RNA synthesis and splicing interferes with DNA in situ end labeling techniques used to detect apoptosis

M M Kockx1, J Muhring, M W Knaapen

  • 1Department of Pathology A.Z. Middelheim, Antwerp, Belgium. mark.kockx@uia.ua.ac.be

Insights

The TUNEL technique detects DNA fragmentation, a late stage of apoptosis. However, this study shows it also labels non-apoptotic cells with active gene transcription, necessitating complementary methods for accurate apoptosis assessment.

Area of Science:

  • Cell Biology
  • Molecular Biology
  • Pathology

Background:

  • The Terminal deoxynucleotidyl transferase dUTP nick end labeling (TUNEL) technique is widely used to detect apoptosis by identifying DNA fragmentation.
  • DNA fragmentation is considered a hallmark of the late, irreversible stages of apoptosis.
  • High TUNEL labeling in certain conditions, like atherosclerotic plaques, has raised questions about its specificity.

Purpose of the Study:

  • To investigate the specificity of the TUNEL technique in detecting apoptosis.
  • To determine if non-apoptotic processes can also lead to TUNEL labeling.
  • To propose improvements for accurate apoptosis assessment in tissue sections.

Main Methods:

  • Development of a co-localization system to study TUNEL labeling.
  • Simultaneous analysis of TUNEL labeling with markers for RNA transcription and splicing.
  • Evaluation of TUNEL labeling in conjunction with morphological criteria.

Main Results:

  • The TUNEL technique labels not only apoptotic nuclei but also non-apoptotic nuclei exhibiting active gene transcription.
  • TUNEL labeling is selective rather than specific for apoptotic nuclei, as non-apoptotic cells can also show DNA fragmentation.
  • Observed TUNEL labeling in atherosclerotic plaques varied significantly, suggesting potential confounding factors.

Conclusions:

  • The TUNEL technique alone is not entirely specific for the executive phase of apoptosis.
  • Combining TUNEL with markers of transcription and morphological analysis is crucial for accurate apoptosis detection.
  • Further validation is needed to refine apoptosis assessment in complex biological samples.

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