Distinctive uptake of neutral red (NR) has been previously reported to
be characteristic of mitotic cancer cells. In a related study, we hav
e shown differential NR accumulations in acidification-and-recovery be
tween oral KB carcinoma and Chang liver cells. The present flow cytome
tric study demonstrates the presence of differential NR uptake between
the whole cell populations of non-tumourigenic human Chang liver cell
s and four other established human carcinoma cell lines viz. lung (A42
7), colon (HCT 116), skin (A431) and human KB oral carcinoma. This was
corroborated by image analysis of NR uptake in single KB and Chang ce
lls with confocal laser scanning microscopy. Detection of cancer cells
via pH, modulated NR uptake, suggests that the NR index of 'viability
' may also serve as a mechanism-based cancer cell discriminant.