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[The detection of apoptosis cells by TUNEL stain in peripheral blood smears]

K Okano1, K Yamamoto, J Ueda

  • 1School of Allied Health Sciences, Yamaguchi University, Ube.

Rinsho Byori. the Japanese Journal of Clinical Pathology
|October 8, 1999
PubMed

Insights

Optimizing fixation is crucial for accurate TUNEL staining in peripheral blood smears. A novel method using 0.4% glutaraldehyde and proteinase K effectively detects apoptotic cells, avoiding false positives and negatives.

Area of Science:

  • Cell Biology
  • Immunology
  • Histology

Background:

  • The Terminal deoxynucleotidyl transferase dUTP nick end labeling (TUNEL) stain is vital for detecting apoptosis.
  • Standard fixation protocols can lead to inaccurate TUNEL staining results in peripheral blood smears, causing false positives or negatives.

Purpose of the Study:

  • To determine optimal fixative conditions for TUNEL staining in peripheral blood smears.
  • To establish a reliable method for identifying apoptotic cells in blood samples.

Main Methods:

  • Tested various fixatives (methyl alcohol, acetone, carnoy fluid, glutaraldehyde, phosphate buffer) and conditions.
  • Utilized a murine IL-3 dependent B cell line (BAF-3) as a positive control.
  • Optimized fixation with 0.4% glutaraldehyde and 70% methyl alcohol, followed by proteinase K treatment.

Main Results:

  • Fixative intensity significantly impacted TUNEL staining results.
  • 70% methyl alcohol, acetone, or carnoy fluid caused false-positive TUNEL staining in live cells.
  • Strong fixation with high glutaraldehyde or phosphate buffer resulted in false-negative staining in denatured cells.
  • The optimized protocol (0.4% glutaraldehyde, 70% methyl alcohol, proteinase K) accurately detected apoptotic cells.

Conclusions:

  • The developed fixation protocol is highly suitable for TUNEL staining of apoptotic cells in peripheral blood smears.
  • This method improves the accuracy of apoptosis detection in blood samples.
  • The optimized TUNEL staining technique shows increased sensitivity for detecting apoptosis induced by reagents or viral infections (e.g., CMV).

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