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Updated: Jul 3, 2026

Visualizing and Quantifying Endonuclease-Based Site-Specific DNA Damage
Published on: August 21, 2021
DNA damage response and apoptosis
Dragos Plesca1, Suparna Mazumder, Alexandru Almasan
1Department of Cancer Biology, The Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Abstract:
A number of methods have been developed to examine the morphologic, biochemical, and molecular changes that happen during the DNA damage response that may ultimately lead to death of cells through various mechanisms that include apoptosis. When cells are exposed to ionizing radiation or chemical DNA-damaging agents, double-stranded DNA breaks (DSB) are generated that rapidly result in the phosphorylation of histone variant H2AX. Because phosphorylation of H2AX at Ser 139 correlates well with each DSB, phospho-H2AX is a sensitive marker to used to examine the DNA damage and its repair. Apoptotic cells are characterized on the basis of their reduced DNA content and morphologic changes, including nuclear condensation, which can be detected by flow cytometry (sub-G1 DNA content), trypan blue, or Hoechst staining. The appearance of phosphatidylserine on the plasma membrane with annexin V-fluorochrome conjugates indicates the changes in plasma membrane composition and function. By combining it with propidium iodide staining, this method can also be used to distinguish early versus late apoptotic or necrotic events. The activation of caspases is another well-known biochemical marker of apoptosis. Finally, the Bcl-2 family of proteins and the mitochondria that play a critical role in DNA damage-induced apoptosis can be examined by translocation of Bax and cytochrome c in and out of mitochondria. In this chapter, we discuss the most commonly used techniques used in our laboratory for determining the DNA damage response leading to apoptosis.
Insights
This study details methods for analyzing cellular responses to DNA damage, focusing on apoptosis. Key techniques include detecting phospho-histone H2AX, assessing morphologic changes, and examining mitochondrial pathways for DNA damage-induced cell death.
Area of Science:
- Cell Biology
- Molecular Biology
- Biochemistry
Background:
- Cellular DNA damage can trigger programmed cell death (apoptosis).
- Histone variant H2AX phosphorylation (phospho-H2AX) is a sensitive marker for DNA double-strand breaks (DSB).
- Understanding DNA damage response pathways is crucial for cell death research.
Purpose of the Study:
- To review common laboratory techniques for assessing DNA damage response and apoptosis.
- To highlight methods for evaluating morphologic, biochemical, and molecular changes during apoptosis.
- To provide a practical guide for researchers in the field.
Main Methods:
- Detection of phospho-H2AX as a marker for DSBs.
- Flow cytometry and staining (trypan blue, Hoechst) for detecting apoptotic morphologic changes (nuclear condensation, sub-G1 DNA content).
- Annexin V/propidium iodide staining for plasma membrane changes and distinguishing apoptotic/necrotic stages.
- Assessing caspase activation and mitochondrial protein translocation (Bax, cytochrome c).
Main Results:
- Phospho-H2AX serves as a reliable indicator of DNA damage.
- Multiple methods can identify and differentiate apoptotic cells.
- Caspase activation and mitochondrial dynamics are key biochemical events in apoptosis.
- Mitochondrial pathways involving Bcl-2 family proteins are critical in DNA damage-induced apoptosis.
Conclusions:
- A comprehensive set of techniques is available to study DNA damage-induced apoptosis.
- These methods allow for detailed examination of cellular responses at morphologic, biochemical, and molecular levels.
- The discussed techniques are essential for advancing research in cell death and DNA repair.
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