Cell health assays for flow cytometry

(See a list of the products featured in this article.)

Cell health may not always be the first question on your mind, but the inadvertent inclusion of sick or dead cells in experiments can dramatically affect the outcomes. For instance, including dead cells in immunophenotyping analysis can distort the results, especially for rare phenotypes. Perfetto et al. (2006) showed that light-scatter gating during flow cytometry is not enough to exclude all dead cells from analysis during leukocyte immunophenotyping [1] (Figure 1). Using some of the Invitrogen LIVE/DEAD Fixable Stains listed in the “Cell viability stains” column of Table 1, they were able to efficiently exclude dead cells from analysis and, consequently, significantly increase accuracy in their assays.

We have developed an extensive array of stains and kits to assess cell health and viability. Whether the health of cells is your primary question or simply a critical factor in getting the right answers to other questions, we have a solution for you.

4 panel scatter plots showing that exclusion of dead cells eliminates staining artifacts from analysis

Figure 1. Exclusion of dead cells eliminates staining artifacts from analysis. After the application of a lymphocyte gate (A), live and dead cells were discriminated using LIVE/DEAD Fixable Violet Dead Cell Stain Kit(B). Note the significant number of dead cells despite a scatter gate. Subsequent analysis of dead cells (C) and live cells (D) shows the dramatic difference in apparent phenotypes between two cell populations. Reprinted from Perfetto SP, Chattopadhyay PK, Lamoreaux L et al. (2006), with permission from Elsevier [1].

Membrane integrity as a discriminator of live and dead cells

Individual cells are literally defined by their plasma membranes, and loss of membrane integrity is a decisive indicator of cell death. Loss of membrane integrity of cells being analyzed by flow cytometry can be easily detected with either SYTOX Dead Cell Stains or LIVE/DEAD Fixable Dead Cell Stains.

SYTOX Dead Cell Stains are excluded from cells with intact membranes but quickly diffuse into cells that have compromised membranes. Once inside, these dyes bind DNA, which produces a significant enhancement of their fluorescence; live cells remain nonfluorescent and dead cells fluoresce brightly. SYTOX stains are available to match widely available excitation sources (Table 1). These dyes are often used in a “dump channel”, with gating on the viable cells for further analysis (Figure 2). No wash step is required; in fact, SYTOX Dead Cell Stains do not bind covalently to DNA, so dye concentrations must be maintained during analysis.

The LIVE/DEAD Fixable Dead Cell Stains covalently bind available amino acids but are excluded from the cytosol of live, healthy cells. The dyes react with surface proteins of both live and dead cells, but label proteins throughout the cytoplasm of cells with compromised membranes, causing dead cells to fluoresce at least 50 times more brightly than do live cells. Because the labeling is covalent, stained cells can be fixed and permeabilized without losing the viability discrimination signal (Figure 3), making these reagents ideal if you want to fix and permeabilize samples but maintain dead-cell discrimination during subsequent analysis. LIVE/DEAD Fixable Dead Cell Stains are available to match a range of excitation sources and detection channels (Table 1).

Figure showing viable cell gating with SYTOX Dead Cell Stains


Figure 2. Viable cell gating with SYTOX Dead Cell Stains. A mixture of heat-treated and untreated human peripheral blood leucocytes (PBL) was stained with antibody conjugates and 5 nM SYTOX Red Dead Cell Stain before analysis by flow cytometry using 488 nm and 635 nm excitation. The dot plot showing cells stained for CD3 and CD8 (B) was gated on live cells exhibiting less SYTOXRed fluorescence (A).

2 panel histogram figure showing LIVE/DEAD Fixable Dead Cell Stains before and after fixation

Figure 3. Use of LIVE/DEAD Fixable Dead Cell Stains before and after fixation. The LIVE/ DEAD Fixable Aqua Dead Cell Stain Kit was used to differentially stain a mixture of live (left peak) and heat-treated Jurkat cells (right peak). Cells in (A) were not fixed; cells in (B) were fixed in 3.7% formaldehyde following staining. Samples were analyzed by flow cytometry using 405 nm excitation and ~525 nm emission.

Cell cycle analysis

As a cell progresses through the cell cycle, its total DNA content can be used to indicate which stage of the cell cycle it is in. There are two classes of our dyes available to assess cellular DNA content by flow cytometry.

The FxCycle stains, intended for cells that are fixed and permeabilized, provide fluorescence signals proportional to the DNA content of each cell in a population.

The Vybrant DyeCycle dyes offer the ability to stain for DNA content in live cells (Figure 4). VybrantDyeCycledyes are generally used with a viability stain to exclude dead cells from the analysis, but the dyes are not cytotoxic, allowing stained cells to be sorted and then cultured or assessed with functional assays after determining their cell cycle stage.

2 panel figure showing viable cell gating with Vybrant DyeCycle dyes

Figure 4. Viable cell gating with Vybrant DyeCycle dyes. Jurkat cells from an overgrown culture were stained with Vybrant DyeCycle Green Stain and then SYTOX Blue Dead Cell Stain, and analyzed by flow cytometry using 488 nm and 405 nm excitation. The histogram (B) was gated on live cells (A) and shows DNA content distribution in live cells: G0/G1 and G2/M phase peaks are separated by the S phase distribution. Inclusion of the dead cells would have produced aberrant results.

Measure growing cells by nucleoside incorporation

The growth of cells within a population can be indirectly observed by measuring modified nucleoside incorporation into newly synthesized DNA. EdU (5-ethynyl-2´-deoxyuridine) is a nucleoside analog that is incorporated into DNA during synthesis. The Click-iT EdU Flow Cytometry Assay allows detection of EdU, which contains an alkyne, by a copper-catalyzed reaction that produces a stable covalent bond between the alkyne and a fluorescent dye–labeled azide. The small size of the azide detection reagents means that the fluorescent label has efficient access to the DNA without the need for harsh cell treatment. In the past, DNA synthesis was measured by incorporating the nucleoside analog bromodeoxyuridine (BrdU) into DNA, followed by detection with an anti-BrdU antibody. Although useful in its time, that method requires DNA denaturation (using acid, heat, or DNase) to expose the BrdU to the antibody—a step that can adversely affect sample quality. The Click-iT EdU Flow Cytometry Assay eliminates the need to denature DNA, thus simplifying the assay considerably yet generating comparable results (Figure 5). Click-iT EdU labeling is compatible with fixation protocols.

Figure showing cell proliferation using the Click-iT EdU Alexa Fluor 488 Flow Cytometry Assay Kit and FxCycle Far Red Stain

Figure 5. Cell proliferation analysis using the Click-iT EdU Alexa Fluor 488 Flow Cytometry Assay Kit and FxCycle Far Red Stain. (A) Jurkat cells were treated with 10 μM EdU for one hour and stained with Alexa Fluor 488 azide according to the Click-iT EdU Alexa Fluor 488 Flow Cytometry Assay Kit’s protocol, and then analyzed by flow cytometry using 488 nm excitation; clear separation of proliferating cells (which have incorporated EdU) and nonproliferating cells is demonstrated. (B) Jurkat cells were stained with FxCycle Far Red Stain and analyzed by flow cytometry using 633 nm excitation. The histogram shows DNA content distribution, with G0/G1 and G2/M phase peaks separated by the S phase distribution. (C) Co-positive staining of cells with the Click-iT EdU and FxCycle stains provides the percentage of cells in S phase (DNA synthesis).

Monitor cell proliferation via generation analysis

The CellTrace dye family includes carboxyfluorescein diacetate succinimidyl ester (5(6)-CFDA SE, also called CFSE), which spontaneously and irreversibly couples to cellular proteins by reaction with lysine side chains and other available amines. When cells divide, CFSE labeling is distributed equally between the daughter cells, and each successive generation in a population of proliferating cells is marked by a halving of cellular fluorescence intensity (Figure 6). Eight to ten successive generations have been identified this way [2,3]. It is also possible to perform multiplex analysis of CFSE and other probes to correlate cell division status with other cellular function markers [2,4,5]. CellTrace Violet and CellTrace Far Red DDAO-SE dyes provide the same cell generation–marking capability, but have emission maxima of 450 nm and 655 nm, respectively, leaving the green detection channel available for measuring GFP, fluorescein, or other green-fluorescent probes.

Cell proliferation analysis with the  ellTrace CFSE Cell Proliferation Kit

Figure 6. Cell proliferation analysis. Human peripheral blood lymphocytes were harvested and stained with CellTrace CFSE Cell Proliferation Kit on day 0. A portion of the population was arrested at the parent generation using mito­mycin C (red peak); the remainder was stimulated with phytohemagglutinin and allowed to proliferate for 5 days. Solid green peaks represent successive generations.

Keep track of apoptosis

Apoptosis can be detected by flow cytometry in several ways, and we highlight two approaches here. Caspases are a family of enzymes that play key roles in initiating and effecting apoptosis, and activation of caspase enzymes is a distinctive feature of the early stages of apoptosis. We provides a variety of caspase assays for flow cytometry, including the new CellEvent Caspase-3/7 Green Flow Cytometry Assay Kit, which detects caspase activity with a substrate that, after being cleaved by caspase-3 or caspase-7, binds to DNA and becomes brightly fluorescent (Figure 7).

Another hallmark of apoptosis is the translocation of phosphatidylserine (PS) from the cytoplasmic surface of cell membranes, where it normally resides, to the external surface of cells. We offer a number of flow cytometry–optimized kits that use fluorescently labeled annexin V, a PS-binding protein, to detect PS on the surfaces of cells undergoing apoptosis. Three of those kits are featured in Table 1.

2 panel scatterplot figure showing detection of caspase activity in Jurkat cells using the CellEvent Caspase-3/7 Green Flow Cytometry Assay Kit

Figure 7. Detection of caspase activity in Jurkat cells using the CellEvent Caspase-3/7 Green Flow Cytometry Assay Kit. Jurkat cells (human T cell leukemia) were treated with (A) DMSO or (B) 10 µM camptothecin for 3 hr before labeling with the CellEvent Caspase-3/7 Green Flow Cytometry Assay Kit. Stained samples were analyzed on the Attune Acoustic Focusing Cytometer equipped with a 488 nm laser, and fluorescence emission was collected using a 530/30 bandpass filter for the CellEvent reagent and a 690/50 bandpass filter for the SYTOX AADvanced stain (also provided in the kit). Note that treated cells have a higher percentage of apoptotic cells (B) than the basal level of apoptosis seen in the control cells (A). A, apoptotic cells; N, necrotic cells; V, viable cells.

Identify stressed cells

Cells that are environmentally stressed usually contain greatly increased levels of reactive oxygen species (ROS). Invitrogen CellROX reagents are fluorogenic probes developed for the detection and quantitation of ROS in live cells. These cell-permeant reagents are nonfluorescent or very weakly fluorescent in the reduced state; however, when oxidized, they become brightly fluorescent and remain localized within the cell. We offer CellROX Green, CellROX Orange, and CellROX Deep Red Assay Kits validated for flow cytometry. Read more in the article "Oxidative stress from a cell’s point of view".

Table 1. Spectral characteristics of Invitrogen flow cytometry reagents for viability and vitality measurements.

Emission colorCell viability stainsCell cycle dyes
 SYTOXDead Cell StainsLIVE/DEAD Fixable Dead Cell StainsFxCycleStainsVybrantDyeCycleStains
Excitation: 405 nm laser line
BlueS34857L34955 (Violet Cell Stain)F10347 (Violet Stain)V35003 (Violet Stain)
Green L34957 (Aqua Cell Stain)  
Orange L34959 (Yellow Cell Stain)  
Excitation: 488 nm laser line
GreenS34860L23101 V35004
OrangeS34861  V35005
Red L23102F10797 (PI/RNase Stain) 
Far redS10349 (AADvanced Cell Stain)   
Excitation: 633 nm or 635 nm laser line
Far redS34859 (Red Cell Stain)L10120F10348V10309 (Ruby Stain)
Near IR L10119  

Emission colorCell proliferation assaysApoptosis probesOxidative stress probes
 Click-iTEdU AssaysCellTraceCell Proliferation KitsCellEventCaspase-3/7 Assay*Annexin V–Based Apoptosis AssaysCellROXKits*
Excitation: 405 nm laser line
BlueC10418 (with Pacific Blue azide)C34557 (Violet Stain) A35136 (with Pacific Blue annexin) 
Excitation: 488 nm laser line
GreenC10425 (with Alexa Fluor 488 azide)C34554 (with CFSE)C10427V13241 (with Alexa Fluor 488 annexin)C10492
Orange    C10493
Excitation: 633 nm or 635 nm laser line
Far redC10424 (with Alexa Fluor 647 azide)C34553 (with DDAO-SE) V35113 (with APC annexin)C10491
*Recently released products.

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