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Comprehensive Analysis of Drug Response using the FLICK Assay
Gavin A Birdsall1, Michael J Lee2
1Department of Systems Biology, UMass Chan Medical School.
Journal of Visualized Experiments : Jove
|June 23, 2025
Summary
Quantifying drug-induced cell death is complex due to diverse mechanisms. The FLICK assay accurately measures total cell death and proliferation, overcoming limitations of traditional methods for drug efficacy studies.
Area of Science:
- Cell Biology
- Pharmacology
- Biochemistry
Background:
- Accurate quantification of drug-induced cell death is crucial for understanding drug efficacy.
- Existing methods face challenges due to the diversity of regulated cell death pathways and transient hallmark features.
- Many assays neglect the impact of drugs on cell proliferation, complicating data interpretation.
Purpose of the Study:
- To introduce and detail the FLICK assay for quantifying drug-induced cell death.
- To provide guidance on troubleshooting the FLICK assay across various biological materials.
- To demonstrate the utility of the FLICK assay in assessing contributions of distinct cell death types to drug responses.
Main Methods:
- The FLICK assay measures total cell death independent of specific death pathway activation.
- This method simultaneously quantifies cell death levels and population size/proliferation rates.
- The manuscript details the assay's application and troubleshooting for diverse biological samples.
Main Results:
- The FLICK assay offers a robust method for measuring total cell death.
- It provides insights into cell proliferation dynamics alongside cell death quantification.
- The assay enables the deconvolution of contributions from different cell death subtypes.
Conclusions:
- The FLICK assay is a versatile tool for comprehensive analysis of drug-induced cell death.
- It addresses key limitations of conventional assays, improving the assessment of drug efficacy.
- This method enhances the understanding of cell death mechanisms and their role in drug response.

