Integration of lymphatic vasculature to a human lymph node-on-chip enhances physiological immune properties

To study systemic human innate and adaptive immune responses in detail, competent <i>in vitro</i> lymph node (LN) models with LN stromal cells (LNSCs) are required to recapitulate the physiological microenvironment. The multicellular organisation of LNs possesses a challenge for designing such microphysiological systems (MPS), particularly with the structural complexity of LNs and the lymphatic vasculature. Here, we established an organotypic LN model with integrated lymphatics in an organ-on-chip (OoC) platform containing a printed sacrificial structure, and studied the influence of a perfused lymphatic endothelial cell (LEC)-lined channel on the LN-on-chip microenvironment. Upon one-week of culture under lymphatic flow, LECs lined the tubular structure forming a lymphatic vessel through the LN model, and stable metabolic conditions within the LN-on-chip were confirmed. Interestingly, LECs in the LN-on-chip displayed the phenotype found in human LNs with upregulation of LEC-specific LN markers, such as atypical chemokine receptor 4 (ACKR4). The presence of the LEC-lined perfused vessel in the LN-on-chip resulted in the increase of native immune cells, most notably B cells, and the secretion of survival and migratory signals, namely interleukin-7 (IL-7) and CC motif chemokine ligand 21 (CCL21). Likewise, LECs promoted the abundance of immune cell clusters closer to the vessel. As such, these features represent an enhanced physiological microenvironment to allow for immune cell migration and interactions for efficient LN functioning. This approach paves the way for LN integration into multi-OoC (MOC) platforms to investigate immunological crosstalk between tissue-derived factors, immune cell trafficking and organ-specific adaptive immune responses.