In an earlier article from this laboratory, the current methods developed t
o detect apoptosis in cells and tissues were highlighted, along with the ch
allenges in their interpretation. Recent discoveries concerning the underly
ing biochemical mechanisms of apoptotic effector pathways have made possibl
e further assays that allow a more direct measure of the activation of the
apoptotic machinery in cells. This article summarizes some of these newer m
ethods and extends the interpretation of the more classical assays of apopt
osis in a defined cell system. We present data in KB and PC3 cell model cul
ture systems induced to undergo apoptosis by the plant toxin ricin. Using a
modified in situ nick translation assay (ISNT) with either Bodipy or BUdR
labeling, we confirm that most cells showing altered nuclear morphology do
not show reactivity with this assay until very late in the apoptotic proces
s. We also show that only a minority of cells label with fluorescent annexi
n V during apoptosis but that apoptotic cells continue to internalize mater
ial from the cell surface through endocytosis after becoming reactive with
annexin V. In addition, we describe the utility of a prototype of new assay
s for caspase substrate cleavage products, the detection of cleaved cytoker
atin 18. It is these newer cleavage product assays that perhaps hold the gr
eatest promise for specific detection of apoptosis in cells either in cell
culture or in intact tissues.