Bromodeoxyuridine (BrdUrd) labelled and unlabelled mitotic cells, respectively, can be discriminated from interphase cells using a new method, based on immunocytochemical staining of BrdUrd and flow cytometric four-parameter analysis of DNA content, BrdUrd incorporation, and forward and orthogonal light scatter. The method was optimized using the human leukemia cell lines HL-60 and K-562. Samples of lo5 ethanolfixed cells were treated with pepsidHC1 and stained as a nuclear suspension with anti-BrdUrd antibody, FITC-conjugated secondary antibody, and propidium iodide. Labelled mitoses could be discriminated from unlabelled mitoses, and from labelled and unlabelled G2 cells, by their intermediate log FITC fluorescence intensity. In addition, mitoses and G, nuclei differed in forward and orthogonal light scattering, but had equal intensity of proVarious flow cytometric methods are available for cell kinetic analysis, including estimation of cell cycle phase durations and potential doubling time (1,8, 14,261. Some methods are based on labelling of DNA replicating cells with a halogenated pyrimidine (BrdUrd or IdUrd), and labelled cells are then discriminated by altered stainability with DNA fluorochromes (5,7,15) or immunocytochemically with anti-BrdUrd antibody (2,11,17,25,28). Other methods use a stathmokinetic technique, and accumulated mitoses are discriminated by altered stainability with DNA fluorochromes (6,10,19), immunochemically (4,16,23), or by light scattering (12,19,21,29). As a replacement of the previous technique of labelling with tritiated thymidine, autoradiography, and counting of labelled mitoses in the microscope (3), flow cytometric estimation of the fraction of BrdUrd labelled and unlabelled mitoses pidium iodide fluorescence. This method for discrimination of labelled mitoses was also tested on cultured normal adult human keratinocytes labelled with iododeoxyuridine (IdUrd). In keratinocytes, where the cell structure was preserved after pepsidHC1, IdUrd labelled mitotic cells were similarly discriminated in the log FITC/propidium iodide fluorescence distribution. This interpretation was supported by experiments using mitotic arrest, fluorescence activated cell sorting and microscopy, and comparison with an alternative flow cytometric method for discrimination of mitoses.0 1994 Wiley-Liss, Inc.