The frequency of DNA DSBs within peripheral blood mononuclear cells (PBMC) was determined by microscopic quantification of focal accumulations of γ-H2AX and 53BP119 (link), two marker proteins indicative for the presence of a DSB. For this purpose, PBMCs were isolated from blood samples by Ficoll Paque Plus (Merck, Darmstadt, Germany) density centrifugation. PBMCs were washed twice with PBS, fixed in 70% ethanol and stored at − 20 °C. Immunofluorescence staining and DSB foci analysis was performed as described previously19 (link),20 (link),42 (link). Using a Zeiss Axioimager Z2 epifluorescence microscope of the MetaSystems (Altlussheim, GER) ISIS imaging system equipped with appropriate single and dual-band filter sets co-localizing γ-H2AX + 53BP1 foci were counted in 100 well separated and morphologically intact cells by an experienced investigator (HS).
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