(A) Schematic overview of the epidermal spheroid formation assay. NHKc were isolated from (a) fresh neonatal foreskin explants and (b) cultivated in 100-mm dishes, then passaged into (c) 96-well round-bottomed plates coated with a polymerized mixture of agarose and KSFM-scm. Seeded cells then generate single suspension cultures of reproducibly sized spheroids in each well. (B) 2 × 104 NHKc cultured in stem cell media were seeded onto soft agarose cushions coating individual wells of a 96-well plate. The ability for spheroid formation was assessed over the course of 144 h. Aggregation of NHKc suspensions from (left) spheroid non-forming (NF-NHKc) and (right) spheroid-forming (SF-NHKc) isolates occurred in 3-D suspension. (Bottom) 3-D cell suspensions were then transferred to 2-D monolayer culture after 48 h. Purple circle demarks propagating spheroid-derived cells captured by Nikon TMS phase microscope using Infinity 1 Analyze Software. (C) Expression levels of (Left) involucrin and (Right) EGF receptor (EGFR) mRNA, in NF-NHKc and SF-NHKc cells after 72 h in suspension culture as determined by reverse transcriptase real-time PCR relative to monolayer mass cultures. Dotted lines represent mRNA expression levels in monolayer mass cultures. (Bottom) amplicon products of each real time PCR reaction was run on a 2% agarose gel and observed by ethidium bromide staining. Data were normalized to GAPDH mRNA levels expression. Bars indicate standard deviation, and *, **, and *** indicate statistically significant P values ≤ 0.05, 0.01 and 0.001, respectively. (D) 3-D suspension cultures of NHKc isolated from (left) adult skin and (right) neonatal skin and (E) their respective spheroid forming efficiencies.