Detection of apoptosis is difficult in vivo because of the rapid clearance of apoptotic cells via phagocytosis. Since the apoptotic process can occur within minutes rather than hours, it is possible that the percentage yield observed may be affected by the technique used to assess apoptosis, especially if using various time-consuming cell isolation procedures. PURPOSE: to examine the effect of blood treatment on the yield of post-exercise apoptotic leukocytes (apoptotic index: AI). METHODS: Twelve moderately trained subjects (mean±SE age=22.7±0.7yr, VO2max= 53.1±1.3ml·kg-1·min-1) performed two 40 min treadmill exercises at ∼70% VO2max: running on a level grade (L) and at −10% downhill (DH). Blood was sampled from an antecubital vein before (PRE) and immediately (POST), 2h, 24h, and 48h following each run. Samples were partitioned into two treatments: 1) whole blood smear (WB) made immediately after the sample was obtained, stained using the May Grünwald Giemsa procedure, with a minimum of 200 leukocytes evaluated under a light microscope for morphological identifcation of apoptosis, 2) leukocyte isolation (ISO) using an ammonium chloride technique and AI measured using the TUNEL assay with flow cytometry. Data were analyzed using a 2-way repeated measures ANOVA with post hoc Tukey tests. RESULTS: A significantly higher (3.2–5.6 fold) AI was found when using WB vs ISO (p< 0.05 at PRE, P<0.01 for the remaining time points). Within trial, both treatments produced the same statistical outcome following DH, i.e., AI was significantly elevated above PRE at all time points (p< 0.05 at 48h ISO, P<0.01 for the remaining time points). Following L, AI was significantly elevated above PRE at POST, 2h, and 24h using WB, but significantly elevated above PRE only at POST and 2h using ISO (p<0.01). Between trials, AI was significantly higher in DH vs L at 2h (P<0.05), 24h and 48h (P<0.01) using WB, but only at 24h (P<0.01) and 48h (P<0.05) using ISO. CONCLUSIONS: Using whole blood yielded a significantly higher leukocyte AI compared to a technique using isolated cells, perhaps due to an enhanced apoptotic response to ammonium chloride lysing and/or the amount of time needed to carry out the isolation process. Differential blood treatment also affected statistical outcomes.
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