]i), which is followed by the biphasic uptake of vital dyes. The initial phase of dye entry reflects activation of large pores and correlates with surface membrane bleb formation; the second phase reflects cell lysis. In the present study, the effect of the cytoprotective amino acid glycine was examined. Glycine had no effect on MTX-induced change in [Ca 2ϩ ]i or on the first phase of vital dye uptake but produced a concentration-dependent (EC50 ϳ1 mM) inhibition of the second phase of dye uptake. No cytoprotective effect was observed with L-valine, L-proline, or D-alanine, whereas L-alanine was equieffective to glycine. Furthermore, glycine had no effect on MTX-induced bleb formation. To test the hypothesis that glycine specifically blocks formation of a lytic "pore," the loss of fluorescence from BAECs transiently expressing GFP and concatemers of GFP ranging in size from 27 to 162 kDa was examined using time-lapse videomicroscopy. MTX-induced loss of GFP was rapid, correlated with the second phase of dye uptake, and was relatively independent of molecular size. The MTXinduced loss of GFP from BAECs was completely blocked by glycine. The data suggest that the second "lytic" phase of MTX-induced endothelial cell death reflects formation of a novel permeability pathway that allows macromolecules such as GFP or LDH to escape, yet can be prevented by the cytoprotective agents glycine and L-alanine. necrosis; vital dyes; membrane blebs; time-lapse videomicroscopy; fura 2 BECAUSE OF ITS UNIQUE LOCATION and varied function, the vascular endothelium plays an active role in the development or progression of various cardiovascular diseases including atherosclerosis, hypertension, and ischemic-reperfusion injury. Specifically, endothelial cell function may be compromised in disease states as a result of oxidative stress arising, for example, from activation of leukocytes, the products of drug metabolism, uptake of oxidized lipoproteins, and/or the reduction of molecular oxygen (3,20,28,29). Such cellular insults, which ultimately lead to either apoptotic or necrotic (oncotic) cell death, share a common feature; i.e., they appear to trigger a rise in cytosolic free Ca 2ϩ concentration ([Ca 2ϩ ] i ) (26,29,34). Although the immediate downstream molecular events linking a rise in [Ca 2ϩ ] i to oncosis and/or apoptosis remain largely unknown, defining the biochemical steps in the cell death cascade may be essential to our understanding of vascular disease and the ultimate design of effective therapeutic interventions.Natural products such as cholera toxin, pertussis toxin, tetrodotoxin, digitalis, ryanodine, and thapsigargin have proved extremely useful for the identification and characterization of specific biochemical pathways important for cell signaling. Maitotoxin (MTX), isolated from the dinoflagellate Gambierdiscus toxicus, is the most potent marine toxin known and a major causative agent of ciguatera seafood poisoning. The reported LD 50 value in mice is 0.2 g/kg (33). When added to cells at subnanomolar con...