Live cell fluorescence microscopy has been widely used to study physiological processes in the human malarial parasite Plasmodium falciparum, including pH homeostasis, Ca 2؉ signaling and protein targeting. However, the reproducibility of the data is often poor. Controversial statements exist regarding cytosolic and vacuolar baseline pH, as well as regarding the subcellular localization of some of the fluorochromes used. When trying to reproduce published baseline values, we observed an unexpected light sensitivity of P. falciparum, which manifests itself in the form of a strong cytoplasmic acidification. Even short exposure times with moderate to low light intensities caused the parasite cytosol to acidify. We show that this effect arises from the selective disruption of the parasite's acidic food vacuole, brought about by lipid peroxidation initiated by lightinduced generation of hydroxyl radicals. Our data suggest that heme serves as a photosensitizer in this process. Our findings have major implications for the use of live cell microscopy in P. falciparum and add a cautionary note to previous studies where live cell fluorometry has been used to determine physiological parameters in P. falciparum.Progress in understanding the physiology of the human malarial parasite Plasmodium falciparum has been slow, despite the fact that P. falciparum is a major health problem, killing millions of humans every year (1). As a consequence, only a limited number of potential drug targets have been identified in recent years. One reason for this is the obligatory intracellular life style of the parasite, which has complicated access to biochemical and physiological pathways.A powerful method to investigate physiological processes of intact cells, under non-disruptive conditions, is live cell fluorescence microscopy. This technique has recently been applied to the intraerythrocytic stages of P. falciparum for measuring intracellular pH, ion concentrations, Ca 2ϩ signaling, and protein targeting (2-7). The main advantage of live cell fluorescence microscopy is that it allows for the spatial separation of signals originating from the parasite and from the surrounding infected erythrocyte. Even subcellular compartments, such as the parasite's acidic food vacuole, can be visualized in situ using this method (5). However, a number of concerns have recently been raised about using single cell fluorescence microscopy in P. falciparum (8).A major disadvantage is the variability between cells, requiring a relatively large number of determinations to obtain statistically significant measurements. Reproducibility between different laboratories seems to be low as well when data obtained from single cell measurements are compared. For example, although some studies have found differences in the parasite's cytosolic pH between chloroquine-sensitive and chloroquine-resistant P. falciparum strains, other studies could not verify this observation (7, 9 -12). Another example represents the use of acridine orange (AO) 1 in the measurement of the...