General Annexin V Staining Procedure

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UCANU 0007 Version 01, November 2011 Page 1 of 6 CMCI (Center for molecular and Cellular Intervention) University Medical Center Utrecht Written By Name Function Date Signature Mark Klein Lab manager Conformation Name Function Date Signature Prof.dr. A.B.J. Prakken CoChair CMCI Changes from last version Date of version Paragraphs Date of version Paragraphs

UCANU 0007 Version 01, November 2011 Page 2 of 6 Content 1. Subject... 3 2. Application... 3 3. Definitions and Abbreviations... 3 4. Principle... 3 5. Safety precautions... 4 6 Reagents... 5 6.1 Chemicals... 5 6.2 Facs Buffer (PBS with 2% FCS and 0.1% Sodium Azide)... 5 7. Equipment and Accessories tools... 5 7.1 Equipment... 5 7.2 Accessories... 5 8. Samples... 6 8.1 Sample Collection... 6 8.2 Sample Processing... 6 9. Procedure... 6

UCANU 0007 Version 01, November 2011 Page 3 of 6 1. Subject This Standard Operation Procedure (SOP) describes a method to stain mononuclear cells to identify apoptosis at an early stage 2. Application Flow cytometric analysis 3. Definitions and Abbreviations FBS = foetal bovine serum ( foetal calf serum) RT = room temperature P/S = PenicillinStreptomycin Glu = Lglutamine v/v = volume/volume rpm = rotations per minute ml = milliliter 4. Principle PE Annexin V is used to quantitatively determine the percentage of cells within a population that are actively undergoing apoptosis. Apoptosis is characterized by a variety of morphological features such as loss of membrane asymmetry and attachment, condensation of the cytoplasm and nucleus, and internucleosomal cleavage of DNA. One of the earliest indications of apoptosis is the translocation of the membrane phospholipid phosphatidylserine (PS) from the inner to the outer leaflet of the plasma membrane. Once exposed to the extracellular environment, binding sites on PS become available for Annexin V, a 3536 kda, Ca 2+dependent, phospholipid binding protein with a high affinity for PS. The translocation of PS precedes other apoptotic processes such as loss of plasma membrane integrity, DNA fragmentation, and chromatin condensation. As such, Annexin V can be conjugated to biotin or to a fluorochrome such as FITC, PE, APC, Cy5, or Cy5.5, and used for the easy, flow cytometric identification of cells in the early stages of apoptosis. Because PS translocation also occurs during necrosis, Annexin V is not an absolute marker of apoptosis. Therefore, it is often used in conjunction with vital dyes such as 7aminoactinomysin (7AAD) or propidium iodide (PI), which bind to nucleic acids, but can only penetrate the plasma membrane when membrane integrity is breached, as occurs in the later stages of apoptosis or in necrosis. No Apoptosis = Cell Viability

UCANU 0007 Version 01, November 2011 Page 4 of 6 Cells that are negative for both Annexin V and the vital dye have no indications of apoptosis: PS translocation has not occurred and the plasma membrane is still intact. Early Apoptosis Cells that are Annexin Vpositive and vital dyenegative, however, are in early apoptosis as PS translocation has occurred, yet the plasma membrane is still intact. Late Apoptosis or Cell Death Cells that are positive for both Annexin V and the vital dye are either in the late stages of apoptosis or are already dead, as PS translocation has occurred and the loss of plasma membrane integrity is observed. Cells were untreated (upper left & lower left panels), treated for 5 hours (upper middle & lower middle panels) or 12 hours (upper right & lower right panels). Cells were incubated with PE Annexin V in a buffer containing 7aminoactinomycin (7AAD) and analyzed by flow cytometry. Untreated cells were primarily PE Annexin V and 7AAD negative, indicating that they were viable and undergoing apoptosis. After a 5 hour treatment there were two populations of cells; cells undergoing apoptosis (PE Annexin positive and 7AAD negative), and cells that were viable but not undergoing apoptosis (PE Annexin V and 7AAD negative).after a 12 hour treatment three populations of cells were identified; Cells that had die dor were in latest stage of apoptosis (PE Annexin V and 7AAD positive), cells undergoing apoptosis (PE Annexin V positive and 7AAD negative), and cells that were viable and not undergoing apoptosis (PE Annexin V and 7 AAD negative) 5. Safety precautions Treed every sample containing human material such as AB serum and the lymphocyte samples as infectious material. Wear disposable gloves. Sodium azide T+, N

UCANU 0007 Version 01, November 2011 Page 5 of 6 6. Reagents 6.1 Chemicals Reagents Formula Supplier order number Store at ( C) Lglutamine Invitrogen 25030024 20 PenicillinStreptomycin Invitrogen 15140122 20 Foetal Bovine Serum Invitrogen 10270106 20 PE Annexin V BD Biosciences 556422 +4 7AAD BD Biosciences 559925 +4 Sodium azide NaN3 Sigma S2002 RT Annexin V binding buffer (10x) BD Biosciences 556454 +4 6.2 Facs Buffer (PBS with 2% FCS and 0.1% Sodium Azide) 980 ml PBS 20 ml FBS 1 gram Sodium Azide Exp.Date : 3 months at +4 C 7. Equipment and Accessories tools 7.1 Equipment Centiguge Hettich Rotanta 46 (UMC# 990002142) Easypet pipet (Eppendorf, Germany, 4006173) Pipets 101000 µl (Gilson, The Hague, The Netherlands) Multistep pipet (Eppendorf, Germany) 7.2 Accessories 50 ml sterile polypropylene conical tubes (Falcon/ Becton Dickinson, Erembodegem, Belgium, 352070) Sterile 10 ml syringe (Becton Dickinson, Erembodegem, Belgium) 2 ml sterile disposable pipet (Falcon/ Becton Dickinson, Erembodegem, Belgium, 357507) 5 ml sterile disposable pipet (Falcon/ Becton Dickinson, Erembodegem, Belgium, 357543) 10 ml sterile disposable pipet (Falcon/ Becton Dickinson, Erembodegem, Belgium, 357551) 25 ml sterile disposable pipet (Falcon/ Becton Dickinson, Erembodegem, Belgium, 357525) Disposable gloves (Kimberly Clark, Zaventem, Belgium)

UCANU 0007 Version 01, November 2011 Page 6 of 6 8. Samples 8.1 Sample Collection The amount of cells frozen and other data concerning a sample can be found in the cell storage 8.2 Sample Processing All handlings of the sample should be done in a biohazard safety cabinet 9. Procedure 1 Wash cells twice with cold FACS buffer and then resuspend cells in 1x binding buffer (dilute 1 part binding buffer to 9 parts distilled H2O) at a concentration of 2x10E5 cells/well 2 Add 5 µl Annexin V PE and 5 µl of 7AAD 3 Gently vortex the cells and incubate for 15 minutes at RT in the dark 4 Transfer the conditions to facstubes 5 Add 400 µl of 1x bindingbuffer to each tube 6 Analyse by flow cytometry within 1 hr Suggested controls for setting up flow cytometry The following controls are used to set up compensation and quadrants: 1. Unstained cells 2. Cells stained with Annexin V PE alone 3. Cells stained with 7AAD alone 4. Cells stained with Annexin V PE and 7AAD 5. DMSO treated cells stained with Annexin V PE and 7AAD Induction of apoptosis by DMSO The following protocol is used to test the Annexin V staining: 1. Add DMSO (final concentration 10 % (v/v)) to the cells 2. Incubate the cells for 1 hour at 37 C 3. Proceed with the Annexin V staining protocol to measure apoptosis *** END ***