Human coronavirus NL63 (HCoV-NL63), a recently discovered member of the Coronaviridae family, has spread worldwide and is associated with acute respiratory illness in young children and elderly and immunocompromised persons. Further analysis of HCoV-NL63 pathogenicity seems warranted, in particular because the virus uses the same cellular receptor as severe acute respiratory syndrome-associated coronavirus. As there is currently no HCoV-NL63-specific and effective vaccine or drug therapy available, we evaluated several existing antiviral drugs and new synthetic compounds as inhibitors of HCoV-NL63, targeting multiple stages of the replication cycle. Of the 28 compounds that we tested, 6 potently inhibited HCoV-NL63 at early steps of the replication cycle. Intravenous immunoglobulins, heptad repeat 2 peptide, small interfering RNA1 (siRNA1), siRNA2, -D-N 4 -hydroxycytidine, and 6-azauridine showed 50% inhibitory concentrations of 125 g/ml, 2 M, 5 nM, 3 nM, 400 nM, and 32 nM, respectively, and low 50% cytotoxicity concentrations (>10 mg/ml, >40 M, >200 nM, >200 nM, >100 M, and 80 M, respectively). These agents may be investigated further for the treatment of coronavirus infections.Coronaviruses are enveloped viruses with a positive, singlestranded RNA genome of approximately 27 to 32 kb. The 5Ј two-thirds of their genome encodes a polyprotein that contains all proteins necessary for RNA replication. The 3Ј one-third encodes several structural proteins, such as spike (S), envelope (E), membrane (M), and nucleocapsid (N), that, among other functions, participate in viral budding and are incorporated into the virus particle. Nonstructural accessory protein genes are also present in the 3Ј part of the genome, at a position and arrangement that is characteristic for each of the different coronavirus groups.Coronavirus infection starts with the recognition of a specific receptor on the host cell surface by an S protein, followed by virus internalization, which occurs either immediately by direct fusion with the plasma membrane or after endocytosis. Fusion of the viral membrane with the cellular membrane triggers the release of the viral RNA genome into the host cell cytoplasm. Viral RNA is copied by the viral replicase in membrane-associated replication centers (14). During the replication process, copies of the full-length genomic RNA and a nested set of subgenomic mRNAs are generated. These subgenomic mRNAs are functional templates for the translation of the structural proteins encoded in the 3Ј one-third of the genome. Fulllength viral RNA is encapsidated and released from the host cell as an infectious virus particle.Human coronavirus NL63 (HCoV-NL63), a recently discovered (45, 55) member of the Coronaviridae family, has spread worldwide, is observed most frequently in the winter season, and is associated with acute respiratory illness and croup in young children, elderly people, and immunocompromised patients (2,6,15,25,29,40,(53)(54)(55)(56). A recent report suggested that HCoV-NL63 is the causative agent of Kaw...