Where resistance is inversely proportional28 (link) to the effective area of the semipermeable membrane (MAREA) which is reported in units of cm2.
TEER values are typically28 (link)-29 reported (TEERREPORTED) in units of Ω.cm2 and calculated as:
The TEER readings with EVOM2 are highly dependent on the electrode positions and a careful handling of the electrodes is required while introducing them into the well under test to avoid any disturbance to the cells. The uniformity of the current density generated by the electrodes across the cell layer has a significant effect on the TEER measurements. The STX2/chopstick electrode cannot deliver a uniform current density over a relatively large membrane,27 such as the ones used in 24 mm diameter tissue culture inserts, and leads to an overestimation of the TEER value. As an alternative to STX2/chopstick electrodes, an EndOhm chamber30 which allows the cups from culture wells to be inserted can be used. In an EndOhm chamber, both the chamber and the cap contain a pair of concentric electrodes: a voltage-sensing silver/silver chloride pellet in the center plus an annular current electrode. The symmetrical arrangement of circular disc electrodes on both sides of the membrane in an EndOhm chamber generates a more uniform current density across the membrane when compared to STX2/chopstick electrodes. Also, with Endohm's fixed electrode geometry, variation of measurements on a given sample is reduced30 to 1-2 Ω when compared to 10-30 Ω with STX2 electrodes. Apart from the EVOM/STX2/EndOhm systems, a few of the other commercial systems available for TEER measurements include Electric Cell-Substrate Impedance Sensing (ECIS)31 (link) (Applied BioPhysics Inc., Troy, NY), REMS AutoSampler (World Precision Instruments, Sarasota, FL), Millicell-ERS system10 (link), 32 (link) (Millipore Corp., Bedford, USA) and Ussing Chamber Systems33 (link) (Warner Instruments, Hamden, CT).