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Cell Proliferation and Death

Derek Davies, Cancer Research UK

http://www.london-research-institute.org.uk/technologies/120

Proliferation signals

Proliferation

Senescence

Apoptosis

Cell death

A cell

DNA analysis

• Propidium Iodide

• Ethidium Bromide

• Hoechst dyes

• Cyanine dyes eg TO-PRO-3, SYTO/SYTOX dyes

• Acridine Orange

• Pyronin Y

• Styryl Dyes eg LDS-751

• Mithramycin, Chromomycin

• 7 Aminoactinomycin D (7AAD)

• Diamino-2-phenylindole (DAPI)

• DRAQ5, DRAQ7

We can use DNA dyes in two ways:

• As viability dyes

• To measure DNA content and monitor cell cycle and its regulation

Exclusion of dead cells during analysis and sorting

Identification and quantification of apoptotic cells

DNA analysis

Dead cell discrimination

Dead Dead

Note log scale! 0 200 400 600 800 1000

Forward Scatter

1

10

100

1000

10000

Pro

pid

ium

Io

did

e

We can use DNA dyes in two ways:

• As viability dyes

• To measure DNA content and monitor cell cycle and its regulation

Exclusion of dead cells during analysis and sorting

Identification and quantification of apoptotic cells

DNA analysis

G1: Gap 1 S: Synthetic G2: Gap 2 M: Mitosis G0: cells that cease division

G1

M G

2

S G0

The mammalian cell cycle

G1

M G

2

S G0

Cdk2/cyclin E

Cdk2/Cyclin A

P21, p27, p57

Cdk2/Cyclin A

Cdc2/Cyclin A

Cdc2/Cyclin B

RB Dephosphorylation

RB Phosphorylation

Cdk4/Cyclin D

Cdk6/Cyclin D

INK4, p21, p27, p57

The mammalian cell cycle

Cell cycle analysis by flow cytometry

Cells must be permeable - can use detergent or fixation (ethanol is best)

Basic protocol - fix, wash twice, remove RNA and stain with DNA-binding dye

DNA in cells can be stained with a fluorescent dye DNA probes like PI are stochiometric and increase fluorescence on binding Dyes either intercalate or bind specific base pairs So we can measure how much DNA is in a cell

Increase in Fluorescence Intensity

# o

f E

vent

s

In an ideal world…….

Increase in Fluorescence Intensity

# o

f E

vent

s

CV: SD/mean x 100.

In the real world…….

DNA stained with propidium iodide

DNA Content

0 200 400 600 800 1000

Propidium Iodide

0

200

400

600

800

1000

Ce

ll co

un

t

G1

S Phase

G2/M

Note linear scale!

DNA stained with propidium iodide

DNA Content

0 200 400 600 800 1000

Propidium Iodide

0

200

400

600

800

1000

Ce

ll co

un

t

We can quantitate the percentage of cells in each phase of the cell cycle and monitor the effect of treatments

G1 S G2

Example 1: Compare cycles

Example 2: S phase block

G1 S G2

Example 3: M block

G1 S G2

DNA analysis in a clinical situation

Many tumours show altered DNA content

Diploid index may have prognostic significance

Many tumours show increased proliferation

S phase fraction may have prognostic significance

DNA Index = 1.32

Aneuploid G1

0 200 400 600 800 1000

Propidium Iodide - Area

0

200

400

600

Ce

ll co

un

t

0 200 400 600 800 1000

Propidium Iodide - Area

0

300

600

900

1200

Ce

ll co

un

t

0 200 400 600 800 1000

Propidium Iodide - Area

0

20

40

60

80

100

Ce

ll co

un

t

DI=1.36

Diploid G1

Aneuploid G2

Analysis of DNA histograms - pitfalls and a better approach…

0 200 400 600 800 1000

Propidium Iodide

0

200

400

600

800

1000

# C

ells

0 200 400 600 800 1000

Propidium Iodide

0

300

600

900

1200

# C

ells

Mathematical modeling is a better approach but still not ideal!

G1 43% S 45% G2 10%

G1 54% S 27% G2 18%

The use of markers gives a good indication but is only an estimate!

G0-G

1

S

G2-M

Fluorescence Intensity

Cell N

umber

DNA analysis by a single fluorochrome can only take us so far!

• Thymidine analog

• Taken up by cycling cells

• Use for comparative growth rates, length of cell cycle, pulse labelling

• Staining procedure involves unwinding DNA

• Combine with Propidium iodide

Cell cycle analysis - Bromodeoxyuridine (BrdU) method

Typical dual parameter plot

Propidium Iodide

Ant

i-B

rdU

FIT

C

0 200 400 600 800 1000

Propidium Iodide

1

10

100

1000

10000

Brd

U-F

ITC

G1 G2/M

S Phase

Compare comparative growth rates

Control Drug-treated

MCF10A Breast cancer cell line

0 200 400 600 800 1000

Propidium iodide

100

101

102

103

104

BrdU

FIT

C

0 200 400 600 800 1000

Propidium iodide

100

101

102

103

104

BrdU

FIT

C

50% 33%

Measuring Proliferation by dye dilution

Dye must be taken up by live cells

Dye must have low toxicity

Dye must be compatible with flow cytometric set-up

Dye must be equally apportioned between daughter cells

Lipophilic dyes that label cell membrane

Succinimidyl dyes that label intracellular proteins

Measuring Proliferation by dye dilution

Divisions:

3 2 1 0

0 102

103

104

105

440/40 Violet-A

0

300

600

900

1200

# C

ells

0 102

103

104

105

440/40 Violet-A

0

100

200

300

# C

ells

Serum free

0 102

103

104

105

440/40 Violet-A

0

300

600

900

1200

# C

ells

+ Serum

0 102

103

104

105

440/40 Violet-A

0

20

40

60

80

100

% o

f M

ax

Overlay

Measuring Proliferation by dye dilution

CFSE

B-C

ell M

arke

r

Measuring Proliferation by dye dilution

The other side of the coin…

• “Falling off”

• Distinct from ‘necrosis’ and ‘oncosis’

• “Programmed cell death”

• Kerr, Wyllie and Currie BJC (1972), 26:239

apoptosis

Normal development Normal tissue turnover Negative selection in immune system T cell killing Exposure to certain conditions

Where is apoptosis seen?

Normal development Normal tissue turnover Negative selection in immune system T cell killing Exposure to certain conditions

Alzheimer’s Disease Parkinson’s Disease Autoimmune disorders Neurodegenerative disease Cancer

Where is apoptosis seen?

Necrosis Apoptosis Affects groups of cells Affects individual cells Non-physiological induction Physiological induction (viral, poison, ischemia) (lack of signals, changes) Phagocytosis by macrophages Phagocytosis by macrophages

or other cells Inflammatory response No inflammatory response

• Cell Shrinkage

• Cell shape change

• Condensation of cytoplasm

• Nuclear envelope changes

• Nuclear fragmentation

• Loss of cell surface structures

• Apoptotic bodies

• Cell detachment

• Phagocytosis of remains

• Free Ca2+ rise

• bcl2/bax interaction

• Cell dehydration

• Loss of mitochondrial membrane potential

• Enzyme activation (caspases)

• Phosphatidylserine externalisation

• Lamin B proteolysis

• DNA denaturation

• 50-300kb cleavage

• Intra-nucleosomal cleavage

• Protein cross-linking

Morphological Functional

Apoptosis

Why is apoptosis important?

Evading apoptosis

Sustained angiogenesis

Cancer

Self-sufficiency in growth signals

Tissue invasion and metastasis

Limitless replicative potential

Insensitivity to anti-growth signals

Hanahan, D. and Weinberg, R.A. 2000. Cell. 100:57.

Put simply….

http://www.nature.com/reviews/poster/apoptosis

Major Apoptotic Pathways in Mammalian Cells

Mitochondrial Pathway Death Receptor Pathway

D D D D

Fas/Apo1 /CD95

FADD

Procaspase 8

DISC

Caspase 8

Bcl-2 D

Procaspase 9

Apaf-1

dATP

Apaf -1 Caspase 9

apoptosome

dATP

Cytochrome c

oxidants ceramide others

DNA damage

FasL

Caspase 3

BID

Procaspase 3

Cellular targets

The road to commitment

How can apoptosis be detected?

DNA Laddering Comet assay

Electron microscopy Flow cytometry

Light scattering/cell permeability (PI, DAPI, To-Pro-3)

Apoptosis detection by Flow Cytometry

0 200 400 600 800 1000

Forward Scatter

100

101

102

103

104

Pro

pid

ium

Io

did

e

0 200 400 600 800 1000

Forward Scatter

100

101

102

103

104

Pro

pid

ium

Io

did

e

Untreated Treated

Dead Dead

Live Live

Changes to the mitochondria (TMRE, CMX dyes, JC-1)

Apoptosis detection by Flow Cytometry

100

101

102

103

104

CMXRos

100

101

102

103

104

TO

-PR

O-3

100

101

102

103

104

CMXRos

100

101

102

103

104

TO

-PR

O-3

Untreated Treated

Live Live

Dead Dead

Apoptotic Apoptotic

Changes to the cell membrane (Annexin binding)

Apoptosis detection by Flow Cytometry

100

101

102

103

104

Annexin V-FITC

100

101

102

103

104

Pro

pid

ium

Iodid

e

100

101

102

103

104

Annexin V-FITC

100

101

102

103

104

Pro

pid

ium

Iodid

e

Untreated Treated

Dead Dead

Live Live

Apop Apop

Changes in enzyme expression (Caspases 3, 8 and 9)

Apoptosis detection by Flow Cytometry

100 101 102 103 104

Cleaved Caspase-3 FITC

0

200

400

600

800

Cell

count

100 101 102 103 104

Cleaved Caspase-3 FITC

0

200

400

600

800

Cell

count

100 101 102 103 104

Cleaved Caspase-3 FITC

0

20

40

60

80

100

Cell

count

Untreated Treated

Changes in cellular DNA (Fragmentation and strand breaks)

Apoptosis detection by Flow Cytometry

0 200 400 600 800 1000

Propidium Iodide

0

100

200

300

Counts

0 200 400 600 800 1000

Propidium Iodide

0

200

400

600

Counts

Treated Untreated

Integration of apoptosis methods

TMRE, Annexin, 7-AAD, Hoechst33342

100

101

102

103

104

Annexin V-FITC

100

101

102

103

104

7-A

AD

0 200 400 600 800 1000

Hoechst 33342

100

101

102

103

104

TM

RE

0 200 400 600 800 1000

Hoechst 33342

100

101

102

103

104

TM

RE

0 200 400 600 800 1000

Hoechst 33342

100

101

102

103

104

TM

RE

What is the question?

Cell type? Cultured cells? Suspension or adherent? Primary cells?.

What has happened to the cells? Treatment? Time course?

What other information is being sought e.g. concurrent phenotyping.

Are there any technical restrictions e.g. lasers.

Cost, simplicity and number of samples.

Expertise available

Which method should I use to assess proliferation and death?

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