Cell–cell interactions are essential for the proper
functioning
of multicellular organisms. For example, T cells interact with antigen-presenting
cells (APCs) through specific T-cell receptor (TCR)–antigen
interactions during an immune response. Fluorescence-activated droplet
sorting (FADS) is a high-throughput technique for efficiently screening
cellular interaction events. Unfortunately, current droplet sorting
instruments have significant limitations, most notably related to
analytical throughput and complex operation. In contrast, commercial
fluorescence-activated cell sorters offer superior speed, sensitivity,
and multiplexing capabilities, although their use as droplet sorters
is poorly defined and underutilized. Herein, we present a universally
applicable and simple-to-implement workflow for generating double
emulsions and performing multicolor cell sorting using a commercial
FACS instrument. This workflow achieves a double emulsion detection
rate exceeding 90%, enabling multicellular encapsulation and high-throughput
immune cell activation sorting for the first time. We anticipate that
the presented droplet sorting strategy will benefit cell biology laboratories
by providing access to an advanced microfluidic toolbox with minimal
effort and cost investment.