Nanocharacterization
plays a vital role in understanding the complex
nanoscale organization of cells and organelles. Understanding cellular
function requires high-resolution information about how the cellular
structures evolve over time. A number of techniques exist to resolve
static nanoscale structure of cells in great detail (super-resolution
optical microscopy, EM, AFM). However, time-resolved imaging techniques
tend to either have a lower resolution, are limited to small areas,
or cause damage to the cells, thereby preventing long-term time-lapse
studies. Scanning probe microscopy methods such as atomic force microscopy
(AFM) combine high-resolution imaging with the ability to image living
cells in physiological conditions. The mechanical contact between
the tip and the sample, however, deforms the cell surface, disturbs
the native state, and prohibits long-term time-lapse imaging. Here,
we develop a scanning ion conductance microscope (SICM) for high-speed
and long-term nanoscale imaging of eukaryotic cells. By utilizing
advances in nanopositioning, nanopore fabrication, microelectronics,
and controls engineering, we developed a microscopy method that can
resolve spatiotemporally diverse three-dimensional (3D) processes
on the cell membrane at sub-5-nm axial resolution. We tracked dynamic
changes in live cell morphology with nanometer details and temporal
ranges of subsecond to days, imaging diverse processes ranging from
endocytosis, micropinocytosis, and mitosis to bacterial infection
and cell differentiation in cancer cells. This technique enables a
detailed look at membrane events and may offer insights into cell–cell
interactions for infection, immunology, and cancer research.