Neutral red is a vital stain known to be accumulated in the lysosomes of ne
utrophils and monocytes. It is used mainly to identify and detect the activ
ated state of these cells. We have found that the extracellular application
of physiological ceramide, i.e., a product of sphingomyelin hydrolysis and
a newly defined intracellular second-messenger substance, increased the up
take of neutral red in a dose-dependent manner in human neutrophils, monocy
tes, and lymphocytes, as demonstrated by flow cytometry. Staurosporine was
able to totally block this phenomenon, suggesting the involvement of protei
n kinase C in the process. These results indicate that the flow-cytometric
analysis of ceramide-induced uptake of neutral red can be a new method for
the evaluation of lysosome-related activation processes in both phagocytes
and lymphocytes.