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A cautionary note on the use of the TUNEL stain to determine apoptosis

C Charriaut-Marlangue1, Y Ben-Ari

  • 1Université R. Descartes, INSERM U 29, Paris, France.

Neuroreport
|December 29, 1995
PubMed

Insights

The TUNEL assay detects DNA breaks, commonly used for apoptosis. However, this study shows a positive TUNEL reaction can also indicate necrotic cell death, not just apoptosis.

Area of Science:

  • Cell Biology
  • Molecular Biology
  • Pathology

Background:

  • The terminal deoxyribonucleotidyl transferase (TdT)-mediated biotin-16-dUTP nick-end labelling (TUNEL) assay is widely used to detect DNA fragmentation in situ, a hallmark of apoptosis.
  • While physiological cell death is often attributed to apoptosis and pathological cell death to necrosis, distinguishing between these processes can be challenging.
  • Previous research has provided evidence for apoptosis in conditions like ischemia and epilepsy using various techniques, including DNA gel electrophoresis, microscopy, and in situ DNA-break labeling.

Purpose of the Study:

  • To evaluate the specificity of the TUNEL assay in distinguishing between apoptosis and necrosis.
  • To investigate whether a positive TUNEL assay reaction is exclusively indicative of apoptosis.

Main Methods:

  • Utilized the terminal deoxyribonucleotidyl transferase (TdT)-mediated biotin-16-dUTP nick-end labelling (TUNEL) assay for in situ detection of DNA fragmentation.
  • Correlated TUNEL assay results with light microscopy observations, specifically focusing on chromatin condensation and apoptotic bodies.
  • Reviewed existing literature on apoptosis and necrosis detection methods.

Main Results:

  • A positive TUNEL assay reaction indicates the presence of DNA breaks.
  • However, the study found that a positive TUNEL assay is not a specific marker solely for apoptosis.
  • Necrotic cell death can also result in DNA fragmentation detectable by the TUNEL assay.

Conclusions:

  • The TUNEL assay detects DNA strand breaks, which occur in both apoptosis and necrosis.
  • Therefore, a positive TUNEL assay result should not be exclusively interpreted as evidence of apoptosis.
  • Further investigation, including high-magnification light microscopy, is necessary to differentiate between apoptotic and necrotic cell death when using the TUNEL assay.

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