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Demystifying Cell Assays: How to Distinguish Proliferation, Viability & Cytotoxicity

Source: Elabscience®Published: Feb 05,2026

Are you uncertain which assay to use: proliferation, viability, or cytotoxicity? When starting out in cell culture, many researchers find these concepts overlapping and confusing. Yet, selecting the right one is crucial, not trivial, as it directly impacts the validity of your data. Let's break down the differences so you can confidently match the method to your experimental goal. 

 

Table of Contents

1. Quick Guide: Key Differences Between Proliferation, Viability & Cytotoxicity

2. Overview of Cell Viability Assay Methods

3. How to Choose the Right Cell Viability Assay Method?

4. Overview of Cell Cytotoxicity Assay Methods

5. How to Choose the Right Cell Cytotoxicity Assay Method?

6. Overview of Cell Proliferation Assay Methods

 

01 Quick Guide: Key Differences Between Proliferation, Viability & Cytotoxicity

(1) Cell Viability: Refers to the proportion of live cells within the total cell population. The Trypan Blue exclusion assay is the classic method for determining live/dead cells, while assays like ATP/CCK-8/MTT/MTS measure viability indirectly by quantifying cellular metabolic activity[1, 2].

(2) Cell Proliferation: Refers to the ability of living cells to divide or the rate of DNA synthesis. This is typically assessed via BrdU/EdU incorporation methods[3].

(3) Cell Cytotoxicity: Measures the extent of damage or death caused to cells by external factors (e.g., drugs, chemicals, environmental stress). A standard method is the Lactate Dehydrogenase (LDH) release assay.

Table 1. Anti-cancer Drug Screening (Practical Example)

Cell Status

Outcome

High Toxicity, Low Viability,

Low Proliferation

Drug exhibits strong cytotoxicity (may require dose optimization or a more specific target).

Low Toxicity, Normal Viability, Low Proliferation

Drug specifically inhibits proliferation (an ideal candidate for further study).

Low Toxicity, High Viability, High Proliferation

Drug is ineffective; cancer cells continue to proliferate rapidly.

 

02 Overview of Cell Viability Assay Methods

Table 2. Comparison of Cell Viability Assay Methods

Assay Method

Instrument

Core Principle

Assay Time

Key Features

ATP Assay

Multi-mode Microplate Reader (Chemiluminescence)

Quantifies ATP from viable cells using the luciferin-luciferase system. Signal intensity is linearly proportional to live cell number.

10-20 min

Fast, highly sensitive. Requires a dedicated luminescence detector.

CCK-8 Assay

Microplate Reader

WST-8 is reduced by cellular dehydrogenases to a water-soluble formazan. Absorbance correlates with viable cell number.

2-5 h

Simple, no solubilization step, low cytotoxicity.

MTT Assay

Microplate Reader

MTT is reduced by mitochondrial enzymes to an insoluble purple formazan crystal. Absorbance correlates with viable cell number.

2-5 h

High sensitivity, but requires a solubilization step.

Calcein-AM/PI

Flow Cytometer/Fluorescence Microscope

Calcein-AM stains live cells (green), PI stains dead cells (red).

40-60 min

Directly distinguishes live/dead cells; suitable for multiparameter analysis.

Trypan Blue Staining

Microscope

Dye is excluded by live cells but stains dead cells blue.

10-15 min

Low throughput; accuracy depends on manual counting.

 

03 How to Choose the Right Cell Viability Assay Method?

If you have a chemiluminescence reader and need high speed/sensitivity:

→ Cell Viability Chemiluminescence Assay Kit (E-BC-F200) 

A quantitative ATP method that is precise and fast.

Principle: Utilizes the specific enzymatic reaction between luciferase, ATP, and luciferin. The luminescence intensity is strictly linear with ATP concentration, enabling accurate quantification of viable cells.

If you have a standard plate reader and want a cost-effective, simple option:

→ Enhanced Cell Counting Kit 8 (WST-8/CCK8) (E-CK-A362)

A classic, stable, and user-friendly colorimetric choice.

Principle: WST-8 is reduced by mitochondrial dehydrogenases to a water-soluble formazan dye. The amount of formazan generated is proportional to the number of viable cells, which is measured by absorbance at 450 nm.

Table 3. Cell Viability Assay Product List

Cat. No.

Product Name

Size

Instrument

Application

E-BC-F200

Cell Viability Chemiluminescence Assay Kit

48 T/96 T

Chemiluminescence/Multi-mode Microplate  Reader

Cell Viability

E-CK-A362

Enhanced Cell Counting Kit 8 (WST-8/CCK8)

100 Tests/500 Tests

Microplate Reader

Cell Viability / Proliferation / Cytotoxicity

 

04 Overview of Cell Cytotoxicity Assay Methods

Table 4. Comparison of Cell Cytotoxicity Assay Methods

Assay Method

Instrument

Core Principle

Assay Time

Key Features

LDH Release Assay

Microplate Reader

Measures LDH enzyme released from damaged cells into the culture medium via a colorimetric reaction.

60-90 min

Straightforward; may be interfered with by serum components.

Luciferase Reporter Gene Assay

Chemiluminescence/Multi-mode Microplate Reader

Quantifies the release of a luciferase reporter enzyme upon cell lysis.

25 min

Highly sensitive, but requires transfected cells with a reporter construct.

 

05 How to Choose the Right Cell Cytotoxicity Assay Method?

Looking for a rapid, universal method for high-throughput screening?

→ Lactate Dehydrogenase (LDH) Cytotoxicity Colorimetric Assay Kit (E-BC-K771-M)

Requires only supernatant detection; instrument-friendly and efficient.

Principle: LDH catalyzes a reaction generating NADH, which reduces WST-8 to a yellow formazan. The absorbance at 450 nm is proportional to LDH activity and, thus, cytotoxicity.

Table 5. Cell Cytotoxicity Product List

Cat. No.

Product Name

Size

Instrument

Application

E-BC-K771-M

Lactate Dehydrogenase (LDH) Cytotoxicity Colorimetric Assay Kit

96 T

Microplate Reader

Cell Cytotoxicity

E-BC-F074 

Dual Luciferase Reporter Gene Luminescence Assay Kit (Glow Type)

48 T/96 T

Multi-mode Microplate  Reader

Cell Cytotoxicity, Molecular Experiments

 

06 Overview of Cell Proliferation Assay Methods

Table 6. Comparison of Cell Proliferation Assay Methods

Assay Method

Instrument

Core Principle

Assay Time

Key Features

MTS Assay

Microplate Reader

MTS is reduced by cellular dehydrogenases to a soluble formazan. Absorbance correlates with metabolic activity and cell number.

3-7 h

Simpler than MTT (no solubilization), but slightly less sensitive than CCK-8.

BrdU Assay

Flow Cytometer / Microplate Reader

Detects BrdU incorporated into newly synthesized DNA using specific antibodies.

12-36 h

Direct measure of DNA synthesis. Requires DNA denaturation for antibody access.

EdU Assay

Flow Cytometer / Fluorescence Microscope / Microplate Reader

Uses a click chemistry reaction to detect EdU incorporated into new DNA.

5-18 h

Simpler than BrdU (no denaturation). Flexible for various readouts.

DNA Content Analysis (PI)

Flow Cytometer

PI stains DNA. The fluorescence intensity and cell cycle distribution (G1/G0, S, G2/M) indicate proliferation status.

2-3 h

Cannot distinguish between quiescent and actively cycling cells in G0/G1 phase alone.

 

References:

[1] Stoddart, Martin J. Mammalian cell viability : methods and protocols[M]. 2011.

[2] Gilbert D F, Friedrich O. ell Viability Assays[J]. Methods in Molecular Biology, 2017. DOI:10.1007/978-1-4939-6960-9.

[3] Ma Y, Liu E, Fan H, et al. RBM47 promotes cell proliferation and immune evasion by upregulating PDIA6: a novel mechanism of pancreatic cancer progression[J]. Journal of Translational Medicine, 2024, 22(1). DOI:10.1186/s12967-024-05970-6.