There is evidence (Gershoff, Hegsted and Trulson, 1958; Jer6me, Lejeune and Turpin, 1960;O'Brien, Groshek and Streamer, 1960) that children with mongolism have a defect in tryptophane metabolism which is characterized primarily by a diminished urinary excretion of xanthurenic acid.The purpose of this study was to confirm this observation using more exact techniques and to attempt to specify the alteration in metabolism more precisely by comparing the effects of 1-tryptophane loading on the urinary excretion coefficients (,umols/ kg./7 hours) of both 5-hydroxy-3-indoleacetic acid and the kynurenine pathway metabolites of tryptophane in a group of children with mongolism and in a control group of non-mongoloid mentally retarded children.Methods Twenty-one children with mongolism, aged 9 to 16 years, and 19 non-mongoloid mental defectives of comparable age, sex and intelligence were studied. All the children were active, able to feed themselves and keep themselves clean. Both groups were in the same institution and received an identical diet. At the commencement of the test, fasting subjects voided and then drank 300 ml. of flavoured milk in which was suspended 100 ml./kg. body weight of 1-tryptophane. All urine was collected for seven hours after the tryptophane load, and, to ensure completeness, individual voidings were supervised by one or other of the investigators. This seven-hour collection period was chosen as being the longest period that could be properly monitored.A measured aliquot of urine was assayed for 5-hydroxy-3-indoleacetic acid (Udenfriend, Titus and Weissbach, 1955), N'-methylnicotinamide (Huff and Perlzweig, 1947;Asami, 1957), and 4-pyridoxic acid (Reddy, Reynolds and Price, 1958). Other metabolites of the kynurenine pathway were separated by two-dimensional paper chromatography and identified under ultraviolet light. These were then eluted and estimated either directly by their absorbance in the ultraviolet, or as azo compounds coupled with pyridine or naphthylethylenediamine (Coppini, Benassi and Montorsi, 1959;O'Brien and Ibbott, 1962a). The chromatographic methods were linear within the experimental range and recoveries for kynurenine, acetylkynurenine, kynurenic acid, hydroxykynurenine, xanthurenic acid and hydroxyanthranilic acid gave a mean value of 97-6% (82-5-104-7%) with a mean coefficient of variation of 7 9% (4-6-12 6%). Reproducibility, expressed also as a coefficient of variation, averaged 4-7% for standards and 5 9% for urine samples. These figures were shown to be slightly, but not significantly, better than those for column chromatography techniques (Satoh and Price, 1958) in the cases of kynurenic and xanthurenic acids.Because intravenous tryptophane loading was not permitted, fasting, one-and two-hour serum samples were obtained for estimation of the tryptophane levels. These were determined as the enol-borate complex after adsorption and elution from a Dowex 50 column (O'Brien and lbbott, 1962b).