Apoptosis is cell death defined by some ultrastructural characteristics. DN
A agarose gel electrophoresis is suitable for cultured cells consisting of
homogeneous cells in which apoptosis is relatively easy to induce using app
ropriate stimuli, but often fails to detect a typical DNA ladder when tissu
es consisting of heterogeneous cells are used and contain only a few apopto
tic cells. It is known that the terminal deoxynucleotidyl transferase (TdT)
-mediated dUTP-biotin nick end-labeling (TUNEL) method detects both apoptot
ic and necrotic cells, although TUNEL can detect also newly yielded free 3'
-OH ends of DNA. Fluorescence dyes specifically bind with DNA, clearly show
ing fragmented nuclei. Annexin V enables classification of the apoptotic ce
lls into different stages, because it can detect the externalization of pho
sphatidylserine in the cell membrane which occurs at the early stage of apo
ptosis. The disadvantage of fluorescence dyes and annexin V is to be applic
able only to unfixed materials. Western blot analysis has several advantage
s such as its applicability to both cells and tissues, and semiquantificati
on of a protein expressed in materials used, but is unsuitable for analysis
of the topographic distribution of cells producing apoptosis-related prote
in such as the caspase family. As mentioned above, most of the apoptosis de
tection methods focus only on one of the apoptotic characteristics, thereby
limiting their application to apoptosis detection. Therefore, it is requir
ed to combine several methods for the precise detection of apoptosis.