Histoplasma capsulatum requires intracellular iron to survive and multiply within human and murine macrophages (M). Thus, iron chelators may be useful compounds in the treatment of histoplasmosis. In the present study we compared the efficacies of five different iron chelators with deferoxamine (DEF) for their capacity to inhibit the growth of H. capsulatum yeast cells in culture medium and within human M. Of the agents tested, only one, VUF 8514, a 2,2-bipyridyl analog, was found to be effective. VUF 8514 inhibited the growth of yeast cells in tissue culture medium and within M in a dose-response fashion. In tissue culture medium, the 50% effective dose (ED 50 ) of VUF 8514 was 30 nM and the ED 50 of DEF was 1 mM. In human M, the ED 50 of VUF 8514 was 520 nM and the ED 50 of DEF was 4 mM. Thus, VUF 8514 was effective at a concentration 7.7 ؋ 10 The mechanism used by Histoplasma capsulatum yeast cells to survive and multiply within human macrophages (M) are poorly understood. Phagocytosis of H. capsulatum yeast cells by human monocyte/M stimulates both the respiratory burst (6, 33, 39) and phagolysosomal fusion (37). Nevertheless, ingested yeast cells multiply within M phagolysosomes (17,34,36).Original studies on the interaction of H. capsulatum yeast cells with murine peritoneal M suggest that acquisition of intracellular iron may be important for yeast survival. Thus, coculture of H. capsulatum-infected murine peritoneal M in the presence of the iron chelator deferoxamine (DEF) suppresses the intracellular growth of yeast cells, and this effect is reversed by iron-saturated transferrin (holotransferrin) (25). More important, one mechanism by which gamma interferonactivated mouse peritoneal M (25) and gamma interferonlipopolysaccharide-activated murine splenic M (26) inhibit the intracellular growth of H. capsulatum is by the restriction of intracellular iron.Even though gamma interferon does not activate the antifungal activity of human M (17, 34), iron is a critical requirement for the intracellular survival of H. capsulatum yeast cells in human M (35). Thus, coculture of H. capsulatum-infected M with DEF suppresses the growth of the yeast cells, an effect that is reversed by holotransferrin, confirming the studies in murine M. In addition, chloroquine, a weak base that prevents the release of iron from transferrin by raising endocytic and lysosomal pH (2,18,24,44), induces human M to kill H. capsulatum. The effect of chloroquine is reversed by iron nitriloacetate (FeNTA), an iron compound that is soluble at neutral to alkaline pH (1), but not by holotransferrin, which releases iron only in an acidic environment. Furthermore, chloroquine is an effective therapeutic agent in a murine model of histoplasmosis (35).These data suggest that agents that interfere with the ability of H. capsulatum yeast cells to acquire intracellular iron may be useful in the treatment of histoplasmosis. Currently, DEF is the only metal chelator that is available for clinical use, and it has been used mainly in patients with hematol...