To elucidate the mechanism of anthelmintic action of bithionol, the in
hibitory effect of the drug on NADH-fumarate reductase (NADH-FR) of As
caris lumbricoides suum was examined. NADH-FR, an enzyme of anaerobic
carbohydrate metabolic pathway was solubilized from the mitochondria o
f the worm's muscle with deoxycholate, and then partially purified wit
h the monoethanolamine-Sepharose 4B column chromatography. Rhodoquinon
e (RQ), which is required for the electron transfer from NADH to fumar
ate, was separated from the enzyme protein and phospholipids. Although
the enzyme protein fraction eluted from the above column did not show
NADH-FR activity, this enzyme was reactivated by the addition of puri
fied RQ and phosphatidylcholine. The IC50 value of bithionol for recon
stituted NADH-FR was 18+/-2 mum. The inhibition type was competitive t
o RQ. Bithionol inhibited at most 30% NADH-ferricyanide reductase, whi
ch did not require RQ, even at high concentration of 150 mum. These re
sults suggest that the pharmacological action of bithionol, a phenolic
anthelmintic, depends on the inhibition of the electron transport sys
tem by the competition wit RQ.