Application of a highly sensitive PCR-based reverse transcriptase (RT) assay to the analysis of the infection of CD4 M cell lines with human immunodeficiency virus type 1 (HIV-1) demonstrated that virus production can be detected as early as 24 h after infection. Most of the signal at 24 h was due to virus production, as it could be substantially reduced by prior treatment with the RT inhibitor zidovudine. Virus production at 24 and 48 h was unaffected by the protease inhibitor indinavir. Infection of unstimulated peripheral blood mononuclear cells (PBMC) with a macrophage-tropic HIV-1 isolate yielded increasing virus production for 2-3 weeks, while infection with a T-cell line-tropic isolate yielded only low and sporadic virus production. Productive infection of unstimulated PBMC by the macrophage-tropic virus required functional Gag matrix and Vpr proteins ; therefore, the monocyte-derived macrophage is probably the virus-producing cell in these cultures.Studies on human immunodeficiency virus type 1 (HIV-1) replication in vitro most commonly use a p24 antigen ELISA or reverse transcriptase (RT) assay to quantify virus released into the culture supernatant from infected cells. The p24 assay is capable of detecting HIV-1 between the pg and ng range, while conventional RT assays are about 10 to 100 times less sensitive. Several highly sensitive RT assays have been described that are approximately 10'-fold more sensitive than conventional RT assays (Heneine et al., 1995 ;Pyra et al., 1994 ;Silver et al., 1993). These assays rely on the ability of a retroviral RT to copy an exogenous RNA template of known sequence into a complementary DNA (cDNA). This cDNA is then amplified by PCR, and the PCR product can be detected and quantified. These assays have the potential to detect a single retroviral virion (Heneine et al