MULTITOX-FLUOR MULTIPLEX CYTOTOXICITY ASSAY TECHNOLOGY

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MULTITOX-FLUOR MULTIPLEX ASSAY TECHNOLOGY ANDREW L. NILES, M.S. 1, RICHARD A. MORAVEC, B.S. 1, MICHAEL SCURRIA, B.S. 2, WILLIAM DAILY, PH.D. 2, LAURENT BERNAD, PH.D. 2, BRIAN MCNAMARA, PH.D. 1, ANISSA MORAES, B.S. 1, KAY RASHKA, B.S. 1, DEBORAH LANGE, B.S. 1, AND TERRY L. RISS, PH.D. 1, 1 PROMEGA CORPORATION, 2 PROMEGA BIOSCIENCES, INC. Here we introduce the MultiTox-Fluor Multiplex Cytotoxicity Assay technology that allows the measurement of the relative number of live and dead cells in culture wells. This assay provides inversely proportional values of cytotoxicity and viability that are useful for normalizing data to cell number. The MultiTox-Fluor Reagent can also be multiplexed with other cell-based assays. Introduction Cell-based assays are important tools for contemporary biology and drug discovery because of their predictive potential for in vivo applications. However, the same cellular complexity that allows the study of regulatory elements, signaling cascades, or test compound bio-kinetic profiles can also complicate data interpretation by inherent biological variation. Therefore, researchers often need to normalize assay responses to cell viability after experimental manipulation. A multitude of assay chemistries are currently employed to determine viability or cytotoxicity in cell-based assays (1). Viability measurements typically rely on either metabolic capacity or other biochemical markers not present after cell death. For instance, the CellTiter 96 AQ ueous One Solution Cell Proliferation Assay and the CellTiter-Blue Cell Viability Assay use live-cell tetrazolium or resazurin reduction, respectively, while CellTiter-Glo Luminescent Cell Viability Assay measures ATP after reagent-mediated lysis to assess cell viability. GF-AFC (live-cell substrate) bis-aaf-r11 (dead-cell substrate) Assay Buffer MultiTox-Fluor Multiplex Cytotoxicity Assay Reagent Add GF-AFC and bis-aaf-r11 Substrates to Assay Buffer to create the MultiTox-Fluor Multiplex Cytotoxicity Assay Reagent. The MultiTox-Fluor Assay technology gives ratiometric, inversely proportional values of viability and cytotoxicity that are useful for normalizing data to cell number. Add reagent to plate in proportional volumes, mix and incubate. Many cytotoxicity assays directly assess the structural integrity of cell membranes by measuring the capacity to exclude dyes or retain cytoplasmic contents (2). Trypan blue and propidium iodide are classic examples of dyes that freely enter compromised or dead cells but do not stain the viable population. Enzyme markers like lactate dehydrogenase (LDH), which leak from the cytoplasm into culture medium upon cell death, can be conveniently measured using coupled enzymatic assays like the CytoTox-ONE Homogeneous Membrane Integrity Assay (3). Although the existing assays for determining cellular viability or cytotoxicity are useful and cost-efficient methods, they have limits in the types of multiplexed assays that can be performed along with them. For instance, the CellTiter-Glo Figure 1. Schematic diagram of the MultiTox-Fluor Multiplex Cytotoxicity Assay. The MultiTox-Fluor Multiplex Cytotoxicity Reagent is created by adding the fluorogenic peptide substrates (GF-AFC, livecell protease substrate and bis-aaf-r11, dead-cell protease substrate) to the assay buffer. This reagent can then be added to a multiwell plate. After at least 3 minutes of incubation at 37 C, the resulting fluorescent signals may be measured at an excitation of 4nm and an emission of 55nm, then at an excitation of 485nm and an emission of 52nm. Assay is a lytic endpoint assay that is incompatible with other assays that measure beetle luciferase (e.g., reporter gene assays) or luciferin (e.g., luminescent caspase assays). Additionally, the resazurin chemistries used for viability and cytotoxicity measures cannot be combined in the same well 5814MA www.promega.com 11 CELL NOTES ISSUE 15 26

A. AFC Fluorescence (RFU) B. R11 Fluorescence (RFU) 7,5 6,5 5,5 4,5 3,5 2,5 1,5 6, 5, 4, 3, 2, 1, Treated Viable Treated Viable r 2 =.9991 r 2 =.9996 r 2 =.9973 5 2, 4, 6, 8, 1, 12, Cell Equivalents/Well 2, 4, 6, 8, 1, 12, Cell Equivalents/Well 5821MA % of Maximal Assay Response 1 75 5 25 r 2 =.9998 r 2 =.9998 Live Cell Response (GF-AFC) 25 5 75 1 % Viable Cells/Well Assay Design and Chemistry Dead Cell Response (bis-aaf-r11) Figure 3. The ratiometric response obtained from the MultiTox-Fluor Assay technology. A pool of Jurkat cells was adjusted to 1, cells/ml, then divided into two fractions. One fraction was compromised by treatment to induce cytotoxicity; the other untreated. The two fractions were then combined in various proportions to simulate varying viabilities from 1 to %. 1, cell equivalents were added to each well in 1µl volumes, followed by an equal addition of the MultiTox-Fluor Assay Reagent. After brief orbital shaking, the plate was incubated at 37 C for 3 minutes before measuring fluorescence using the BMG PolarStar plate reader. The data were normalized as a percentage of the maximal response. The dashed line represents fluorescence generated in the presence of dead cells, whereas the unbroken line represents fluorescence in the presence of live cells. 5822MA Figure 2. The MultiTox-Fluor Multiplex Cytotoxicity Assay technology measures two distinct proteolytic activities that are mutually restricted to either viable or compromised cells. A pool of Jurkat cells was divided into two fractions. One fraction was treated to simulate cytotoxicity, whereas the other was left untreated. Both fractions were twofold serially diluted in RPMI 164 + 1% fetal bovine serum. Medium with serum served as the no-cell control. Single substrate reagents were created by adding either GF-AFC or bis-aaf-r11 Substrate to buffer. Each was added to cells and incubated for 3 minutes at 37 C prior to measuring fluorescence using a BMG PolarStar plate reader. Panel A represents the differential fluorescence profile of the live-cell substrate (GF-AFC Substrate). Panel B represents the differential fluorescence profile of the deadcell substrate (bis-aaf-r11 Substrate). because of spectral overlap and reagent formulation incompatibility. Furthermore, the absorbance profile of resazurin can significantly complicate additional multiplexed downstream applications by color quenching of fluorescence or luminescence. Here we report the development of a homogeneous, singleaddition reagent that allows the measurement of the relative number of live and dead cells in culture wells. This assay technology gives ratiometric, inversely proportional values of viability and cytotoxicity that are useful for normalizing data to cell number. Lastly, this reagent is compatible with additional fluorescent and luminescent chemistries. The MultiTox-Fluor Multiplex Cytotoxicity Assay technology (a,b) is analogous to other assays that use membrane integrity changes to measure cell viability or cytotoxicity. However, instead of dye exclusion or LDH release, the MultiTox-Fluor Assay technology simultaneously measures two distinct protease activities as markers for cell viability or cytotoxicity. The live-cell protease activity is restricted to intact viable cells and is measured using the fluorogenic, cell-permeant, peptide substrate Gly-Phe-7-amino-4 trifluoromethyl coumarin (GF- AFC). The substrate enters intact cells where it is cleaved to generate a fluorescent signal proportional to the number of living cells. This live-cell protease activity marker becomes inactive upon loss of membrane integrity and leakage into the surrounding culture medium. The second cell-impermeant, fluorogenic peptide substrate, bis-(ala-ala-phe)-rhodamine 11 (bis-aaf-r11), is used to measure dead-cell protease activity that has been released from cells that have lost membrane integrity. Because bis-aaf-r11 Substrate is not cell-permeant, essentially no signal from this substrate is generated by intact viable cells. These fluorogenic substrates are formulated in a physiological buffer and delivered to cell culture wells to measure both the viable and dead cell populations simultaneously in the same sample (Figure 1). After proteolytic hydrolysis of the peptide bond in GF-AFC Substrate by the live-cell protease, the CELL NOTES ISSUE 15 26 12 www.promega.com

A. B. C. D. LDH Release Fluorescence (RFU) Resorufin Fluorescence (RFU) ATP Luminescence (RLU) Excludable Dye Fluorescence (RFU) 25, 2, 15, 1, 5, 3,1 3, 2,9 2,8 2,7 2,6 r 2 =.9782 1, 2, 3, 4, 5, bis-aaf-r11 Fluorescence (RFU) 2,5 5 6 7 8 9 1, 1,1 16, 12, 8, 4, 12, 1, 8, 6, 4, 2, r 2 =.963 GF-AFC Fluorescence (RFU) r 2 =.9923 25 75 1,25 1,75 2,25 2,75 GF-AFC Fluorescence (RFU) r 2 =.9982 1, 2, 3, 4, 5, bis-aaf-r11 Fluorescence (RFU) Figure 4. The MultiTox-Fluor Assay technology data correlate with other conventional measures of viability and cytotoxicity. U937, Jurkat, and HL-6 were subjected to various treatments, which induced different degrees of cytotoxicity. Parallel plates were prepared and cytotoxicity and viability determined by MultiTox-Fluor Assay technology, CytoToxONE Assay (Panel A), CellTiter-Blue Assay (Panel B), CellTiter-Glo Assay (Panel C) or by ethidium homodimer incorporation (Panel D, Molecular Probes). Resulting fluorescence signals were plotted against MultiTox-Fluor Assay technology readings. 582MA liberated AFC fluorophore can be measured using a fluorometer at an excitation of 4nm and emission of 55nm (4). The dead-cell protease cleaves bis-aaf-r11 to release the R11 fluorophore, which can be measured at an excitation of 485nm and emission of 52nm (5; Figure 2). The greatest advantage derived from measuring the presence of both live and dead cells by the MultiTox-Fluor Multiplex Cytotoxicity technology is that the measurements are inversely proportional and complementary (Figure 3). Simply stated, when one fluorescence marker response is high, the other will be low when compared to viability or cytotoxicity controls. This provides a ratiometric response that can be used to normalize the data, irrespective of cell number. Ultimately, these independent measures serve as assay controls and can help identify and correct errors caused by pipetting, differential growth patterns or interference with assay chemistry. Sensitivity Traditional dye exclusion chemistries exhibit limited sensitivity. Although dye reduction assays represent an improvement in sensitivity because of continuous enzymatic cycling, the reactions may require multiple steps and involve product intermediates. The MultiTox-Fluor Multiplex Cytotoxicity Assay technology directly measures two different protease activities with rapid catalytic cleavage rates. This allows rapid accumulation of fluorescent product in cell culture. After a 3- minute incubation, even modest declines in viability (5%) can be measured in most cell types when using 1, cells/well (Figure 3). Increasing incubation times up to two hours often increases the signal window and detects cytotoxicity of as little as 2% of the population. Correlation with Conventional Viability and Cytotoxicity Assays The MultiTox-Fluor Multiplex Cytotoxicity Assay technology represents an entirely novel and previously undescribed method for measuring viability and cytotoxicity of cells in culture. However, because the assay is designed to measure distinct changes in membrane integrity, data derived from the assay correlate well with existing methodologies. Therefore, these measures of proteolytic activity mirror the data obtained from enzyme release, resazurin reduction, ATP quantitation or dye exclusion assays (Figure 4). Additional Downstream Multiplex Possibilities The MultiTox-Fluor Multiplex Cytotoxicity Assay Reagent can be delivered to wells in various volumes by adjusting the substrate concentration in the reagent. For instance, a 2X reagent can be prepared and added at a volume equal to the culture medium, or a 1X reagent can be prepared and added at a volume 1/1th that of the culture medium. This smaller volume addition provides flexibility and www.promega.com 13 CELL NOTES ISSUE 15 26

% of Maximal Assay Response 125 1 75 5 25. Dead Fluorescence (R11) Live Fluorescence (AFC) Caspase-3/7 (Luminescence) 1, 1, 1, Staurosporine (nm) 5824MA Figure 5. The MultiTox-Fluor Assay technology can be multiplexed with other assays. LN-18 cells were plated at a density of 1, cells per well in 5µl volumes of MEM + 1% fetal bovine serum and allowed to attach overnight. Staurosporine was twofold serially diluted and added to wells in 5µl volumes. The plate was incubated at 37 C in 5% CO 2 for 6 hours. MultiTox-Fluor Reagent was prepared as a 1X reagent and delivered to all wells in a 1µl volume. The plate was mixed by orbital shaking, then returned to the incubator for 3 minutes before reading the fluorescent signals on a BMG PolarStar plate reader. Caspase-Glo 3/7 Reagent was then added in an additional 1µl volume, and resulting luminescence measured after a 1-minute incubation using the BMG PolarStar plate reader. The resulting signals were normalized to a percentage of the maximal response and plotted using GraphPad Prism software. Table 1. The MultiTox-Fluor Multiplex Assay technology was validated using cell lines representative of the diversity in the National Cancer Institute-6 (NCI-6) Panel. Cell Line Sex Age Histology Source/Origin HCT-116 M >18 carcinoma colon HL-6 (TB) F 36 promyelocytic PBL leukemia SK-MEL-28 M 51 melanoma melanoma/skin MCF-7 F 69 adenocarcinoma mammary PA-1 F 12 teratocarcinoma ovary ACHN M 22 carcinoma kidney PC-3 M 62 adenocarcinoma prostate DU-145 M 69 carcinoma prostate NCI-H226 M NA squamous lung LN-18 M 65 glioblastoma brain HeLa F 31 carcincoma cervix Jurkat M NA T-cell leukemia lymphocyte Hek293 NA fetal transformed kidney HepG2 M 15 hepatocarcinoma liver NK-92Cl M 5 lymphoma NK cell U937 M 37 histocystic lymphoma monocyte CELL NOTES ISSUE 15 26 14 www.promega.com

Multiplex Cytotoxicity Assay Techonlogy accommodates the addition of other reagents that may be required for a second multiplexed assay for reporter activity, caspase activation, etc. Because the substrates are essentially colorless and inert with respect to influencing viability, a large number of multiplex options exist using spectrally distinct fluorophores or luminescent assays (Figure 5). Cell-Specific Assay Responses There is significant diversity with regard to morphology and lineage among cell lines used in routine biological research. Different cell lines have different reductive capacities or contain different levels of enzyme markers. These factors may influence assay incubation times or experimental sensitivity with conventional viability or cytotoxicity chemistries. The MultiTox-Fluor Multiplex Cytotoxicity Assay was validated using selected cell lines representative of the National Cancer Institute-6 Panel (6) and found to work well in various necrosis or apoptosis models (Table 1). Summary The MultiTox-Fluor Multiplex Cytotoxicity Assay uses simple, sensitive and scalable chemistries to determine the degree of viability and cytotoxicity within cell culture wells after experimental treatment. The live-cell and dead-cell proteolytic measures in the MultiTox-Fluor Multiplex Cytotoxicity Assay correlate well with conventional measures of cell viability and act as internal controls while providing a ratiometric response, which is useful for normalization purposes. Furthermore, the assay system provides the additional functionality and flexibility to enable multiplexing with other assays. References 1. Riss, T.L. and Moravec, RA. (24) Assay Drug Dev. Technol. 2, 51 62. 2. Cook, J. and Mitchell, J. (1989) Anal. Biochem. 179, 1 72. 3. Riss, T.L. and Moravec, R.A. (22) Cell Notes 4, 6 9. 4. Smith, R.E. et al. (198) Thromb Res. 17, 393 42. 5. Liu, J. et al. (1999) Bioorg. Med. Chem. Lett. 9, 3231 6. 6. Shoemaker, R.H. et al. (1988) Prog. Clin. Biol. Res. 276, 265 86. Note: The MultiTox-Fluor Multiplex Cytotoxicity Assay is currently under development. Contact Promega Technical Services for more information. Related Products Product Size Cat.# Apo-ONE Homogeneous Caspase-3/7 Assay 1ml G7792 1ml G779 1ml G7791 CytoTox-ONE Homogeneous Membrane Integrity Assay 2 8 assays G789 1, 4, assays G7891 CellTiter-Blue Cell Viability Assay 2ml G88 1ml G881 1 1ml G882 CellTiter-Glo Luminescent Cell Viability Assay 1ml G757 1 1ml G7571 1ml G7572 1 1ml G7573 Caspase-Glo 3/7 Assay* 2.5ml G89 *For Laboratory Use. (a)this product is currently under development. 1ml G891 1 1ml G893 1ml G892 (b)patent Pending. Products may be covered by pending or issued patents or may have certain limitations. Please visit our Web site for more information. Apo-ONE, Caspase-Glo, CellTiter 96, CellTiter-Blue and CellTiter-Glo are registered trademarks of Promega Corporation. CytoTox-ONE is a trademark of Promega Corporation. GraphPad Prism is a registered trademark of GraphPad Software, Inc. www.promega.com 15 CELL NOTES ISSUE 15 26