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In 1901 the Dutch botanist Hugo de Vries coined the term mutation1. Twenty-six years later, when Hermann Joseph Muller discovered the mutagenic action of X-rays2, mutations were already perceived as one of the driving forces of evolution. However, the nature of mutations was not clear. To answer the fundamental question of whether mutations emerge spontaneously (i.e., a spontaneous mutation) or in response to selection (i.e., an induced mutation), a method was needed to observe mutational events. Such a method would measure the expected number of mutations per cell division or what was already known as a mutation rate3,4.

Figure 1: Schematic illustration of how to perform the fluctuation assay with a microbial strain in a 96 deep well plate. (A) Inoculate and acclimate cells in 50 mL tubes containing five different environments ('red', 'blue', 'green', 'purple', and 'orange' assays). (B) Prepare parallel cultures with a small number of sensitive cells in a 96 deep well plate. The 'red' assay has 20 parallel cultures, whereas the 'blue', 'green', 'purple', and 'orange' assays all have 19 parallel cultures. The positions of the parallel cultures on the 96 deep well plate are random. Randomization can be done with the Supplementary LayoutGenerator.R script or by some other tool. The layout on the top right is the randomization result. (C) Incubate the 96 deep well plate and allow the cells to divide and spontaneously mutate. Six cultures from deep wells A1, B1, C1, E1, F1, and G1 show how the number of mutants fluctuates: 4, 0, 2, 2, 1, and 4 red cells after the third cell division, respectively. The number of mutants differs not only because of the different number of spontaneous mutations (0, 1, or 2 as shown by the first red cell), but also because it is important when during a culture cycle a resistance mutation spontaneously emerges (cell division 1, 2, or 3). (D) After the incubation of the 96 deep well plate the number of mutants is determined by plating 81 parallel cultures. On the layout these are circles without bolded edges. The entire parallel culture is plated on one well of a 6 well plate containing a selective agar. (E) The remaining 15 cultures are diluted and plated on the non-selective agar to determine the average number of cells (Nt). On the layout these are labelled as Ntwells and have bolded edges. For each assay Nt is averaged over three parallel cultures. On the bottom right is a Petri dish containing a non-selective agar plate with 25 CFUs of a diluted culture grown in a deep well D1 (part of a 'green' assay). (F) After incubation of the selective 6 well plates the number of observed mutants were counted and the expected number of mutational events, m, was estimated using a Maximum Likelihood estimator. (G) Knowing both the number of mutations, m, and the number of cells per assay, Nt, the mutation rate was estimated as m/Nt. Please click here to view a larger version of this figure.
Salvador Luria and Max Delbrück in 1943 provided an ingenious solution to this problem with the fluctuation assay5 (see Figure 1). The assay starts with multiple populations (named parallel cultures) that are initiated with a small number of microbial cells (Figure 1A,B). After growth in a benign, non-selective environment (Figure 1C), parallel cultures are transferred on plates containing a selective marker (phages, antibiotics, etc.), where only cells with a resistance mutation survive and can produce a colony (Figure 1D). The main expectation was that if resistance mutations are induced, the number of cells that carry a mutation should be distributed among different populations with the mean equal to the variance. What Luria and Delbrück found with the fluctuation assay is that the number of mutants fluctuated drastically and that the variance in the number of mutants among different populations was considerably greater than the mean. Luria and Delbrück thereby demonstrated that mutations are spontaneous. They showed that mutations spontaneously emerge whenever the DNA is replicated, and the number of mutants depends on when the mutation occurs during the growth of the population. See Figure 1C, where six populations, each initiated with a microbial cell (in blue), experience none, 1, or 2 single mutations. Populations A1, E1, and F1 experienced one single mutation (first red cell), but because a single mutation spontaneously emerges at various time points during a culture cycle, populations ended up with a very different number of observed mutants (four, two, and one, respectively). On the other hand, populations C1 and G1 ended up with the same number of observed mutants as E1 and A1, despite experiencing two mutational events rather than one. The fluctuation of observed mutants among populations not only gave the assay the name, but also showed that a mutant frequency (i.e., the proportion of mutant cells) is an inadequate indicator of the mutation rate.
The overall goal of the fluctuation assay is to estimate the spontaneous mutation rate of a particular genotype of bacteria or other single-celled organism growing in a particular liquid environment. The fluctuation assay remains the most appropriate tool for studying environmental dependency of microbial mutation rates and allows rapid and inexpensive mutation rate estimation. Alternative approaches to mutation rate estimation, such as maximum-depth sequencing6, population sequencing7, mutation accumulation experiments8, or comparing genome sequences of an offspring to those of the parents9 are much more laborious, and thus poorly suited to potentially detecting environmental dependencies. However, dynamic aspects of a mutation's generation and repair are largely inaccessible to a fluctuation assay or to any of the methods of assaying a mutation rate listed above. To study how the number of mutations changes in time, space, or among individual cells within a population, single cell approaches11,12 are necessary, which, in addition to being more laborious than fluctuation assays, require highly specialized skills and equipment.
In practice, a fluctuation assay is counting cells gaining a phenotypic marker due to a mutation that occurs in an environment lacking selection for that marker. The meta-analysis of hundreds of published assays10 shows that at least 39 different phenotypic markers have been used since the assay's inception in 1943. The fluctuation assay can be used to compare averages and environmental dependency of mutation rates among laboratory, clinical, nonmutator, and mutator strains growing in permissive environments. The assay allows for the mutation rate estimation in cells with different genetic backgrounds growing in either minimal or rich environments. The assay is suitable not only for populations growing as a monoculture but can also be used for studying the effects of cell-cell interactions on mutation rates11. When the strain of interest is cocultured with a second strain, and a neutral marker is used to distinguish the strains, mutation rates can be assayed for two strains in the same tube at the same time.
Fluctuation assays have revealed that the spontaneous mutation rate depends upon both a cell's genotype and its environment12 and is a trait that itself evolves13. Whenever the mutation rate of one particular genotype changes with the environment, it is described as mutation-rate plasticity11. Plastic mutation rates have been most thoroughly addressed for stress-induced mutagenesis (SIM)14. In addition, using fluctuation assays, it has been recently shown that the density to which a population of cells grows (typically a batch culture at carrying capacity) is closely associated with mutation rates across bacteria and unicellular eukaryotes. The mutation rate per genome per generation decreases in dense populations by as much as 23-fold10,11. This density-associated mutation rate plasticity (DAMP) can depend on a quorum-sensing system15 and act independently of SIM16.
Here, a detailed protocol is presented for the fluctuation assay used to study Escherichia coli strain K-12 gaining resistance to the antibiotic rifampicin in a glucose minimal media environment. However, this protocol should be viewed as a basic template that can be utilized to study a wide variety of microbes by simply modifying the culture conditions and phenotypic markers of mutation. The protocol has evolved from its inception5,17,18,19,20,21,22,23,24,25,26,27,28,29 through its use on a wide range of microbes and even cancer cells30 and has been modified to increase the throughput, which was essential for properly testing environmental dependencies of microbial mutation rates10,11,16. The protocol described here does not cover all the methodological and analytical issues of the fluctuation assay that have been already well discussed in the literature, particularly fitness effects of resistant mutations31, phenotypic delay32, cell death33, and the suitability of various algorithms available to estimate mutation rates26,34. This can be important, for instance, when the environmental dependence of fitness effects can give rise to erroneous variation in the mutation rate estimates35. However, we note that the analytical tools that we use here can deal with the variation in mutant fitness and cell death. As addressed in the notes and discussion, it is also recommended that multiple phenotypic markers that are unlikely to have the same environmentally dependent fitness effects be considered. This protocol will enable people to routinely assay environmental dependencies of mutation rates in the diversity of microbial strains and environments. Assaying mutations in different environments has not yet been thoroughly tested and once population density is considered, fluctuation assays can give a more precise estimate of mutation rate10. This protocol will enable more fluctuation assays to be performed, as is necessary for understanding the mechanisms underpinning mutation rates, which in turn is vital for understanding evolution, carcinogenesis, aging, and antimicrobial resistance.