Optical imaging of individual vesicle exocytosis is providing new insights into the mechanism and regulation of secretion by cells. To study calcium-triggered secretion from astrocytes, we used acridine orange (AO) to label vesicles. Although AO is often used for imaging exocytosis, we found that imaging vesicles labeled with AO can result in their photolysis. Here, we define experimental and analytical approaches that permit us to distinguish unambiguously between fusion, leakage, and lysis of individual vesicles. We have used this approach to demonstrate that lysosomes undergo calcium-triggered exocytosis in astrocytes.acridine orange ͉ imaging ͉ secretion ͉ evanescent wave microscopy ͉ ATP E xocytosis, the process by which a vesicle inside of a cell fuses to the cell surface, serves a plethora of important functions in all eukaryotic cells. These include insertion of membrane proteins such as ion channels and receptors, addition of new membranes during neuronal development, and secretion of neurotransmitter at the synapse.Over the past few decades, much has been learned about the physiology of exocytosis in neurons. Through the use of biochemistry, electrophysiology, and genetics, a considerable body of knowledge has been gathered about the molecular participants in exocytosis. However, much remains to be learned about the dynamics of these molecules. Our knowledge has been limited in part by our ability to image single molecules, or even the fusion of single vesicles. Fortunately, the use of total internal reflection fluorescence microscopy (TIR-FM) allows imaging fusion of single vesicles (1-6).Ca 2ϩ -triggered exocytosis, considered a hallmark of excitable cells, has also been reported in nonexcitable cells such as fibroblasts (5,(7)(8)(9). In all nonexcitable cells, Ca 2ϩ -triggered exocytosis is believed to serve a role in membrane repair (10). Additionally, some cells, such as hematopoietic cells, use Ca 2ϩ -triggered exocytosis for specialized functions such as release of cytolytic molecules (11). Astrocytes are nonexcitable cells of the nervous system that were previously thought to have only a protective role for neurons. However, astrocytes have now been shown to be more intricately involved in regulating neuronal physiology (12)(13)(14). This is believed in part to be due to the ability of astrocytes to exocytose a variety of molecules (15).Exocytosis of synaptic vesicles (16), dense core granules (3, 17), and even astrocytic vesicles that undergo Ca 2ϩ -triggered exocytosis (18) have been imaged by using the fluorescence of acridine orange (AO), a weak base that accumulates in acidified vesicles (19). Accumulation at high concentrations causes quenching of AO fluorescence. On release from the vesicle, AO fluorescence is unquenched and thus increases rapidly. Such rapid increase in AO fluorescence followed by its lateral diffusion is called an ''AO flash'' and has been used as a hallmark of exocytosis (3,(20)(21)(22).To examine potential Ca 2ϩ -regulated exocytic vesicles in astrocytes, we incubate...