Chagas disease, the leading cause of cardiac-related mortality in endemic Latin American countries.Trypanosoma cruzi, the disease-causing pathogen, is unable to synthesize purines de novo, necessitating salvage of pre-formed host purines. Therefore, purine and purine nucleoside analogs might constitute an attractive source to identify antitrypanosomal hits. In this study, structural elements of two purine nucleoside analogs, i.e. cordycepin and a recently discovered 7-substituted 7-deazaadenosine led to the identification of novel nucleoside analogs with potent in vitro activity. The structure-activity relationship of substituents at C7 was investigated, ultimately leading to the selection of compound 5 having a C7 para-chlorophenyl group for in vivo evaluation. This derivative showed complete suppression of T. cruzi Y-strain blood parasitemia when orally administered twice daily for 5 days at 25 mg/kg and was able to protect infected mice from parasite-induced mortality. However, sterile cure by immunosuppression could not be demonstrated. improved efficacy and safety profiles and preferentially with a new mode-of-action should be pursued. 4 Recently, several reports on new lead molecules have been published, marking a renewed hope in finding drugs to treat Chagas disease. [6][7][8][9][10] Trypanosoma cruzi, like their related T. brucei counterparts, are purine auxotrophs, i.e. they rely on the salvage of pre-formed purine analogs from the host as they are unable to synthesize the purine ring themselves. [11][12][13][14] Hence, focused purine (nucleoside) libraries are a promising source for discovering new antitrypanosomal agents. Natural antibiotics such as tubercidin, 15 Formycin A 16 and Formycin B, [17][18][19] cordycepin, [19][20][21][22][23] stylomycin aminonucleoside (also known as puromycin aminonucleoside) [24][25] as well as allopurinol [26][27] and certain other inosine analogs 20,[28][29] have been found to possess activity against T. cruzi (Figure 1). Allopurinol, although not a nucleoside analog sensu stricto (its active metabolite is generated by phosphoribosylation in the parasite 26 ), has been evaluated in clinical trials. 30 Figure 1: Examples of purine (nucleoside) analogs active against T. cruzi.Our group recently revisited the natural nucleoside antibiotic tubercidin and a series of 7-substituted analogs [in the body of the text, purine numbering will be used for nucleoside analogs; however, in the experimental section, IUPAC nomenclature and numbering of the pyrrolo[2,3-d]pyrimidine system will be applied] in search of novel hits active against T. brucei spp. parasites. 31 This study indicated that certain phenyl-substituted analogs (e.g. 2) also showed promising in vitro activity against intracellular T. cruzi amastigotes, which motivated us to explore related 7-substituted 7-deazapurine moieties with the carbohydrate group of cordycepin, i.e. a 3'-deoxy-D-ribofuranose for their activity against T. cruzi.Related sugar-modified 7-deazapurine nucleosides 32-34 have previously been assayed ...