re: 5% ETOH Summary

From: Holbeck, Judy (JHolbeck@ahs.llumc.edu)
Date: Fri Jan 31 2003 - 11:25:06 EST


Thank you for all the responses!

The general consensus is that it's fine for a reagent control but it's not "inducing"
apoptosis.

One of the interesting things is that the cells only had 15-20% Annexin+/PI+ 5% ETOH
treated and 6% Annexin+/PI+ untreated control cells.  I expected to see the majority
of the cells Annexin+/PI+ as many of the replies indicated.  The PI+ staining is very
clear cut.  One thing I don't see is the morphological changes I expected, however,
I read (Common Methods for Measuring Apoptotic Cell Death by Flow Cytometry, Purdue
CD-rom Series, volume 3-special thanks for having this available on line!) not all
cell models will exhibit the high SSC low FSC pattern.

As for the cells being Annexin+, yes, they exhibit 60-65% Annexin+ 5% ETOH beyond
unstained cells, HOWEVER, the cells are 50% Annexin+ UNTREATED control cells!
The researcher is using an adherent cell line and using .01% Trypsin (still kind of
curious why everything isn't Annexin+/PI+??? and yes, I gave them the search I did on
the Purdue site pertaining to Annexin V and adherent cell lines).  Both issues are
part of an ongoing discussion about what they are trying to achieve, but I believe
we've at least solved one part of my discussion with the researcher which is the 5%
ETOH treatment is a staining/reagent control. Previously (but not in our lab), this
researcher has had good results (i.e. high Annexin+%/low PI+%) with 5% ETOH in a
nonadherent cell line.  This being the 3rd attempt (2 different adherent cell lines
and I gave them the website info before starting!), I have suggested they focus on
trouble shooting or solving the background Annexin+ staining by finding an appropriate
protocol, assay, or move to a nonadherent cell line (but sometimes I'm just here to
move the cursor...one issue down ten to go.).

Here is a summary of responses:

As you probably are aware cell cycle protocols use ethanol to permeabilize cells. Not
considering if these are trypsin released adherent cells, I would not recommend
using ETOH with Annexin V. It will give positve results alright, but not because
apoptosis has been initiated but rather, as you say, the membrane has been damaged.
Interestingly this should be reflected in the fact that that one should see positive PI
staining AND positive Annexin V staining which suggests necrosis. I wonder what your
investigator sees? I would be interested to know.  We recommend 3 apoptotic inducers
with an assay. For example, Staurosporine, Camplothecin, and Cisplatin, or whatever
is suitable for the cell type.

I think your user is using this method (without realising it) as a means for generating
a staining control.which is different form a biological control.  This small etoh
treatment probably alters the plamsa membrane integrity sufficiently to allow binding
of annexin to the PS residues.
For a biological control, for apoptosis induction, well there are severl methods
depending on the target cell type but I would use etoposide (VP-16) or something simple
like 1 mM h2o2

Some years back, an investigator here was looking at the effects of EtOH on various
cell functions. I don't recall all the details, but apoptosis from various exposures
to EtOH was one of the things he was measuring.  I don't know  what concentration or
times that he used.
Maybe your researcher has come upon a new inducer.  Let us know what you find out.

I've seen it listed in a catalog (Calbiochem, I think) as an inducer, but at that high
a concentration I'd bet it is just oncosis.  As a reagent control, it's fine, since it
doesn't matter how the cells are killed. Do you see any Ann-V+/PI- with this treatment?

The annexin V-FITC/PI is strictly a membrane integrity assay. In live cells the
PI is excluded. Cells do not express phosphatidylserine on their cell surface,
unless undergoing apoptosis. The normal residency for phosphatidylserine is in the
inner cytoplasmic membrane. Treating with ethanol breeches the cytoplasmic membrane
and exposes the phosphatidylserine for labeling and allows the PI to enter the cell.
Treating with ethanol is a way to make a positive (necrotic) control that should be
both positive for Annexin binding and PI uptake, all strictly inner-cytoplasmic. Hope
this helps.

I wouldn't use Etoh at all unless I wanted to fix my cells

I would suggest low concentrations of hydrogen peroxide.  There are
references out there on this, and I have done it myself.....

Ethanol just permeabilizes the cell, letting the annexin V bind to the
phophatidyl serines on the inner side of the cell membrane. The cells will
stain with both the annexin V and the PI, of course. Since the purpose of
the kit is to detect apoptotic cells (annexin V+, PI-), not dead ones, this
doesn't really serve as anything more than a staining control (gives you
something nice to set compensation with, I suppose). To actually test their
ability to enumerate cells undergoing apoptosis, they need to use one of the
variety of pharcologic agents that induce programmed cell death. But as long
as they have the correct controls in their experiment (i.e. untreated mice
vs treated mice), they should be able to use the ethanol fixed cells for
instrument setup, and the experimental samples should provide enough
information to interpret their results. They may consider confirming their
results with a second technique (fluorometric caspase 3, TUNEL, etc.) once
they have some preliminary data.

Thanks again,
Judy Holbeck
LLUMC, Immunology Center
Flow Cytometry Tech, QCYM
909.558.8181 ext. 45407


Judy Holbeck
LLUMC, Immunology Center
Flow Cytometry Tech
909.558.8181 ext. 45376


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