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Table 1 Organ chips that mimic each organ of the female reproductive system

From: Organ-on-a-chip: future of female reproductive pathophysiological models

Model category

Cell types

Culture environment

Device characteristics

Culture characteristics

Significance

Year/Reference

Ovary-on-a-chip

λ Early secondary preantral follicles of female deer mice

λ Medium: conditioned medium + 5 µg/ml insulin + 5 µg/ml transferrin + 5 ng/ml selenium + 100 mIU/mL FSH

λ Temperature: 37 °C; CO2: 5%; Humidity: 95%

λ The first layer: 100 μm

λ The additional layer: 50 μm

λ The third layer: 50 μm

λ Device material: PDMS

λ Fabrication method: soft lithography

λ Flow rate: Core: 50 µl/h; Dispatching: 30 µl/h; Shell: 120 µl/h; Oil: 2 ml/h; Aqueous extracting fluids: 4 ml/h.

λ Coating: alginate (harder) and collagen (softer)

To reveal the crucial role of mechanical heterogeneity in the mammal ovary in regulating follicle development and ovulation.

2014/ [42]

Ovary-on-a-chip

λ Single human pre-antral follicle

λ Medium: 50% MEM-α + 50% F-12 + 1 mg/mL FBS + 5 µg/mL insulin + 5 µg/mL transferrin human + 5 µg/mL sodium selenite + 3 mg/mL BSA + 1:100 rFSH

λ Temperature: 37 °C; CO2: 5%; Humidity: 95%

λ Upper PDMS layer: 2 mm

λ Middle PDMS layer: 5 mm

λ Lower PDMS layer: 1 mm

λ Device material: two plates of PMMA substrate + three layers of PDMS plates

λ The entire device: 6 × 4 × 0.8 cm3

λ Fabrication method: soft lithography

λ Flow rate: 8.33 µL/h

λ Coating: 0.5% of sodium alginate and 0.5% of sodium alginate

To culture a single human ovarian follicle and explore the hormonal changes and their interactions during folliculogenesis.

2017/ [43]

Ovary-on-a-chip

λ Ditto

λ Ditto

λ Ditto

λ Ditto

To explore the toxicity and possible mechanisms of doxorubicin

2020/ [44]

Ovary-on-a-chip in mice models

λ Cumulus-oocyte complex of CD-1 female mouse

λ Medium: MEM-α + 10% FBS + 10 ng/mL EGF + cumulus cell expansion stimulator + 25 × 10− 3 M HEPES.

λ Temperature: 37 °C; O2: 95%; CO2: 5%

λ Top layer: polyester membrane: 200 μm; acrylic layer: 0.862 mm

λ Bottom layer: 200 μm

λ Device material: two PDMS layers

λ Fabrication method: soft lithography

λ Flow rate: varies from step to step

λ Coating: /

For analyzing and screening the effects of potential contraceptive agents on the maturation of the cumulus-oocyte complex.

2019/ [45]

Ovary-on-a-chip in large mammal models

λ Ovarian cortex and follicle of domestic cat and dog

λ Medium: Cat: MEM + 4.2 µg/ml insulin + 3.8 µg/ml transferrin + 5 ng/ml selenium + 2 mM L-glutamine + 100 µg/ml penicillin G sodium and streptomycin sulfate + 0.05 mM ascorbic acid + 0.1% w/v polyvinyl alcohol + 10 ng/ml FSH + 100 ng/ml EGF; Dog: MEM-α + 3 mg/ml BSA + 4.2 µg/ml insulin + 3.8 µg/ml transferrin + 5 ng/ml selenium + 2 mM glutamine + 10 IU/ml penicillin G + 10 µg/ml streptomycin + 10 µg/ml FSH

λ Temperature: 38.5 °C; CO2: 5%; Humidity:/

λ Top layer: 3 mm PMMA

λ Channel layer: 1.5 mm PMMA

λ Base layer: 2 mm Polystyrene

λ Complete chip: 40 × 24 × 6.5 mm3

λ Device material: PMMA and Polystyrene

λ Fabrication method: soft lithography

λ Flow rate: 2 µL/min or 10 µL/min

λ Coating: 1% alginate hydrogel

To support the in vitro survival of domestic cat and dog follicles enclosed within the ovarian cortex or isolated from the ovarian cortex.

2018/ [46]

Menstrual cycle-on-a- chip/Ovary-on-a-chip/ Multi organ chip

λ Primary/early secondary follicles of female CD-1 mice; Quintet-MFP: murine ovary, human fallopian tube, endometrium, ectocervix, liver tissues

λ Medium: Follicular phase: growth medium (50% MEM-α + 50% F-12 + 3 mg/mL BSA + 0.5 mg/mL bovine fetuin + 5 µg/mL insulin + 5 µg/mL transferrin + 5 µg/mL selenium) + 10 mIU/ml recombinant FSH; Luteal phase: growth media without FSH

λ Temperature: 37 °C; CO2: 5%

λ Solo-MFP: a coupled donor/acceptor module and a module for tissues

λ Duet-MFP: a donor module, two modules for tissues, and a separate acceptor module

λ Quintet-MFP: a donor module, five modules for tissues, and a separate acceptor module

λ Device material:/

λ Fabrication method: Solo-MFP and Duet-MFP: pneumatic actuation technology; Quintet-MFP: embedded electromagnetic actuation technology

λ Flow rate: Solo-MFP: 40 µL/h; Duet-MFP: 0 µL/h; Quintet-MFP: 100 µL/h

λ Coating: 0.5% alginate drop or 1% alginate hydrogels

To develop platforms that could sustain tissue-level function for the length of the human menstrual cycle (that is, 28 days).

2017/ [17]

Oviduct-on-a-chip

λ Bovine oviduct epithelial cells

λ Medium: DMEM/Ham’s F-12 + 5 µg/mL insulin + 5 µg/mL transferrin + 10 mM glutathione + 100 µg/mL gentamycin + 10 ng/mL EGF + 50 nM trans-retinoic acid + 5% FCS + 2.5 mg/mL amphotericin B

λ Temperature: 38.5 °C; O2: 7%; CO2: 5%

λ Two independent compartments: 3 × 2.8 × 0.37mm3

λ Device material: PDMS

λ Fabrication method: /

λ Flow rate: 5 µL/h

λ Coating: /

To investigate the mechanisms related to genetic reprogramming and the degree to which they differ between in vitro and in vivo embryos.

2018/ [18]

Oviduct-on-a-chip

λ Human fallopian tube epithelium

λ Medium: normal: low testosterone concentration of 0.8 nM; PCOS-like: high testosterone concentration of 2 nM; MEM + 0.3% BSA + 0.5 mg/ml fetuin + 1% penicillin/streptomycin + 1% ITS

λ Temperature: 37 °C; CO2: 5%

λ Solo-MFP: a coupled donor/acceptor module and a module for tissues

λ Device material: /

λ Fabrication method: Solo-MFP: pneumatic actuation technology

λ Flow rate: 35 ~ 50 µL/h;

λ Coating: 0.5% alginate drop or 1% alginate hydrogels

To investigate how exposure to testosterone-rich environments affects the function and gene expression of the human fallopian tube epithelium.

2020/ [54]

Oviduct-on-a-chip

λ Mouse primary oviduct epithelial cells

λ Embryos of CD-1 mice

λ Medium: DMEM/F-12 containing 20% FBS

λ Temperature: 37 °C; CO2: 5% CO2 of mouse oviduct secretory epithelial cells while 6% CO2 of embryos

λ The circular hole on both ends of the channels: 3 mm

λ The chamber: 5 mm

λ The whole channels: 20 × 1 × 10mm3

λ Device material: PDMS

λ Fabrication method: Multilayer soft lithography technology

λ Flow rate: 1.0 µL/h

λ Coating: /

Reduce intracellular ROS levels to optimize embryo culture conditions.

2022/ [53]

Uterus-on-a-chip

λ Mouse oocytes

λ Mouse endometrial cells

λ Medium: Endometrial cells: M16 medium; Oocytes: M6 medium

λ Temperature: 37 °C; CO2: 5%

λ Top layer: contained a zigzag shaped channel (500 μm in width and 110 μm in height)

λ Porous membrane: pore size of 8 μm

λ Bottom layer: contained 4 parallel rectangular channels (6 × 3 × 0.11mm3)

λ Device material: Top layer and bottom layer: PDMS; Porous membrane: polycarbonate

λ Fabrication method: soft lithography technology

λ Flow rate: 10 µL/h

λ Coating: 0.5% gelatin solution

To achieve higher morula rates and blastocyte rates.

2013/ [15]

Uterus-on-a-chip

λ Human endometrial stromal cell

λ Mouse embryos

λ Medium: Human endometrial stromal cell:75% DMEM and 25% MCDB 105 medium + 100U/ml penicillin + 100U/ml streptomycin + 5 µg/mL insulin + 10% charcoal-stripped FBS + 10% FBS + antibody; Mouse embryos: HTF medium

λ Temperature: 37 °C; O2: 95%; CO2: 5%

λ Concentration gradient generator: width: 250 μm, height: 230 μm

λ Diamond-shaped passive micro-mixer: width: 200 μm, height: 230 μm

λ Culture chamber: radius: 3 mm, height: 230 μm

λ Perfusion channel: width: 250 μm, height: 230 μm

λ Device material: PDMS

λ Fabrication method: soft lithography technologyλ

λ Flow rate: 1 µL/min

λ Coating: /

Successfully demonstrated its ability to support embryonic development from the 8-cell stage to the hatching stage in 48 h.

2016/ [61]

Endometrial perivascular stroma-on-a-chip

λ Human endometrial stromal cells

λ HUVECs

λ Medium: HUVECs: EBM-2 medium + EGM™-2 Single Quot growth factors; Human endometrial stromal cells: phenol red-free DMEM/F-12 + 10% charcoal-stripped calf serum + 1nM 17-β estradiol + 1× antibiotic-antimycotic solution (stromal complete growth medium)

λ Temperature: 37 °C; O2: 95%; CO2: 5%; Humidity: saturated humidity

λ Two microfluidic chambers: 4.75 × 6.2mm2

λ Porous membrane: pore size of 2 μm

λ Device material: PDMS

λ Fabrication method: soft lithography technology

λ Flow rate: 2.5µL/min

λ Coating: /

The endometrial perivascular stroma model was sustainable for up to 4 weeks.

2017/ [63]

Endometrial perivascular stroma-on-a-chip

λ Human endometrial stromal cells

λ HUVECs

λ Medium: HUVECs: EGM™-2MV BulletKit™; Human endometrial stromal cells: phenol red-free DMEM/F-12 + 5% charcoal-stripped calf serum + 1nM 17-β estradiol + 1× antibiotic-antimycotic solution (stromal complete growth medium)

λ Temperature: 37 °C; O2: 95%; CO2: 5%; Humidity: saturated humidity

λ Ditto

λ Flow rate: 1µL/min

λ Coating: collagen type IV (10 µg/cm2)

Revealed that the perfused-vascular endothelium enhancing the decidualization response.

2019/ [64]

Endometrium-on-a-chip

λ HUVECs

λ Human endometrial epithelial cells

λ Human endometrial stromal fibroblasts

λ Medium: HUVECs: EGM-2 medium; Endometrial epithelial cells and endometrial stromal fibroblasts: DMEM/F12 + 10% FBS + 1% penicillin–streptomycin

λ Temperature: 37 °C; CO2: 5%

λ Five microchannels: two central channels (channel SC and channel VC) + fibroblast channel + media channels 1 + media channels 2

λ Device material: PDMS

λ Fabrication method: soft lithography and replica molding

λ Flow rate: /

λ Coating: fibrin gel solution (2.5 mg/ml fibrinogen with 0.15 U/ml aprotinin)

Recapitulates in vivo endometrial vasculo-angiogenesis and hormonal responses displaying key features of the proliferative and secretory phases of the menstrual cycle.

2021/ [65]

Endometrium-on-a-chip

λ Human endometrial cellular components

λ Human ovarian follicular cells

λ HUVEC

λ Primary human stromal cells

λ Medium: Human endometrial cellular components: StemPro MSC SFM CTS™; HUVEC: EBM-2 medium; Primary human stromal cells: DMEM medium + 10%FBS; Human ovarian follicular cells: M-199/MCDB-105(1:1 mixture) + 10%FBS

λ Temperature: 37 °C; O2: 95%; CO2: 5%

λ Dual chamber chip platform: 34 × 34 × 5mm3

λ Triangular uterine endometrial chamber: 20 × 16 × 3mm3

λ Dual circular ovarian chambers: 7 × 7 × 3mm3

λ Media channel: 2 × 3 × 3mm3

λ Device material: PDMS

λ Fabrication method: 3D printing

λ Flow rate: /

λ Coating: /

Developed a ‘dual reproductive organ-on-a-chip’ that was used to predict the reproductive toxicity of various hazardous materials.

2020/ [68]

Cervical epithelial layer-on-a-chip

λ Immortalized ectocervical cells

λ Immortalized endocervical epithelial cells

λ Medium: Immortalized ectocervical and endocervical epithelial cells: KSFM medium + 30 µg/mL bovine pituitary extract + 0.1 ng/mL EGF + 0.4 mM CaCl2 + 0.5 mg/mL primocin

λ Temperature: 37 °C; CO2: 5%

λ The first microchannel layer: 5 μm deep

λ The second cell culture chamber layer: 500 μm deep

λ Device material: PDMS

λ Fabrication method: soft lithography technology

λ Flow rate: /

λ Coating: IV collagen

To simulate the effects of cell death, migration, EMT, and inflammatory cytokine secretion in bacterial infection and inflammatory states.

2021/ [73]

Vagina-cervix-decidua-organ-on-a-chip

λ Immortalized ectocervical cells

λ Immortalized endocervical epithelial cells

λ Cervical stromal cells

λ Vaginal epithelial cell

λ Human decidua cells

λ Transformation zone

λ Medium: Vaginal epithelial cells: KSFM medium + 30 µg/mL bovine pituitary extract + 0.1 ng/mL EGF + 0.4 mM CaCl2 + 0.5 mg/mL primocin + KGM™-2 Keratinocyte Growth Medium Bulletkit™; Ectocervical epithelial and endocervical epithelial cells: complete KSFM medium; Cervical stromal cells: DMEM/F-12 + 10% FBS + 50 IU/ml penicillin/50 µg/ml streptomycin + 2.5 µg/ml amphotericin B; Human decidual cells: DMEM/F-12 + 10% FBS + 50 IU/ml penicillin/50 µg/ml streptomycin + 2.5 µg/ml amphotericin B

λ Temperature: 37 °C; CO2: 5%

λ The vagina, ectocervical, transformation zone, cervical stroma, and decidua layers: interconnected by an array of 24 microchannels (300 × 30 × 5µm3)

λ Endocervical epithelia layer: interconnected by an array of 72 microchannels (600 × 30 × 5µm3)

λ Device material: PDMS

λ Fabrication method: soft lithography technology

λ Flow rate: /

λ Coating: IV collagen

Ureaplasma parvum infection was found not to promote a large-scale inflammatory response.

2022/ [74]

Vagina-cervix-decidua-organ-on-a-chip

λ Ditto

λ Ditto

λ THP-1 monocytes: RPMI 1640 medium + 0.05 mM 2-mercaptoethanol + 10% FBS

λ Temperature: 37 °C; CO2: 5%

λ Ditto

λ Ditto

Revealed that exosomes from Ureaplasma parvum-infected ectocervical epithelial cells promote feto-maternal interface inflammation but are insufficient to cause preterm delivery.

2022/ [75]

Vagina-on-a-chip

λ Human vaginal epithelium cells

λ Human vaginal stromal fibroblasts

λ Medium: vaginal epithelium cells: vaginal epithelium growth medium; human uterine fibroblasts cells: fibroblast growth medium (Uterine fibroblasts were used to replace primary human vaginal fibroblasts)

λ Temperature: 37 °C; CO2: 5%

λ The apical channel: 16.7 × 1 × 1mm3

λ The basal channel: 16.7 × 1 × 0.2mm3

λ The porous membrane: pore size of 7 μm

λ Device material: PDMS

λ Fabrication method: /

λ Flow rate: 40µL/h

λ Coating: the apical channel: collagen IV (30 µg/mL) and collagen I (200 µg/mL); the basal channel: collagen I (200 µg/mL)

Demonstrates the vagina-on-a-chip can be used to better understand interactions between the vaginal microbiome and host tissues.

2022/ [77]

  1. Notes: /: no report; MEM, modified eagle’s medium; FSH, follicle stimulating hormone; FBS, fetal bovine serum; rFSH, recombinant follicle stimulating hormone; PMMA, polymethyl methacrylate; PDMS, polydimethylsiloxane; EGF, epidermal growth factor; BSA, bovine serum albumin; DMEM, Dulbecco’s modified Eagle’s medium; HTF, human tubal fluid; HUVECs, Human Umbilical Vein Endothelial Cells; EGM-2, endothelial growth medium 2; SC, Stroma-Angiogenic Sprout Channel; VC, Vascular Network Channel; EMT, Epithelial–mesenchymal transition; KSFM, keratinocyte serum-free medium