Theiler's murine encephalomyelitis viruses (TMEV) consist of two groups, the high-and low-neurovirulence groups, based on lethality in intracerebrally inoculated mice. Low-neurovirulence TMEV result in a persistent central nervous system infection in mice, leading to an inflammatory demyelinating pathology and disease. Low-but not high-neurovirulence strains use sialic acid as an attachment factor. The recent resolution of the crystal structure of the low-neurovirulence DA virus in complex with the sialic acid mimic sialyllactose demonstrated that four capsid residues make contact with sialic acid through noncovalent hydrogen bonds. To systematically test the importance of these sialic acid-binding residues in viral entry and infection, we mutated three VP2 puff B amino acids proposed to make contact with sialic acid and analyzed the consequences of each amino acid substitution on viral entry and spread. The fourth residue is in the VP3-VP1 cleavage dipeptide and could not be mutated. Our data suggest that residues Q2161 and G2174 are directly involved in BeAn virus attachment to sialic acid and that substitutions of these two residues result in the loss of or reduced viral binding and hemagglutination and in the inability to spread among BHK-21 cells. In addition, a gain of function-revertant virus was recovered with the Q2161A mutation after prolonged passage in cells.The cardiovirus Theiler's murine encephalomyelitis virus (TMEV) consists of two groups based on neurovirulence in intracerebrally (i.c.) inoculated mice: high-neurovirulence strains, such as GDVII, produce acute encephalitis, whereas low-neurovirulence TMEV, such as BeAn and DA, produce persistent central nervous system (CNS) infection, leading to an inflammatory demyelinating process (21,22). Persistent TMEV infection in mice provides a highly relevant experimental animal model for the human demyelinating disease multiple sclerosis, in which a viral infection is believed to play a central pathogenetic role.Attenuating mutations in the high-neurovirulence GDVII genome enable host survival but do not result in persistent CNS infection, suggesting that a genetic element(s) for TMEV persistence is present in only the low-neurovirulence genome (23, 31). Genetic analyses of recombinant TMEV have mapped a major element for persistence to the sequences encoding the capsid proteins (8,23,28). In addition, studies of recombinant viruses in which the capsid sequences of the lowneurovirulence BeAn strain progressively replaced those of the high-neurovirulence GDVII virus starting at the leader N terminus suggest that a conformational determinant involving homologous BeAn sequences in the VP2 puff and VP1 loops is required for persistence (1). The mapping of a genetic element for persistence to the capsid suggests that a virus-receptor interaction(s) underlies TMEV persistence.The low-but not high-neurovirulence TMEV use sialic acid as an attachment factor, and the sialic acid binding phenotype has been correlated with changes in virulence in several virusho...