Human immunodeficiency virus (HIV) genomic RNA is packaged into virions as a dimer. The first step of dimerization is the formation of a kissing-loop complex at the so-called dimerization initiation site (DIS). We found an unexpected and fortuitous resemblance between the HIV-1 DIS kissing-loop complex and the eubacterial 16 S ribosomal aminoacyl-tRNA site (A site), which is the target of aminoglycoside antibiotics. Similarities exist not only at the primary and secondary structure level but also at the tertiary structure level, as revealed by comparison of the respective DIS and A site crystal structures. Gel shift, inhibition of lead-induced cleavage, and footprinting experiments showed that paromomycin and neomycin specifically bind to the kissing-loop complex formed by the DIS, with an affinity and a geometry similar to that observed for the A site. Modeling of the aminoglycoside-DIS complex allowed us to identify antibiotic modifications likely to increase the affinity and/or the specificity for the DIS. This could be a starting point for designing antiviral drugs against HIV-1 RNA dimerization.The fight against HIV 1 relies essentially on multitherapies targeting two viral enzymes: reverse transcriptase and protease. Due to a highly variable genome leading to rapid selection of mutations that confer resistance to enzymatic inhibitors, there is a strong need for targeting new viral molecules. New potential targets such as viral and cellular proteins involved in viral adsorption, fusion, and integration have been proposed (1). Functional sites within the genomic RNA, such as the Tat-responsive element (2) and the Rev-responsive element (3), have also been described as potential targets for the aminoglycoside antibiotic neomycin B.Another interesting viral RNA target is the dimerization initiation site (DIS) of HIV-1 genomic RNA. This stem-loop is highly conserved among the different HIV-1 subtypes identified by sequence alignment. It initiates dimerization by forming a kissing-loop complex through base-pairing of a 6-nucleotide self-complementary sequence in each loop (4 -8) (Fig. 1). It has been shown that this kissing-loop complex is converted in vitro by the nucleocapsid protein into a more stable complex, assumed to correspond to an extended duplex (9). Stabilization of the RNA dimer was also observed during maturation of the viral particles (10). Genome dimerization facilitates recombination (11) and is required for efficient RNA packaging (12-15) and reverse transcription (13, 16). Alteration of the DIS dramatically reduces viral infectivity (12-15).We recently solved the crystal structures of the DIS kissingloop complexes of HIV-1 subtypes A and B (17). In the present study, we show that, unexpectedly, these structures are very similar to the ribosomal aminoacyl decoding site (A site) complexed with paromomycin (18, 19), an aminoglycoside antibiotic interfering with translation in bacteria. Based on this similarity, we modeled a DIS kissing-loop complex binding two paromomycin molecules. This model is...