Mar 18, 2025

Public workspaceCytotoxicity Screening Assay - Paired with Antiviral Assays

  • 1Icahn School of Medicine at Mount Sinai;
  • 2ASAP Discovery Consortium
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Protocol CitationBriana L McGovern, Kris White 2025. Cytotoxicity Screening Assay - Paired with Antiviral Assays. protocols.io https://dx.doi.org/10.17504/protocols.io.bp2l62mozgqe/v1
License: This is an open access protocol distributed under the terms of the Creative Commons Attribution License,  which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Protocol status: Working
We use this protocol and it's working
Created: August 06, 2024
Last Modified: March 18, 2025
Protocol Integer ID: 104824
Keywords: cytotoxicity, antiviral
Funders Acknowledgements:
National Institutes of Health/National Institute Of Allergy and Infectious Diseases (NIH/NIAID)
Grant ID: Grant ID: U19AI171399
Disclaimer
The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Abstract
The following is a cytotoxicity protocol to be paired with a live virus antiviral screening in vitro. Cells are prophylactically treated with antiviral candidates that have been serially diluted to investigate activity, via CC50 values generated via analysis of MTT/MTS assays in uninfected cells.
You may opt to include PgP inhibitor in the assay by adding 2uM into the infection media.
For antiviral screenings for the family of virus you are working on, you will set up both an antiviral plate (infected) and a cytotoxicity plate (uninfected). The cytotoxicity plate will measure the cytotoxicity of the compounds on the cells.
Protocol materials
ReagentDeep Well Plate (96 well)Thermo FisherCatalog #10045
Step 6
Safety warnings
Always wear appropriate PPE for this protocol
Refer to Material Safety Data Sheets for additional safety and handling information.

Seeding
Seeding
This assay is typically run in parallel to the antiviral screening protocol, so you will end up having 1 pair of plates for every 3 compounds that you want to test. The pair will be identical; one will be infected to test antiviral activity, while the other will remain uninfected to test cytotoxicity.

The cells and their density will change depending on which virus you are screening against.
Coronaviruses (SARS-CoV-2 & MERS-CoV): Vero-TMPRSS2
Influenzas: A549
Picornaviruses: Rd (Rhabdomyosarcoma)
Flaviviruses: Vero-E6/TMPRSS2

Critical
The day before your assay you will seed your cells of interest. You will need 2 plates for every 3 compounds.

For each pair you can test 3 compounds (in triplicate, 8 dilutions per compound), 2 DMSO controls, and 1 uninfected control in the following layout:

Treatment layout of the plates.

Overnight
Setting up the conditions
Setting up the conditions
Create a screening priority list ahead of time. This list will have the compounds of interest, what maximum concentration you'd like to screen at, and where the compounds are located. We recommend organizing the compounds the day before.
The serial dilutions will follow different protocols depending on if you will do them by hand or by using a TecanD300e.

Before the assay, you should prepare enough 2% Media supplemented with DMSO for your screening. DMSO supplementation will correspond to the highest amount of drug stock used.
Each deep hold 12 compounds, and will need Amount80 mL .
Step case

Manual
From 14 to 15 steps

Remove your compounds from -20 to thaw while you set up.

Prepare the ReagentDeep Well Plate (96 well)Thermo FisherCatalog #10045 according to this diagram:

Deep well set up for manual serial dilutions
The first row will be the [max] of your compounds. This row will contain 1100ul of 2% media without DMSO. The media for this row does not receive any DMSO since you will add drug dissolved in DMSO directly to it.

The remaining rows of the plate will be filled with 750ul 2% media + supplemented with DMSO

These volumes are enough to treat both the antiviral and cytotoxicity plates.
Perform the serial dilutions:
Add the compounds of interest to the first row of the deep well (containing 1100ul media).
mix well and move 375ul from row 1 to the row 2. This is your first 1:3 dilution.

Schematic of the manual serial dilutions

Repeat until the entire deep well has been done.
You now have 8 concentrations of your compounds of interest.
Remove the growth media from the plates. Work one pair of plates at a time to prevent drying of the cells.

Add 100ul of the serial dilutions to the wells in the following set up: You will perform this for both the infection plate and the matching cytotoxicity plate
Treatment layout of the HeLa-ACE2 plates.
Notice how the inner columns of the plate receive experimental treatment, while the outer columns are the controls.
You should always have the plates in the correct orientation (top left corner should be A1) so that you are sure where the highest and lowest [compound] are.
Incubate the cells at Temperature37 °C 5% CO2 for Duration02:00:00 .

This pretreatment time frame could differ depending on what sort of compounds you'd like to test, but 2 hours is standard.
2h
Incubation
Mock Infection
Mock Infection
While these cytotoxicity plates will not be infected with virus, they need to be mock infected to match the antiviral plates.

Add 50ul 2% media to the wells.
Pause
After the infection timeline (which will vary depending on which virus you are screening against), you will fix both the antiviral and cytotoxicity plates. The method you use for the cytotoxicity plates will depend on which reagents you have.
Step case

Roche MTT Kit
6 steps

Sigma #11465007001
add 10ul MTT reagent.
Incubate 3-4 hours at 37C
Incubation
Add 100ul SDS reagent and incubate at RT ON
Overnight
Reading the plates
Reading the plates
Read the plates using a plate reader. We use the Cytation1.
read at 560nm
read again at 750nm

Imaging
Export the data to excel
Analysis
Analysis