We describe the development of chimeric virus technology (CVT) for human immunodeficiency virus (HIV) type 1 (HIV-1) env genes gp120, gp41, and gp160 for evaluation of the susceptibilities of HIV to entry inhibitors. This env CVT allows the recombination of env sequences derived from different strains into a proviral wild-type HIV-1 clone (clone NL4.3) from which the corresponding env gene has been deleted. An HIV-1 strain (strain NL4.3) resistant to the fusion inhibitor T20 (strain NL4.3/T20) was selected in vitro in the presence of T20. AMD3100-resistant strain NL3.4 (strain NL4.3/AMD3100) was previously selected by De Vreese et al. (K. De Vreese et al., J. Virol. 70:689-696, 1996). NL4.3/AMD3100 contains several mutations in its gp120 gene (De Vreese et al., J. Virol. 70:689-696, 1996), whereas NL4.3/T20 has mutations in both gp120 and gp41. Phenotypic analysis revealed that NL4.3/AMD3100 lost its susceptibility to dextran sulfate, AMD3100, AMD2763, T134, and T140 but not its susceptibility to T20, whereas NL4.3/T20 lost its susceptibility only to the inhibitory effect of T20. The recombination of gp120 of NL4.3/AMD3100 and gp41 of NL4.3/T20 or recombination of the gp160 genes of both strains into a wild-type background reproduced the phenotypic (cross-)resistance profiles of the corresponding strains selected in vitro. These data imply that mutations in gp120 alone are sufficient to reproduce the resistance profile of NL4.3/AMD3100. The same can be said for gp41 in relation to NL4.3/T20.In conclusion, we demonstrate the use of env CVT as a research tool in the delineation of the region important for the phenotypic (cross-)resistance of HIV strains to entry inhibitors. In addition, we obtained a proof of principle that env CVT can become a helpful diagnostic tool in assessments of the phenotypic resistance of clinical HIV isolates to HIV entry inhibitors.The treatment of human immunodeficiency virus (HIV) infection used at present focuses primarily on inhibition of the viral enzymes reverse transcriptase (RT) and protease (PRO). These compounds are not always able to suppress virus replication completely. In many patients, residual replication in the presence of the selective pressure of antiviral drugs allows the emergence of drug-resistant strains, finally resulting in therapeutic failure (19,28). Therefore, the development of new drugs that preferentially act on new targets in the HIV replication cycle is of high priority in anti-HIV research. A potentially powerful target in addition to RT and PRO is the first event in the virus replicative cycle, HIV entry. HIV entry involves the interaction of the viral protein gp120 with the CD4 receptor on the surface of the target cell and the subsequent interaction of gp120 with the coreceptor CCR5 (for strains using the CCR5 receptor) or CXCR4 (for strains using the CXCR4 receptor). This interaction results in a conformational change in viral glycoprotein gp41, in which the interaction of heptad region 1 (HR1) and HR2 is followed by fusion of the virus with the cel...