Hypoxic cells in tumours can be identified by exposing them to an immu
nologically identifiable 2-nitroimidazole (NITP) with a theophylline s
ubstituent which becomes bioreductively metabolised and binds to cellu
lar macromolecules in the absence of oxygen. A range of monoclonal and
polyclonal antibodies raised against theophylline or caffeine can ide
ntify cells containing bound adducts of NITP, in some cases with highe
r specificity than the standard product used. An alternative approach
utilizes the very high specificity of FITC-avidin as a reagent to dete
ct metabolic binding of a 2-nitroimidazole with a biotinylated side-ch
ain (NIB), with the advantage of a single-step staining protocol. Both
proliferating and hypoxic cell populations within tumours can be iden
tified by simultaneous staining for incorporation of NITP and BrdUrd a
nd this has shown that some cells incorporate both markers, suggesting
that there is some overlap between the proliferating and hypoxic cell
compartments.