What are the principles of the TUNEL assay?

Internucleosomal DNA fragmentation caused by activated endonucleases is universally regarded as the biochemical hallmark of apoptosis. The terminal deoxynucleotidyl transferase dUTP nick end labeling (TUNEL) assay can be used to identify the DNA strand breaks.

During the later stages of apoptosis, caspase-activated endonucleases cleave genomic DNA into oligonucleosomal fragments (~180-200 base pairs long). Using the TUNEL assay, the exposed 3'-OH termini of these breaks can be marked with modified dUTPs for subsequent visualization and quantification of apoptotic cells in situ. This is generally done either directly using dye-modified dUTP or indirectly using BrdUTP and antibody conjugates against BrdUTP. Regardless of the labeling strategy, both require the enzyme terminal deoxynucleotidyl transferase (TdT) to catalyze the incorporation of the modified dUTPs to the 3'-OH termini. Detection of DNA fragments by the TUNEL assay requires sample fixation using a crosslinking reagent such as 4% paraformaldehyde (avoid ethanol-based fixatives as it hinders the extraction of small DNA fragments) and sample permeabilization. Both steps are critical to the TUNEL assay as it facilitates the entry of exogenous TdT and antibody conjugates against BrdUTP. Keep in mind that several variables influence the staining kinetics of the TUNEL assay.