MTT, CKK-8, alamarBlue (resazurin) |
Apoptosis/Necrosis |
Spectrophotometer |
Inexpensive, rapid; endpoint assay; dependent on enzymes’ activity (exclusively mitochondrial in case of MTT) and does not discriminate between modes of cell death1,10
|
LDH release |
Necrosis |
Spectrophotometer |
Rapid, independent of mitochondrial enzymes’ activity; expensive for high-throughput tests; detects necrotic cells with compromised plasma membrane11,12
|
Trypan blue (TB) |
Apoptosis/Necrosis |
Microscope |
Cell-impermeant; does not discriminate between modes of cell death; laborious and not suitable for high-throughput screening; more difficult to use with adherent cells; prone to subjective judgment of the user, but is considered the standard cell viability measurement method13
|
Acridine orange (AO) |
Apoptosis/Necrosis/Necroptosis |
Fluorescence microscope |
A nucleic acid dye with unique spectral properties, can distinguish between apoptosis and necrosis/necroptosis14
|
Hoechst 33342, DAPI |
Apoptosis |
Fluorescence microscope or flow cytometer |
Cell-permeable; inappropriate on its own to monitor cell death; useful for co-staining; can be used to assess chromatin condensation and nuclei fragmentation in early apoptosis; can be paired with propidium iodide to distinguish apoptosis from necrosis15,16
|
Propidium iodide (PI) |
Late apoptosis/Necrosis |
Fluorescence microscope or flow cytometer |
Cell-impermeant intercalator; detects both late apoptosis and necrosis modes of cell death17. Toxic and permeable after long incubation times18
|