Apoptosis assay in cell lines



Introduction to apoptosis assays in cell lines:

The word apoptosis is a Cellular suicide or programmed cell death, by biochemical events which leads to cell changes in morphology causing cell death. Apoptosis is morphologically characterized by cytoplasmic shrinkage, nuclear compaction of chromatin, formation of membrane bounded apoptotic bodies, and engulfment of cell by phagosomes.
Apoptosis assays involves the “assessment of apoptosis”. The standard method of identification and quantification is the morphological assessment and biochemically, apoptosis is characterized by formation of fragments in genome and degradation and cleavage in many cellular proteins.
The cell lines are the cell cultures which are permanently established and proliferate indefinitely by giving appropriate space and fresh medium. These cell lines are important to study pathophysiological, physiological and differentiation process of specific cells. It will allow us to examine the stepwise alteration of biology, structure and genetic makeup of the cell under controlled environment. Cell lines also undergoes apoptosis and in this subject we will discuss about apoptosis assays in cell lines, so before going towards apoptosis analysis, apoptosis mechanisms should take into consideration.

Apoptotic pathway

General Apoptotic pathway



Mechanisms of apoptosis:


The proteolysis of almost 400 proteins by caspases (cysteine-aspartate proteases) initiates cell death during apoptosis. Extrinsic and intrinsic cell death pathways activate the caspases.

1    Intrinsic cell death pathway:

The intrinsic cell death pathway is also known as ‘‘mitochondrial dependent cell death’’. This pathway is stimulated by stimulus like stress or damage which may lead the cell to apoptosis which include damage in its DNA, oxygen deprivation and other stresses which impaired cell’s ability to function. During these response to stress and damage cell decides that its continuous existence may be dangerous to other organisms as a whole so, it activates a set of proteins ‘Bcl-2 protein family’ which is involved in regulated apoptotic cell death consisting of anti-apoptotic and pro-apoptotic members. The anti-apoptotic complex ‘Bcl-2 and B-XL’ prevent apoptosis by sequestering of cell death driving cysteine proteases called caspases, or by preventing the release of mitochondrial apoptotic factor such as “cytochrome c and AIF( apoptosis inducing factors) into the cytoplasm. By entering the cytoplasm, cytochrome c and AIF directly activate caspases which cleave set of cellular proteins and cause apoptosis.
In contrast, the pro-apoptotic members of this family “Bax and Bak” initiate the release of caspases which in turn cause the increase in permeability of mitochondrial membrane and cause cell death. So, the Bcl-2 protein family acts as “life-death” decision point in the common apoptotic pathway. The key step involves the intrinsic cell death pathway is actually the permeabilization of the outer mitochondrial membrane, after which the cells are committed to death.
The caspase 8 activated during extrinsic cell death path make the bid protein into activated bid protein which involves in the mitochondrial cell death pathway by releasing the cytochrome c and AIF from inner mitochondrial membrane into cytosol. The cytochrome c interact with Apaf-1 and procaspase 9 and make it an activated apoptosome. This apoptosomes in turn convert the procaspase 3 to activated caspase 3, which transform the apoptotic factor into activated apoptotic factor which initiates the apoptosis in the cell through intrinsic pathway.



1   Extrinsic cell death pathway:
Activation of  extrinsic cell death pathway occurs by following the binding of ligand fas and tumer necrosis factors-a (TNF) on the cell surface of “death receptors” .These death receptors recruit the adaptor molecules such as FADD and procaspase 8 which is activated into caspase which then activate caspase 3 and caspase 7, leading to apoptosis.

Apoptotic pathway of cell death

Intrinsic and extrinsic apoptotic pathway of cell death

Methods and techniques used in apoptosis assay:
  •         Loss of membrane asymmetry.
  •          Apoptosis related proteases: caspases.
  •          Mitochondrial transmembrane potential (ΔΨm).
  •          Cytochrome c release.
  •          Nuclear condensation, DNA fragmentation and increase of subG1 population.
  •          Nuclear cell membrane blebbing.
    Parameters of apoptosis

Parameters of apoptosis

1.     Loss of membrane asymmetry:

Loss of membrane symmetry is the early sign of apoptosis which involves the embedding of phosphatidylserine(PS) in membrane which is now externalize and signal the phagocytosis.

Annexin V apoptotic assay:

Annexin V is the placental protein in humans which binds with the PS in the presence of calcium. The flourochrome-conjugated annexin V is the most commonly used tool to detect and quantify the PS exposure and indicate membrane asymmetry. Normally the binding of annexin V is paired with the cell viability reagent propidium iodide (PI) which is normally not able to penetrate plasma membrane and can differentiate between apoptotic and necrotic cells.
Flow cytometry or fluorescence microscopy techniques can be used to detect the binding of flourochrome-conjugated annexin V with PS. The quick and accurate quantification of cells could be done most successfully by flow cytometry and flourecence microscopy will allow the visualization of apoptotic events in cell lines.
    Membrane asymmetry detection by annexin V assay
    2.    Caspase activity determination:
The caspase family is a group of cysteine proteases which plays a role in apoptosis. The mammalian caspases are subdivided into three subgroups:
  • Initiator caspases (2, 8, 9 and 10) which initiate the apoptosis signals.
  • Executioner caspases (3, 6 and 7) which carry out the mass proteolysis and moves towards the apoptosis.
  • Inflammatory caspases(1, 4, 5, 11 and 12) not involves in apoptosis but in inflammatory cytokines signaling.

Initially synthesized pro-caspases become activated after cleavage and show response to granzyme B, death receptor, and apoptosome stimuli. Caspases then cleave many substrate including nuclear protein, downstream caspases, plasma membrane proteins, mitochondria proteins and ultimately leading to cell death.

Caspase activation detection:

Sample type
Detection method
Best to use when you want to
Live cells (adherent or suspention)
Flow cytometry
Quickly quantify and detect how many cells possess active caspase using specific substrate.
Fixed cells(adherent or suspension)
Fluorescence microscopy



Flow cytometry
Detect cells having active caspase and visualize the other proteins at the same time.
Quickly quantify and detect how many cells possess active caspase using specific antibody.
Cells or tissue lysate( fresh or frozen)
Western           Blot


Absorbance/ Fluorescence Assay
Detect caspase in cleave form and pro-caspase using specific antibody.
Quickly detect caspase activation in cell population using specific substrate.
Detect caspase activation using specific antibody against the active form.

Tissue sections (frozen            or         paraffin)
IHC
Detect caspase activation using specific antibody in descript cell in heterogeneous tissue.
Caspase activation detection



3.     Mitochondrial trans-membrane potential (ΔΨm):
One of the distinctive features to characterize apoptosis is the disruption of mitochondrial membrane function, specially the change in membrane potential. Membrane potential is critical for maintaining the normal physiological functioning of the respiratory chain and production of ATP. Opening the mitochondrial permeability transition pore (MPTP) leads to change in membrane potential and cause the release of the cytochrome c.
Mitochondrial membrane potential is detected by cationic (positively charged) fluorescent dye that is accumulated in negatively charged mitochondrial matrix. The amount of dye accumulation is inverse proportion to the membrane potential: means more negative membrane potential more dye will accumulate, so we say that the healthy cell contain more dye than then apoptotic cells.
These dyes are used qualitatively in fluorescence microscopy and quantitatively in flow cytometry or micro plate spectrophotometry. The mitochondrial membrane potential probes are also available.

Probe
Healthy/apoptotic cell
Best to use for
TMRE(Tetramethylrodamine, ethyl ester) cationic red orange dye which readily accumulate in healthy mitochondria, depolarized mitochondria have less membrane potential an unable to sequester TMRE.
Healthy cell: bright orange fluorescence.

Apoptotic cell: weak orange fluorescence.
Immunofluorescence staining and time-lapse fluorescence microscopy.
JC-1:   Cationic           green-red       dye which determine potential dependent
Accumulation in mitochondria. Decrease in mitochondrial depolarization is indicated by decreased red/green fluorescent intensity ratio.
Healthy cell: red


Apoptotic cell: green
Micro plate spectrophotometry or Flow cytometry . Ideal for comparative measurements.
JC-10:             a derivative            of
JC-1, have increased solubility in aqueous media and have the ability to detect subtler changes in mitochondrial membrane potential loss.
Healthy cell; orange fluorescence.


Apoptotic cell: green.
Flow cytometry or microplate spectrophotometry. Ideal for comparative measurements.
MitoOrange dye and Mito NIR dye: cationic dye, in normal cell fluorescence intensity increase when dye accumulate in normal cell, while the intensity decrease in apoptotic cell following collapse in membrane potential.
Healthy cells: red or near infrared(NIR)  fluorescence.

Apoptotic cell:
weak    fluorescence.
Microplate spectrophotometry or flow cytometry.
Multiparametric study of apoptosis.



 trans-membrane potential and cytochrome Release
Change in trans-membrane potential causing cytochrome release
4.     Cytochrome c release:
The change in membrane potential of mitochondria is fairly a catastrophic event which leads to the opening of mitochondrial permeability transition pore in membrane and cause the subsequent release of the cytochrome c into cytosol which triggers the downstream event in apoptotic cascades. When the cytochrome once released into cytosol the cell is reached to “point of no return” from where it is impossible for cell to recover from apoptosis and death is most likely to occur.
The most common technique which is used to detect the release of cytochrome c is through western blot on protein which is extracted from different sub cellular compartments. It is important to make sure that the subcellular fractions we are going through are not contaminated by other fractions. The reliable sub cellular markers are:
·         Cytoplasmic   markers:           GAPDH, actin
·         Mitochondrial markers:           VDAC1,         PDH-E1

5. Nuclear condensation, DNA fragmentation and increase  of subG1 population:
Chromatin condensation:
Chromatin condensation, DNA fragmentation, with cell membrane blebbing is the morphological indicator of terminal stages of apoptosis. During the process of apoptosis the chromatin material undergoes from a heterogeneous genetically active form to highly condense inert form. After staining with DNA-binding nuclear dye, the compacted DNA will be stained brightly than the active non-apoptotic cell having active genome. The detection of condensed nuclei can be done qualitatively through fluorescence microscopy and quantitatively through flow cytometry.
Genomic DNA fragmentation detection through Agarose gel electrophoresis and TUNEL assay:
The condensed DNA can be fragmented by specific nucleases Caspase Activated DNAases (CAD). These enzymes activated through caspase cascade leads to cleavage of DNA at internucleosomal linker sites in the nucleosomes and generate fragments of ~200 base pair known as ladder.The classical method for detection of the genome fragments is on the agarose gel. Agarose gel electrophoresis is an semi quantitative method that provide us a robust answer.   

DNA fragmentation detection through TUNEL assay
The most commonly used assay for fluorescent microscopy and flow cytometry is the TUNEL assay is an alternative method to detect the DNA fragmentation which involves the identification of nicks by this assay. The TdT DUTP nick and labeling technique is mainly based upon the ability of terminal deoxynucleotidyl transfersae (TdT) to end labeling of nicks in DNA brought about by the caspase activated deopxyribonuleases. TdT is the enzyme which have the ability for labeling 3’ blunt end of double stranded DNA with deoxyuridine.

Increase of subG1 population:

The increase in the number of the cells which are stalled at G1 is also the consequence of the DNA fragmentation, and is readily detected with flow cytometer. When we permeabilize the cells with 70% ethanol the DNA will leak out leaving the cell population with reduced DNA content. When we stain the cells with DNA staining dye like PI, the DNA profiling by flow 

cytometry show the DNA at different cell stages (G1, S, G2 and M).We can easily identify the apoptotic cells as the subG1   population       seen     to         the       left       of         the       G1 peak. So the G2 includes the entire dead cell in the population irrespective of the type of the cell. So, this Para meter also helpful in apoptotic detection.

6. Nuclear cell membrane blebbing:

Cell blebbing and contraction along with fragmentation is the best indicator of the apoptosis in cell. It occurs mainly because of the cytoskeleton breakage causing the membrane bulge outward. This bulge eventually separated from the cell taking the part of the cytoplasm and is now known as the apoptotic bodies. Phase-contrast microscopy can be used to detect the membrane blebbing. However this is an indirect method and may give you false positive or negative response.
Why we use apoptotic assays?
Apoptosis or programmed cell death is a normal or natural process in normal cells to maintain homeostasis in the cell lines, organs and tissue, in vitro or inside the body. Apoptotic assay is actually the analysis, assessment, test or checks to determine the programmed cell death by various signaling pathway, so we use different analysis techniques and method to understand and evaluate the process of apoptosis. Different type of assay are used to determine the apoptotic cell at different level of apoptosis and helpful to understand the normal cell processes undergoing inside the cells, and any deviation from the normal processes during cell lines.
The pros and cons of apoptosis assays:
The apoptosis assays are used widely nowadays to examine the cells deviating from normal mechanics of development and going towards programmed cell death.We use many type of assays to determine the different morphological and biochemical changes in the normal cell during apoptosis. These assays are useful in many ways and may be some time taken wrong like only carrying out a single assay to determine the apoptosis is not enough, because it may misguide the observer so we should take the more than one assay at a time to determine the apoptosis and meat the level of accuracy and avoid the confusion between apoptosis and necrosis.And most importantly the selection of the best assay is possible only by knowing the strengths and limitation of the assay being used and it may eliminate all the limitations.

Summary:
In a nutshell, apoptosis is the natural processes going out in the cells and tissues of living organisms and is mainly related to homeostatic maintained inside the body when the cells are going through the stress or diseased conditions the internal signaling pathway itself make the cell to pass through the death, so we should have an idea that homeostasis is not a passive process but is actively maintained through apoptosis. During cell death pathway cell undergoes through many indications like DNA fragmentation, membrane blabbing, mitochondrial potential change (ΔΨm), and each of the changes which the cell undergo are detected by different analysis techniques called apoptotic assays. The most useful assay is the TUNEL assay used to detect the DNA fragmentation during apoptosis. So, these assyas are helpful to check many cell cultures, cell lines and help us to differentiate that the cell is going through the apoptosis not the necrosis. Apoptotic assay may be advantageous or disadvantageous it depend upon the selection of the assay like the assay used to detect the membrane blebbing may not only be helpful because the blebbing in membrane may also be due to the necrosis or other cause, so as far as our concern we should use more than one assay to detection and positive results. Increased in the interest of the apoptosis has resulted in the development of the new techniques and also the revival of the existing, because it is most helpful in cell and tissue culture labs as well.



References:
·         https://www.researchgate.net/deref/http%3A%2F%2Fwww.bioscience.co.uk%2Fuserfiles%2Fpdf%2FApoptosis_Necrosis_and_Cell_Viability_Assays.pdf
·         https://docs.abcam.com/ebooks/apoptosis-analysis-guide.pdf
https://www.rndsystems.com/resources/technical/tunel-assay-principle















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