In order to quantitate lymphocyte proliferative responses, we explored the role of cell death in the kinetics of phytohemagglutinin-stimulated cultures. Unless the disintegration time (tDIS) of nonviable lymphocytes in culture is known, the rate&'Gcell death cannot be calculated. To obtain tDIS, we determined the time interval between total and viable cell population decay after various killing events. Two subpopulations of Iymphocytes were observed, the major (80%) with a mean (+ SEM) tDIS of 16 + 2 hr and the minor (20%) with a tDIS of 45 7 hr. Kinetic balance sheets were constructed predicting total cultuire DNA content (cells plus medium), as calculated both from proliferation rates and from observed death and disintegration rates. In an experiment characterized by extensive cell death, the two tallies were well-matched when the above data were utilized. The large discrepancy between predicted and observed DNA contents of the medium indicates that the DNA of disintegrated lymphocytes is extensively degraded. We conclude that cell death explains proliferation deficits in stimulated lymphocyte cultures. Our
MATERIALS AND METHODSHuman lymphocytes from normal volunteer donors were purified (>95%) and cultured according to our published methods (13,14). Weakly agglutinating, purified PHA (Wellcome Reagents Ltd., Beckenham, England) was added to bulk cultures containing 2 to 33 X 105 cells per ml to a final concentration of 3 ,tg/ml, which gave optimal stimulation. Cultures were pulsed with [3H]Td, 2 ,uCi/ml (6 Ci/mmol) to assess incorporation into acid-precipitable material and autoradiographic labeling indices (15). The DNA contents of cell pellets and culture medium were assayed fluorometrically with diaminobenzoic acid after acid precipitation and extractions with alcohol and ether (16). Enumeration of Living and Dead Cells. The total cell number was determined in quadruplicate in a hemacytometer. The percentage of cells with a blue nucleus after incubation in 0.1% trypan blue for 5 min at room temperature was determined as the mean of quadruplicate counts of 100 cells each.Only those stained lymphocytes that had a morphology sufficiently unaltered for them to be included in the total cell count were scored as dead, i.e., blue-stained debris was ignored. Alternatively, viable (Pronase resistant) and dead cell nuclei were counted with a Coulter model D
RESULTSMeasurement of sensitivity to killing events and tDIS by population decay In the population decay analysis (Fig. 1), irradiated cells that are dead at time t1 will have disintegrated at some later time t2, when the total cell number (alive plus dead) will-represent only the cells that were viable at time t1. The interval t2 -t 2536