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Updated: Aug 16, 2026

Cell Cycle-specific Measurement of γH2AX and Apoptosis After Genotoxic Stress by Flow Cytometry
Published on: September 1, 2019
Cytometric assessment of DNA damage in relation to cell cycle phase and apoptosis
Xuan Huang1, H Dorota Halicka, Frank Traganos
1Brander Cancer Research Institute, New York Medical College, Valhalla, NY 10532, USA.
Abstract:
Reviewed are the methods aimed to detect DNA damage in individual cells, estimate its extent and relate it to cell cycle phase and induction of apoptosis. They include the assays that reveal DNA fragmentation during apoptosis, as well as DNA damage induced by genotoxic agents. DNA fragmentation that occurs in the course of apoptosis is detected by selective extraction of degraded DNA. DNA in chromatin of apoptotic cells shows also increased propensity to undergo denaturation. The most common assay of DNA fragmentation relies on labelling DNA strand breaks with fluorochrome-tagged deoxynucleotides. The induction of double-strand DNA breaks (DSBs) by genotoxic agents provides a signal for histone H2AX phosphorylation on Ser139; the phosphorylated H2AX is named gammaH2AX. Also, ATM-kinase is activated through its autophosphorylation on Ser1981. Immunocytochemical detection of gammaH2AX and/or ATM-Ser1981(P) are sensitive probes to reveal induction of DSBs. When used concurrently with analysis of cellular DNA content and caspase-3 activation, they allow one to correlate the extent of DNA damage with the cell cycle phase and with activation of the apoptotic pathway. The presented data reveal cell cycle phase-specific patterns of H2AX phosphorylation and ATM autophosphorylation in response to induction of DSBs by ionizing radiation, topoisomerase I and II inhibitors and carcinogens. Detection of DNA damage in tumour cells during radio- or chemotherapy may provide an early marker predictive of response to treatment.
Insights
This review covers methods to detect DNA damage and apoptosis in cells. Key techniques include labeling DNA strand breaks and detecting phosphorylated histone H2AX (gammaH2AX) and ATM-kinase, aiding in predicting cancer treatment response.
Area of Science:
- Molecular Biology
- Cell Biology
- Biochemistry
Background:
- Detecting DNA damage is crucial for understanding cell death and genotoxicity.
- Apoptosis involves DNA fragmentation, while genotoxic agents induce DNA strand breaks.
Purpose of the Study:
- To review methods for detecting DNA damage, its extent, and its relation to the cell cycle and apoptosis.
- To highlight assays for DNA fragmentation and DNA double-strand breaks (DSBs).
Main Methods:
- Selective DNA extraction to detect fragmentation during apoptosis.
- Labeling DNA strand breaks with fluorochrome-tagged deoxynucleotides.
- Immunocytochemical detection of gammaH2AX and phosphorylated ATM-Ser1981 for DSBs.
Main Results:
- DNA damage detection methods correlate DNA breaks with cell cycle phase and apoptosis.
- Cell cycle-specific patterns of H2AX and ATM phosphorylation are observed in response to genotoxic agents.
- gammaH2AX and ATM-Ser1981(P) are sensitive markers for induced DSBs.
Conclusions:
- Assays for gammaH2AX and ATM-Ser1981(P) aid in correlating DNA damage with cell cycle and apoptosis.
- DNA damage detection in tumor cells could predict response to radio- or chemotherapy.
- Understanding DNA damage response is vital for cancer treatment strategies.
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