1 Sodium¯uoride causes apoptosis of pancreatic b-cells and this response is enhanced by pretreatment with pertussis toxin. In the present study, tyrosine kinase inhibitors were used to investigate the mechanisms of action of NaF and pertussis toxin in the b-cell line, RINm5F. 2 Exposure of RINm5F cells to low concentrations of genistein or tyrphostin A25 resulted in signi®cant inhibition of cell death induced by 5 mM NaF. Higher concentrations (425 mM) were cytotoxic in the absence of NaF but, paradoxically, the combination of genistein and NaF induced less cell death than when each agent was used alone. 3 The increase in cell death induced by 100 mM genistein was markedly inhibited by cipro¯oxacin, a drug which binds to topoisomerase II. Etoposide (which inhibits topoisomerase II but has no e ect on tyrosine kinase activity) also caused an increase in RINm5F cell death. Neither etoposide nor cipro¯oxacin altered the response to 5 mM NaF. 4 Pertussis toxin markedly enhanced the extent of RINm5F cell death induced by NaF and this e ect was completely prevented by 25 mM genistein. The inhibition caused by genistein was not a ected by cipro¯oxacin but was reproduced by a structurally dissimilar tyrosine kinase inhibitor, herbimycin A. 5 The results demonstrate that RINm5F b-cells express a pertussis toxin sensitive pathway that is antiapoptotic. The activity of this pathway is most evident in cells exposed to pro-apoptotic stimuli where the e ects of pertussis toxin can be blocked by inhibitors of tyrosine kinase enzymes. A genisteinsensitive tyrosine kinase does not appear to be involved in RINm5F cell survival under basal conditions.