Theiler's murine encephalomyelitis virus (TMEV) is a picornavirus of the Cardiovirus genus. Certain strains of TMEV may cause a chronic demyelinating disease, which is very similar to multiple sclerosis in humans, associated with a persistent viral infection in the mouse central nervous system (CNS). Other strains of TMEV only cause an acute infection without persistence in the CNS. It has been shown that sialic acid is a receptor moiety only for the persistent TMEV strains and not for the nonpersistent strains. We report the effect of sialylation on cell surface on entry and the complex structure of DA virus, a persistent TMEV, and the receptor moiety mimic, sialyllactose, refined to a resolution of 3.0 Å. The ligand binds to a pocket on the viral surface, composed mainly of the amino acid residues from capsid protein VP2 puff B, in the vicinity of the VP1 loop and VP3 C terminus. The interaction of the receptor moiety with the persistent DA strain provides new understanding for the demyelinating persistent infection in the mouse CNS by TMEV.Theiler's murine encephalomyelitis virus (TMEV) belongs to the Cardiovirus genus of the family Picornaviridae based on sequence analysis (34). Based on the characteristics of the disease they cause, TMEV strains are divided into two groups. Viruses of one group, including strain GDVII and FA, are highly neurovirulent, causing a rapid destruction of the neuron and killing their host in a matter of days. These viruses are unable to persist and to induce demyelination in those rare survivors (22). The other group, including strains DA, BeAn, WW, TO4, and Yale, are referred to as the Theiler's original (TO) group (23). Viruses of the TO group are much less virulent than GDVII and FA and cause a biphasic disease with mild central nervous system (CNS) damage. The first phase, or early onset, is acute encephalitis that occurs during the initial few days following intracranial inoculation. At that time, the virus is also found in neurons of the gray matter in the brain and spinal cord. However, the number of infected cells is small and most of the animals survive. Soon after, the neurons are cleared of the virus and the disease enters a second phase, or late onset, during which the virus is found to be persistent in the white matter of the spinal cord. At this stage of the viral persistence, patchy inflammation and demyelination develops in the spinal cord at the sites of infection (7, 23). The symptoms of the demyelination disease of mice caused by TMEV persistence infection in the CNS resemble those of multiple sclerosis (MS), a chronic demyelinating disease of the human CNS. Among the animal models of virus-induced demyelination in the last two decades, TMEV infection has emerged as one of the best models for studying MS.Although these two groups of TMEV strains have both been shown to replicate well in BHK-21 cells and share high amino acid sequence homology (31, 34-36), they apparently display different pathogenesis characteristics in vivo. Many efforts have been taken to map ...