Foamy viruses (FVs) or spumaviruses are retroviruses that have been developed as vectors, but their integration patterns have not been described. We have performed a large-scale analysis of FV integration sites in unselected human fibroblasts (n ؍ 1,008) and human CD34 ؉ hematopoietic cells (n ؍ 1,821) by using a bacterial shuttle vector and a comparable analysis of lentiviral vector integration sites in CD34 ؉ cells (n ؍ 1,331). FV vectors had a distinct integration profile relative to other types of retroviruses. They did not integrate preferentially within genes, despite a modest preference for integration near transcription start sites and a significant preference for CpG islands. The genomewide distribution of FV vector proviruses was nonrandom, with both clusters and gaps. Transcriptional profiling showed that gene expression had little influence on integration site selection. Our findings suggest that FV vectors may have desirable integration properties for gene therapy applications.gene therapy ͉ insertional mutagenesis ͉ retroviral integration I ntegrating viral vectors can provide the long-term transgene expression required in many gene therapy applications, especially when proliferating cells such as hematopoietic stem cells are transduced. However, integration also results in insertional mutagenesis that may activate oncogenes, as seen in X-linked severe combined immune deficiency patients that developed leukemia after retroviral vectors integrated near the LMO2 protooncogene (1). Large-scale integration site analyses can help define the spectrum of insertional mutagenesis expected of a viral vector, and studies of murine leukemia virus (MLV), HIV, and avian sarcoma virus (ASV) have demonstrated distinct integration patterns (2-6). The relationship of integration to transcription is especially important, as it may determine the likelihood of oncogene activation. The two most commonly used retroviral vectors differ in this respect, with HIV vectors integrating preferentially throughout transcription units, and MLV vectors integrating preferentially near transcription start sites (2, 3).Foamy viruses (FVs), or spumaviruses, comprise a class of retroviruses distinct from oncoviruses such as MLV and lentiviruses such as HIV. FVs are found in several mammalian species (7) but are not endemic in human populations (8), and the prototype ''human FV'' isolate (9) is now thought to be a chimpanzee virus [SFVcpz(hu)] (10, 11). FVs have several distinguishing properties, including a transcriptional transactivator expressed from an internal promoter (12-14), a DNA-based genome that forms by reverse transcription in virion-producing cells (15,16), and an essential cis-acting region overlapping the pol and env genes (17-19).FV vectors have been developed (19)(20)(21)(22) and shown to have a broad host range (21,23,24), large packaging capacity (25), stable virions that can be concentrated by ultracentrifugation (26), and prolonged survival of the preintegration complex in quiescent cells (27). They are especi...