Preparation of culture medium
a. Naïve hPSC culture media
1. 5iLA medium2 was prepared using the following: 1:1 (v/v) mixture of DMEM/F12 and Neurobasal medium, 1X N2 supplement, 1X B27 supplement, 1X GlutaMAX, 1X MEM Non-Essential Amino Acids, 0.1 mM β-mercaptoethanol, 0.5% Penicillin-Streptomycin, 50 mg/mL BSA, 1 μM PD0325901, 0.5 μM IM-12, 0.5 μM SB590885, 1 μM WH-4-023, 20 ng/mL recombinant human LIF, 10 ng/mL Activin A, and 5 μM Y27632.
2. PXGL medium3 was prepared using the following: 1:1 (v/v) mixture of DMEM/F12 and Neurobasal medium, 1X N2 supplement, 1X B27 supplement, 1X GlutaMAX, 1X MEM Non-Essential Amino Acids, 0.1 mM β-mercaptoethanol, 0.5% Penicillin-Streptomycin, 1 μM PD0325901, 2 μM XAV939, 2 μM Gö6983, and 20 ng/mL recombinant human LIF.
b. Human trophoblast stem cell medium (hTSM)
The hTSM4 was prepared by including the following: DMEM/F12 supplemented with 0.1 mM β-mercaptoethanol, 0.2% fetal bovine serum, 0.5% Penicillin-Streptomycin, 0.3% BSA, 1% ITS-X, 1.5 μg/ml L-ascorbic acid, 50 ng/ml EGF, 2 μM CHIR99021, 0.5 μM A83-01, 1 μM SB431542 and 0.8 mM VPA.
c. Hypoblast differentiation medium (HDM)
HDM was prepared using the following: 1:1 (v/v) mixture of DMEM/F12 and Neurobasal medium, 1X N2 supplement, 1X B27 supplement, 1X GlutaMAX, 1X MEM Non-Essential Amino Acids, 0.1 mM β-mercaptoethanol, 0.5% Penicillin-Streptomycin, 20 ng/mL bFGF, 20 ng/mL Activin A, and 3 μM CHIR99021.
d. Trophoblast differentiation medium (TDM)
TDM was prepared using the following: 1:1 (v/v) mixture of DMEM/F12 and Neurobasal medium, 0.5X N2 supplement, 0.5X B27 supplement, 0.5% ITS-X, 0.5X GlutaMAX, 0.5X MEM Non-Essential Amino Acids, 0.1 mM β-mercaptoethanol, 0.5% KSR, 0.1% FBS, 50 mg/ml BSA, 0.5% Penicillin-Streptomycin, 1 μM PD0325901, 0.5 μM A83-01, 0.25 μM SB590885, 0.5 μM WH-4-023, 0.25 μM IM-12, 1 μM CHIR99021, 0.5 μM SB431542, 10 ng/mL recombinant human LIF, 25 ng/ml EGF, 0.75 μg/ml L-ascorbic acid, and 0.4 mM VPA.
Conversion and culture of Naïve hPSCs
a. Naïve hPSC conversion: The conversion of preexisting primed hPSCs to naïve hPSCs has been described previously2,5. Briefly, 2 × 105 primed cells were plated onto a MEF feeder layer in mTeSR1 medium supplemented with 10 μM ROCK inhibitor Y-27632. Two days later, the medium was changed to 5iLA medium. After ~10 days, dome-shaped naive colonies were manually picked and transferred to a fresh MEF plate for further cultivation in 5iLA medium.
b. Naïve hPSC culture: Naive hPSCs were cultured on mitomycin C-inactivated MEF feeder cells in 5iLA or PXGL media as described previously2,3.
Note: The quality of starting naïve hPSCs is critical for human blastoid generation. Typical naïve colonies are shown in Figure 1. Prior to blastoid generation, it’s important to first verify the naïve hPSCs have the following features: 1) dome-shaped colony morphology; 2) the expression of several key naïve pluripotency markers, e.g. KFL17, SUSD2, TFCP2L1; 3) a normal karyotype; 4) normal growth rate; and 5) the competency for extra-embryonic lineages via monolayer differentiation (described below).
Monolayer differentiation of naïve hPSCs
1. Prepare 6-well culture plates coated with a 0.2% gelatin solution and incubate at 37°C for at least 30 min before preparing the cells.
2. At ~60% confluency, dissociate naïve hPSCs into single cells by incubating in TrypLE Express solution at 37 °C for ~3 min.
3. Resuspend the cells in 5iLA or PXGL media and centrifuge at 200 g for 3 min.
4. Remove the supernatant and resuspend cells in 2 mL of 5iLA or PXGL media.
5. Transfer the cell suspension into the prepared gelatin-coated 6-well plate and incubate at 37 °C for 30 min to remove MEF cells.
6. Collect and re-plate the supernatant containing naïve hPSCs into a 12-well plate (1 × 105 cells/well*) pre-coated with Matrigel in 5iLA or PXGL media.
*Note: The plating cell number will need to be increased if the cell variability is found low.
7. HDM followed by hTSM method: after 1 day of culture in 5iLA or PXGL media, change the medium to HDM and culture for an additional 3 days, then change the medium to hTSM and culture for an additional 6 days.
8. hTSM followed by HDM method: after 1 day of culture in 5iLA or PXGL media, change the medium to hTSM and culture for 6 days, then change the medium to HDM and culture for 3 days.
9. Confirm lineage marker expression after 9 days of differentiation by immunostaining. A representative co-staining image is shown in Figure 2.
Note: We suggest using the following antibodies to verify lineage differentiation: epiblast (SOX2, OCT4, and KLF17), trophoblast (GATA3, GATA2, or TFAP2C), and hypoblast (GATA6, GATA4, and SOX17). After 9 days of differentiation, we found >20% of cells were either GATA3+ or GATA6+.
Generation of human blastoids
1. Prepare 6-well culture plates coated with a 0.2% gelatin solution and incubate at 37 °C for at least 30 min before using.
2. Prepare an AggreWell™400 plate according to manufacturer instructions. Briefly, add anti-adhesion rinsing solution to the wells, centrifuge at 2,000 g for 5 min, and then incubate at room temperature for at least 10 min.
3. At ~60% confluency, dissociate naïve hPSCs into single cells by incubating cells in TrypLE Express solution at 37 °C for ~3 min.
4. Resuspend the cells in 5iLA or PXGL media and centrifuge at 200 g for 3 min.
5. Remove the supernatant and resuspend the cells in 2 mL of 5iLA or PXGL media.
6. Transfer the cell suspension into a gelatin coated 6-well plate and incubate at 37 °C for 30 min to remove MEF cells.
7. Collect the supernatant containing naïve hPSCs and filter them through a 40 μm cell strainer.
8. Remove the anti-adhesion rinsing solution from the Aggrewell™400, wash the wells with 5iLA or PXGL media once, and then add 0.5 mL of 5iLA or PXGL media to each well.
9. Count the number of naïve hPSCs, and transfer ~30,000 cells (~25 cells/microwell)* to 1 mL of 5iLA or PXGL media.
*Note: The starting cell number needs to be optimized for different naïve hPSC lines.
10. Transfer 1 mL of the cell suspension (from step 9) into one well of a prepared Aggrewell™400 plate (from step 8). The total volume in the well should now be 1.5 mL.
11. Centrifuge the Aggrewell plate at 100 g for 1 min and place it in an incubator maintained at 37 °C and 5% CO2. Proceed to step 12 (HT method) or step 15 (TH method).
Steps 12-14 describe the HT method (HDM followed by TDM):
12. After 12 hours of culture, carefully remove as much 5iLA or PXGL media from the well as possible, and then add 1.5 mL of HDM. This is designated as day 1. Replace with fresh HDM media on day 2.
Note: Great care should be taken when working with the Aggrewell™400 in order to avoid flushing aggregates out of the microwells (i.e. aspirate/pipette slowly and carefully).
13. After 2-3* days of culture in HDM, carefully remove as much medium as possible, and then add 1 mL of TDM. Then carefully remove as much medium as possible (in order to completely remove HDM) (this can be repeated for 1-2 more times). Finally, add 1.5 mL of fresh TDM to the well. Replace media with fresh TDM every other days.
*Note: In our hands, there was no noticeable difference in blastoid formation efficiency when using 2 days vs. 3 days of HDM treatment.
14. After 6-8* days of culture in TDM, cavity structures can be observed in some microwells.
*Note: The time to generate cavity-containing structures may vary between cell lines, starting naïve hPSC culture conditions, starting cell number, and batches. Longer culture time in TDM may improve cavity structure formation.
Steps 15-16 describe the TH method (TDM followed by HDM):
15. After 12 hours of culture, carefully remove as much 5iLA or PXGL media from the well as possible, and then add 1.5 mL of TDM. This is designated as day 1. Replace with fresh TDM media every other days.
16. After 6-8* days of culture in TDM cavity structures can be observed in some microwells. Carefully remove as much medium as possible and then add 1 mL of HDM. Then carefully remove as much medium as possible (in order to completely remove TDM) (this can be repeated for 1-2 more times). Finally, add 1.5 mL of fresh HDM to the well and culture for an additional 1-2 days.
*Note: The time of TDM treatment may vary as mentioned in step 14. Longer culture time in TDM may improve cavity structure formation. In our hands, there was no noticeable difference in blastoid formation efficiency when using 1 days vs. 2 days of HDM treatment with the TH method.
17. Once cavity-containing structures have formed, harvest all cell aggregates from the microwells by gently pipetting up and down for 1–2 times with a 1000 uL pipette tip*.
*Note: To minimize shearing force from pipetting, cut ~1 mm off the 1000 uL pipette tip with a sterile scissor in the culture hoood before using.
18. Transfer all cell aggregates into one well of a 6-well plate, and then manually isolate aggregates with a discernible blastoid-like morphology* with a glass mouth pipette under a stereomicroscope for downstream experiments.
*Note: Aggregates with the presence of an ICM-like compartment, a TE-like out layer, and a visible cavity are designated as blastoids.