The susceptibility of Pneumocystis carinii to artemisinin (qinghaosu) was determined in short-term primary culture. In untreated cultures, trophozoites increased an average of fivefold over 4 days. Inhibition of parasite growth in cultures treated with artemisinin at concentrations as low as 0.5 ,uM was seen. In contrast, artemisinin concentrations up to 100 ,uM had no effect on feeder layer cells. (2,4,9,11,15). In addition, artemisinin and artemether have recently been shown to be active against other parasitic organisms, including Toxoplasma gondii and Schistosoma mansoni (12, 13). We report here that artemisinin is also active against P. carinii in vitro.Growth, isolation, and cultivation of organisms. Male Sprague-Dawley rats (150 to 200 g; Taconic Farms, Germantown, N.Y.) were fed ad libitum and administered tetracycline in their drinking water (1 g/liter). Subcutaneous injections of cortisone acetate (25 mg) were given twice per week. After 4 to 6 weeks of injection, those rats which showed signs of sluggishness, rapid breathing, weight loss, and hair loss were utilized in this study.The rats were sacrificed and their lungs were then quickly removed and kept at 4°C. Impression smears were made from the lungs and stained with toluidine blue (7) (Fig. 1). The inhibitory effect of pentamidine was not seen on day 1 of culture (<26%) but was evident on days 2 and 3 of culture, when inhibitions by 63 and 79%, respectively, were seen. In contrast, the effect of 100 ,uM artemisinin was evident after 1 day (Fig. 2), with growth inhibited by 63, 76, and 78% on days 1, 2, and 3, respectively.Artemisinin at concentrations of 50 and 5 ,uM also completely inhibited the growth of P. carinii for 4 days, without affecting the feeder layer cells (Fig. 3). No effect at an artemisinin concentration of 0.1 ,uM was observed, although artemisinin at 0.5 ,uM had an intermediate effect.As controls, feeder layer cells were incubated for 4 days in the presence of 100, 50, 10, and 1 ,uM artemisinin but in the absence of parasites, under conditions identical to those used for parasite culture. No effect was observable by phase-contrast microscopy. Feeder layer cells from the 100 ,uM artemisinin control were also dislodged from the wells by trypsinization and found viable by trypan blue exclusion (>95%). Furthermore, 0.5% ethanol had no effect either on the feeder layer cells or on parasite growth over 4 days (data not shown).