Laser scanning cytometry (LSC) is a relatively new slide-based technology d
eveloped for commercial use by CompuCyte (Cambridge, MA) for performing mul
tiple fluorescence measurements on individual cells. Because techniques dev
eloped for performing four or more measurements on individual lymphoid cell
s based on light scatter as a triggering parameter far cell identification
are not suitable for the identification of fixed epithelial tumor cells, an
alternative approach is required for the analysis of such cells by LSC. Me
thods for sample preparation, event triggering, and the performance of mult
iple LSC measurements on disaggregated fixed human cells were developed usi
ng normal lymphocytes and two human breast cancer cell lines, JC-1939 and M
CF-7, as test populations. Optimal conditions for individual cell identific
ation by LSC were found to depend on several factors, including deposited c
ell density (cells per unit area), the dynamic range of probe fluorescence
intensities, and intracellular distribution of the fluorescent probe. Spars
ely deposited cells exhibited the least cell overlap and the brightest immu
nofluorescent staining. Major advantages of using DNA probes over a cytopla
smic immunofluorescent protein marker such as tubulin for event triggering
are that the former exhibit greater fluorescence intensity within a relativ
ely sharply demarcated nuclear region. The DNA-binding dye LDS-751 was foun
d to he suboptimal for quantitative DNA measurements but useful as a trigge
ring measurement that permits the performance of simultaneous fluorescein i
sothiocyanate-, phycoerythrin-, and indodicarbocyanine-based measurements o
n each cell. A major potential advantage of LSC over flow cytometry is the
high yields of analyzable cells by LSC, permitting the performance of multi
ple panels of multicolor measurements on each tumor. In conclusion, we have
developed and optimized a technique for performing multiple fluorescence m
easurements on fixed epithelial cells by LSC based on event triggering usin
g the DNA-binding dye LDS 751. Although not ideal for quantitative measurem
ents of cell DNA content, the large Stokes shift of this dye permits the pe
rformance of three or more additional fluorescence measurements on each cel
l. Cytometry (Comm. Clin. Cytometry) 42: 347-356, 2000. (C) 2000 Wiley-Liss
, Inc.