c New strategies targeting Plasmodium falciparum gametocytes, the sexual-stage parasites that are responsible for malaria transmission, are needed to eradicate this disease. Most commonly used antimalarials are ineffective against P. falciparum gametocytes, allowing patients to continue to be infectious for over a week after asexual parasite clearance. A recent screen for gametocytocidal compounds demonstrated that the carboxylic polyether ionophore maduramicin is active at low nanomolar concentrations against P. falciparum sexual stages. In this study, we showed that maduramicin has an EC 50 (effective concentration that inhibits the signal by 50%) of 14.8 nM against late-stage gametocytes and significantly blocks in vivo transmission in a mouse model of malaria transmission. In contrast to other reported gametocytocidal agents, maduramicin acts rapidly in vitro, eliminating gametocytes and asexual schizonts in less than 12 h without affecting uninfected red blood cells (RBCs). Ring stage parasites are cleared by 24 h. Within an hour of drug treatment, 40% of the normally crescent-shaped gametocytes round up and become spherical. The number of round gametocytes increases to >60% by 2 h, even before a change in membrane potential as monitored by MitoProbe DiIC1 (5) is detectable. Maduramicin is not preferentially taken up by gametocyte-infected RBCs compared to uninfected RBCs, suggesting that gametocytes are more sensitive to alterations in cation concentration than RBCs. Moreover, the addition of 15.6 nM maduramicin enhanced the gametocytocidal activity of the pyrazoleamide PA21A050, which is a promising new antimalarial candidate associated with an increase in intracellular Na ؉ concentration that is proposed to be due to inhibition of PfATP4, a putative Na ؉ pump. These results underscore the importance of cation homeostasis in sexual as well as asexual intraerythrocytic-stage P. falciparum parasites and the potential of targeting this pathway for drug development. R eports of decreasing sensitivity to artemisinin in Southeast Asia provide a sense of urgency to the development of novel antimalarial compounds (1). Although both gametocytes and asexual parasites reside within the red blood cell (RBC), their physiologies differ, resulting in various sensitivities to common antimalarial drugs (2). After RBC invasion, asexual parasites undergo four or five rounds of DNA replication, resulting in 16 to 32 new parasites every 48 h. In contrast, gametocytes do not replicate in the human host. Instead, after RBC invasion, sexual differentiation of Plasmodium falciparum progresses through five stages of development over the course of 10 to 12 days, resulting in a single female or male gametocyte (3). Once taken up in a blood meal by a mosquito, gametocytes are stimulated to emerge from the RBC and develop into female and male gametes (4). After fertilization, the zygote differentiates into an ookinete that migrates out of the mosquito midgut, where it forms an oocyst that produces tens of thousands of sporozoites that...