In-solution staining and arraying method for the immunofluorescence detection of γH2AX foci optimized for clinical applications

Immunofluorescence quantification of gamma H2AX foci is a powerful approach to quantify DNA double-strand breaks induced by cancer therapy or accidental exposure to ionizing radiation. Here we report a modification to the gamma H2AX immunofluorescence labeling method, whereby cells are stained in-solution before being spotted and fixed onto microscope slides. Our modified method allows arraying of 16 patient samples/slide ready for foci counting in 2 h and demonstrated reliably detection of gamma H2AX foci in mononuclear cells prepared from patients who had undergone radiation therapy.