Fourteen quassinoids, obtained from simaroubaceous plants, were tested for in vitro antimalarial activity. All of these inhibited the incorporation of [3H]hypoxanthine into Plasmodium falciparum in vitro at concentrations below 0.41 ,Ig ml-'. The two most potent quassinoids, bruceantin and simalikalactone D, showed 50% inhibitory concentration values of 0.0008 and 0.0009 ,ug ml-1, respectively. The results are compared with the antiamoebic, antileukemic, and cytotoxic activities of these compounds reported in the literature.In the 1960s, the appearance in Southeast Asia and South America of strains of Plasmodium falciparum showing resistance to chloroquine heralded the need for alternative antiplasmodial therapy. Several hundreds of millions of people suffer from malaria, and all currently used antimalarial drugs now show limitations in their spectra of activity (17). Resistance of P. falciparum to available antimalarial drugs is an increasing world problem (10). Therefore, it is crucial that mechanistically novel antimalarial agents be added to our chemotherapeutic armamentarium as soon as possible.Certain quassinoids, obtained from simaroubaceous plants, are known to possess a variety of biological activities, including antitumor (13), antiviral (11), antifeedant (12), antiamoebic (5), and antiinflammatory (7) activities. More recently, some of these compounds, namely, bruceantin (6), simalikalactone D (16), glaucarubinone (16), soularubinone (16), and sergeolide (4), have been found to show high activity against P. falciparum in vitro. Sergeolide also markedly reduces virulence of experimentally induced P. berghei in mice (4); however, it unfortunately also shows high toxicity. In our present study, we monitored the in vitro anti-P. falciparum activities of a series of 14 quassinoids which were made available from isolations performed under the auspices of the National Cancer Institute, Bethesda, Md. Our results are considered in the light of published data for other biological activities of these quassinoids.(This report is part 2 of a study on plants as sources of antimalarial drugs. For part 1, see reference 9.) (This work was presented in part at the 122nd Annual British Pharmaceutical Conference, Leeds, United Kingdom, 1985.) MATERIALS AND METHODS P. falciparum strain. A chloroquine-resistant strain (K-1) of P. falciparum, which was originally obtained from Thailand (14) and has been cryopreserved at the London School of Hygiene and Tropical Medicine, was used throughout.Maintenance of cultures. Cultures of P. falciparum were maintained in vitro in human blood cells (O+ve) was achieved with 12 2-fold dilutions at concentrations around the range of the value obtained by 10-fold dilutions. All tests were performed in duplicate. To each well was added 50 ptl of human erythrocytes (O+ve, diluted to 5% hematocrit) with 1% parasitemia (dilutions to 1% parasitemia were made with uninfected washed erythrocytes). Two series of controls were performed, one with parasitized blood without quassinoid and anothe...