Adapting the OpenFlexure Microscope for Affordable Live-Cell Imaging

Abstract Live-cell imaging (LCI) captures dynamic cellular behaviours missed in fixed samples. Researchers in resource-limited settings are underrepresented in the adoption of LCI due to the prohibitive cost of dedicated systems. We adapted the 3D-printed OpenFlexure Microscope (OFM) for LCI in humid tissue culture incubators. We relocated electronics to prevent corrosion, and printed in acrylonitrile styrene acrylate (ASA) to improve image stability in prolonged experiments. Current-limiting resistors reduced heat buildup inside sealed incubators, while our simple graphical user interface (GUI)-based application enabled rapid setup of timelapse experiments. Using a 48-hour docetaxel treatment of breast cancer cells, we validated how the LCI-OFM seamlessly fits into established bioimaging pipelines to generate biologically meaningful data. We further demonstrated broad applicability of the LCI-OFM by imaging Leishmania -infected macrophages in a containment level 3 laboratory and gut fungi in an anaerobic environment. This accessible platform expands opportunities for resource-limited researchers to study locally-relevant health challenges.