Cells were irradiated at 3, 55, 110 and 220 J/cm2, incubated for 24 h and viability assessed using each test.
MTT assay showed significant decreases in viability when cells were irradiated with 110 and 220 J/cm2 energy fluence (dose) (89% and 57% viable cells, respectively; p < 0.0001, compared to control); likewise the trypan blue assay showed 42% and 46% viable cells (p < 0.0001). Neutral red assay revealed significant decrease in viability when cells were irradiated with 220 J/cm2 (84% viable cells; p = 0.0008, compared to control). The live/dead fluorescence assay was less sensitive, evincing 91% and 95% viable cells after irradiation with 110 and 220 J/cm2 respectively.
(1) The four assays differed in their levels of sensitivity to cell viability. (2) The adverse effect of increasing doses seems to manifest as alteration of mitochondrial metabolism, followed by lysosomal dysfunction, membrane disruption and finally loss of cell membrane integrity. (3) Overall, irradiation with 3 J/cm2 or 55 J/cm2 did not adversely affect cell viability. Thus, doses below 110 J/cm2 appear safe.