The dye becomes strongly fluorescent after binding to cellular nucleic acids, including DNA and RNA. Intact plasma membranes generally prevent its entry, whereas membrane damage allows access to these targets. This mechanism converts a difference in membrane integrity into a readily measured red fluorescence signal for cell-by-cell viability assessment.
Membrane integrity controls whether the stain can reach intracellular nucleic acids. Cells that exclude the dye remain without its characteristic bright red signal, while cells with compromised membranes can accumulate the nucleic-acid-bound form. Consequently, fluorescence primarily reports loss of membrane exclusion, helping identify damaged or dead cells in a sample.
The two stains report complementary properties. Ethidium homodimer marks cells whose membranes permit entry, producing red fluorescence after nucleic-acid binding, while a green membrane-permeant stain can label cells that remain accessible to that reagent. Used together, the contrasting colors support separation of living, damaged, and dead cell populations in a two-color assay.
A typical workflow combines the cultured-cell sample with ethidium homodimer, often together with a green membrane-permeant stain, and then examines the resulting fluorescence. Researchers compare red and green signals across cells rather than relying on a single color. This approach provides a rapid visual assessment of membrane compromise and overall viability.
The pattern of fluorescence provides a practical classification of cell status. Red signal identifies cells that have allowed ethidium homodimer to enter and bind nucleic acids, whereas green signal comes from the complementary membrane-permeant stain. Considering both channels helps distinguish cells that are living, damaged, or dead rather than treating all cells as one population.
Researchers can apply the assay when they need to evaluate whether a treatment or environmental condition compromises cultured-cell viability. Comparing fluorescence patterns between samples can reveal increases in damaged or dead cells and characterize biological responses to the tested condition. Its rapid readout makes the method useful for screening cellular effects in biology experiments.