Various methods exist for assessing apoptosis using flow cytometry, each with its own advantages and limitations.
One common method is
1- Annexin V staining, which detects the externalization of phosphatidylserine, a hallmark of early apoptosis.
Annexin V binds to phosphatidylserine when it is translocated to the outer surface of the cellular membrane during apoptosis. This method can differentiate between apoptotic cells (early stages of apoptosis) and necrotic cells by using fluorescently conjugated Annexin V and a vital dye such as propidium iodide, which stains necrotic cells.
2- using dyes that bind to DNA, such as Hoechst 33342 or DAPI, to identify apoptotic cells with condensed or fragmented nuclei. These dyes can be used alongside other markers, such as caspase activity assays or mitochondrial membrane potential dyes, for further identification of apoptotic cells.
One of the main characteristics of apoptosis is the activation of a family of proteases known as caspases. Caspases are key regulators of apoptosis and play an essential role in initiating and executing the apoptotic process. Flow cytometry allows for the detection and quantification of caspase activation in individual cells.
To evaluate apoptosis using flow cytometry with caspases, cells undergoing apoptosis are exposed to a fluorescently labeled caspase substrate that is cleaved by active caspases. This cleavage results in the production of fluorescent signals that can be identified and quantified via flow cytometry.
In some kits, cells are also exposed to antibodies against various active caspases that are conjugated to fluorescent dyes, enabling the identification of apoptotic cells based on the amount of staining produced by the presence or absence of active caspases. These staining methods aid in distinguishing apoptotic cells from healthy cells and provide additional information regarding the stage of apoptosis.
Furthermore, flow cytometry can be used to measure the release of cytochrome c from mitochondria, which is a primary event in the intrinsic apoptosis pathway.