Dye exclusion tests are used to determine the number of live and dead cells. These
assays are based on the principle that intact plasma membranes in live cells exclude
specific dyes, whereas dead cells do not. Although widely used, the trypan blue (TB)
exclusion assay has limitations. The dye can be incorporated by live cells after a
short exposure time, and personal reliability, related to the expertise of the
analyst, can affect the results. We propose an alternative assay for evaluating cell
viability that combines the TB exclusion test and the high sensitivity of the flow
cytometry technique. Previous studies have demonstrated the ability of TB to emit
fluorescence when complexed with proteins. According to our results, TB/bovine serum
albumin and TB/cytoplasmic protein complexes emit fluorescence at 660 nm, which is
detectable by flow cytometry using a 650-nm low-pass band filter. TB at 0.002% (w/v)
was defined as the optimum concentration for distinguishing unstained living cells
from fluorescent dead cells, and fluorescence emission was stable for 30 min after
cell treatment. Although previous studies have shown that TB promotes green
fluorescence quenching, TB at 0.002% did not interfere with green fluorescence in
human live T-cells stained with anti-CD3/fluorescein isothiocyanate (FITC) monoclonal
antibody. We observed a high correlation between the percentage of propidium
iodide+CD3/FITC+ and TB+CD3/FITC+ cells, as well as similar
double-stained cell profiles in flow cytometry dot-plot graphs. Taken together, the
results indicate that a TB exclusion assay by flow cytometry can be employed as an
alternative tool for quick and reliable cell viability analysis.