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492

 www.postepybiochemii.pl

Asima Khan
Katherine Gillis
Julie Clor
Kamala Tyagarajan

*

Millipore Corporation, 25801 Industrial Blvd, 

Hayward, California, CA 94545, USA

*

Millipore Corporation, 25801 Industrial 

Blvd, Hayward, California, CA 94545, USA; 

tel.: 510 576 1352, e-mail: kamala.tyagarajan@

merckgroup.com,

Received: November 20, 2012

Accepted: November 21, 2012

Keywords: apoptosis, cell death, Muse, cell 

analysis, annexin, phosphatidylserine

Abbreviations: 7-AAD — 7-Aminoactinomy-

cin D, CHO — Chinese Hamster Ovary, PS — 

phosphatidylserine

Simplified evaluation of apoptosis using the Muse

TM

 Cell Analyzer

AbsTrACT

T

he degree of apoptosis in a cell population is an important parameter of cell health and 

is characterized by distinct morphological changes. Current methods of accurate detec-

tion and measurement of cellular apoptosis require expensive and complicated instrument 

platforms and expertise. The Muse™ Cell Analyzer is a unique instrument that enables mul-

tidimensional cell health analysis on a single platform. In this study, we used the Muse™ 

Cell Analyzer for apoptosis studies using the Muse™ Annexin V & Dead Cell Assay. The 

assay is based on the detection of phosphatidylserine (PS) on the surface of apoptotic cells. 

The results obtained from Muse™ Cell Analyzer were compared with traditional methods 

for apoptosis analysis. Our results indicate that Muse™ Annexin V & Dead Cell Assay and 

software module enabled the acquisition of accurate and highly precise measurements of 

cellular apoptosis. The assay is versatile and works with both suspension and adherent cell 

lines and multiple treatment conditions.

INTRODUCTION

The degree of apoptosis in a cell population is an important parameter that 

contributes to a comprehensive picture of cell health. Accurate detection and 

measurement of cellular apoptosis is essential for drug development and discov-

ery, for understanding mode of compound action, and for understanding the im-

pact of culture and growth conditions. However, the assessment of cellular ap-

optosis has been limited due to the requirements for expensive and complicated 

instrument platforms, expertise and improved analytical methods that provide 

rapid, robust and reproducible apoptosis data. Access to these improvements 

can facilitate apoptosis monitoring, thereby enabling the efficient, daily execu-

tion of cellular research.

The Muse™ Cell Analyzer is a novel instrument that enables multidimen-

sional cell health analysis on a single platform. This small, benchtop cell analyzer 

effortlessly guides users through the acquisition and analysis of samples using a 

highly simplified and intuitive touchscreen interface which delivers rapid meas-

urements of cell concentration, viability, apoptotic status, and cell cycle distri-

bution [1]. Using multiparametric fluorescent detection of individual cells via 

microcapillary flow technology, the system enables highly sensitive and rapid 

detection of cellular samples using minimal cell numbers. The simplified format 

enables researchers of varying backgrounds and experience levels to obtain a 

comprehensive picture of cellular health.

In this study, we used the Muse™ Cell Analyzer for apoptosis studies using 

the Muse™ Annexin V & Dead Cell Assay, a rapid, no-wash assay for the iden-

tification of apoptotic cells. Jurkat and HeLa cells were treated with a range of 

cytotoxic and anti-tumor compounds, and the results from percentage of live, 

early, late apoptotic, and dead cells were evaluated. Our results demonstrate 

that the assay provides rapid and sensitive detection of cellular apoptosis and 

provides quantitative and precise results on a variety of cellular types and com-

pound treatments.

MATERIALS AND METHODS

ASSAY PRINCIPLE

Apoptosis, or programmed cell death, is an important regulator of cell 

growth and proliferation and is characterized by distinct morphological 

changes. One key early aspect of apoptosis is the translocation of phosphati-

dylserine  from  the  inner  to  the  outer  leaflet  of  the  plasma  membrane  and 

exposure to outer surface of the cell. This universal phenomenon is inde-

pendent of species, cell type and induction system and occurs early in the 

apoptotic process.

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The Muse™ Annexin V & Dead Cell Assay is based on 

the detection of phosphatidylserine (PS) on the surface of 

apoptotic cells and uses a premixed reagent containing flu-

orescently labeled Annexin V in combination with a dead 

cell marker, 7-AAD. Annexin V is a Ca

2+

-dependent phos-

pholipid-binding protein that has a high affinity for PS, a 

membrane component normally localized to the internal 

face of the cell membrane. Early in the apoptotic pathway, 

molecules of PS are translocated to the outer surface of the 

cell membrane where Annexin V can readily bind to them 

(Fig. 1). Late-stage apoptotic cells show loss of membrane 

integrity. The membrane-impermeant dye, 7-AAD, is used 

to distinguish dead cells from early apoptotic cells. The as-

say can thus distinguish four populations:

 

— viable cells, not undergoing detectable apoptosis: An-

nexin V (–) and dead cell marker (–);

 

— early apoptotic and dead cells: Annexin V (+) and dead 

cell marker (–);

 

— late apoptotic or dead cells: Annexin V (+) and dead cell 

marker (+);

 

— cells that have died through non-apoptotic pathway: An-

nexin V (–) and dead cell marker (+).

SAMPLE PREPARATION

Chinese Hamster Ovary (CHO), HeLa, and Jurkat cells 

were kept in log phase growth in complete medium. Prior 

to assaying, cells were treated with compounds as indi-

cated  in  Figures  4–9.  The  assay  employs  a  simple  mix- 

and-read  procedure  (Fig.  2). 

100 µl of cells was mixed with 

100 µl of Muse™ Annexin V & 

Dead Cell Assay Reagent in 1.5 

ml screw-cap microfuge tubes 

and incubated for 20 min in 

the dark at room temperature.

The assay provides results 

on counts and concentrations 

of the four cell populations de-

scribed above. Key features of 

the assay include:

 

— mix-and-read assay minimizes loss of fragile, apoptotic 

cells;

 

— highly  simplified  acquisition  and  analysis,  guided 

through touchscreen interface;

 

— accurate and precise data;

 

— minimal number of cells required;

 

— validated with both suspension and adherent cell lines.

Figure 1. The combined use of fluorescent labeled Annexin V and membrane-

-impermeant 7-AAD DNA-binding dye can distinguish live, early apoptotic, and 

late apoptotic cells.

Figure 2. Workflow for Muse™ Annexin V & Dead Cell Assay. The assay utilizes a simple mix-and-read procedure and 

provides quantitative apoptosis data.

Figure 3. Steps to perform acquisition and analysis using a guided user interface and software module. Results on apoptotic cell percentages and concentrations are di-

splayed automatically at the completion of acquisition. Optional dotplots allow for visualization and further data manipulation.

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DATA ACQUISITION

Data from prepared samples were quickly acquired us-

ing the step-by-step instructions on the touchscreen and 

the Muse™ Annexin V & Dead Cell Software Module 

(Fig. 3). Briefly, a user enters the Annexin V & Dead Cell 

Module and hits “Run Assay”. The touchscreen prompts 

the user to load a sample and, through simple on-screen 

instructions, guides the user through the optimization 

and verification of settings. The user then enters sample-

specific information and then touches “Run Sample.” The 

instrument displays the results screen with the calculated 

concentrations of live, early apoptotic, late 

apoptotic, and dead cells. The instrument dis-

plays the results screen with the values and 

provides the user the option to view the dot-

plot as well as adjust markers between sam-

ples. Result parameters include information 

on:

 

— population percentages and concentra- 

 tions;

 

— total cells per ml;

 

— dilution factor (input value);

 

— sample number;

 

— sample ID.

 Data can be stored on the device, exported 

in a report format and/or exported as a Micro-

soft  Excel

®

  file,  enabling  the  production  of  a 

robust documentation trail with experimental 

details preserved.

RESULTS

COMPARISON OF ACCURACY 

WITH ALTERNATE METHODS OF 

APOPTOSIS MEASUREMENT

The accuracy of test results obtained on the 

Muse™ Cell Analyzer was compared with 

traditional methods for apoptosis analysis. 

Adherent CHO-K1 cells were treated with 

0.25 µM staurosporine for 16 h and suspen-

sion  Jurkat  cells  were  treated  with  1  µM 

staurosporine for 4 h. Samples were stained 

in triplicate following the manufacturer’s in-

structions and analyzed using either Muse™ 

Annexin  V  &  Dead  Cell  Assay,  fluorescent 

Figure  4. Apoptosis measurements are consistent with other cell analysis me-

thods. CHO-K1 and Jurkat cells were treated with staurosporine to induce apop-

tosis. The data show the comparison of population percentages for all 4 methods 

(Fluorescent Microscope, Image-Based Automated device, Personal cell Analyzer, 

and Muse™ cell Analyzer). Each point represents the average of three samplings.

Figure  5. Superior precision for apoptotic percentage detection, compared to 

other analysis methods. Data are based on triplicate measurements of 10 sam-

ples from suspension and adherent cell lines treated with staurosporine to induce 

apoptosis.

Figure 6. Apoptotic impacts of multiple compounds on Jurkat suspension cell line. untreated Jurkat 

cells (Top, left) were compared with cells treated for 4 h with 10 µM camptothecin, a DNA topoiso-

merase inhibitor (Top, right), 4.7 µM gambogic acid, a compound with potent anti -tumor activity 

(Bottom, left), or 150 µM diamide a thiol-oxidizing agent (Bottom, right) using the Muse™ Annexin 

V & Dead Cell Assay.

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495

microscopy,  image-based  fluorescent  analysis,  or  the 

guava

®

 Personal Cell Analyzer (PCA). The results for the 

percent of apoptotic and dead cells clearly indicate that 

the Muse™ Cell Analyzer provides equivalent cell pop-

ulation measurement results, compared to results from 

other predicate analysis methods, for both adherent and 

suspension cell lines (Fig. 4).

EVALUATION OF PRECISION 

AND REPRODUCIBILITY

To assess precision, triplicates of 10 sam-

ples from adherent and suspension cell lines 

treated with staurosporine to induce apopto-

sis were prepared and analyzed them using 

Annexin V-based assays using the fluorescent 

microscope,  an  image-based  fluorescent  de-

vice, or the Muse™ Cell Analyzer. Average 

coefficients of variation (%CVs) for the early 

and late apoptotic populations were calculat-

ed for all devices and compared. The average 

%CVs obtained with the Muse™ Annexin V & 

Dead Cell Assay were consistently lower than 

those seen using other comparative methods 

for the same samples (Fig. 5).

STUDYING APOPTOTIC IMPACTS OF 

COMPOUNDS ON MULTIPLE CELL TYPES

The apoptotic effects of several compounds 

were  evaluated  using  Jurkat  cells  (suspen-

sion) and HeLa cells (adherent). The results in 

Figure 6 demonstrate that the differential im-

pacts on Jurkat cell health caused by the com-

pounds could be discriminated by the assay. 

Camptothecin treatment caused early apop-

tosis with relatively little cell death, gambog-

ic acid treatment caused early apoptosis as 

well as low levels of cell death, and diamide 

resulted in the appearance of predominantly 

late apoptotic/dead cells.

Results from the analysis of the adherent 

HeLa cell line are shown in Figure 7. Again, 

the assay enabled clear discrimination of ap-

optotic and dead cell populations. Both ani-

somycin and diamide resulted in high percentages of late 

apoptotic or dead cells and very little early apoptosis, 

while camptothecin treatment resulted in the appearance 

of equal proportions of early and late apoptotic popula-

tions.

Figure 8. Dose response data obtained for Jurkat cells treated with staurosporine 

for 4 h. Jurkat cells were treated with multiple concentrations of staurosporine 

for 4 h then analyzed using the Muse™ Annexin V & Dead Cell Assay. Each data 

point represents a triplicate sampling at each concentration.

Figure 7. Analysis of apoptosis and cell death in HeLa cells induced by various compounds. Untre-

ated HeLa cells (Top, left) were compared with cells treated for 16 h with 100 µM anisomycin, an 

inhibitor of DNA synthesis (Top, right), 20 µM camptothecin, an inhibitor of the DNA enzyme to-

poisomerase I (Bottom, left), or 150 µM diamide, a thiol-oxidizing agent (Bottom, right) using the 

Muse™ Annexin V & Dead Cell Assay.

Figure 9. Dose response data obtained for Jurkat cells treated with gambogic acid. 

Jurkat cells were treated with multiple concentrations of gambogic acid for 4 h 

then analyzed using the Muse™ Annexin V & Dead Cell Assay. Each data point 

represents a triplicate sampling at each concentration. Error bars represent stan-

dard deviation.

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496

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Uproszczona ocena procesu apoptozy z zastosowaniem 

Muse

TM

 analizatora komórek

Asima Khan, Katherine Gillis, Julie Clor, Kamala Tyagarajan

*

Millipore Corporation, 25801 Industrial Blvd, Hayward, California, CA 94545, USA

*

e-mail: kamala.tyagarajan@merckgroup.com,

Słowa kluczowe: apoptoza, śmierć komórki, Muse, analiza komórek, aneksyna, fosfatydyloseryna

STRESzCzENIE

Stopień procesu apoptozy w populacji komórek jest ważnym czynnikiem pozwalającym na określenie parametrów ich zdrowia. Komórki 

umierające w wyniku apoptozy wykazują szereg charakterystycznych, morfologicznych zmian. Obecne metody detekcji i pomiaru procesu 

apoptozy wymagają kosztownych i skomplikowanych urządzeń oraz wiedzy eksperckiej do ich obsługi. Muse™ analizator komórek jest uni-

kalnym urządzeniem, które umożliwia wieloparametryczną analizę komórek. W artykule zaprezentowano zastosowanie Muse™ analizatora 

komórek do badania procesu apoptozy, z wykorzystaniem zestawu „Muse™ Annexin V & Dead Cell Assay”. zasada działania testu oparta 

jest na detekcji fosfatydyloseryny (PS) na powierzchni komórek apoptotycznych. Wyniki otrzymane z zastosowaniem Muse™ analizatora 

komórek były porównywane z tradycyjnymi metodami używanymi do analizy procesu apoptozy. Otrzymane rezultaty wskazują, że zastoso-

wany zestaw do badań „Muse™ Annexin V & Dead Cell Assay” oraz dedykowane oprogramowanie do jego obsługi umożliwiają otrzymanie 

dokładnych i precyzyjnych danych pomiarowych na temat procesu apoptozy komórek. Używany zestaw jest uniwersalny i można go stoso-

wać do badania zawiesinowych i adherentnych linii komórkowych, w różnych warunkach doświadczalnych.

DOSE RESPONSE STUDIES WITH MULTIPLE INDUCERS

Simplified  dose  response  measurements  are  important 

to  understanding  mode  of  compound  action.  Jurkat  cells 

were treated with multiple concentrations of staurosporine, 

a known protein kinase inhibitor, for 4 h then analyzed sam-

ples using the Muse™ Annexin V & Dead Cell Assay (Fig. 8). 

At all concentrations, staurosporine treatment caused cells 

to primarily undergo early apoptosis, exhibiting little or no 

death. On the other hand, gambogic acid, a compound with 

potent anti-tumor activity, caused rapid apoptosis and cell 

death at relatively low concentrations (Fig. 9). At concentra-

tions of gambogic acid below 18.75 µM, a higher proportion 

of early apoptotic cells were observed, while increasing con-

centrations resulted in a predominance of late apoptotic/

dead cells, even given the short duration of treatment. These 

results are consistent with the established classification of 

gambogic acid as a potent inducer of apoptosis [2].

CONCLUSIONS

The Muse™ Cell Analyzer provides a simple, powerful 

method for obtaining important apoptosis information. Our 

results indicate that the mix-and-read Muse™ Annexin V & 

Dead Cell Assay and software module enabled the acqui-

sition of accurate and highly precise measurements of cel-

lular apoptosis. The assay is versatile and works with both 

suspension and adherent cell lines and multiple treatment 

conditions. The Muse™ Annexin V & Dead Cell Assay has 

the potential to greatly simplify the study of apoptosis and 

enable researchers to easily obtain dose-based and mecha-

nistic information in the drug discovery process for com-

pounds of interest.

REFERENCES

1.  Gillis  K,  Clor  J,  Khan  A,  Tyagarajan  K  (2011)  Precise  and  Accurate 

Counts and Viability Measurements Across Multiple Cell Lines Using 

the Muse™ Cell Count & Viability Assay. Merck Millipore Cellutions 

Newsletter 4: 3-7

2.  Guizzunti G, Batova A, Chantarasriwong O, Dakanali M, Theodora-

kis EA (2012) Subcellular Localization and Activity of Gambogic Acid. 

Chembiochem. 13: 1191-1198