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3 protocols using stabilized antibiotic antimycotic solution 100

1

Isolation and Expansion of Perichondrial Cells

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We obtained elastic cartilage samples from microtia patients following the approved guidelines set by the ethical committee at Yokohama City University Graduate School of Medicine Hospital (approval no. B130905006). We stripped off the adipose tissue and microscopically separated the cartilage into three layers: the chondrium layer, interlayer, and perichondrium layer. The perichondrial sample was minced with scissors until almost no lumps of the cartilage matrix were found and the perichondrial cells were separated by shaking in a 0.2% collagenase solution (Worthington, Lakewood, NJ, USA) at 37 °C and 600 rpm for 2 h. The resulting suspension was filtered through a 40 µm cell strainer and centrifuged at 4 °C and 1500 rpm for 5 min to collect perichondrocytes. Having been suspended in growth medium and seeded on an uncoated 35 mm dish, the final concentration contained 10% fetal bovine serum (Biowest, Riverside, MO, US), Dulbecco’s Modified Eagle’s Medium (D-MEM)/Nutrient Mixture F-12 Ham (1:1) (Sigma-Aldrich, St. Louis, MO, US), and stabilized antibiotic–antimycotic solution (100×) (Sigma-Aldrich, St. Louis, MO, US). When the perichondrocytes adhered and became confluent, the cells were collected using 0.05% trypsin–EDTA (1×) (Thermo Fisher Scientific, Waltham, MA, US) and expanded in a 225 cm2 flask (n = 4).
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2

Culturing Confluent Perichondrial Cells

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The confluent perichondrial cells were dissociated into single cells with 0.25%
trypsin. Next, 50,000 cells were seeded in a 100 mm dish containing Dulbecco’s
Modified Eagle’s Medium (DMEM)/F12 Ham (1:1) (Sigma-Aldrich), stabilized
antibiotic–antimycotic solution (100×) (Sigma-Aldrich), 0.2 mM ascorbic acid
2-phosphate (AA2P) (Sigma-Aldrich), 10−7 M dexamethasone
(Sigma-Aldrich), 1× ITS-X (Gibco), 5 ng/mL insulin-like growth factor (IGF)
(Sigma-Aldrich), 10 ng/mL basic fibroblast growth factor (FGF) (Wako), 10 ng/mL
platelet-derived growth factor BB (PDGF-BB) (Peprotech), and 2% FBS. The medium
was changed every other day until the cells became confluent, which occurred
between 7 and 10 days of culture (passage 1 cells).
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3

Chondrogenic Induction of 3D Spheroids

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Approximately 3000 spheroids from day 3 micro 3D culture were collected from the
micropatterned plate by gentle pipetting and transferred to a rotating wall
vessel containing 50 mL of chondrogenic induction medium. The spheroids were
kept still overnight to allow fusion, followed by rotating culture at 15 rpm.
The following week, the medium was replaced with chondrogenic induction medium
containing DMEM/F12 Ham (1:1) (Sigma-Aldrich), stabilized antibiotic–antimycotic
solution (100×) (Sigma-Aldrich), 0.2 mM AA2P (Sigma-Aldrich), 10−7 M
dexamethasone (Sigma-Aldrich), 1× ITS-X (Gibco), 5 ng/mL IGF (Sigma-Aldrich), 10
ng/mL basic FGF (Wako), 10 ng/mL PDGF-BB (Peprotech), 10 ng/nL TGFβ1
(Peprotech), 20 ng/mL bone morphogenetic protein 4 (R&D), 1% Glutamax
(Gibco), and 1% FBS. The medium was changed weekly for a total of 4 weeks.
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