Herpes simplex virus type 1 (HSV-1) mutants that are attenuated for neurovirulence are being used for the treatment of cancer. We have examined the safety of G207, a multimutated replication-competent HSV-1 vector, in mice. BALB/c mice inoculated intracerebrally or intracerebroventricularly with 10 7 PFU of G207 survived for over 20 weeks with no apparent symptoms of disease. In contrast, over 80% of animals inoculated intracerebrally with 1.5 ؋ 10 3 PFU of HSV-1 wild-type strain KOS and 50% of animals inoculated intracerebroventricularly with 10 4 PFU of wild-type strain F died within 10 days. Similarly, after intrahepatic inoculation of G207 (3 ؋ 10 7 PFU) all animals survived for over 10 weeks, whereas no animals survived for even 1 week after inoculation with 10 6 PFU of KOS. After intracerebroventricular inoculation, LacZ expression was initially observed in the cells lining the ventricles and subarachnoid space; expression decreased until almost absent within 5 days postinfection, with no apparent loss of ependymal cells. G207 DNA could be detected by PCR in the brains of mice 8 weeks after intracerebral inoculation; however, no infectious virus could be detected after 2 days. As a model for latent HSV in the brain, we used survivors of an intracerebral inoculation of HSV-1 KOS at the 50% lethal dose. Inoculation of a high dose of G207 at the same stereotactic coordinates did not result in reactivation of detectable infectious virus or symptoms of disease. We conclude that G207 is safe at or above doses that were efficacious in mouse tumor studies.Herpes simplex virus type 1 (HSV-1) is a neurotropic DNA virus which infects a wide range of cell types in different animals. Natural infections either follow a lytic, replicative cycle or establish latency. Latency is characterized by the long-term persistence of viral DNA in latently infected neurons, the lack of infectious or replicating virus, the lack of viral gene expression except for the latency-associated transcripts (LATs), and in some situations episodic reactivation of infectious virus (74). In humans, the natural host, HSV-1 causes a number of diseases, including gingivostomatitis and pharyngitis after primary oral-facial infection, recurrent herpes labialis, genital herpes, keratitis after eye infection, disseminated visceral infections in immunocompromised patients, hepatitis, and encephalitis after spread to the central nervous system (CNS) (13).HSV encephalitis is the most common CNS viral infection, occurring in two to three persons per million (13). Brain pathology is usually localized to the temporal lobe and limbic system, with asymmetric necrotizing encephalitis, inflammation, and hemorrhage (19, 33). The majority of cases of encephalitis occur in patients with recurrent HSV who are seropositive at onset of disease. Even with acyclovir therapy, mortality is about 20%, and about 20% of survivors have longterm morbidity, including cognitive abnormalities (23, 51).A number of animal models of HSV encephalitis involving spread from peripheral in...