White glass rods (Art Loco, Tokyo, Japan) commercially available for glass crafts were heated by a gas burner to produce rods of approximately 0.5 mm in diameter and 20 mm in length, with the center of the rod weakly heated and bent into a U or V shape (
Fig. 1A). The rods were then transferred to culture plates, coated with collagen (Nitta Gelatin Inc., Osaka, Japan), and transferred again to uncoated culture dishes. Next, a suspension of HCECs (i.e., 1 × 10
4 cells/mL; 5 cell lines) was added and cultured at 37°C for 20 days (
Fig. 1B). An inverted phase contrast microscope (Leica DMIRB; Leica Microsystems GmbH, Wetzlar, Germany) was then used to focus on the cells on the side of the glass rod for observation, and a video and still images of the primary cilia were obtained at room temperature. Next, cells cultured on the surface of the glass rod were fixed in 4% paraformaldehyde fixative for 15 minutes. Immunofluorescence staining was then performed using an acetylated α-tubulin antibody (66200-1-Ig mouse monoclonal antibody; Proteintech Japan Co., Ltd., Tokyo, Japan) that specifically recognizes primary cilia,
9 and fluorescence and phase contrast images were captured via the use of the Leica DMIRB. In the 30 cells in which primary cilia was found, Image J software was used to measure the length of the cilia in the captured image.