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. 2022 Oct 14;8:417. doi: 10.1038/s41420-022-01207-x

Table 1.

Advantages and disadvantages of methods used for drug cytotoxicity analysis.

Method Advantages Disadvantages Application
MTT, MTS, XTT, WST-1

Inexpensive;

Highly accessible;

Relatively fast;

Simple in execution.

Does not detect dead cells;

Cells are analyzed in bulk;

Additional steps in protocol may increase data variability (in case of MTT);

Toxic to cells.

High-throughput screening
LIVE/DEAD assay

Allows to evaluate numbers of both viable and dead cells;

Rapid process;

Simple in execution;

Moderately accessible;

Can be optimized for microscopic studies.

Expensive;

Cells are analyzed in bulk;

Requires optimization for each cell line;

Limited sensitivity in adherent cells [52].

Screening of small compound collections
Annexin V flow cytometry analysis

Estimates the fractions of viable cells, cells in early apoptosis, and cells in late apoptosis/necrosis;

Analyzes individual cells.

Provides no information on total cell number;

Does not discern between cells in late apoptosis and necrosis.

Analysis of adherent cells requires additional procedures that may affect the viability;

Cannot be scaled for high-throughput analysis.

Study of apoptosis in a limited number of samples;

Identification of drug-sensitive and drug-resistant subpopulations.

Western blotting

Allows to estimate molecular mechanisms of drug action;

High sensitivity.

Provides no information on cell numbers;

Cells are analyzed in bulk;

Requires high-quality antibodies against cell death markers;

Cannot be scaled for high-throughput analysis.

Study of molecular mechanisms of drug action in a small number of samples.