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Oxygen (O 2 ) tension plays a key role in tissue function and pathophysiology. O 2 -controlled cell culture, in which the O 2 concentration in an incubator's gas phase is controlled, is an indispensable tool to study the role of O 2 in vivo . For this technique, it is presumed that the incubator setpoint is equal to the O 2 tension that cells experience ( i.e ., pericellular O 2 ). We discovered that physioxic (5% O 2 ) and hypoxic (1% O 2 ) setpoints regularly induce anoxic (0.0% O 2 ) pericellular tensions in both adherent and suspension cell cultures. Electron transport chain inhibition ablates this effect, indicating that cellular O 2 consumption is the driving factor. RNA-seq revealed that primary human hepatocytes cultured in physioxia experience ischemia-reperfusion injury due to anoxic exposure followed by rapid reoxygenation. To better understand the relationship between incubator gas phase and pericellular O 2 tensions, we developed a reaction-diffusion model that predicts pericellular O 2 tension a priori . This model revealed that the effect of cellular O 2 consumption is greatest in smaller volume culture vessels ( e.g., 96-well plate). By controlling pericellular O 2 tension in cell culture, we discovered that MCF7 cells have stronger glycolytic and glutamine metabolism responses in anoxia vs . hypoxia. MCF7 also expressed higher levels of HIF2A , CD73 , NDUFA4L2 , etc . and lower levels of HIF1A , CA9 , VEGFA, etc . in response to hypoxia vs . anoxia. Proteomics revealed that 4T1 cells had an upregulated epithelial-to-mesenchymal transition (EMT) response and downregulated reactive oxygen species (ROS) management, glycolysis, and fatty acid metabolism pathways in hypoxia vs . anoxia. Collectively, these results reveal that breast cancer cells respond non-monotonically to low O 2 , suggesting that anoxic cell culture is not suitable to model hypoxia. We demonstrate that controlling atmospheric O 2 tension in cell culture incubators is insufficient to control O 2 in cell culture and introduce the concept of pericellular O 2 -controlled cell culture ., Competing Interests: Competing Interests The authors declare no conflicts of interest.

Hypoxia, an important feature of solid tumors, is a major factor shaping the immune landscape, and several cancer models have been developed to emulate hypoxic tumors. However, to date, they still have several limitations, such as the lack of reproducibility, inadequate biophysical cues, limited immune cell infiltration, and poor oxygen (O 2 ) control, leading to non-pathophysiological tumor responses. As a result, it is essential to develop new and improved cancer models that mimic key features of the tumor extracellular matrix and recreate tumor-associated hypoxia while allowing cell infiltration and cancer-immune cell interactions. Herein, hypoxia-inducing cryogels (HICs) have been engineered using hyaluronic acid (HA) as macroporous scaffolds to fabricate three-dimensional microtissues and model a hypoxic tumor microenvironment. Specifically, tumor cell-laden HICs have been designed to deplete O 2 locally and induce long-standing hypoxia. This state of low oxygen tension, leading to HIF-1α stabilization in tumor cells, resulted in changes in hypoxia-responsive gene expression and phenotype, a metabolic adaptation to anaerobic glycolysis, and chemotherapy resistance. Additionally, HIC-supported tumor models induced dendritic cell (DC) inhibition, revealing a phenotypic change in plasmacytoid B220 + DC (pDC) subset and an impaired conventional B220 - DC (cDC) response in hypoxia. Lastly, our HIC-based melanoma model induced CD8+ T cell inhibition, a condition associated with the downregulation of pro-inflammatory cytokine secretion, increased expression of immunomodulatory factors, and decreased degranulation and cytotoxic capacity of T cells. Overall, these data suggest that HICs can be used as a tool to model solid-like tumor microenvironments and identify a phenotypic transition from cDC to pDC in hypoxia and the key contribution of HA in retaining cDC phenotype and inducing their hypoxia-mediated immunosuppression. This technology has great potential to deepen our understanding of the complex relationships between cancer and immune cells in low O 2 conditions and may pave the way for developing more effective therapies.