Selectively
labeling cells with damaged membranes is needed not
only for identifying dead cells in culture, but also for imaging membrane
barrier dysfunction in pathologies in vivo. Most
membrane permeability stains are permanently colored or fluorescent
dyes that need washing to remove their non-uptaken extracellular background
and reach good image contrast. Others are DNA-binding environment-dependent
fluorophores, which lack design modularity, have potential toxicity,
and can only detect permeabilization of cell volumes containing a
nucleus (i.e., cannot delineate damaged volumes in vivo nor image non-nucleated cell types or compartments). Here, we develop
modular fluorogenic probes that reveal the whole cytosolic volume
of damaged cells, with near-zero background fluorescence so that no
washing is needed. We identify a specific disulfonated fluorogenic
probe type that only enters cells with damaged membranes, then is
enzymatically activated and marks them. The esterase probe MDG1 is a reliable tool to reveal live cells that have been permeabilized
by biological, biochemical, or physical membrane damage, and it can
be used in multicolor microscopy. We confirm the modularity of this
approach by also adapting it for improved hydrolytic stability, as
the redox probe MDG2. We conclude by showing the unique
performance of MDG probes in revealing axonal membrane
damage (which DNA fluorogens cannot achieve) and in discriminating
damage on a cell-by-cell basis in embryos in vivo. The MDG design thus provides powerful modular tools
for wash-free in vivo imaging of membrane damage,
and indicates how designs may be adapted for selective delivery of
drug cargoes to these damaged cells: offering an outlook from selective
diagnosis toward therapy of membrane-compromised cells in disease.