Plasmodium liver stages represent potential targets for antimalarial prophylactic drugs. Nevertheless, there is a lack of molecules active on these stages. We have now developed a new approach for the high-throughput screening of drug activity on Plasmodium liver stages in vitro, based on an infrared fluorescence scanning system. This method allowed us to count automatically and rapidly Plasmodium-infected hepatocytes, using different hepatic cells and different Plasmodium species, including Plasmodium falciparum. This new technique is well adapted for high-throughput drug screening and should facilitate the identification of new antimalarial compounds active on Plasmodium liver stages.Malaria remains one of the major human infectious diseases and is responsible for millions of deaths each year. As resistance to available drugs increases, there is an urgent need to identify new molecules. Targeting Plasmodium liver stage development is a valuable strategy for preventing malaria. Indeed, liver stages precede the appearance of blood stages, which are responsible for clinical symptoms and complications. The development of pharmaceutical products inhibiting the growth of Plasmodium hepatic forms is relevant for two main reasons: first, such compounds could be used as causal prophylactic agents by people exposed for a limited duration in an area where malaria is endemic (e.g., refugees and travelers) and, second, the emergence of drug-resistant strains is theoretically limited during the liver phase because of the lower parasitic load compared to the blood phase. Although hepatic stages provide attractive targets for antimalarial chemotherapy, the list of effective and widely applied drugs is still limited. The only currently available prophylactic drugs are atovaquone and two related drugs, primaquine and tafenoquine. Atovaquone has been demonstrated to be efficient on the first step of the parasite development (2); however, its use is limited by its unaffordable cost. Because of its hematological toxicity, the use of primaquine is restricted, particularly in Africa because of the frequency of G6PD deficiency (12). The identification of new drugs is slowed down by the lack of a reliable and sensitive method allowing a high-throughput screening. In vitro drug sensitivity assays are largely based on evaluating the number of liver schizonts in sporozoite-infected cultures (7, 10, 15). Even if alternative methods have been proposed (6), the number of infected cells is usually determined by microscopy analysis. Microscope-based quantification of infected cells is a very time-consuming method. Therefore, we have developed a new approach based on infrared fluorescence detection to automatically and rapidly quantify Plasmodium liver schizonts in vitro.Parasites and cells. Plasmodium berghei (ANKA strain), P. yoelii (265BY strain), and P. falciparum (NF54 strain) sporozoites were obtained from dissection of infected Anopheles stephensi mosquito salivary glands. Human hepatocarcinoma HepG2-A16 cells were cultured in Dulbecco ...