ITEM NO. 24 *J?ILH NO. XXm-17 COPY NO. 23 CONFIDENTIAL Britl.h COvCiro-H Uniljd. Stales CONflU„aj. PROFESSOR DOCTOR WERNER SCHULEMANN MALARIOLOGIST CONFIDENTIAL COMBINED INTELLIGENCE OBJECTIVES SUB-COMMITTEE CONTIDSHTIAL INTSRT11WS WIT I TROTS 3 SOI DOCTOR WSRNBl SCMJLSMARX MALARIOLOGI ST TORMULT OT BOXV UVITSR81TT Reported By Co meander CIAHLBS L. McCAlTIY (MC) U.S.H.R. Major MOHBOB X. THZSMAN, 8nC, A.D.S. Doctor IAMILTON SOUTIWORTI, U.8.T.I.S. CIOS Target Hoaxer 2U/1J d Medical COMBIFID I9TXLLI3BNCX 01JBCTIY1S SUB-COMMITTEE S-2 Dlrielon, SMART (Rear) ATO U13 CONTIDXNTIAL CONFIDENTIAL OF CONTEND 'v Subject Page No. Introduction 3 Interview by Commander McCarthy and Major Freeman. (Section I) General Information 3 Organization of Institute at University of Bonn and at Bad Oeynhausen 4 Report on use of Atebrin and of Chinoplasmin in 257 soldiers with benign tertian malaria 6 Experimental research on antimalarials. Description of methods used. 6 Chemical Formula and Synthesis of S-ll 9 Miscellaneous information secured from Professor Schulemann 10 Section II Interview by Doctor Southworth Recent work of Professor Werner Schulemann 11 S Series of Compounds 11 General comments on antimalarials 13 Other drugs 14 Conclusion 15 Appendices 1. Structural formulae of S Series of compounds 16 II. Schulemann*s modified Giemsa staining technique 27 III. Diapromin - prophylaxis tests in malaria 28 infection by mosquito and blood transmission - F. Sioli. Composition of teams : as shown on page I £2&FIDEJiT!4L CONFIDENTIAL Introduction! This report consists of two separate interviews with , Professor Doctor Werner Schuleman, The first was conducted on 9 and 10 May 194$ by Major Monroe £• Freeman, Sn.C., A.U.S. and Commander Charles L.McCarthy (M.C.) U.S.N.R. and the second on 2$ May 194$ by Doctor Hamilton Southworth U.S.P.H.S. The two inter- views cover essentially the same material but, since they differ materially in detail and presentation, both are being included in the report. Section I Interview by Commander McCarthy and Major Freeman. General Information! Prof. Dr. Werner Schuleman is $7 years of age and speaks fluent English. Prom 1918 to 1936 he was head of the Pharmaceutical Department of the I.G. Farbenindustrie Plant at Elberfeld. He left that company for personal reasons and Bonn University as Prof, of Pharmacology and Director of the Institute of Pharmacology. In 1924# together with Frits SchBnhftfer and August Wingler, he discovered Plasmochin, the first synthetic antlmalarial. For this he received the Emil Fischer Medal from the German Chemical Society in 1928*. Schulemann is also the discoverer of Phanodorm and many other new chemical compounds which are now widely used as local anesthetics. He received the Mary Kingsley Medal from the Liverpool School of Tropical Medicine in 1938. In 1939 he gave a series of lectures sponsored by the University of London, at The Wellcome Research Institution. Since leaving the employ of the I.G .Farbenindustrie, he has continued to work on synthetic antlmalarials, particularly on a new group of compounds designated the 'S1 group and comprising seventeen related substances. Compounds of this group were synthesised in 1928 and patents taken out by the I.G. Farbenindustrie Company. They were tested by Dr. Roe hi and found to have no chemotherapeutic value. Since termination of his contract with the I.G. Company, in 1941 % Prof. Sehuleman has been connected with thd partially subsidized by the Sobering Chemical Co. of Berlin, This firm now makes S-ll, the most Important member of this group, end holds the patent rights to it. 3-11 has never been placed on the market and only enough has been made to supply Prof. Schulemann for his experiments. Schulemann is a graduate in medicine as well as a chemist, and for the past five years has been civilian consultant on anti-malarials to the German National Research Council (Reichsforschungsrat) , On IB October 1944 his Institute at Bonn was completely destroyed by bombing. He sent his three chemical assistants mentioned below to Berlin to work in the Pharmacological Institute under Prof. Heubner. Work on the »S» Group had scarcely started there when they were bombed out in January, 1945. No further chemical investigation has been done since October 1944. A number of experimental animals and mosquitoes Infected with Plasmodium galllncum and P. cathemerlura were rescued at Bonn and used as a nucleus to set up a temporary laboratory in the three top floors of the Cwynhausem Reserve Hospital. This hospital of 450 beds received a large number of chronic malaria cases and the labor- atory was able to carry out blood studies on the toxicity of atabrin, quinine hydrochloride and plasmochin. fiMWlMrtlpn Of Institute at University of Bonn and at Bad poynhftypen. Upon affiliation with the University of Bonn, Prof. Sohulemann began the organization of an Institute for research on malaria, tryp- anosomiasis, . and other transmissible diseases. This organization was fairly well established and all divisions outlined below were operating when the laboratories were destroyed in October 1944. Div- isions and Professional Staff at the University of Bonn wore as followsI Directors Prof, Schulemann, Investigations on Protozoa, Malaria, and Trypanosomiasiss Dr. Hermann Wurmbach, Fr&ulein Luise Kratz. Investigations on Bacterial Infections* Dr. Oesterlein, Dr, Krelser, Dr. Ching (now dead) Pharmacology and Toxicology: Prof, Schulemann, Dr. Lopf. Synthetic Chemistry: Dr. Obstcrlein, Dr. Saure, Dr. Zlrfas. Animals: Herr Dohm. The additional laboratory assistants and cleaners are not listed. Funds supporting this work came from the following sources: a) For equipment and supplies: 1) University of Bonn 22,000 RM 2) Deutsche Forschungsgemeinshaft 25,000 « 3) Special Fund, Ministry of Educ- ation 5.000 " (Approx). 50,000 " per yr. 4) Additional funds were provided (if needed) by Sobering Pharmaceutical Co., Berlin. b) Salaries sere paid by: 1) Ikiiversity of Bonn. 2} Deutsche Forschungsgemelnschaft 3) Sobering Pharmaceutical Co. thi e8?*"OUJ°58 °f lncom* have the laboratory of the University of Bonn were abandoned. Conversations with Prof. Schulemann indicated that the chief a^iV^ty Bonn was research malaria. Work on the bactericidal effects of some barbiturate compounds had been under way, but had not progressed far. The Division of Pharmacology and the Division of I*? Synthetic Chemistry were funding S of the malarlal Investigations. The Chemistry division had synthes- ized a series of drugs for possible use as antimalariala and the !hfrma!!:L°F 80(1 Ecology had studied their toxicity. Itost of the data and the records of these investigations were lost when the laboratories were destroyed in October 1944. Schulemann moved to Bad Oeynhauaen in October 1944 and set up J *n?11 Juratory of about 10 to 15 rooms on the upper floors of the Koenlghof Reserve Hospital. Owing to limitations of equipment, space, and staff, activities were cut to a minimum. No facilities for chemical work were available, so the chemists, Dr. Oesterlein, Dr. Saure, and Dr. Zlrfas, went to Berlin in November 1944 to work under Dr. Heubner at the laboratories of the Pharmacological Institute. Bomb damage to the laboratories in Berlin stopped all chemical work in January 1945. * ?eynhausen laboratory. Dr. Schulemann, Dr. Wurmbach, and Fraulein Kratz continued the mosquito breeding work, maintained the selected strains of malaria, and were able to continue some of the histopathologlcal studies on infected canaries. Personnel 1) Prof. Schulemann. 2) Prof. Wurmbach, zoologist and parasitologist, a "Sender- fuhrer" In Wehrmacht uniform but not an Amy medical officer. His status is that of a specialist for scientific research. 3) Frtuleln Luise Kratz, civilian assistant. A) Herr Dohm, civilian assistant, care and breeding of experimental animals. 5) Dr. Oesterlein) All civilians, last know whereabouts- Dr. Saure. ) Berlin, January 1945, Dr. Zlrfas ) 6) Other personnel at University of Bonn, whereabouts not known at present. According to Prof. Schulemann, the studies on 3-11 can be continued without serious delay if the following faculties can be obtained} a} New laboratory quarters b) Transport of equipment, animals, mosquitoes, and birds from Bad Oeynhausen. * c) Maintenance of present personnels Dr* Schulcmann, Dr. Wunabach, Priulein Krata, Herr Doha d) Chemical laboratory, equipment and supplies for synthesis of 8-11. e) Chemists! Dr. Saure, Dr. Zirfas to carry on chemical work. Report on. uae of atabrin and of chlnoplasmin in 257 soldiers with bflnlfB tertian Ml art*i In order to get some data on the problem of treatment of relapses in benign tertain malaria. Prof. Schulemann and his assistant treated a large group of soldiers at Godesberg with atabrin alone and another group with chlnoplasmin. The plan of treatment was as follows! Group Is Atabrin - one intravenous injection daily for two days with dosage of 0*03 grams - then three injections daily • for 3 days with dosage of 0.01 grams. Relapses occurred at rate of 27% to AO%. (Only an estimate as there was not a long time follow up). Group II s Chlnoplasmin (Quinine hydrochloride 0.10 grams plus plasmochin 0.03 grams). One tablet t.l.d. for 14 days. In severe cases - 21 days. Relapses occurred at rate of 8% to 10%. Tablets of sodium salixylate were given at the same time as the chlnoplasmin and the urine was treated with FeClo, and tested with a colorimeter for a purple color. Actual talking of the medicaments could be controlled in this way. From these experiments Schulemann concluded that atabrin was far from the ideal drug for treatment of malaria because of the large percentage of relapses. Although the combined use of quinine and plasmochin gave excellent results in the treatment of relapses, a new drug for the treatment of the origl- »ai attack and for causal prophylaxis of malaria was needed. He began chemical studies and animal (canary) experiments with a group of compounds which had been synthesized in 1928 at I.G. Farbew- industrie at Elberfeld. There were seventeen of these which were known as the •S* Group. After seven years of pharmaceutical trial he found only one compound known as S-ll (S-eleven) to have value as an antimalarial in non-toxic doses. A description of his methods of research and results follows. Experimental research on antimalarlals. Description of methods used. A) The Roehl method in which canaries were injected with blood cont- aining malaria parasites in which treatment of the disease was begun shortly (2 to 6 hours) after infection and continued for 6 consecutive days. This will be designated as the "old test method" in the description below. B) The Schulemann method In which canaries were injected with spor- ozoites taken directly from the salivary gland of an infected mosquito. The injection is made with a fine glass canula into a pea-sized, sharply demarcated deposit of fat on the anterior chest wall just external to the outer border of the pectoralis major muscle. This fatty are* can be easily and constantly found by moistening and brushing aside the feathers over the breast area. This site is chosen rather than a wing because its immobility permits injected .aterial to remain localized for a sufficient time to allow a good development of parasites before dissemination through the tissues. In this method treatment is not begun until the 4th day after injection - a sufficient interval to allow development of tissue types of parasites. Treatment was continued daily for 6 days. This method will be called the "new test method" here. All medica- tion was introduced directly into the stomach of the canary with a flexible hollow tube (Roehl) seven and one-half centimeters long. C) A group of 5 infected canaries was used as untreated controls and each antimalarial drug was given to 5 canaries. Two strains of plasmodia were used, i.c., P. gallinaciura and P. cathemerium. Experiments were carried out with natural quinine, its four optically active derivatives, atabrin, plasmochin and the new antimalarial known as S-ll# After death of the canaries, or at stated intervals, sections of tissues were stained with a new modification of Giemsa*s stain In this way the tissue phase (exo-erythrocytic phase) of the devel- opment of the life cycle of the parasite was worked out and the path- ological effects produced by the toxins liberated by the parasite were studied in the brain, liver, lung, spleen, etc. Schulemannfs nidified Giemsa staining technique is given in Appendix II. D) These studies proved definitely that some of the parasites develop inside the endothelial cells while others develop outside these cells. Prof. Schulemann believed that he was the first person to prove this point, but he was Informed that this had also been done in the United States about three years ago. His work, which was demonstrated to us in slides and beautiful colored drawings, is ready for public- ation. A summary of his experiments follows! 1. Old test method of RoehlI a) Comparison of synthetic quinine (Rabe) and natural quinine, Racinat (* *) (—) ) Optically active ) The same effect as natural Optically active (—) ) quinine. Racinat (*-) ) Optically active (*-) ) No effect at all. Optically active ; b) New ant1malarials S-9, S-10, S-ll compared with quinine* S-9 -No effect at all. S-10 -Only trace of activity, S-ll -In dilution of It200 about the same effect as quinine hydrochloride in dilution of 1 to 500. •' By this method it was found that S-ll shows only one-half the efficacy of quinine; it is not useful in the treatment of new actue malaria infections• 2. New Test Method (Schulemann) (Infection with sporosoites and waiting four days before beginning treatment)• a) Controls and all infected canaries treated daily for six days with 0.5 ccm. per 20 grams of bird of: 1) Quinine hydro chloride in a dilution of 1 to 500. 2) Atabrin « " " ,f 1 to 300. All canaries died on the ninth or tenth day after infection. * From these observation Schulemann believes that quinine and atabrin by this method have no effect at all, that is to say, no effect in treating relapses. (By waiting four days and allowing the development of the tissue phase of the parasites a stage of Infection simulating a relapse in produced)• b) Controls and all infected canaries treated daily for six days with 0.5 ccm. per 20 grams of bird of: 1) Plasmochin in a dilution of 1 to 5000. 2) S-ll « " " « 1 to 200. The infection was attenuated and death of the birds did not occur until as late as the twentieth day, or not at all. It was concluded that S-ll in a dilution of 1 to 200 was of the same value as plasmochin in a dilution of 1:5000 but that S-ll was much less toxic since no cyanosis was produced by S-ll. Prof. Schulemann felt that the first step had been accomplished in finding a substance which effects the exo- erythrocytic form of malaria. He hoped that by continuation of this work a new remedy effective for (l) causal prophy- laxis, and (2) treatment of relapses, could be found. Because the records were lost in the bombing at Bonn on IS October 1944-, no exact figures on the lethal dose of S-ll in birds were available. The approximate figures are as follows: l/2 c.c. of a dilution of 1-200 per 20 grams of bird is the safe dose for experiments. l/2 c.c. of a dilution of 1-100 is the border-line dose. l/2 c.c. of a dilution of 1-50 is the lethal dose. S-ll has never been used in human malaria. During these experiments with plasmochin he came to the conclusion that the toxic effects (cyanosis, etc.) of the drug were due to embarrass- ment of the circulation resulting from the drug*s action on the nyoc- ardium rather than production of toxic substances in the blood stream. c . In h4s pathological studies Schulemann was assisted by Prof. Wunnbach. They found all stages of destruction of the liver, lung, spleen and lymph glands due to toxins produced by the parasites, and believed that the vague symptoms of pain in various parts of the body in latent malaria could be thus accounted for. The lymph spaces in brain were filled with plasmodia. He hade use of the liver puncture technique of Prof. Gfctzeit. (professor of Medicine at Breslau University) in living birds to follow the course of the infection, and considers this technique a distinct aid in the diagnosis of latent malaria in humans• The Henry flocculation test was of no diagnostic value in the diagnosis of latent malaria of birds. Chemical Formula and Synthesis of S-ll. Synthetic organic compounds, described in detail in Appendix 1, were synthesized by Prof. Schulemann and his associates about 1928 for I.G. Farben (D.R.P. 499826) at Elberfeld. According tocProf. Schulemann, Dr. Rbehl concluded that these compounds had no value in malaria therapy, although laboratory reports subsequently obtained from Prof. Schulemann indicate some chemotherapeutic activity. Nothing was done with these compounds until Prof. Schulemann revived his interest in them at the University of Bonn in 1941- At this time a series of seventeen closely related compounds were synthesized by Dr. Saure and his assistants and some preliminary estimates of their antimalarlal activity were made. One of these compounds, S-ll, was selected for further study. Prof. Schulemann described, as S-ll the original compound synthe- sized in 1928. This compound was 4 N bis (diethyl amino ethyl) amino diethyl cateoholate. It was synthesized by nitrating the diethyl ether of catechol in the 4 position, reducing with tin and hydroch- loric acid, and heating the amine for 5 hours at 135° 0 with an excess (3-4 mols.) of chloro ethyl diethyl amine. This last step gave yields of about 30£. Subsequent; study of the laboratory reports (Appendix l) obtained from Prof. Schulemann Indicate that Dr. Saure synthesized 17 derivat- ives of N (diethyl amino ethyl) aniline (or N bis diethyl amino ethyl aniline) which had one or two methyl, methoxy, ethoxy, or chlorine groups substituted in the ring in various combinations and positions. These products were designated S-l. S-2. S-3, etc; and from this S-ll appears to be 4 N is (diethylaminoethyl; amino, 2 chloro, ethyl phen- olate. It was prepared by chlorinating phehacetin, removing the acetyl group by hydrolysis, and condensing the amine with chloro . ethyl diethyl amine as described above • The product was a yellow oil in 13% yield. The compounds were synthesized by Dr. Saure, and according to Prof. Schulemann, were obtained as hydrochloric salts, made up as a 1°* in 1$ solution Beaded in glass ampoules by Sobering Co*, Berlin* The compound is said to decompose slowly when exposed to air, but in sealed ampoules remains stable for several years* Miscellaneous Information secured from Prof.Sahulumann, A description of a new lens and condenser for the use with the ordinary microscope. This is called a Phasenkrontrast Einrichtung (Phase-contrast apparatus) and permits the observation of tissue differentiation in fresh unstained specimens in a manner considered superior to anything we have had at our disposal to date. The appear- ance of the tissue cells strands is that secured by reflected light and that seen in the darffield* It was stated that only twelve of these apparatuses have been manufactured to date by Carl Zeiss (Jena), and that Prof. Schulemann secured his exemplar from the German Research Council* For three years previous to his departure Prof. Schule- raan and a large number of assistants, particularly Dr*A*Zipp (where- abouts unknown at present) had been working on a new idea in chemo- therapeutic s, i.e., the action of a new group of phenobarbital compounds on bacterial infections such as those caused by the pathogenic streptococci. Although no definite report on this field of investig- ation could be secured because of destruction of all records, Prof. Schulemann stated that the progress made was so satisfactory that the work would be continued at the earliest possible moment. Prof .QUtzeit, Professor of Medicine at Breslau and consultant in medicine to the National Research Council of Germany, has developed a new method of liver puncture used in the study of known malaria in birds and humans and also used for diagnosis of latent malaria in humans* He was able to make a positive diagnosis by stained smears obtained by liver puncture and start treatment with Plasmochin long before symptoms of relapse appeared* The following list of doctors to contact for knowledge of advances in medicine made during the war in Germany was given us by Prof. Schulemann. Prof. Dr. Handloser - General Oberstarzt - Chief of all medical services of Army, Navy, and Air Force* Prof. Dr. Schreiber - Adviser in hygiene to Nat* Research Council, Prof, Dr. Gttzeit - Consulting Internist to Prof* Handloser and member of Nat. Res. Council - also Prof* of Medicine at Univ* of Breslau. Dr. Sergius Breuer - General Secretary of Nat. Res.Council. A man who is well informed of all its activities. Prof. Dr. Spatz - Head of Brain Research Institute at Kaiser Wilhelm Institute, Berlin - Buch. Prof, Dr. Heubner - Director of Pharmacoldgical Institute at Univ. of Berlin; has made extensive studies of toxicology of blood malaria. Prof. Dr. Herzberg - Specialist in Virus diseases (Influenza and Epidemic Hepatitis) was at Greifswald on the Baltic Sea. Prof, Dr. Martini - Entomologist now at Bad Nauheim, Prof. Dr. Nauck - New head of Tropical Diseases Institute at Hamburg. Extensive experience with tropical diseases. Prof. Dr. Rodenwaldt - Consultant to Army Medical Services for Tropical Diseases - formerly at Heidelberg, now at Nauheim, Section II Interview by Doctor Southworth. Recent work of Professor Werner Schulemann. Schulemann was picked up by the 9th Army at Bad Oeynhausen. Schulemann stated that after moving to Bonn in 1936 he was paid by I.G. for 5 years not to associate himself with another commercial firm. About 3 years ago, however, he made an agreement with Sobering and started wdrk with Dr. Oesterlein developing a series of potential antlmalarials originally patented by I.G. in 1927 but rejected by Roehl as of little promise. When Schulemann was bombed out of Bonn on October 18, 1944-, he salvaged 200 of his canaries, his four mosquito strains, and enough equipment to set up anew on the top floor of the Koenlgshof Reserve Hospital at Bad Oeynhausen. This British have now swept him out, in order to make room for a headquarters, but he has been taken under U,S. custody, fi r>f Gompounda. The original I.G. compounds were the Dimeplasmin series made by Kropp and Schulemann. The new series has been made by Schulemann1s associate Saure, and the nSn nomenclature results from his name. Eighteen of them haye been synthesized (see Appendix I), but the.exact numerical orddr was lost when the records were burned at Bonn. The most promising, however, is Sll, which has the structure: and is estimated by Schulomann to have 1/3 to 1/2 the activity of Quinine by the old Roe hi test, Schulemann uses cathemerium in his canaries, and prAdtically all his testing has been by the Roehl technique. He has devised, however, a "New Test”*, wherein sporozoites from infected mosquitoes are Injected into the peasized fat-pad which lies lateral to the canary*s pectoral muscle. The salivary glands are dissected out, mixed with canary serum, and the glands of one mosquitw injected into each bird by means of a capillary pipette. About twenty birds are used for each experiment, including 4-5 controls and $ treated with quinine. So as to compensate for the inevitable delay before the last birds are injected, the series of 20 are given a second series of Injections in reverse order a few hours later into the contralateral fat pad. Thus each gets the salivary sporozoites of 2 mosquitoes. Treatment is not begun until the 4th day and is then continued for 6 days. Schulemann boasts of the fact that he always uses groups of 5 birds for each dosage in his tests, while Kikuth may use but 1 or 2. In both tests ho also uses only 0.5 cc daily per 20 gm. of bird, so that his results with a l/l00 solution corres- ond to kikuth*s with 1/200. By the old Hoehl test, about 13 S compounds have been tested, and only S10 and Sll have shown any activity. With S10 this was but a trace, but Sll at 1/200 had about the same activity as Qunlne at 1/500. When, therefore, the New Test was devised, Sll was chosen for comparative trial. The initial test was interrupted by the destruction of Schulemannfs laboratory, and no subsequent ones have been possible. Its protocol shows that all 4 control birds died on the 9th and 10th days. 5 birds treated with Quinine HC1 1/500 also died on the 9th-10th days, and 5 dosed with Atebrin 1/300 died on the Sth-llth days • All these birds showed a high degree of parasitemia, andthe compounds appeared to be of no benefit. 5 birds, however, were treated with Plasmochin 1/5000. They all began to show parasites at the same time as the control birds (about day 6), but the number of these remained low and only . 2 birds died (days 11 and 13) • One bird was killed on day 10 for pathological studies, and the subsequent records of the surviving 2 were lost after the 15th day by the destruction of the laboratory. The last group of 5 birds was treated with Sll at 1/200. 1 died on day 12 but with only a slight parasitemia. Another was killed on day 11 for pathological studies. 3 were still alive when allrecords were lost on day 15, and one of these seemed to be on its way towards a cure. The general course of these birds was very similar to those treated with plasmochin. Pathologically, the one killed on day 11 was about identical with the plasmochin treated bird autopsied on the previous day. In contrast to the controls and to those dosed with Quinine or Atebrin, there was little hepatic or splenic enlargement and relatively few E-forms. By canary tests, Sll is much less toxic than Plasmochin. A 1/100 solution approximates the MLD, and l/50 is generally lethal. 1/200 is therefore the maximum tolerated dose. No animal toxicity studies have been made. Sll is a yellow oil with a B.P. of 205-207° at 3mm pressure. It oxidizes readily and is therefore made up by Sobering in sterile ampoules of 1 cc volume containing Q.l gm of Sll in water with 0.01 gm of The dihydrochloride salt is used. Schulemann adds 19 co of tap water to the contents of 1 ampoule to get his 1/200 Synthesis of Sll is accomplished as follows, according to Saure, whom I tracked down at his home near Huckeswagens MArlp No human tests have been made with Sll, and Schulemann makes no definite claims for it. He points out that only 1 side-chain has been tried, because the chlorethyldlethylamine required in its production was easily available as an intermediary for novAcaine. He also suspects ’that the diraethoxy derivative would be more active than the diethoxy# (Dlmeplasmln itself) • Saure made some of this but lost it . Schulemann believes he has a group of compounds which needs further study and development and which premises to have a Plasmochln-like action. He has made no test of Sll for causal prophylactic action. He believes his work is unknown to Elberfeld, but I wonder if Klkuth*s revival of interest in related compounds of the Diapromin and Dimeplasmin series may not have resulted from rumors as to Schulemannfs work. Schulemann maintains his strain of gullSnaceum in roosters hut has used it very little during the way* Sll has never been tested against it. Senary, eoanenta on Anti ilia] arlals. Schulemann was sceptical about Sontochin, stating that its only advantage over Atebrln was its lack of skin staining. He agreed with Klktjth ttad Chinoplasmin was more effective than Atebrln in preventing recurrences of vivax malaria. One of his students named Rinck searched the War Office records last summer for follow-ups on 257 cases of B.T. malaria treated for 2-3 weeks with Chinoplasmin at the Tropenlaz- arett, Bad Godesberg, between July 19A2 and January 1943. 23 relapses were uncovered, and allowing for lost records, a relapse rate of about •10% was estimated. Comparable cases were treated with atabrin but no follow-up had been made when their names and records were lost in the destruction of Schulemann1s laboratory. Nearly all the B.T. strains were of Mediterranean origin. Schulemann believes in the efficacy of Plasmochin combined with Atebrin and continues his interest in Atepe, which is Atebrin 0.1 gm and Plasmochin 0,005 gm. He recommended Ate- brin 0.05 gm and Plasmochin 0.0005 gm daily as the suppressive for the German army, but it was turned down. While admitting that large dose§ of Plasmochin cause methemoglobinemia, he feels that there is another cause for the cyanosis occasionally shown by patients on 0.01 gm tid. In a survey of 100 cases on this dosage at Bad Godesberg he never found over 25% raethemoglobin, He suspects that Plasmochin has a direct effect on myocardial conduction. Schulemann states that he has worked out the life histcry of the cathemerium tissue-phases in histological preparations made following his method of fat-pad injection. His original slides were destroyed at Bonn, and what he has left seem to be EEF in various various stages of development. He believes that sporozoites may penetrate histiocytes or aray undergo an initial extracellular division. He agrees with Missiroli that the number of chromatin granules they contain may determine their development and fate. There are generally about 4 days of tissue-phase development before erythrocytic forms appear. . But on one occasion after 48 hours and once after 72 hours, he has transmitted the infection by means of blood to clean hires. He attributes his success in tracing the development of the E-forra to , a modification of the Giemsa staining technique in which mercury bich- loride is used in the clearing of the slide (see Appendix II)• Schule- mann is also interested in the histopathology of cathemerium malaria. The number of E-form to be found in the liver and spleen of untreated birds makes him wonder if these locations have been sufficiently searched (if necessary after liver puncture) in cases of human malaria. By injecting colloidal palladium, Schulemann has stirred up the reticuloendothelial system to give a monocytosis in roosters and then has tried blood-induction of gallinaceum infection. In 10 birds this technique led to an unusual course of the infection. E-forms developed more rapidly them normal, and the birds died of cerebral or pulmonary ■ symptoms. Meanwhile the usual blood infection was reduced by a marked phagocytesisof the erythrocytic forms. Other Drugs. While at Bonn, Schulemann also worked with Oesterlein in an attempt to find a new class of antibacterial agents. He steered clear of the sulfonamides but sought for other groups of compounds which would resembie -S-g NH2 in having an amino group contiguous to two rO groups. For testing he used the culture of hemolytic in streptococci in whole blood by the rotating tube method of Ffeld and Green, as he felt it was the in vitro technique which most closely approximated vivo conditions. He tried and also this compound with amino substitutions on the phenyl ring, but without success. When, however, one of the nuclear NH2S was acetylated, he found a trace of activity. Next he tried barbiturates, and with a para-amino-phenyl substitution again found a trace of activity. He hopes to continue this work. Before taking up the S comooundfl. he also worked for a while with thiazoles of the type ii. the hope of find antimalarial activity. He had no success and abandoned thed field because synthesis was so difficult. Conclusion * In his S compounds Schulemann is just reworking the Dimeplasmin- Diapromin series which has been pretty well shown to be useless in terminating attacks of human malaria. Schulemann, however, is hoping these compounds may lead the way to a radical cure. He seems to be unaware of the fact that Diapromin, which has the structure was tried by Sioli in 1936-7 as a causal prophy- lactic and found without activity (see Appendix III) . It seems doubt- ful if his lead is a good one, but it is vdry interesting that his New Test shows a similarity of action between Plasmochin and Sll. APPENDIX I Structural Formulae of S series of Compounds, Zur Darstellung einer Reihe von mftgllchst 141cht zugftnglichen Ver- blndungen die elnige Attssicht suf antiplasraodische Wirksamkeit bo- ten, wurde als Ausgangspunkt desDJl.P. Nr. 499 826 (Frdl. 17.25L&) gewthlt, In dlesem Patent sind eine Anzahl von Benzolabkbmmlingen beschrieben, der eingache, Konstitution eine schnelle Darstellung 4 dieser. bezw. Ahnlicher Verbindungen ermbglichte. Von den in oblgem Patent sufgefitthrten Verbindungen wurden dargestellt (I) der A-N- Di&thylamlnoathyl-amino-brenacatechlndiAthyiather (Beisp.13) (II) und der 4-N-Bis (dl&thvlamoni flthvl) -aralno-brenzcatechlndiathyl&ther (Beisp. 14)* Wahrend das Mono-arainoalklierungsprodukt ira therapeu- tischen Versuch nur eine angedeutete, schwache Wirkung bei der Infek- tion des Kanarienvogels mit Malariaplasmodlen zeigte, brachte das Dl-aminoalkylierungsprodukt eine Verzttgerung des Angehens der Ingek- tion von einigen Tagen. (Genaueres liber die Wirkungsprlifung weiter unteni) Im AnschluB an diese beiden direkt dem. D.R.P. cntnornmenen Verbindun- gen wurde eine Anzahl weiterer Substanzen dargestellt, bei denen die Substituenten und die Stellung der Substltuenten zuelnander und zu der zu aminoalkylierenden Aminogruppe variiert wurden. So stellten wlr zunAchst aus Anilin das doppelt basisch alkylier * Produkt und hieraus durch Nitrosierung und anschlieBende Reduktion (III) das. N-Bis(dl&thYla.iinoathyl) -n-phenylendiamin ter. das jedoch ira the- rapeitischen Versuch keine Wirkung zeigte. Aus p-Phenetidin wurden (IV) sodann das N-Diftthylaminoftthyl -p-nhenetidln und das N-B1s(D18.thy1- (V) ABino&thyl)-n-Phenetidin dargestellt, Beide Verbindungen, wie auch alle welteren, aeigten im therapeutischen Versuch bei der Vogalmalaria keine Wirkung, Aus o-Toluidin wurde durch Kitrierung zum 4-Nitro-2- arainotoluol,' Diazotierung und Verkochung mit Schwefelsfture und an- schliebende Aethylierung das 4-Nitro-2-Abhoxyloluol gewonnen, Durch (VI) Reduktion und Aminoalvylierung kamen wir schlieBlich zum 4-N-Diftthvl- (VII) an:inoPthyl-arai no-2-flthcxvtoluo] und zum 4-N-Bis (diathylamino&thyl) - amino-2-ftt^oy/toluol. Ails Phenazetin wurde durch Nitrierung und an- schl4ebende Abspaltung der Acetylgruppe das 3-Nltro-4-araino-phenetol gewennen, das durch Diazotierung und Behandlung mit Gu-Pulver das 4-Chlorprodukt er‘*ab, welches schVeBI ■* ch durch Reduktion und an- (VITI) scbliebenc> Aminoalkylierur.g in das 3-N*Diftthylamin4ftthyl-4-chlor- (VTX) phenetol und das 3-N-3i s(di9.thylarninoH.thyl)-A-chlorphenetol tibargo- fh:i±t wurde. Weiterh’n wurde aus Phenazetin durch Kochen mit Chlor- lauge und anschlieBende Abspaltung der acetylgruppe das 2-Chlor-4- aminophenetol dargestellt, das mit ChlorAbhyldiathylarin in das (X) AN-DiathYlarainoa.thvl-ainino-2-chlorphenetol Und das 4N-3i s(D18.thvl- (XI) nnftthvl)-amino-2-chlorphenetol ubergeflihrt wurde. Das 3-Nitro-6- aminoanisol, dargestellt durch Nitrierung und Verseifung von acetyl- e-Anisldin, ergab rrit Hilfe der SANDMAYER' schen Reaktion und nach Reduktion der Nitrogruppe das 2-Chlor-5-aniinoanlsol, aus dem, wiedetfum (XII) mit Chlcr&thyldiAthylamin, das 5N-DiflthylzrdiioAbhyl-amino-2-chloranl- (XTr) sol und das 5-K-Bis(di&thvlaminQ&thyl-arnino-2-chlpranisol darge- stellt wurde. Durch Chlorierung von Anisol erhielten wir scl, das durch Nitrierung und anschlieBende Reduktion in das p-Chlor- o-amino-ani sol hbergefliht wurde. Hieraus konnte auf dem llblichen Wege das 2-N-Di8i,hyXaninoftthyX-amino-4-chXor&nj sol und das 2-N-B3 s(di - (XV) ithylamlnoathyD-amlno-A-chloranlsol dargestelXt warden. Aus p-ToXul- dln erh5eXten w5r schlieBUch durch Ndtr5erung, Diazitierung und Ver- kochung mit Sfture das 4-Oxy-3-nitretoluol, das methyXJert, reduziert (XVT) und dann in das 2"N-Diftthvlaminolaminoathvl-aminr-A-methyl&nlSQl und das (XVII) 2"N-Bia(dl&thyl»aminoftthyX)-amino-4-methyXanisoX ttbetgeftthrt werden konnt©. Die 4 zuletzt angeftthrten Produkte warden noch nicht im therapeutiechen Versuch geprttft. TherapeuMsche Wirkunggprftfung. Die therapefctische Wlrkungsprlifung der beschriebencn Produkte wurde so vergenommen, daB die im chronischen Toxversuch (6 Tagc nachcinander lang nacheinander - wieder 0,5 cm pro 20 g Vogel - peroral und das Blut des am solben Tage d&t der ersten therapeutlschen Vogels vom 2. Tage an untcrsucht wurde. Ergebnisee. Produkt: Dosis; _ Verzfteerunestape; (I) 4-N -Di&thylamlno&thylami no- abgeschw&chter brenzoatechindifrbhylftther 1:200 Verlauf der Inf. (IT) N-Bis(diftthylamino&thyl)-amino- 1:200 3-8 brenzoatechind3 Mthyl&ther (HI) N-B3 s(diathylaminoftthyl) -p- lllOO 0 phenylendianiin (IV) N-Ditthylaminoftthyl-p-phenetidin 1:50 0 (V) N-B i s(d i&t hy laminoftthyl)-p- 1:50 0 phenetidin (VI) 4-N-DiRthylaraino&thyl-ami no- 1:200 0 2-athoxytoluol (VII) B5 -amino 1:200 0 2-ftthxytoloul (VIII) 3-N-Diathylaminoathyl-amino-4- 1:200 0 chlorphenetol (IX) 3-N-Bis(di&thylaminoftthyl)-amino- 1:200 0 (X) 4-K-D i&thy larainoftthyl -amino - 0 2-chlorphentol 1:200 (XI) 4-N-B3 s(diftthylaraino&thyl) -amino- 1:200 0 2-chlorphenctol (XII) 5-K-Diftthylaminoathyl-amino- 1:50 0 2-chloranlsol (XIII) 5-N -B i s (d iathylarai nofttyhl)- am 1no- 1:50 0 2-chloranisol) Im Hlmblick auf die weitgehend© cheraische und physikalische Hhnlich- keit zwischen Chinolin und Benzthiazol wurden ©benfalls die Versuche, ©in "Benathiazol-Plasmochln11 zu synthetisieren, die z. Tl, schon von den Amerikanern (FOX und BOGEHT: Am.soc.61.2013) und Russen(KNUNYANTZ und BENEVOLENKAJA: J.Gen.Chem. .U.d.s.s.R. .7.2A71:C .A.32.2119. (1938). aowie auch in Deutschland von WAGNER-JAUREGG und HELMERT (Ber,2fi,935) durchgefUhrt wurden, wieder aufgenommen, mit dem Ziel, mBglichst s&mt- liche Amino-ben zthiazole in Form ihrer Aminoalkylierungsprodukte zu synthetisieren, um dieses Gebiet endgttltig zum AbschluB zu bringen, unc. zwar vor allera auch unter Borttcksichtigung der doppekt aminoalky- lierten Verbindungen, die von don oben angegebenen Forschern nicht un- tersucht worden nind. Zur Darstellung der verschiedenen Amino-benzthiazole bedienten wlr uns vor allem der HERTZ'schen Reaktion, die in der Elnwirkung von Schwofel- chlorlir auf Aniline und anschlieBender alkalischer Spaltung der Kon- densatlonsprodukte su o-Aminot iophenolen besteht, welche dann mit Ameisens&ur© zu den entsprochenden Benzt iazolen verkocht wurden, und der "Rhodanierungareaktion nach D,R.P,A91 223, nach der p-substitu- ierte Aniline mit Alkalirhodanid und Brom zu 2-Aminobenzthiazolen um- gesetzt werden. Von den Benzthiazolderivaten wurden bisher dargestellt; 2-Ajnino-6-methoyybenzthiazol 4.-Am lno-6-methoxybenzthiazol 7-Amino-6-mcthoxybenzthiazol 6-Aroinobenzthiazol• Das 5-Aminobenzthiazol ist synthetisch am schwersten zuginglich und konnte bisher nicht erhalten werden, * Die Honoalkylierungsprodukt© von A- und 7- Amino-6-methozybenzthiazol wurden - wie auoh schon frtther berichtet - berelts 1m therapeutischen Vorsuch geprttft, Sie zeigten neben hoher Toxizitlt keine Spur von Wirksarakeit, Das lUBt sich nur sehr schv/er alkylieren, da die 2-Aminogruppe nur schwach basisch ist, Ubor dies© Reihe von Produkten, die von Herrn Dr. SAURE bearbeitet wird, soil nach AbschluB Untersuchungen genauer berichtet werden. Experimenteller Tell I« 4-N-Diathy1aminoathyl-br©nzcat © chi nd iathy1Sther. (Dr#SADRB) 1) «»thylither; cf.Beilst.VI,799) Nitrierung in Eisessig mt Ert03(d ;1,4) ,umkrist .aus wBssr. Alkohol. Hellgelb© i\Tadeln. Fp:73-75° Ausbeut©; 98$• 2) 4-AminobrenzoatechindiBthylfither; (of.Beilst.XIII,(308) P.eduktion von l) rr.it Sn und HC1, Ausathern,Vakummd© still. Kp*135°/5mm; farbloses Oel* Fp.47-48° Ausbeut©; 70$» 3) 4-N-Diathylaminoathyl-br9nzcatechindiathyiather; (D.R.P.499 826,Frdl.17,2548) 2) mit 1 Mol Chlorathyldiathylamin 3 Stdn.auf 100° ©r- hitzen, Heaktionsprodukt in Wasser lOsen, Basengemisoh mit Pottasche aussalzen, aueRthern, Vakummdestiilation# Ap: 187-190°/3mm; gelbliohes 0©1. Ausbeut©; 30 II* 4-N-Bis(d iathylaminolthy1)-aminobre nzcate ch indi athyiath er•(Dr.S.) (D.k.J.499 826,Frdl.l^,2^48} Moncalkylierungsprodukt mit 3-4 Mol Chlorathyldiathyl- amin umsetzen (5 Stdn.l35°)« Auferbeitung wi© oben. : Kp: 213°/5mm* gelbliohes Oel* Ausbeut©: 35$. Ill* N-Bis(diathylsminoathyl)-p-phenyl8ndiamin: (Dr*SAUHS) 1) N-Bis-(Diathylaminoathyl)anilin; (C.19301,1697) Anilin mit3-4 Mol Chlorathyldiathylamin 6 Stdn.auf 125° ©rhitzen. Auferbeitung wie Ublich. Kp*160°/4mm; gelbliohes Oel. Ausbeut©; 76$. 2) K-Eig{Diathylaminoathyl)-p-phenylendiamin: l) in 5n-HCl mit wBssr. NaNop, nitrosieren,LOsung auf 50° ©rwarman und mit Zn-Staub reduzieren, Alkalisieren, mit Pottasche aussalzen, Reiter© Auferbeitung wie ablich. Kp.l93-195°/3mm; gelb©s Oel. Ausbeut©; 45$. IV. N-Digthylamlno9thyl~p-phetietidln: (Dr .Sitting) p-Phenetidin wird mit 1 Mol Digthylamlnoftthylchlorid in benzol 1 Std.auf dom siedenden Wasserbad erhitzt. Kristall- brei in V/asser ICsen, vom Benzol trennen Auferbeltung wie flblich. Kp. 147-148°/3mm; farbloses Oel, Ausbeute: 60$. V. N-3is(digthylamlnogthyl)-p-phenetldin; (Dr.SAURS) (IV wird mit 3-4 Mol amino alkyl chi or id 5 Stdn.auf 125© er- hitzt. Aufarbeitung wie Qblich. Kp.l88-190°/3mm; gelbes Oel. Auebeute; 45$. VI. 4-Iv-DiBthylaminogthyl~amino~2-athoxytoluol; (Br.SAORE1 (1) 4-Nitro-2-aminotoluol; (cf.Pellet.XII,844) o-Toluidin wird in konz. 3chwefels8ure bei o° mit Nitriergemisch (HAOs d;l,4) nitriert. Das abgeschiedsne Sulfat wird mit NaOH zersetzt. Bp;107°, gelbe Kristalle. Ausbeut©; 70$. 2} 4-Nitro-2-oxytoluol; (cf.Beilst.VI,365) 1) wird in 10$ iger Schwefelsgure diazotiert. Die Diazo- niumsalzlBsung in siedende 30$ige Schwefelsgure einlaufen lessen. Nach dem Srkalten filtrieren. Fp;118°; gelbe HadeIn. Ausbeute; 86$. 3) 4-Mtro-2*-?thoxytoluol; (cf.Beilst.VI,366) 2) in alkoholischer KOH mit lodgthyl gthylleren. Fp; 61°. Ausbeute; 85$. 4) 4-Amino-2-athoxytoluol; (cf.Beilst.XIII,574) 3) mit Sn und HC1 reduzieren, alkalisieren und die Base mit Wasserdampf abtrieben. Kp: 143-146°/!7mm. Ausbeute: 70$. 5) 4-M-Diathylamino9thyl-amino-2-athoxytoluol; 4) mit 1 Mol ChlorSthyldiSthylamin 3 Stdn.auf 100° erhitzen, Aufarbeitung wie flblich. Kp; 175-177°/3mm; gelbliches Cel. Ausbeute; 50$. .X. thyl) -amlnor2-ftthoxytoluol: (Dr.SA.URE) 4-Amino-2-&tho3(ytoluol wird mit 3-4. Mol Chlori.thyldiltthyl- amin 5 Stdn. auf 130° erhitzt. Aufarbeitung wie ttblich. Kpi203-206°/3mraj gelbes Oel. , Ausbeute* 4-5$. Vin. 3^>DilthylaBlnQ&thyl-amlnQ-A->chlorphenetol; (DR.SAUPE) 1) 3-Nltro-4.-acetaminophenetolj (Ar *229:4-57) Phenazetin wird mit 65$iger HNO3 nitriert. Unkristalli- sieren aus Alkohol. Fp: 103° Ausbeutcs 82% 2) 3-Nitro-4.-Amlnophenetol: (Ar ,229,460) 1) mit alkoholisch-wftsseriger KOH verseifen, Fp:113°s rot® Nadoln. Ausbeute1 94$ • 3) 3rNitro-4.-chlorphenetol: (Ber*32*157) 2) wird in 25$igor HC1 bAi 0° diazotiert und hierauf unter Rtthren Cu-Bronze zugegeben. Abfiltrieren, Rttckstand mit Alkohol auskochon. Fp: 47°, aus Alkohol. Auebeute 1 53$ • 4) 3-Amino-4.-chlorphenetols (Ber.32,157) 3) wird in 25$igor HC1 mit Sn reduziert, Mit rauchENDER HC1 Hydrochlorid flllen, alkalisieren, mit Wasserdampf abtreibcn. Kpi 122-123°Am; farbloses Oel. Auebeute: 71$. 5) 3-N-DiHthylaraino&thJrl-amino-4.-chlorphenetol: 4.) wird mit IMol Chlor&thyldi&thylamin 5 Stdn. auf 100° ©rhitzt, Aufarbeitung wie ttblich. Kpjl70-173/3mm$ gelbes Oel. Ausbeute: 30$. IX. 3“N-Bls(diathvlaminoftthvl)—amino-4.-chlorphenetol: (Dr .SAURE) 3-Araino-4.-chlorphenetol wird mit 3-4- Mol OhlorHthyldi&thyl- eunin 6 Stdn. auf 130° erhitzt. Aufarbeitung wie "ubllch, Kp:191-19A°/3mni; gelbes Oel. , Ausbeute: 25$. 4~N-Digthylaminogthyl-amlno~2~chlorphenetol: (Dr, ZIRFAS) 1) 2-Chlor-4-eminophenetol: (Ber.32,156) Rienazetin wird in ©iner Misohung von Eisessig und HC1 gelOst und mit einter Chlorlauge - aus haissar, 40%igar NaOH durch SSttigen mit Cl-Gas - unter Kflhlung versetzt* Daa Produkt scheidat sich ab. Umkrist. aus 60%lgam Alkohol* Fp: 132° Ausbeuta; 69%. Yerseifan der Acetylaminogruppe mit HC1 und Abtrelban dar Basa mit Wassardampf* Fp: 66°; Weissa Nadaln* Ausbeuta: 80%* 2) 4-R-(djgthylamino gthyl) -amino-2- ohlorphene t ol; (Dr »ZIHFAS) £-Ghlor-4-aminophenotol wird mit 1 iiol ChlorSthyldlftthyl- amin in Xylol IS Stdn.gekocht* Aufarbeitung wia dblich* Kp: 184-1370/3mm" gelbliches Oel* Ausbauta: 37%* XI* (Dr«aiRFAB) 2-Ghlor-4-aminophenatol wird mit3-4 LIol GhlorgthyldiHthyl~ amin 12 Stdn.auf 130° erhitzt* Aufarbeitung wia ttblioh* Kp; 205-207°/3mm; gelbas Del* Ausbeuta: 13,5$* XII* 5~N-Digthyleminogthyl~amino«-2-chloranlsol; (Dr .giaffAS) 1) 5-Nitro-2-aminoanisol:lD.R.P# 98 637,Frdl.Y,67) mm mm • mm mm mm mm mm mm mm mm mm *p Aoet-o-anisidid wird in 65%iger HU03 nitriert, das an- fallande Gemisoh mit50%iger SchwelfelsSure verseift und das hierbei antstehende Gemisoh in heisser. 25%iger Schwe- felsfture gelBst. Beim Erkalten fSllt das 5-Ritro-2~amino- anisol aus• Fp; 139-1400. Ausbeute ; 38%* 2) 5-Ritro-2-chloranisol: 1) wird in salz©surer LOsung diazotiert und enschliessend mit Cu-Bronz© behandelt* Das 2-Chlorprodukt fSllt aus und wird mit Wasserdampf abgetrieben* Fp: 83°; gelblich'-weisse Nadeln* Ausbeute: 71%. 3) 2-Chlor-5-aminoenisol: Reduction von 2) mit Sn und HC1, alkalisiseren, rusgthern, Aether verdampfen Fp: 77°. Ausbeute; 90%* 4) S-N-PlithylaalnoUthyl-amlno-^-chlpraplsoX: - 3) wlrd mit 1 Mol ChlorUthyldllthylamin 6 Stdn. auf 100° orhitat. Aufbeitung wie ttblich. Kp: 186-189°Amm; gelbes Oel. Ausbeute: 27%. XIII . S-M-Bla- (dig.thylaminoH.thvl) -amino-2-chloranlsol: (Dr .ZIRFASl (XTI) wlrd mit 3-4 Mol Chlortthyldiftthylamin 8 Stdn, auf 130° erhitzt. Aufarbeitung wlc ublich. Kp:203-206o/3mm; gelbee Oel. Ausbeutes 33%. XIV. 2-M-DiathylamlnottthyX-smlno-A-chloranlaol8 (Dr. ZIKFAS) 1) p-ChloranlsolI (Ar.233,31) Chloriervmg von Anlsol mit bel 70-100°i fraktlonlerte Destination. Kps195-196°, Ausbeute: 62% 2) 4-Chlor-2-nitroanisols (Ber.29.2599) 1) wlrd mit SalpetersHure (dsl,4) nitriert, die Nitro- verbindung scheldet sich kristallin ab. Umktistallisieren aus Alkohol. Fp: 98,5°: gelbliche Nadeln. Ausbeute: 57%. 3) 4-0hlor-2-aminoanlsol; Reduktion von 2) mit Sn und SalzsHure, Alkalisleren und Abtreiben des Amins mit Wasserdampf. Fp; 82° Ausbeute: 90%. 4.) 2-N-DiHthylamlnoHthyl-amino-4-chloranisol: 3) wird mit 1 Mol ChlorttthyldiHthylamin 6 Stdn. auf 130° orhitzt. Aufarbeitung wie ttblich. Kpsl69-173°/2mniM schwach gelbliches Oel. Ausbeute: 4-7%. XV. 2rN-pi g (diatbyjLaminoathyll-amli .o-4-ctg.oEflpj gel j (&»., (XIV) wird mit 3-4 Mol Chlor&thyldlHthylamln 6 Stdn, suf 130°eri1itzt* Aufarbeitung wie ftblich. Kps lB3-187c/2mr., gelbee Oel, Ausbeute: 43% * XVI• 2-N-Di&thyl&mino&thyI-amlno-£-methylanl3olr (Dr. ZIRFAS) 1) 3-Nitro-A-oxytoluols(Ber.2A>1960) p-Toluidln wird in der WErme in etwa 25%ig«r HNO3 nitrlert, die NitrierlBsung auf 0° abgekEhlt und durch Zulaufenlassen Vo# diazotlert. Man lEbt einJge Zeit stchen und erwErmt dann zur vElligen Zersetzung yersichtig. Das entstandene 3-Nltro-A-oxytoluol wird mit Wasserdampf abgo- trieben. Fp:32° Ausbeute: 58%• 2) 3-Nitro-A-metho*ytoluol1 (P,28,287) Methylierung ronl) in wEsseriger NaOH mit Dimethylsulfat, • ausEthcrn, Destination im Vakuum, Kps 155-157°/l3mm Ausbeute: 59%. 3) 3-Amino-A-methoxytoluol1(P•28,288) Reduktion yon 2) mit Eisen und 20%lger EaslgsEure* Alka- liasieren und Wasserdampfdestillation. Umkristallisieren aus Alkohol• Fp: 51 >5° •, wel£e BlEttchen. Ausbeute: 87,5%. A) 2-N-DiEthyl&minoEthyl-amlno-4-methylanlsol: 3) wird mit 1 Mol ChlorEthylamin 8 Stdn. auf 100° erwErmt. Aufarbeitung wie ttblich. Kps X39-H3°Amm Ausbeute: 51%. Mil. 2-N-Bla(dlathylamlno>t.hTlI-ain4nn-A-methylanlsol: (Dr. ZIRFAS) (XVI) wird mit 3-A Mol OhlorEthyldlEthylamin 2J+ Stdn* auf 100° erhltzt* Auferbeitung wie ttblich. Kpj 15^-157° Amm Ausbeute: gez.x Dr* S* Seure. APPENDIX II Schulemann* s Modified Glemsa Staining Technique 1* Tissue is fixed in Susa solution, embedded in paraffin, and cut in 5m sections. Excess HgClg is removed with dilute KL, and the section passed through dilute Na thiosulfite and into water buffered according to the method of Professor Weise of Hamburg. 2. Staining is accomplished by soaking for 24 hours (12 hours for spleen and bone-marrow} in a solution freshly prepared as follows; a. Hake up Solution A Azure I 2.0 Methylene Blue 1•0 V'ater to 250.0 b. Hake up Solution 3 Eos in W.G. 1»0 Water 100.0 c. Mix 0.6 cc of Solution A with 50 cc of Weise buffered water. d. Mix 0.6 cc of Solution B with 50 cc of Weise buffered water. e. Mix these two dilute solutions together and use fresh. In the staining bowl the slides are placed obliquely with the section side downwards to avoid precipitation. 3. Decolorizing is accomplished by dipping; a. For 30 seconds Into a mixture of saturated solution of HgClg 25 cc and water 75 cc. b. Then into distilled water (at least 72 hours old so that some CCg is present) till clear. 4. The slide is then passed fairly rapidly through the following solutions; e. Acetone 70 cc and Xylol 30 cc. b. Acetone 30 cc and Xylol 70 cc. c. Acetone 5 cc and Xylol 95 cc. d. Pure Xylol. e. Pure Xylol. and finally embedded in Gaedax, a synthetic resin of I. G. manufacture (a polychlornaphthalene) that has no traces of acid. I APPENDIX III tests in malaria infection by mosquito and blood transmission* - F. Sloli* 1936-1937. ¥> Diapromin was first administered to patient No. 62/111* She had been infected by means of 10 anopheles. Diapromin was adminis- tered from the 8th to the 12th day after the infection, 0.1 gm daily, i.e., a total of 0.5 gm. The first febrile attack occurred on the 15th day after the infection, i.e., 4 days after the last dose of Diapromin; plasmodia were found already 2 days before. The period if incubation and the development of the plasmodia were not influenced by Diapromin. After a discussion with Dr. Kikuth, the author applied a dosage of 3 times 0.1 gm Diapromin on the day before the infection, 3 times 0.1 gm on the day of infection, and 3 times 0.1 gm on the foll- owing 4 successive days. This treatment was administered to patients 3/IY after mosquito infection and 4/IV after blood infection. For a control, patient 2/IV was inoculated on the seme day with the same anopheles, and patient 5/IV with the same blood. The time of incubation and the development' of the plasmodia were not influenced by the Diapromin medication, neither in the case of the mosquito infection nor in the case of blood infection. The devel- opment of the mosquito infection and of the blood infection went through an exactly parallel course in those treated with Diapromin and in the untreated patients. Individual enumeration; Case 2/IV without Diapromin infected on 8 June with 18 anopheles. 1st febrile attack 21 June. Case 3/IV with Diapromin infected on 8 June with 15 anopheles. 1st febrile attack 21 June. Abundant plasmodia findings in both cases on 21 June. Case 5/lV blood inoculation on 10 June without Diapromin, 1st febrile attack 17 June. Case 4/IV blood inoculation on 10 June with Diapccomin, 1st febrile attack 23 June. In both cases sufficient plasmodia findings on 21 June. The somewhat delayed incubation of the Diapromin-treated case lies within the customary limits of incubation and is not to be considered as an effect of Diapromin. Summary: The Diapromin tests performed by the author so far have nc 'shown any efficacy of the substance* A4775 Wt. 19195 175 7/45 Gp.959 Fo»h & Cross Ltd.. London.