1-4-D-Arabinofuranosyl-E-5-(2-bromovinyl)uracil (BV-araU) reduced the mortality rates of (i) 7-week-old, cyclophosphamide-treated, immunosuppressed mice (CYP mice) intraperitoneally infected with a moderately virulent strain of herpes simplex virus type 1 and (ii) 4-week-old CYP mice infected with a less virulent strain at doses of 20 and 50 mg/kg of body weight twice daily and 5 mg/kg, respectively. The degree of efficacy of BV-araU was equivalent to that of acyclovir in 4-week-old CYP mice infected with the less virulent strain. BV-araU (20 mg/kg) suppressed viral growth in various organs of CYP mice.1-f3-D-Arabinofuranosyl-E-5-(2-bromovinyl)uracil (BVaraU) (7) exhibits potent activity against varicella-zoster virus in vitro (4), and its clinical efficacy for treatment of herpes zoster in immunocompetent patients has been demonstrated (10). We have demonstrated the marked effectiveness of BV-araU against intracerebral and intraperitoneal (i.p.) infections with herpes simplex virus type 1 (HSV-1) in mice (5a, 6, 8). For beneficial clinical application of BVaraU, it must have potency for not only immunocompetent individuals but also immunocompromised patients. In this study, we tested the efficacy of BV-araU in immunosuppressed animals and demonstrated its therapeutic efficacies against infection with two HSV-1 strains with different degrees of virulence in cyclophosphamide-treated, immunosuppressed mice (CYP mice) of different ages.Four-week-old, random-bred, albino male Swiss ICR mice were obtained as previously described (8). To induce immunosuppression, mice were treated i.p. with 200 mg of cyclophosphamide (Aldrich Chemical Co., Inc.) per kg of body weight 1 day before virus inoculation by the method of Ikeda et al. (2). Two strains of HSV-1 were used; strain WT-51 was moderately virulent (8), and strain KOS(S), a substrain of strain KOS (supplied by Y. Ozaki, Shiga University of Medical Science, Shiga-ken, Japan), was avirulent for non-CYP (normal) mice. There was no significant difference between these two strains in susceptibility to BV-araU [50o plaque reduction doses of BV-araU for strains WT-51 and KOS(S) were 0.020 and 0.082 ,uLg/ml, respectively, when assayed on human embryonic lung cells]. Groups of about 20 CYP mice were infected i.p. with strain WT-51 (1.5 x 103 PFU) or KOS(S) (2.2 x 104 PFU). These challenge virus doses corresponded to 8 and 36 50% lethal doses for 4-weekold CYP mice, respectively. After infection with strain WT-51, 85 to 95% of the CYP mice in placebo-treated control groups died. The mortality and mean survival time of CYP mice infected with strain KOS(S) depended upon the age of the mice used. BV-araU was administered orally to infected mice twice daily for 7 days, beginning at 4 h postinfection, as described previously (8). The mice were observed twice daily for 21 days for death.To examine the inhibitory effect of BV-araU on HSV-1 replication in the organs of infected animals, four mice from each group were sacrificed at appropriate intervals after i.p. * Corresponding autho...