Eukaryotic topoisomerase II enzymes are essential for efficient chromosome DNA segregation in both mitosis and meiosis (10, 19), and this makes them attractive targets for cytotoxic agents (3, 8). All topoisomerase II enzymes catalyze the passage of one DNA double helix through another via a transient double-stranded break in DNA. The topoisomerase II reaction requires the binding of the enzyme as a dimer and the creation of a 4-bp staggered break in the DNA via the formation of a covalent bond between each enzyme monomer and the 5′-DNA ends of a G (gate) segment of DNA. Another DNA segment, the T (transported) segment, is then captured by an ATP-operated clamp and passed through the broken gate strand, which is then religated (2). Topoisomerase II is inhibited by a variety of antitumor drugs. For example, doxorubicin, m-AMSA (amsacrine), epipodophyllotoxins, and mitoxantrone all interfere with the breakage and religation of the G segment of DNA, forming structures which favor DNA strand breakage often referred to as “cleavable complexes.” In the absence of antitumor agents, such structures are usually short-lived. The presence of antitumor agents induces a large number of cleavable complexes, which if unresolved ultimately lead to cell death (8). ICRF-159, a bisdioxopiperazine derivative which “locks” the ATP-operated clamp of the enzyme (18), and merbarone (7), a thiobarbiturate derivative which acts via an as yet unknown mechanism, also inhibit DNA topoisomerases and are cytotoxic agents. In contrast to what is found for many other eukaryotes, there are two isoforms of human topoisomerase II, topoisomerase IIα and topoisomerase IIβ. The α-isozyme form has a monomeric molecular mass of 170 kDa and is encoded by a gene on chromosome 17q21-22 (21), whereas the β isoform has a molecular mass of 180 kDa and is encoded by a gene on chromosome 3p24 (12). Although it is known that both human isoenzymes can be inhibited by antitumor agents such as etoposide, m-AMSA, and merbarone in vitro (6), the extent to which inhibition of either topoisomerase IIα or IIβ is cytotoxic in vivo is unclear. Topoisomerase IIα is known to be preferentially expressed during mitosis, whereas topoisomerase IIβ shows little variation in levels during the cell cycle (26). One would speculate from these data that topoisomerase IIα is the major target of cytotoxic agents. However, drug-resistant cell lines have shown altered levels of either or both topoisomerase isoforms, suggesting some drug selectivity for α or β isoforms (11, 24, 25), and there have been some in vitro studies suggesting that α and β isoforms respond differently to different topoisomerase inhibitors (7, 15). The exact nature of such selectivity has, however, been difficult to determine due to the problems associated with the isolation and separation of the two isoforms for both in vivo and in vitro studies. Saccharomyces cerevisiae has a single form of topoisomerase II which has been frequently used as a eukaryotic model in functional studies and in the study of antitumor agents (17, 23). An S. cerevisiae mutant temperature sensitive for topoisomerase II in combination with yeast/human hybrid topoisomerases has been used as a model to study the relative sensitivities of human α and β topoisomerase II enzymes to a variety of topoisomerases II inhibitors both in vitro and in vivo (4). Sensitivities to the antitopoisomerase drugs were estimated following a short contact inhibition assay (15) based on viable-cell counts. Such methods are highly labor intensive and can have quite large margins of error. We have previously shown that a topoisomerase II deletion strain of S. cerevisiae can be fully complemented by either of the two human topoisomerase II isozymes expressed from full-length cDNAs (13). Using this system we are now able to distinguish from one another the effects of different chemical classes of topoisomerase inhibitor on yeast topoisomerase II and on either of the full-length human α or β isoenzymes. In addition, this study uses a rapid throughput microwell assay, which is shown to be comparable to cell counting, to monitor the effects of drugs on yeast growth. Using this novel assay to generate data, we present a study which uses full-length human cDNAs expressed in a drug-permeable S. cerevisiae topoisomerase II deletion strain to determine the relative sensitivities of two human topoisomerases to a variety of anti-tumor drugs.