Two optimized combination assays to examine apoptosis pathways in clinical samples

Mark Hollier1, Toni Whistler, Carolyn Dawson

  • 1Chronic Viral Diseases Branch, Division of Viral and Rickettsial Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30329, USA.

Abstract

Insights

This study developed a combined assay to measure key apoptosis stages in clinical blood samples. The optimized method efficiently analyzes apoptotic cells and affected blood cell subsets from limited samples.

Area of Science:

  • Biochemistry
  • Cell Biology
  • Immunology

Background:

  • Apoptosis (programmed cell death) is frequently altered in various diseases.
  • Existing assays for apoptosis are not comprehensive, necessitating multiple tests.
  • This limitation is particularly challenging for clinical studies with scarce cell samples.

Purpose of the Study:

  • To develop and optimize a combined assay for assessing multiple apoptosis stages.
  • To enable analysis of apoptosis in limited clinical blood samples.

Main Methods:

  • Developed two flow cytometry-based assays for peripheral blood mononuclear cells (PBMC).
  • Assays measure caspase-12 activity, active caspase-3, DNA fragmentation, mitochondrial depolarization, and phosphatidylserine externalization.
  • Validated apoptosis detection using ELISA.

Main Results:

  • Optimized assays for typical clinical blood sample volumes and cell counts.
  • The combined assays successfully differentiated apoptotic from non-apoptotic blood cells.
  • Identified affected blood cell subsets within the samples.

Conclusions:

  • A novel, combined two-assay method allows simultaneous assessment of major apoptosis pathways.
  • This approach is suitable for analyzing apoptosis in clinical blood samples, even with limited cell numbers.
  • Facilitates the study of apoptosis in relation to specific blood cell populations.