To define the minimal inhibitory concentration (MIC) of dapsone (DDS) for Mycobacterium leprae in rats, we determined the relationship between dietary and plasma levels of DDS in uninfected male and female Lewis rats. This knowledge was applied to the design of experiments using rats inoculated in the footpads with M. leprae. The MIC for DDS in male and female rats, respectively, was 1.5 to 4.0 ng and 1.8 to 3.0 ng of DDS/ml of plasma, even though the sexes exhibited markedly different concentrations of DDS when receiving the same dietary level of DDS. These values for the MIC of DDS for M. leprae in rats are nearly identical to the previously determined MIC of DDS for M. leprae in mice.The establishment of the mouse footpad infection with Mycobacterium leprae as a tool for leprosy research (27) opened up avenues of investigation that had been blocked since 1873. In that year, Hansen (3, 10) first reported that human leprosy was caused by M. leprae. Despite many attempts in the intervening years, no one has successfully cultivated this bacterium in vitro. All our present knowledge of the sensitivity or resistance of M. leprae to drugs has been derived from the application of the mouse footpad test system (25, 29).Of the several drugs known to be active against M. leprae infections, dapsone (4,4'-diaminodiphenyl sulfone, DDS) is the most thoroughly studied and the most widely used for the treatment of leprosy in man (28). It is extremely potent. The estimated minimal inhibitory concentration (MIC) against M. leprae in the mouse footpad test system ranges from 1 to 10 ng per ml of plasma (2,20). From chemotherapeutic studies in leprosy patients using very low doses of DDS (2) or its repository form, N,N'-diacetyl DDS (19,20,22,23), we can estimate that the MIC of DDS for M. leprae in man is c30 ng per ml of plasma Although the infection of immunologically normal mice with M. leprae has been a valuable tool, this infection does not provide a model of human lepromatous leprosy suitable for chemotherapeutic studies. Multiplication of M. leprae in the footpads of these mice is selflimiting, reaching a plateau of about 106 bacteria 4 to 6 months after infection with the usual inoculum of 5 x 103 bacteria (24, 27). Also, these rodents differ both qualitatively and quantitatively from man in the disposition of DDS (7, 15).Other animals reported to be susceptible to infection with M. leprae are rats (6, 11) and the nine-banded armadillo (13,14). Attempts to infect monkeys have been unsuccessful (3,12). Recent studies in neonatally thymectomized rats have suggested that M. leprae multiply to greater numbers in these animals than in intact mice (4, 5). In addition, other studies (16) have demonstrated that the disposition of DDS in rats is more like that in man than in mice. Thus, a rat footpad test system may provide certain advantages over that of mice for research.The current studies were undertaken to establish the relationship between dietary levels of DDS and plasma concentrations of the drug in normal male and female...