Uranium(VI) (UO22+, uranyl) is nephrotoxic. Depending on isotopic composition and dosage, U(VI) is also chemically toxic and carcinogenic in bone. Several ligands containing two, three, or four bidentate catecholate or hydroxypyridinonate metal binding groups, developed for in vivo chelation of other actinides, were found, on evaluation in mice, to be effective far in vivo chelation of U(TI). The most promising ligands contained two bidentate groups per chelator molecule (tetradentate) attached to linear 4- or 5-carbon backbones (4-LI, butylene; 5-LI, pentylene; 5-LIO, diethyl ether). New ligands were then prepared to optimize ligand affinity for U(VI) in vivo and low acute toxicity. Five bidentate binding groups-sulfocatechol [CAM(S)], carboxycatechol [CAM(C)], methylterephthalamide (MeTAM), 1,2-hydroxypyridinone (1,2-HOPO), or 3,2- hydroxypyridinone (Me-3,2-HOPO)-were each attached to two linear backbones (4-LI and 5-LI or 5-LIO), Those ten tetradentate ligands and octadentate 3,4,3-LI(1,2-HOPO), an effective actinide chelator, were evaluated in mice for in vivo chelation of U-233(VI) (injection at 3 min, 1 h, or 24 h or oral administration at 3 min after intravenous injection of (UO2Cl2)-U-233) and for acute toxicity (100 mu mol kg(-1) injected daily for 10 d), The combined efficacy and toxicity screening identified 5-LIO(Me-3,2-HOPO) and 5-LICAM(S) as the most effective low-toxicity agents. They chelate circulating U(VI) efficiently at ligand:uranium molar ratios greater than or equal to 20, remove useful amounts of newly deposited U(VI) from kidney and bone at molar ratios greater than or equal to 100, and reduce kidney U(VT) levels significantly when given orally at molar ratios greater than or equal to 100. 5-LIO(Me-3,2-HOPO) has greater affinity for kidney U(VI) while 5-LICAM(S) has greater affinity for bone U(VI), and a 1:1 mixture (total molar ratio = 91) reduced kidney and bone U(VI) to 15 and 58% of control, respectively-more than an equimolar amount of either ligand alone.