Cell manipulation in droplets has
emerged as one of the great successes
of microfluidic technologies, with the development of single-cell
screening. However, the droplet format has also served to go beyond
single-cell studies, namely by considering the interactions between
different cells or between cells and their physical or chemical environment.
These studies pose specific challenges linked to the need for long-term
culture of adherent cells or the diverse types of measurements associated
with complex biological phenomena. Here we review the emergence of
droplet microfluidic methods for culturing cells and studying their
interactions. We begin by characterizing the quantitative aspects
that determine the ability to encapsulate cells, transport molecules,
and provide sufficient nutrients within the droplets. This is followed
by an evaluation of the biological constraints such as the control
of the biochemical environment and promoting the anchorage of adherent
cells. This first part ends with a description of measurement methods
that have been developed. The second part of the manuscript focuses
on applications of these technologies for cancer studies, immunology,
and stem cells while paying special attention to the biological relevance
of the cellular assays and providing guidelines on improving this
relevance.