Apoptosis is characterized by morphological, nuclear and mitochondrial alterations easily detected by flow cytometry. The loss of membrane integrity can be detected by the incorporation of fluorescent DNA dyes such as Ethidium Bromide or 7-Amino Actinomycin D. Phosphatidyl serine exposure to the outer layer of the plasma membrane of apoptotic cells can be evidenced by the Annexin-V fixation. Nuclear modifications such as chromatin condensation induce a decreased incorporation of intercalative DNA dyes (AO, PI), and the internucleosomal DNA fragmentation can be detected by in situ nick translation (ISNT). The expression of the mitochondrial protein 7A6 is detected by the antibody Apo2.7, and structural and functionnal alterations of mitochondria can be analyzed using dyes NAO and DiOC 6(3). In the present article we applied these tests on murine thymocytes, human peripheral lymphocytes and tumor cell lines. We describe a multiparametric analysis including phenotyping of extra- and intra-cellular antigens on apoptotic cells. Finally, we propose strategies to analyse complex populations such as human mononuclear cells.
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