A microtest has been devised for the rapid preliminary assay in vitro of the effect of over 100 drugs and inhibitors on African trypanosomes (Trypanosoma brucei and T. rhodesiense). Parasite motility and infectivity for mice are indexes, respectively, of respiration and glycolysis and of cell division; trypanocidal titers based on these indexes can show primary metabolic areas of drug attack. Various specific inhibitors have also been tested to detect metabolic sites which might be therapeutically vulnerable. RNA synthesis inhibitors are highly active (adenine nucleosides, daunorubicin, doxorubicin, chromomycin, actinomycin D, mitomycin C); the activity of the nucleoside cordycepin was increased in vitro and in vivo by an adenosine deaminase inhibitor. In view of the polyanionic nature of the trypanocide suramin, a series of polyanions was tested; several showed activity but only poly-D-glutamic acid was active in vivo. Among various miscellaneous inhibitors, quercetin, disulfiram, and the Ca-complexing agents arsenazo I and III showed marked activity, the latter exclusively on the arsenical-resistant T. brucei. The implications of these results for combination chemotherapy and depot prophylaxis (with polyanions) are indicated.New drugs are urgently required for African human and animal trypanosomiasis, especially the latter (52, 53). In the absence of new products from large-scale commercial drug screening, academic laboratory investigation may provide useful leads by concentrating on aspects of trypanosome metabolism which may be vulnerable to chemotherapeutic attack. Susceptible loci exist because the parasitic mode of pathogenic trypanosomes has induced dependence on host metabolites and loss of major components of the respiratory, glycolytic, and biosynthetic functions normally found in mammalian host cells.These metabolic lesions and adaptations indicate vulnerable points of selective trypanocidal drug attack. A high aerobic glycolysis rate is associated with extreme sensitivity to phenylarsenoxides, and absence of cytochromes has given rise to reliance on a parasite-specific a-glycerophosphate oxidase-mediated respiration which is highly sensitive to inhibition by suranin (11) and by aromatic hydroxamates (10, 31); recent analyses of the function of this system (5, 12) have led to the demonstration that trypanosomes can be killed by using salicylohydroxamate and glycerol for simultaneous selective blockade of aerobic and anaerobic glycolysis. Defective purine biosynthesis is also open to attack by adenine nucleosides such as puromycin and cordycepin (52).A number of drugs and inhibitors with specific action sites in other kinds of cell have been used to look for susceptible loci in trypanosomes (cf. 50), and the search has been extended using certain antitumor antibiotics whose loci of action have recently been specified with increasing precision; any trypanocidal activity in these compounds has been assumed to indicate that the specific action loci, as determined in other kinds of cell, are also prese...