Apoptosis and necrosis represent two different mechanisms by which cel
ls die. The dynamics of cellular lesions in these two processes differ
. Ill particular we demonstrate that plasma membrane damage, occurring
as a primary event during necrosis represents, on the contrary, a del
ayed but massive phenomenon during apoptosis. In consequence there are
different kinetics of propidium iodide incorporation by necrotic and
apoptotic thymocytes. This represents the basis for the flow cytometri
c identification of different cellular subsets. Analysis of these subs
ets after sorting showed that clearly apoptotic cells, which are not a
ble to exclude propidium iodide for long incubation periods, do not sh
ow any morphologically detectable membrane damage. The kinetics of pro
pidium iodide incorporation in vivo in isolated rat thymocytes can the
refore be used in flow cytometric analysis. This technique can be used
instead of DNA staining of ethanol-treated cells or nick translation
to recognize apoptotic cells, and distinguish apoptosis from necrosis,
without killing the cell.