At the time of surgery, 18 patients with various brain tumors were given a 1-h i.v. infusion of bromodeoxyuridine (BrdUrd), 150-200 mg/m2. At an infusion rate of 200 mg/m2/h, serum BrdUrd levels of 8 pM were achieved. After the infusion, tumor tissue was obtained and divided into two portions. One portion was fixed in 70% ethanol, embedded in paraffin, and sectioned; the sections were deparaffinized, denatured with 2 N HCl, and reacted with monoclonal antibodies against BrdUrd (anti-BrdUrd MAb). BrdUrd-labeled nuclei were demonstrated satisfactorily by an indirect peroxidase method. The other portion was dissociated into single cells with a DNase enzyme cocktail and reacted with FITC-conjugated anti-BrdUrd MAb to determine the percentage of BrdUrd-labeled cells or with chromomycin A3 for DNA analysis. The single-cell suspensions were analyzed by flow cytometry.The fraction of S-phase cells in the tissue sections was similar to both the percentage of BrdUrd-labeled nuclei and the S-phase fraction determined by flow cytometric analysis. The results obtained with BrdUrd-labeled nuclei were similar to those obtained from previous autoradiographic studies of various brain tumors exposed to a pulse of 3H-thymidine. Since BrdUrd is not radioactive and is nontoxic at the dosage used, these techniques, together with the histopathological diagnosis, may help to predict the biological malignancy of individual tumors.Key terms: Cell kinetics, human brain tumor, glioma, bromodeoxyuridine, immunocytochemistry, flow cytometry, monoclonal antibody, S-phase fraction, serum BrdUrd level The labeling index obtained by autoradiographic analysis of tissue exposed to a pulse of 3H-thymidine has been used to estimate the proliferative potential of in situ human tumors (25). Application of this technique has been severely limited because of the potential radiation hazard to normal tissue and to the environment and because the studies are tedious to perform and require several months to complete. Thus, the results are not available soon enough to be considered in the design of chemotherapy regimens for individual patients. With the development of flow cytometry (FCM), it became possible to obtain a measurement similar to the labeling index by quantitating the intensity of DNA fluorescence in individual tumor cells (27). Unfortunately, the difficulty of obtaining clean single-cell suspensions and the lack of sophisticated computer programs to analyze the DNA histograms has prohibited routine use of FCM to measure the proliferative capacity of most human tumors.Recently, Gratzner (7) developed a monoclonal antibody W b ) that can identify nuclei containing bromodeoxyuridine (BrdUrd). Anti-BrdUrd MAb can be detected by direct conjugation of FITC to the antibody, by indirect conjugation of FITC using a n FITC-tagged secondary antibody, or by immunoperoxidase methods. This is an important breakthrough for studies of cell kinetics. BrdUrd, like 3H-thymidine, is incorporated into nuclear DNA during DNA synthesis (6, 26), but is neither radioac...