Reactive oxygen species (ROS) are reactive molecules or free radicals that are by-products of aerobic respiration (reviewed in 1). These include the superoxide anion, peroxide, hydrogen peroxide, hydroxyl radical, and hydroxyl ions, among others. Under normal physiologic conditions, ROS are produced mainly by the mitochondria and nicotinamide adenine dinucleotide phosphate (NADPH) oxidases and are rapidly detoxified by various enzymes and proteins such as superoxide dismutase and glutathione. An exaggerated production of ROS or a defect in the ability to remove ROS can result in oxidative stress, whereby reactive oxygen species promote the damage of proteins, lipids, and DNA leading to cellular stress or death and pathological disease states. However, it is currently appreciated that ROS can also act as signaling molecules (redox signaling), and ROS-mediated modification of various molecules and pathway intermediates can influence cellular metabolism, proliferation, survival, inflammatory signaling, and aging2. In phagocytic cells, ROS plays an essential role in providing antimicrobial activity during the so-called “respiratory burst”1,3,4,5,6. During the response of phagocytes to external stimuli, components of the NADPH oxidase complex (p40phox, p47phox, p67phox) translocate from the cytosol to the phagosomal membrane containing the gp91phox and p22phox subunits, and together with the actions of Rac1/2, form a fully functional NADPH oxidase enzyme complex. The assembled NADPH oxidase then utilizes NADPH to reduce oxygen to superoxide within the phagosomal vacuole. Superoxide anions can directly cause damage or be dismutated into hydrogen peroxide. Both superoxide and hydrogen peroxide can react with other molecules to generate highly reactive hydroxyl radicals. Damage is mediated by reaction of these ROS with iron-sulfur clusters on proteins or by causing base oxidation of DNA, ultimately leading to restricted microbial metabolism or death of the microbe5. The importance of the NADPH oxidase enzyme complex and ROS produced during the respiratory burst is illustrated clinically in patients with Chronic Granulomatous Disease (CGD)7,8,9,10. Individuals with CGD possess mutations in gp91phox, resulting in a lack of ROS production and susceptibility to recurrent infections with bacteria and fungi which are not usually a concern with immunocompetent individuals. Therefore, whether studying oxidative stress, redox signaling, or host defense, being able to measure ROS production in real-time is a useful endeavor.
Multiple assays have been utilized to measure ROS production or the results of oxidative stress11,12,13. Among these, one of the most widely used is the fluorescent probe 2’,7’ dichlorodihydrofluorescein diacetate (DCFH2-DA)14. This molecule is colorless and lipophilic. Diffusion of DCFH2-DA across the cell membrane allows it to be acted upon by intracellular esterases, which deacetylates it into DCFH2, rendering it cell impermeable. The actions of multiple types of ROS (hydrogen peroxide, peroxynitrite, hydroxyl radicals, nitric oxide, and peroxy radicals) on DCFH2 oxidize it into DCF which is fluorescent (reported Ex/Em: 485-500 nm/515-530 nm) and can be detected using a flow cytometer equipped with a standard filter set for fluorescein (FL1 channel). Superoxide does not strongly react with DCFH2 but can react with another probe dihydroethidium (DHE) to yield the fluorescent product 2-hydroxyethidium (as well as other fluorescent superoxide-independent oxidation products)15. The fluorescent products of DHE oxidation can be detected using an excitation wavelength of 518 nm and an emission wavelength of 605 nm (FL2 channel). Although relatively simple to use, utilization of these probes for detection of ROS requires knowledge of their limitations and careful incorporation of staining procedures and controls into the specific assay being performed in order to have valid experimental results and conclusions. The following protocol demonstrates the use of a commercially available kit employing these 2 probes designed to measure ROS by flow cytometry. We stain primed bone marrow-derived macrophages with these probes and induce ROS production through FcγR cross-linking. We present representative data obtained using this protocol and stress appropriate precautions that must be undertaken for successful experimentation.