Apoptosis occurs under many different physiological and pathological c
onditions, and it reflects a genetically encoded suicide program that
can be triggered by different stimuli in susceptible cells. We adapted
a now cytometric assay for the detection of apoptosis based on differ
ential staining of viable cells with two different DNA binding dyes, p
ropidium iodide (PI) and Hoechst 33342 (Ho342). Apoptosis was induced
in different cell lines by gamma irradiation, an anti-PAS monoclonal a
ntibody, or ganciclovir in Herpes simplex virus-thymidlne kinase-expre
ssing cells. We could identify three different populations that appear
ed sequentially after the induction of apoptosis. Cells corresponding
to these populations were sorted and assessed for evidence of apoptosi
s as determined by alterations of nuclear morphology and detection of
endonucleolytic activity. This analysis revealed a PI- population with
subtle apoptotic changes and increased Ho342 fluorescence compared wi
th untreated cells. Extensive apoptotic alterations were observed in a
PI+ population that increased over time following the induction of ap
optosis. A third population was characterized by an intermediate inten
sity of PI fluorescence and decreased Ho342 fluorescence compared with
the other populations. This population appeared late after treatment
and consisted of apoptotic bodies. Taken together, these data suggest
that distinct stages of apoptosis can be identified by differential st
aining of cells with Ho342 and PI. This assay should be useful for the
detection and further characterization of cells at different stages i
n the apoptotic process. (C) 1996 Wiley-Liss, Inc.