T in deoxyribonucleic acid (DNA) synthesis and cell division was recently reviewed by O'Brien.25 The formation of these coenzymes can be prevented by methotrexate (4-amino-N1o-methylpteroylglutamic acid) and by other antifolates, which block the enzymatic function of dihydrofolic reductase. (For details, see reviews by Holland16 and by Delmonte and Jukes.8)It is also established that methotrexate is a mitotic inhibitor that arrests the cell cycle in interphasel. 20 and leads to prolongation of metaphase17.19 in several cell types. Growth inhibitory effect of methotrexateg can be overcome by the addition of a mixture of glycine, thymidine (or thymidylic acid22), and adenine,l5,22 adenosine,29 or hypoxanthinel4, l 5 to Eagle's medium. (Rueckert and Mueller29 also added serine and inositol to the medium.) Arrest in metaphase produced by another antifolate (aminopterin) can be prevented by simultaneous addition of leucovorin (formyl tetrahydropteroylglutamic acid, citrovorum factor, or folinic acid).l8 As far as is known, leucovorin has not been reported to counteract either the interphase-arresting or the metaphase-prolonging effect of methotrexate. On the other hand, it is well established that the toxic effects produced by methotrexate can be reversed by leucovorin.3.4,~, 13230 During recent years, methotrexate and leucovorin have been used in the localized treatment of cancer by means of the intra-arterial perfusion technique.32-34