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Updated: Jul 30, 2026

Modified Annexin V/Propidium Iodide Apoptosis Assay For Accurate Assessment of Cell Death
Published on: April 24, 2011
Annexin V binds to positively selected B cells.
S R Dillon1, A Constantinescu, M S Schlissel
1Department of Medicine, Division of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA.
Recombinant annexin V (rAnV) binding to viable B cells indicates B cell receptor selection, not apoptosis. This membrane change occurs during B cell development and maturation in mice.
Area of Science:
- Immunology
- Cell Biology
- Biochemistry
Background:
- Recombinant annexin V (rAnV) typically identifies apoptotic cells by binding externalized phosphatidylserine.
- A large fraction of B cells in murine bone marrow (BM) bind rAnV but are not apoptotic.
Purpose of the Study:
- To investigate the unexpected binding of rAnV to viable B cells.
- To determine the relationship between rAnV binding and B cell development and selection.
Main Methods:
- Flow cytometry using fluorescently labeled rAnV on murine bone marrow cells.
- Coculture of BM B cells with BM stromal cell lines.
Main Results:
- rAnV binding in developing B cells correlates with B cell receptor (BCR)-dependent selection events in B-1 and B-2 subsets.
- Nearly all B-1 B cells and splenic marginal zone B cells bind rAnV, indicating phosphatidylserine externalization upon BCR-mediated signaling.
- Viable T cells in normal or TCR transgenic mice did not show parallel rAnV binding.
- BM stromal cells influence rAnV binding by viable BM B cells in vitro.
Conclusions:
- rAnV detects a membrane alteration in developing and mature B cells associated with BCR selection.
- This membrane change is specific to B cells and not observed in viable T cells.
- Stromal cell interactions play a role in modulating this B cell membrane alteration.
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