When bursal lymphocytes are placed in cell culture, they undergo an apoptot
ic form of cell death that can be inhibited by phorbol esters and protein s
ynthesis inhibitors. The goal of the current study was to evaluate the time
course of this process and the inhibition of this process using several di
fferent assays to detect apoptosis: (1) terminal deoxynucleotidyl transfera
se-mediated nick end labeling (TUNEL) of lymphocyte DNA strand breaks with
dUTP-FITC; (2) propidium iodide (PI) staining of lymphocyte chromatin; (3)
chloromethyl-x-rosamine (CMX-Ros) binding to lymphocyte mitochondria; (4) m
erocyanine-540 (MC-540) binding to the lymphocyte plasma membrane; (5) flow
cytometric analysis of light scatter from lymphocytes; (6) analysis of gen
omic DNA from lymphocytes by agarose gel electrophoresis; and (7) cellular
caspase-3 activity of lymphocytes. When bursal lymphocyte apoptosis was ana
lyzed as a function of time, or inhibited by phorbol eaters or cycloheximid
e, all of these assays corroborated the apoptotic process. However, treatme
nt of lymphocytes with a cytotoxic level of the proteinase inhibitor, n-eth
ylmaleimide (NEM) resulted in a putative, necrotic form of cell death that
revealed discrepancies among the various assays in the detection of apoptot
ic cells. Specifically, the CMX-Ros and MC-540 assays erroneously detected
the necrotic cells as being apoptotic cells following NEM treatment. These
findings indicate the need for additional assays and appropriate treatment
controls to verify the apoptotic process when using the CMX-Ros and MC-540
assays. (C) 1999 Elsevier Science Ltd. All rights reserved.