Human herpesvirus 8 (HHV8) open reading frame (ORF) 21 is predicted to encode a protein similar to the thymidine kinase (TK) enzyme of other herpesviruses. Expressed in mammalian cells, ORF 21 was found to have low TK activity, based on poor growth in media containing hypoxanthine-aminopterin-thymidine (HAT) and low incorporation of [3 H]thymidine into high-molecular-weight DNA. Kinetic analysis using HHV8 TK as a purified glutathione S-transferase (GST) fusion protein showed that the enzyme has a comparatively high K m for thymidine (dThd) of ϳ33.2 M. Nearly 50% of the phosphorylated product of the reaction with dThd was thymidylate. This monophosphate kinase activity was more pronounced with 3-azido-3-deoxythymidine (AZT), in which 78% of the reaction product was AZT diphosphate. Thymidine analogs competitively inhibited dThd phosphorylation by HHV8 TK, while 2-deoxyguanosine, 2-deoxyadenosine, 2-deoxycytidine, and corresponding analogs did not. Further competition experiments revealed that the nucleoside analog ganciclovir (GCV), at up to 1,000-fold molar excess, could not significantly inhibit dThd phosphorylation by the enzyme. In support of these data, 143B TK ؊ cells expressing HHV8 TK phosphorylated GCV very poorly and were not susceptible to GCV toxicity compared to parental cells. Phosphorylation of [ 3 H]GCV by a purified GST-HHV8 TK fusion protein was not detected by high-pressure liquid chromatography analysis. Structural features of HHV8 TK substrate recognition were investigated. Therapeutic implications of these findings are discussed.Human herpesvirus type 8 (HHV8) is the second human herpesvirus classified in the gamma subfamily. HHV8 has been causally associated with Kaposi's sarcoma (KS) (6, 31), body cavity-based lymphoma (BCBL), also known as primary effusion lymphoma (5), and multicentric Castleman's disease (45). Though the virus is in a tightly latent state in the majority of infected cells (43, 51), it has been suggested that in KS lesions, lytic cycle gene products may be involved in the proliferation of neighboring cells, contributing to pathogenesis (46). A reduction in the number of virions would both directly and indirectly decrease the likelihood of transmission to cellular targets with the capacity to proliferate uncontrollably upon infection. Prophylactic antiviral therapy to limit in vivo lytic HHV8 replication, particularly in the T-cell-deficient host, may decrease the incidence of KS and other virus-associated diseases. Therefore, conventional antiviral strategies are being examined, both retrospectively and prospectively, as a way to prevent development of HHV8-associated diseases (2,9,14,20,21,28,39).A few studies have examined the effect of a limited number of antiviral drugs on HHV8 replication in vitro (22,29,33). Of the nucleosides that require a viral thymidine kinase (TK) for activation, ganciclovir (GCV), an acyclic guanine analog, was the most effective at inhibiting viral replication, while penciclovir (PCV) and acyclovir (ACV), also acyclic guanine analogs, and t...