1-Hydroxy-2-dodecyl-4(1H)quinolone (HDQ) was recently identified as a Toxoplasma gondii inhibitor.We describe here two novel 1-hydroxyquinolones, which displayed 50% inhibitory concentrations 10-and 5-fold lower than that of HDQ. In a mouse model of acute toxoplasmosis, these two compounds and HDQ reduced the percentages of infected peritoneal cells and decreased the parasite loads in lungs and livers. Compound B showed a tendency toward lowering parasite loads in brains in a mouse model of toxoplasmic encephalitis.Apicomplexan parasites are widespread human pathogens causing diseases such as malaria and toxoplasmosis. Development of drug resistance, particularly in Plasmodium, is a major threat for human health and stock breeding, thus motivating the development of novel drug therapies (3, 7). The mitochondrial physiology of apicomplexan parasites differs in several aspects from the physiology of mammalian mitochondria (10,15). This feature can be exploited for drug therapy, as shown by treatment with the complex III inhibitor atovaquone (1, 2, 12, 16). 1-Hydroxy-2-dodecyl-4(1H)quinolone (HDQ) was recently shown to effectively inhibit parasite replication of Toxoplasma gondii and Plasmodium falciparum in tissue culture (13). The structural similarity of HDQ and coenzyme Q (6) suggests an inhibition of ubiquinol binding enzymes as a mode of action. Using inhibition kinetics on heterologously expressed enzymes, we recently demonstrated that HDQ is a high-affinity inhibitor of the T. gondii alternative NADH dehydrogenase (TgNDH2-I) (9). HDQ treatment in T. gondii results in a rapid loss of the mitochondrial membrane potential and a subsequent reduction of the cellular ATP concentration (8). HDQ was reported to inhibit the parasitic dihydroorotate dehydrogenase (DHODH) in P. falciparum (4), thus inhibiting the fourth step of the essential de novo pyrimidine synthesis, which uses ubiquinol reduction as an electron sink for dihydroorotate oxidation.Based on the structure of HDQ, we here describe four novel 1-hydroxyquinolones (compounds A to D) and their anti-Toxoplasma activities and provide the first data on the in vivo efficacy of HDQ, as well as those of compounds A and B, in a mouse model of acute toxoplasmosis. We had previously shown that a long alkyl side chain at C-2 in HDQ of more than five carbons is critical for the anti-Toxoplasma activities of 1-hydroxy-2-alkyl-4(1H)quinolones (13), and it was thus of interest to investigate whether its location at C-2 is strictly required for the antiparasitic effect. In addition, from previous investigations, it was not clear whether the hydrogen at C-3 in HDQ is needed. We therefore prepared the two new 1-hydroxyquinolones, compounds A and B (L. F. Tietze et al., unpublished data). In compound A, the hydrogen at C-3 in HDQ is replaced by a methyl group, and in compound B, the dodecyl and the methyl moiety were swapped (Fig. 1). Furthermore, we synthesized two HDQ derivatives, compounds C and D, containing a N,N-dimethylaminoethoxy group at C-6, in order to improve th...