The tripeptide glutathione (g-l-Glu-l-Cys-Gly, GSH) is thought to play an important role in the biological processing of antimony drugs. We have studied the complexation of the antileishmanial drug potassium antimony(III) tartrate to GSH in both aqueous solution and intact red blood cells by NMR spectroscopy and electrospray ionization mass spectrometry. The deprotonated thiol group of the cysteine residue is shown to be the only binding site for Sb (III), and a complex with the stoichiometry [Sb(GS) 3 ] is formed. The stability constant for [Sb(GS) 3 ] was determined to be log K 25 (I 0.1 m, 298 K) based on a competition reaction between tartrate and GSH at different pH* values. In spite of being highly thermodynamically stable, the complex is kinetically labile. The rate of exchange of GSH between its free and Sb-bound form is pH-dependent, ranging from slow exchange on the 1 H-NMR timescale at low pH (2 s 21 at pH 3.2) to relatively rapid exchange at biological pH (. 440 s 21 ). Such facile exchange may be important in the transport of Sb(III) in various biofluids and tissues in vivo. Our spin±echo 1 H-NMR data show that Sb(III) rapidly entered red blood cell walls and was complexed by intracellular glutathione.Keywords: antimony; glutathione; nuclear magnetic resonance; red blood cells.Leishmaniasis is a parasitic infection caused by various species of the protozoan Leishmania. It remains one of the largest killers in the tropical regions of America, Africa and Asia, with approximately 1.5 billion people at risk and 20 million cases being reported annually. Among the drugs used to treat this condition, several antimony-containing complexes, such as N-methylglucamine antimonate(V) (Glucantimew), sodium stibogluconate (Pentostamw), sodium antimony(III) gluconate (Triostamw) and potassium antimony(III) tartrate (Tartar emeticw), are currently the first choice [1±3], despite their toxicity [4]. Antimony complexes with mannan appear to be promising for further improving the stability and solubility of these drugs [5]. Despite extensive clinical use for several decades, the molecular basis for the selective antileishmanial action of these drugs remains unclear. Furthermore, clinical resistance to these drugs has been increasingly reported in recent years [6±8]. It is generally believed that relatively nontoxic Sb(V) complexes may be prodrugs that could be reduced to the more toxic and active trivalent Sb(III) at or near the site of action (e.g. amastigotes) [9,10].Glutathione (g-l-Glu-l-Cys-Gly, GSH) is a potentially polydentate ligand, and is widely used as a model system for the binding of metal ions by peptides and proteins. It is present in many cells at millimolar concentration and generally is the most abundant nonprotein thiol. In cells, one of its roles is as a substrate for glutathione peroxidase, an enzyme capable of both removing hydrogen peroxide from cells and repairing peroxidatively damaged membranes. It is also involved in metal detoxification, and an ATP-dependent glutathione S-conjugate pump has ...