Surface curvature and basal hydraulic stress induce spatial bias in cell extrusion

Reviewer #1 (Public Review):

Huang C-K. and colleagues in this work address the understudied role of environmental conditions and external forces in cell extrusion as a fundamental part of epithelial homeostasis. They suggest that hydrostatic stress plays a significant role in counteracting cell extrusion forces through the indirect regulation of the focal adhesion kinase (FAK) - protein kinase B (AKT) survival pathway. The team nicely exploits their expertise in fabricating cell culture substrates to control hydrostatic stress on a common epithelial cell model from the kidney (i.e., MDCK). This was done by creating waving surfaces with different lengths from 50µm to 200 µm, thus creating a heterogenous distribution of monolayer forces towards the substrate. Finally, using a specific inhibitor for FAK, they suggest that the survivor pathway FAK-AKT is involved in the observed phenomenon.

In conclusion, the presented data underline the importance of considering external forces and tissue geometry in regulating epithelial homeostasis and the selective transport of water and solutes. These results may have a significant impact on understanding the basic mechanisms of epithelial physiology and pathology, such as in the kidney, intestine, or retina.

Reviewer #2 (Public Review):

The paper by Huan, Yong, et al. studies epithelial cell extrusion in MDCK monolayers grown on sinusoidally wavy surfaces in varying media osmolarities, finding that both curvature and osmolarity-mediated basal hydraulic stress spatially regulate extrusion events. The authors fabricated wavy substrates of varying periods and amplitude out of PDMS (and PA hydrogels) and monitored monolayer evolution and cell extrusion over time, by combining live-cell imaging with a convolutional network-based algorithm for automatic detection of extrusions.

In general, the study has been elegantly designed, starting with convincing evidence for enhanced extrusion rates in concave valleys with respect to convex hills. Next, the authors showed that hyper-osmotic medium reduced cell extrusion rate, which was demonstrated in a variety of different media compositions (e.g. with sucrose, DMSO, or NaCl), while hypo-osmotic medium increased cell extrusion rate. Additionally, the authors applied reflection interference contrast microscopy to reveal fluid spaces between the substrate and the basal side of the monolayer, which were found to grow when media composition was altered from hyper-osmotic to normal osmotic conditions. Using a 3D traction force microscopy approach, the authors demonstrated that cells on convex regions apply a downward pointing force on the substrate, opposite to cells on the concave regions. This was linked to a larger basal separation on the concave valleys as opposed to the convex hills. Finally, the authors focussed on the FAK-Akt pathway to explore the hypothesis that basal hydraulic stress interferes with focal adhesions, leading to differences in cell extrusion rates in media of different osmolarity and on convex or concave surfaces.

Despite the host of relevant experiments and the interesting data acquired with a variety of techniques, some aspects of the manuscript would need to be strengthened or explained in more detail to better support the claims and to provide more convincing evidence.

1. The sinusoidal wavy substrate that the authors use in their investigation is interesting and relevant, but it is important to realise that this is a single-curved surface (also known as a developable surface). This means that the Gaussian curvature is zero and that monolayers need to undergo (almost) no stretching to conform to the curvature. The authors should at least discuss other curved surfaces as an option for future research, and highlight how the observations might change. Convex and concave hemispherical surfaces, for example, might induce stronger differences than observed on the sinusoidal substrates, due to potentially higher vertical resultant forces that the monolayer would experience. The authors could discuss this geometry aspect more in their manuscript and potentially link it to some other papers exploring cell-curvature interactions in more complex environments (e.g. non-zero Gaussian curvature).

2. The discussion of the experiments on PAM gels is rather limited. The authors describe that cells on the PAM gels experience fewer extrusions than on the PDMS substrates, but this is not discussed in sufficient detail (e.g. why is this the case). Additionally, the description of the 3D traction force microscopy and its validation is quite limited and should be extended to provide more convincing evidence that the measured force differences are not an artefact of the undulations of the surface.

3. The authors show nuclear deformation on the hills and use this as evidence for a resultant downward-pointing force vector. This has, indeed, also been observed in other works referenced by the authors (e.g. Werner et al.), and could be interesting evidence to support the current observations, provided the authors also show a nuclear shape on the concave and flat regions. The authors could potentially also characterise this shape change better using higher-resolution data.

4. The U-net for extrusion detection is a central tool used within this study, though the explanation and particularly validation of the tool are somewhat lacking. More clarity in the explanation and more examples of good (or bad) detections would help establish this tool as a more robust component of the data collection (on all geometries).

5. The authors study the involvement of FAK in the observed curvature-dependent and hydraulic stress-dependent spatial regulation of cell extrusion. In one of the experiments, the authors supplement the cell medium with FAK inhibitors, though only in a hyper-osmotic medium. They show that FAK inhibition counteracts the extrusion-suppressing effect of a hyper-osmotic medium. However, no data is shown on the effect of FAK inhibitors within the control medium. Would the extrusion rates be even higher then?

Reviewer #3 (Public Review):

The authors study monolayers of MDCK cells on curved surfaces. These surfaces consist of hemicylindrical valleys and hills obtained through microfabrication involving glass rods and repeated molding steps. They find higher apoptotic extrusion rates in valleys compared to hills for patterns with 25 and 50 µm curvature radii, but not in valleys of 100 µm curvature radius. By using osmotic shocks and reflection interference contrast microscopy, they identify hydraulic stress to drive cell extrusion. 3D force microscopy reveals that cytoskeletal forces point towards the substrate on hills and away from the substrate in valleys. From these observations, the authors conclude that hydraulic stress-induced cell extrusion is assisted by cytoskeletal forces in the valleys and opposed on the hills. Finally, they link the hydraulic stress to the activity of focal adhesion kinase, which in turn affects cell survival through Akt signaling.

Strengths:

This work combines a new microfabrication method with state of the art 3d force microscopy that allows the authors to study curvature-dependent cell extrusion. The application of various osmotic shocks to the system clearly identifies the role of hydraulic stress in cell extrusion. The decoupling of the main driver of cell extrusion (hydraulic stress) from its curvature-dependent modulation through cytoskeletal forces, together with the mechanical activation of apoptosis is an important new finding that significantly advances our understanding of epithelial cell extrusion and could be important during developmental processes and for maintaining intact epithelia in adult organisms.

Weaknesses:

The main weakness of this work is a lack of quantification of the hydraulic stress. Furthermore, the authors do not present data on other cell types such that the phenomenon studied in this work might be specific to MDCK cells. Finally, The authors do not modify cytoskeleton contractility to check how this parameter affects the threshold curvature below which cell extrusion is no longer curvature dependent.