ABSTRACT. We attempted to develop a strain of Babesia gibsoni resistant to diminazene aceturate (DA), an anti-babesial drug, in vitro. Since the DA-sensitive B. gibsoni strain could survive and proliferate in culture medium containing 1 ng/ml DA, the concentration of DA was gradually increased from 1 to 200 ng/ml. The results showed that the parasites could survive and proliferate in the medium containing 200 ng/ml DA, which was much higher than the 50% inhibitory concentration (IC 50 ) of DA for B. gibsoni. Subsequently, these parasites were removed from erythrocytes and exposed directly to 200 ng/ml DA. They were able to survive and invade fresh erythrocytes, though the DA-sensitive B. gibsoni strain did not survive. Based on these results, the parasites cultured within 200 ng/ml DA were determined to be a DA-resistant B. gibsoni strain. In addition, the IC 50 levels of clindamycin, doxycycline and pentamidine for the DA-resistant B. gibsoni strain were determined. The IC 50 levels of clindamycin, doxycycline and pentamidine for the DA-resistant strain were higher than those for the DA-sensitive strain. The IC 50 of pentamidine for the resistant strain was much greater than that for the DA-sensitive strain. These results indicated that the DA-resistant B. gibsoni strain could have resistance not only to DA, but also to other anti-babesial drugs. In conclusion, we successfully developed a DA-resistant B. gibsoni strain in vitro. Canine babesiosis, a tick-borne hematozoan disease, is caused by Babesia gibsoni and B. canis. This disease is characterized by fever, lethargy, anemia and, in severe cases, death [9,11]. Diminazene aceturate (DA), an antibabesial drug, is an aromatic diamidine derivative. Currently, the mechanism of action of DA on B. gibsoni and B. canis is unknown. DA can temporarily improve the clinical signs of canine babesiosis [4,13]. However, this drug is unable to eliminate the parasites from infected dogs, and relapses often occur [11]. We believe that this is due to the development of drug resistance of B. gibsoni against DA. Collett [8] considered that B. canis surviving DA treatment could develop drug resistance against DA clinically. However, there is no report proving DA resistance of B. gibsoni and B. canis. In trypanosomiasis and leishmaniasis, it has been reported that DA can inhibit the DNA replication and mitochondrial respiratory activity of these pathogens [3,16]. The loss of P2 nucleoside transporter function in Trypanosoma brucei brucei has been implicated in resistance to DA [6]. Likewise, it is possible that B. gibsoni could develop drug resistance against DA.In reports about other anti-babesial drugs, including atovaquone, clindamycin, metronidazole, doxycycline and pentamidine, almost no single drug treatment or combined treatment could eliminate the parasites from the peripheral blood at the dosages used, and the possibility of relapse and development of resistant variants remained [11,13,24,27,32]. From those previous reports, it seems to be difficult to eliminate B. gibson...