While studying the potential role of vascular cell adhesion molecule-1 (VCAM-1) in infection of endothelial cells by human immunodeficiency virus (HIV), we found that VCAM-1 can mediate human T-cell lymphotropic virus type 1 (HTLV-1)-induced syncytium formation. Both expression-vector-encoded and endogenously expressed VCAM-1 supported fusion of uninfected cells with HTLV-1-infected cells. Fusion was obtained with cell lines carrying the HTLV-1 genome and expressing viral proteins but not with an HTLV-1-transformed cell line that does not express viral proteins. In clones of VCAM-1-transfected cells, the degree of syncytium formation observed directly reflected the level of VCAM-1 expression. Syncytium formation between HTLV-1-expressing cells and VCAM-1 ؉ cells could be blocked with antiserum against HTLV-1 gp46 and with a monoclonal antibody (MAb) against VCAM-1. Fusion was not blocked by antiserum against HIV or a MAb against VLA-4, the physiological counter-receptor for VCAM-1. The results indicate that VCAM-1 can serve as an accessory molecule or potential coreceptor for HTLV-1-induced cell fusion and provide direct evidence of a role for cell adhesion molecules in the biology of HTLV-1. Human T-cell lymphotropic virus type 1 (HTLV-1) is a type C retrovirus and the etiologic agent of adult T-cell leukemia (52, 65, 69) and HTLV-1-associated myelopathy or tropical spastic paraparesis (21, 23, 58, 71). HTLV-1 shows tropism primarily for T cells but infects a variety of cell types, including cells from some nonhuman species (9, 12, 29, 32, 55, 56, 70, 72). Infectivity by free HTLV-1 tends to be very poor, and the virus appears to be transmitted most efficiently by the cell-tocell route (43). The HTLV-1 envelope glycoprotein is synthesized as a 61-kDa precursor which is cleaved into cell-surface (gp46) and transmembrane (gp21) proteins (45, 66). gp46 is thought to serve as the virus attachment protein, as does gp120 for human immunodeficiency virus (HIV) (45, 66). Although previous reports have identified host cell molecules which potentially mediate virus binding (12, 19), the cellular receptor for HTLV-1 has not been definitively identified. gp21 is likely to serve as a fusion protein through its N-terminal hydrophobic domain in a manner similar to that of HIV gp41, which contains an N-terminal fusion domain (16, 71). Like many other retroviruses, HTLV-1 can induce syncytium formation between infected cells and certain uninfected cell types (31, 44). This syncytium formation can be blocked by antibodies against the HTLV-1 envelope protein (50). Like HTLV-1, syncytium formation induced by HIV type 1 (HIV-1) is also inhibited by antibodies against its envelope proteins gp120 and gp41 (27, 59). CD4 has been identified as the principal receptor of HIV, and antibodies against this molecule inhibit HIV-induced syncytium formation (39, 42). We previously demonstrated that HIV-1-induced syncytium formation can be blocked by anti-MATERIALS AND METHODS Cells. The following cell lines were obtained from the American Type ...