For the first time, using confocal microscopy, we have confirmed that HUVEC can achieve confluence in 50×50

μm square profile PDMS channels even on the sidewalls of the channels so that the cells form a complete
in vitro lining that resembles the
in vivo lining of micrometer-sized blood vessels in terms of formation of adherens junctions. High shear stresses of 30 and 79

dyn/cm
2 were required to fully develop these endothelial cell structures. The absent or weak immunostaining for VE-cadherin and vinculin in HUVEC cultured at a lower shear stress of 5

dyn/cm
2 suggests that the HUVEC are not fully confluent within the channels and may not respond normally to environmental stimuli. The differences in HUVEC structure observed at the lowest shear stress may be due to the low seeding density of cells within these 50

μm channels (due to their high surface area to volume ratio of the channels, the number of cells seeded per channel wall area is small). Our results suggest that shear stress above a certain threshold is necessary to populate areas that are not initially covered with cells through cell proliferation and migration. This assumption is supported by a study by Li
et al. that showed that shear stress of 12

dyn/cm
2 enhanced endothelial cell migration in the direction of flow.
26 The lack of confluence in endothelial cells grown under low shear conditions in either channel was not evident under phase or differential contrast light microscopy (data not shown). This indicates that confluence, a prerequisite for any
in vitro vascular lining, needs to be evaluated by immunostaining for markers of intercellular junctions, such as VE-cadherin, or measuring transendothelial resistance in microfluidic models of the vasculature.
32Our findings show that HUVEC grown under high shear stress within PDMS channels conformed to the channel geometry and formed confluent monolayers and firm attachments through focal adhesions to the fibronectin coating of the channel wall. This suggests that PDMS channels with traditionally fabricated square geometry can be used as in vitro models of the endothelial lining of micrometer-sized blood vessels. However, even though adherens junctions and focal adhesions were present in HUVEC cultured in square channels under high shear, the resulting cross-sectional square geometry could potentially influence subsequent endothelial behavior in response to various mechanical or chemical stimuli. However, this theory remains to be tested. Conformation of HUVEC to channel walls was the result of shear force and not fluidic pressure, as the pressure was negative since we used a syringe pump at the outlet of the channel to draw medium through the channel.
Endothelial cells grown in open square channels under static conditions form rounded monolayers (as seen in cross section). This observation suggests that endothelial cells might spontaneously form rounded structures when not exposed to shear stress. Others have observed this phenomenon when HUVEC were cultured in microenvironments such as sponge-like, three-dimensional matrixes in which shear was not present.
33 In such environments, HUVEC spontaneously take on shapes, which resemble rounded tubes that support the formation of vessel-like structures. This spontaneous arrangement capability has been utilized to construct capillary-like networks in skin equivalent tissues in which endothelial cells showed characteristics associated with those of the
in vivo microvessels, including expression of von Willebrand factor, development of Weibel-Palade bodies, and formation of adherens junctions.
34The formation of a confluent endothelial lining with established barrier function is a key requirement for
in vitro models of the microvessels. Barrier function is frequently compromised during diseases, including inflammation and cancer metastasis.
14 In vivo, adherens junctions are produced by homodimeric interactions between VE-cadherin on adjacent cells and only form when the cells are confluent. Continuous staining of VE-cadherin, which delineates cell boundaries, is a physical marker of endothelial barrier function.
29 Our results showed that HUVEC cultured under static or high shear conditions in both channel geometries had strong immunostaining for VE-cadherin supporting the formation of a confluent monolayer with likely normal barrier function, regardless of channel geometry. However, under static conditions, vinculin immunostaining (as a marker of focal adhesions) was absent in HUVEC grown in square but not semicircular channels, suggesting that geometry can influence focal adhesion formation in the absence of shear. Focal adhesions are complexes consisting of various structural and enzymatic proteins, including integrins, which bind to motifs in extracellular matrix proteins such as fibronectin, which anchors the cell to the subendothelial matrix. Focal adhesions also link the extracellular matrix to the actin cytoskeleton via structural proteins such as vinculin, paxillin, and talin and to downstream signaling pathways through nonreceptor tyrosine kinases such as focal adhesion kinase and Src.
35 Thus, focal adhesions not only provide structural support for cells, but are also signaling complexes that relay information from the local environment and permit cells to migrate and respond to mechanical stimuli.
36 Cells lacking key proteins of focal adhesions become more mobile and are less stiff.
37,38 The lack of vinculin immunostaining in HUVEC cultured in square channels under static conditions could reflect abnormal focal adhesion formation or potentially altered vinculin conformation affecting antigenic epitope exposure. It is possible that these HUVEC are weakly attached to the square channels as compared to semicircular channels and may not be able to change shape or alter their structure in response to biological stimuli. Since vinculin immunostaining was robust in HUVEC cultured in square channels under high shear stress, our findings illustrate that shear is more important than geometry in attaining a suitable
in vitro microfluidic model of the microvasculature.
The shear stresses selected in this study are within the range of stresses reported within the
in vivo microvasculature. Physiologic shear stress has been estimated to be in the range of 20–200

dyn/cm
2 in cerebral arteries between 4 and 5

mm in diameter and about 55

dyn/cm
2 in retinal microvessels between 108–147

μm in diameter in humans.
39,40 Similar shear stresses of 52–86

dyn/cm
2 (calculated from the reported wall shear rate, assuming a blood viscosity of 3×10
−3 Pa/s) have been estimated for smaller arterioles in rabbits (17–32

μm in diameter).
41 Since physiological shear stress varies markedly, we suggest that endothelial cells are exposed and conditioned to shear before using
in vitro microvessels for experiments.