We sought to determine the optimal Percoll concentration for ischemic rat brain prepared for flow cytometric (FC) measurements. Animals were subjected to the right middle cerebral artery (MCA) occlusion, and were euthanized at 3, 12, 24, and 72 h after reperfusion onset. The brains were processed by different concentrations (unisolated, 20, 25, 30, or 40%) of Percoll and stained with annexin V/propidium iodine (PI). Ischemic brain damage was evaluated by FC analysis and image analysis for histologic sections. The relative susceptibility of different phenotypes of cells to necrotic and apoptotic damage were evaluated by the FC analyses for the immunohistochemistry, PI, and the terminal deoxynucleotidyl transferase-mediated deoxyuridine triphosphate nick-end labeling (TUNEL)-processed brain tissues. Our results showed that FC analysis effectively detected the extent and maturation of apoptotic/necrotic brain damage, and the results were consistent with those determined from histologic brain sections. Neuron was more vulnerable to apoptosis than glia, whereas both cellular phenotypes were compatible in susceptibility for necrotic cell death. Percoll at a low concentration (20%) could effectively remove tissue debris without affecting membranous integrity of the injured neurons. Conversely, high percentages of Percoll (30-40%) substantially increased membranous damage for the injured cells. These results supported the application of FC to determine the extent and progression in time, as well as relative phenotypes of apoptotic/necrotic cell deaths following ischemic damage. We highlighted the use of Percoll at low percentages to facilitate the removal of tissue debris and to improve membrane integrity preservation for the injured neurons. ' 2012 International
Society for Advancement of CytometryKey terms stroke; apoptosis; necrosis; phosphatidyl serine; flow cytometry BRAIN ischemia induces numerous deleterious cascades such as ionic imbalance, receptor activation, and excessive production of excitatory amino acids and free radicals, each of which may lead to cellular necrotic, apoptotic, or even autophagy injury. Necrosis results when the integrity of cytoplasmic membranes become compromised, and, thus, the event can easily be detected by staining with propidium iodine (PI). In contrast, apoptotic cells are characterized by loss of membranes phospholipid symmetry and exposure of phosphatidyl serine (PS) at the cell surface, followed by condensed chromatin structure, reduced cell volume and DNA fragmentations (1,2). Annexin V and terminal deoxynucleotidyl transferase (TdT)-mediated deoxyuridine triphosphate nick-end labeling (TUNEL) techniques, which selectively binds to negatively charged phospholipids and 3 0 -hydroxyl terminal of DNA strand breaks, respectively, are therefore, widely used to identify apoptotic cell injury (3,4).Histologic assessment in experimental stroke is largely dominated by the use of traditional brain section staining for the damage to neuronal perikarya and labeling