification, only increasing the colony size from 500 to 800&#xa0;&#x3bc;m has been reported to be sufficient to revert the localization of the neural and non-CNS ectoderm, with patterns of 800&#xa0;&#x3bc;m showing a spatial distribution comparable to our 1,000&#xa0;&#x3bc;m patterns (<xref ref-type="bibr" rid="B28">Xue et al., 2018</xref>).</p>
<p>Given the high proliferation state of the neural ectoderm, the high rate of cell death observed during neural ectoderm commitment and the effect of cell density on the specification of the CNS and the non-CNS ectoderm, future time-lapse experiments could help in following better the dynamics of spatial patterning shaping.</p>
<p>Not only endogenous but also exogenous signals play a central role in guiding symmetry breaking and lineage specification. So, we modified the neural induction medium to investigate the role of WNT and BMP pathways in guiding ectoderm lineage specification and spatial distribution within the micropatterns. First, keeping the same basal media (KSR-based medium conditioned by MEF), we only varied the inhibitors used for the whole 5&#xa0;days of differentiation: when we inhibited BMP and TGF&#x3b2;-mediated SMAD activation, we only obtained neural ectoderm specification but not non-CNS ectoderm induction; whereas, also adding an inhibitor of WNT signaling, we obtained segregation between the neuroectoderm in the outer region of the pattern and the non-CNS ectoderm in the central area. The addition of a WNT inhibitor to a dual SMAD inhibitory cocktail should enhance neural ectoderm specification. However, since we are using a KSR-based medium conditioned by MEF, which is known to contain BMP, we can speculate that the presence of BMP in addition to WNT inhibition could have induced placode specification, which homogeneously expresses the AP2&#x3b1; marker within the non-CNS ectoderm territory (<xref ref-type="bibr" rid="B22">Tchieu et al., 2017</xref>). Indeed, the presence of AP2&#x3b1;-expressing cells within the center of the micropatterned hPSCs has already been reported upon WNT inhibitor treatment, and the width and localization of an AP2&#x3b1;-expressing territory were directly correlated with the level of BMP (<xref ref-type="bibr" rid="B2">Britton et al., 2019</xref>).</p>
<p>It has been previously demonstrated that providing BMP4 to geometrically confined hPSCs with proper timing allows the generation of multiple ectoderm fates (<xref ref-type="bibr" rid="B2">Britton et al., 2019</xref>). So, to shed light on the role of the BMP pathway on neural and non-neural ectoderm patterning, we tested four combinations of the two-step induction protocols: after 3&#xa0;days of ectoderm induction in the presence of a TGF&#x3b2; inhibitor only, hPSC patterns have been either supplemented with BMP4 or depleted of BMP via LDN treatment (a selective BMP inhibitor). We also tested the influence of the factors contained within the basal medium used and we performed this experiment in the DMEM 20% KSR medium (named DMEM), known to have a BMP activity-inducing property, (<xref ref-type="bibr" rid="B27">Xu et al., 2005</xref>) or in the N2/B27-based medium, which is known to be devoid of BMP.</p>
<p>The inhibition of BMP vial LDN treatment in the context of a two-step induction protocol using a KSR-based medium completely abolished the formation of ectoderm patterning and the appearance of the AP2&#x3b1;-expressing territory. However, probably because of the short time of the induction (48&#xa0;h) in combination with the patterns&#x2019; size, the PAX6 neural ectoderm did not appear. Indeed, in our standard culture conditions, we need at least 5&#xa0;days to obtain high levels of PAX6 expression upon LDN treatment. On the other hand, by replacing LDN with BMP4 treatment, the AP2&#x3b1;-expressing territory spread in all the micropatterns, and neural ectoderm differentiation was completely inhibited, in accordance with published data (<xref ref-type="bibr" rid="B28">Xue et al., 2018</xref>).</p>
<p>In contrast, replacing the KSR medium with the N2/B27 medium, a condition known to be devoid of BMP signaling, and providing LDN, was sufficient to promote neural ectoderm differentiation across the entire colony at the expense of non-CNS AP2&#x3b1;-positive cells. By replacing LDN with BMP4, we restored the ectoderm patterning with a core of the neural ectoderm and an outer region of the non-CNS ectoderm as previously published (<xref ref-type="bibr" rid="B4">Deglincerti et al., 2016</xref>; <xref ref-type="bibr" rid="B5">Etoc et al., 2016</xref>; <xref ref-type="bibr" rid="B28">Xue et al., 2018</xref>; <xref ref-type="bibr" rid="B2">Britton et al., 2019</xref>).</p>
<p>Finally, we leveraged our <italic>in vitro</italic> system to dissect the selective cell-sorting behavior of human meso-endoderm cells once seeded onto the pre-patterned ectoderm.</p>
<p>Cell sorting has been widely described <italic>in vivo</italic> and <italic>in vitro</italic> in different model systems as a crucial mechanism to ensure germ layer boundary formation (<xref ref-type="bibr" rid="B11">Krens and Heisenberg, 2011</xref>) and has also been described in human blastocyst-like structures and gastruloids <italic>in vitro</italic> (<xref ref-type="bibr" rid="B17">Shahbazi and Zernicka-Goetz, 2018</xref>; <xref ref-type="bibr" rid="B15">Minn et al., 2020</xref>). However, the ability of single or multiple human germ layers to self-organize onto already pre-patterned structures has never been investigated before.</p>
<p>We took advantage of three of the ectoderm patterns that showed a distinct distribution of the neural and non-neural ectoderm and we observed a conserved tendency of the meso-endoderm to preferentially distribute onto the non-neural ectoderm rather than the neural ectoderm. When we investigated in detail, we found that the endoderm tended to completely segregate from the neural ectoderm, preferentially occupying regions of the non-CNS ectoderm, whereas mesoderm distribution was spread more onto the patterns, and also in regions occupied by the neural ectoderm (<xref ref-type="bibr" rid="B6">Fagotto, 2014</xref>). These data have never been reported so far. Indeed, it has been already reported that the ectoderm and endoderm tend to segregate (<xref ref-type="bibr" rid="B15">Minn et al., 2020</xref>), but the authors have not distinguished between the neural ectoderm and non-neural ectoderm. Since the non-neural ectoderm is known to undergo epithelial to mesenchymal transition and to share features with the mesoderm, like the expression of defined adhesion molecules (among which cadherins play a central role) (<xref ref-type="bibr" rid="B21">Taneyhill, 2008</xref>; <xref ref-type="bibr" rid="B13">Manohar et al., 2020</xref>), we hypothesize that when we seeded meso-endoderm cells onto our patterning system, these cells tended to segregate onto mesodermal-like cells probably because of their differential expression in cadherins. Cell sorting behavior can be explained via three distinct models: differential adhesion, differential cortical tension, and contact inhibition (<xref ref-type="bibr" rid="B6">Fagotto, 2014</xref>); however, differential adhesion has been identified as the prevailing mechanism for human gastruloids (<xref ref-type="bibr" rid="B15">Minn et al., 2020</xref>). In this system, the authors found that SOX17 &#x2b; endoderm expresses higher levels of classical cadherins that promote cell adhesion via homophilic and heterophilic interactions (CDH1, CDH2, and CDH3), protocadherin PCDH1, and EPCAM (<xref ref-type="bibr" rid="B20">Takeichi, 1990</xref>), while the ectoderm, mesoderm, and extra-embryonic clusters expressed higher levels of CDH11 (<xref ref-type="bibr" rid="B15">Minn et al., 2020</xref>). Interestingly, CDH11 is highly expressed in non-neural ectoderm and controls multiple essential cellular functions in neural crest cells (<xref ref-type="bibr" rid="B13">Manohar et al., 2020</xref>) confirming also in our system the differential adhesion as a possible mechanism underlying the cell sorting behavior.</p>
<p>Our work provides proof-of-principle that the sophisticated control of lineage location with micropatterns allows us to study the simultaneous interaction between multiple human lineages at the same time, in a spatially defined and reproducible manner. This provides a framework for future studies that aim to address specific events and interactions occurring during human embryogenesis.</p>
<p>We envision that the integration of micropatterning technology with microfluidics could allow the generation of dynamic gradients of factors, controlled in space and time, giving the possibility to dissect the contribution of endogenous and exogenous factors in symmetry breaking within embryonic layers. In addition, it would be interesting to study how symmetry breaking would affect the cell sorting properties of different germ layers.</p>
</sec>
<sec sec-type="materials|methods" id="s4">
<title>Materials and Methods</title>
<sec id="s4-1">
<title>Micropatterning Technology</title>
<p>A 12-mm diameter glass coverslip was pre-treated with a plasma cleaner machine (Harrick Plasma) for 3&#xa0;min (3 &#xd7; 10<sup>&#x2212;1</sup> mbar) to oxidize the surface. Then 3&#x2013;4 drops of solution A (10&#xa0;&#x3bc;l of 3-(trimethoxysilyl) propyl methacrylate, 950&#xa0;&#x3bc;l ethanol, and 50&#xa0;&#x3bc;l acetic acid) were added onto the plasma-treated surface. After 3&#xa0;min of incubation at room temperature, the coverslip was washed with ethanol two times and then let dry. A photo-patterning solution (solution B) was prepared right before use: 100&#xa0;&#x3bc;l 20mg/100&#xa0;&#x3bc;l IRGACURE 2959 (Ciba Specialty Chemicals) in methanol was diluted in 900&#xa0;&#x3bc;l 8% (w/v) acrylamide (Sigma, 50&#xa0;mM HEPES) and degassed for 20&#xa0;min. Ten &#x3bc;l solution B was applied onto a 12-mm glass coverslip covered by a photo-mask and exposed for 40&#xa0;s to UV irradiation with a distance of 5.5 cm between the glass coverslip and UV source. A functionalized glass coverslip was then washed with deionized water two times and stored at room temperature until use.</p>
<p>In the case of micropatterning within microfluidic devices, instead of using a 12-mm glass coverslip, a thick standard slide for microscopy was used and micropatterns were generated in correspondence with the areas that have been then covered by the microchannels.</p>
<p>Before cell seeding, the micropatterned glass coverslips were pre-coated with 50&#xa0;&#x3bc;g/m Poly-L-lysin (Sigma) for 2&#xa0;h at room temperature and 1% Matrigel overnight at 4&#xb0;C. A washing procedure with MilliQ water and DPBS was performed after each coating. The glass coverslips were stored in the last wash solution at 4&#xb0;C. After coating, the glass coverslips should be used within 2&#xa0;weeks.</p>
</sec>
<sec id="s4-2">
<title>Cell Culture</title>
<p>All experiments were performed with the H9 ESCs cell line. For routine culture maintenance, H9 ESCs were cultured in a StemMACSTM iPS-Brew XF pluripotent stem cell medium and passaged 1:5 to 1:10 every 3&#x2013;5&#xa0;days <italic>via</italic> EDTA dissociation. Culture plates were coated with 0.5% Matrigel (Corning) and incubated at room temperature for at least 2&#xa0;h. Coated plates were stored at 4&#xb0;C and pre-warmed at 37&#xb0;C immediately before use.</p>
</sec>
<sec id="s4-3">
<title>Micropatterned Ectoderm Induction</title>
<p>Human PSCs were pre-adapted to MEF-CM containing 20&#xa0;ng/ml Fgf2 for one passage. Cells were detached as single cells and suspended in the MEF-CM medium supplemented with 10&#xa0;&#x3bc;M Rock-inhibitor Y27632 (Miltenyi Biotech). The MEF-CM differentiation basal medium comprised DMEM high glucose (GIBCO), 20% KnockOut Serum Replacement (KSR, GIBCO), 1x GlutaMAX&#x2122; (GIBCO), 1x MEM NEAA (GIBCO), 100&#xa0;&#x3bc;M &#x3b2;-mercaptoethanol (GIBCO), 2% B27-without vitamin A (GIBCO), and 1&#xa0;mM pyruvate (Sigma) and conditioned overnight with inactivated MEFs. PSCs were seeded at 0.5 &#xd7; 10 cells per well (<xref ref-type="bibr" rid="B15">Minn et al., 2020</xref>) onto the functionalized glass coverslips within 24-well plates. After 3&#xa0;h, the micropatterns were washed twice with pre-warmed PBS to remove cells attached outside the micropatterns and the medium was replaced with an ectoderm induction medium containing a different combination of small molecules and was changed daily.</p>
<p>Three different basal media were used to induce ectoderm differentiation, which are as follows:</p>
<p>1) The DMEM differentiation basal medium containing DMEM/F12 (GIBCO), 15% KnockOut Serum Replacement (KSR, GIBCO), 1 &#xd7; GlutaMAX&#x2122; (GIBCO), 1 &#xd7; MEM NEAA (GIBCO), and 50&#xa0;&#x3bc;M &#x3b2;-mercaptoethanol (GIBCO).</p>
<p>2) The MEF-CM differentiation basal medium.</p>
<p>3) N2B27 medium basal medium containing 25&#xa0;ml DMEM/F12 medium, 25&#xa0;ml neurobasal medium (GIBCO), 0.25&#xa0;ml N2, 0.5&#xa0;ml B27 without vitamin A, 0.5&#xa0;ml GlutaMAX&#x2122;, and 50&#xa0;&#x3bc;M &#x3b2;-mercaptoethanol.</p>
<p>To induce ectoderm fate, the basal media were supplemented with different small molecules&#x2019; cocktail:</p>
<p>(1) 2&#xa0;&#x3bc;M A83-01 (Tocris), 2&#xa0;&#x3bc;M PNU-74654 (Tocris), and 2&#xa0;&#x3bc;M dorsomorphin (Sigma) named APD.</p>
<p>(2) 10&#xa0;&#x3bc;M SB431542 (Stemgent) and 100&#xa0;nM LDN193189 (Sigma) named SB &#x2b; LDN.</p>
</sec>
<sec id="s4-4">
<title>Neural Ectoderm Induction in Conventional PSC Culture</title>
<p>H9 hESCs were seeded at high density as a single-cell onto Matrigel-coated Petri dishes. Upon attaining 90% confluence (usually the day after seeding), the medium was switched to MEF-CM supplemented with 1) 2&#xa0;&#x3bc;M A83-01 (Tocris), 2&#xa0;&#x3bc;M PNU-74654 (Tocris), and 2&#xa0;&#x3bc;M dorsomorphin (Sigma) or 2) 10&#xa0;&#x3bc;M SB431542 (Stemgent) and 100&#xa0;nM LDN193189 (Sigma). Cells were fed daily and maintained till day 5 to evaluate the efficiency of neural induction.</p>
</sec>
<sec id="s4-5">
<title>Meso-Endoderm Induction in Conventional PSC Culture</title>
<p>Meso-endoderm differentiation was induced in a 6-well Petri dish. H9 hESCs were seeded (1:5 passage) onto a 2.5% Matrigel-coated plate as clumps. When the cells reached 30&#x2013;50% confluence (usually the day after split), the meso-endoderm induction was initiated by replacing the expansion medium with an induction medium comprising RPMI 1640 (GIBCO), 2% B27-ins (GIBCO), and 1 &#xd7; MEM NEAA (GIBCO) supplemented with 100&#xa0;ng/ml Activin A (R&#x26;D), 10&#xa0;ng/ml BMP4 (R&#x26;D), 20&#xa0;ng/ml bFGF (Peprotech), and 3&#xa0;&#x3bc;M CHIR99021 (Miltenyi Biotech).</p>
</sec>
<sec id="s4-6">
<title>Micropatterned Neuroectoderm Co-Culture With Meso-Endoderm</title>
<p>Micropatterned neuroectoderm cell fate was induced as described previously after 5&#xa0;days of cell differentiation. Meso-endoderm cell induction was initiated on day 3 of neuroectoderm differentiation to keep in step. Meso-endoderm cells were cultured in a 6-well Petri dish with the RPMI medium, through single cell splitting, 0.25 &#xd7; 10<sup>6</sup> cells (in 0.5&#xa0;ml MEF-CM medium) were seeded on top of the micropatterned neuroectoderm cells. During the ectoderm and meso-endoderm co-culture procedure, patterns were grown in the MEF-CM medium without any small molecules. The medium was changed daily for&#xa0;days.</p>
</sec>
<sec id="s4-7">
<title>Immunocytochemistry and Image Acquisition</title>
<p>Cells were rinsed once with PBS, fixed in 4% paraformaldehyde for 30&#xa0;min, and rinsed three times with PBS at room temperature. A blocking solution was made with 0.1% Triton-X and 5% normal donkey serum (Jackson ImmunoResearch, West Grove, PA) in PBS, and cells were incubated for 1&#xa0;hour at room temperature before staining with primary antibodies in a blocking solution at 4&#xb0;C overnight. The cells were then washed three times in PBS 0, 1% triton before being incubated for 2&#xa0;h at room temperature with secondary antibodies, and 0.1&#xa0;mg/ml DAPI (Invitrogen, Carlsbad, CA) in a blocking solution for 1&#xa0;h. Finally, cells were washed three times in PBS 0, 1% triton and mounted using Vectashield Antifade Mounting Medium (Vector Laboratories, Burlingame, CA). All primary and secondary antibodies used are listed in <xref ref-type="table" rid="T1">Table 1</xref>.</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>List of antibodies used.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Name</th>
<th align="center">Brand and code (cat. no.)</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">AP-2a (3B5)</td>
<td align="left">Santa Cruz Biotechnology, cat. no. sc-12726</td>
</tr>
<tr>
<td align="left">Pax6</td>
<td align="left">BioLegend, cat. no. 901301/PRB-278P</td>
</tr>
<tr>
<td align="left">Sox17</td>
<td align="left">R&#x26;D, cat. no. AF1924</td>
</tr>
<tr>
<td align="left">Brachyury</td>
<td align="left">R&#x26;D, cat. no. AF2085</td>
</tr>
<tr>
<td align="left">Sox1</td>
<td align="left">R&#x26;D, cat. no. AF3369</td>
</tr>
<tr>
<td align="left">OCT4</td>
<td align="left">Santa Cruz Biotechnology, cat. no. sc-5279</td>
</tr>
<tr>
<td align="left">Sox2</td>
<td align="left">EMD Millipore, cat. no. AB5603</td>
</tr>
<tr>
<td align="left">Anti-p75</td>
<td align="left">Promega, cat. no. G323A</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>Fluorescence images were acquired using a confocal TCS SP5 microscope (Leica Microsystems). Image processing was performed with ImageJ software (NIH).</p>
</sec>
<sec id="s4-8">
<title>Quantification and Analyses</title>
<p>All micropatterning experiments and differentiation in standard culture conditions were performed at least three times. The data and analyses in each micropattern induction figure belong to one representative experiment. The sample size was not pre-determined and no statistical tests were used to determine the significance of results on micropatterned colonies. Circular colonies with a non-radially symmetric cell density pattern at the end of the treatment were excluded from analyses. The average intensity of a marker was calculated for each cell as the average of the immunofluorescence intensity in that cell normalized to the intensity of DAPI staining in the same cell.</p>
</sec>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="s5">
<title>Data Availability Statement</title>
<p>The raw data supporting the conclusion of this article will be made available by the authors, without undue reservation.</p>
</sec>
<sec id="s6">
<title>Author Contributions</title>
<p>YY performed the micropattern experiments. CL helped in designing and performing ectoderm induction experiments on micropatterns and wrote the manuscript. FM helped in establishing hPSC culture on micropatterns. OG helped in developing micropattern technology. AU helped in cell seeding strategies and imaging analysis. HS helped in designing ectoderm induction experiments and data interpretation. NE helped in designing the experiments, data interpretation, and writing the manuscript.</p>
</sec>
<sec id="s7">
<title>Funding</title>
<p>This work was supported by the 2017 STARS-WiC grant of the University of Padova, Progetti di Eccellenza CaRiPaRo, Progetto di cooperazione Scientifica e Tecnologica bilaterale Italia/Svezia (PGR05905) to NE. CL was supported by the Marie Sklodowska-Curie Individual Fellowship (839753). FM is supported by a NIHR GOSH BRC Catalyst Fellowship (564575) Fellowship. OG is supported by the STARS Starting Grant of the University of Padova. NE is supported by the Oak award W1095/OCAY14-191. Great Ormond Street Hospital NHS Foundation Trust and University College London GOSICH, Zayed Centre for Research into Rare Disease in Children is made possible by the NIHR Great Ormond Street Hospital Biomedical Research Centre.</p>
</sec>
<sec sec-type="COI-statement" id="s8">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s9">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors, and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="s10">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fbioe.2022.907159/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fbioe.2022.907159/full&#x23;supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="DataSheet1.docx" id="SM1" mimetype="application/docx" xmlns:xlink="http://www.w3.org/1999/xlink"/>
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