The G glycoprotein of human respiratory syncytial virus (RSV) was identified previously as the viral attachment protein. Although we and others recently showed that G is not essential for replication in vitro, it does affect the efficiency of replication in a cell type-dependent fashion and is required for efficient replication in vivo. The ectodomain of G is composed of two heavily glycosylated domains with mucin-like characteristics that are separated by a short central region that is relatively devoid of glycosylation sites. This central region contains a 13-amino acid segment that is conserved in the same form among RSV isolates and is overlapped by a second segment containing four cysteine residues whose spacings are conserved in the same form and which create a cystine noose. The conserved nature of the cystine noose and flanking 13-amino acid segment suggested that this region likely was important for attachment activity. To test this hypothesis, we constructed recombinant RSVs from which the region containing the cysteine residues was deleted together with part or all of the conserved 13-amino acid segment. Surprisingly, each deletion had little or no effect on the intracellular synthesis and processing of the G protein, the kinetics or efficiency of virus replication in vitro, or sensitivity to neutralization by soluble heparin in vitro. In addition, neither deletion had any discernible effect on the ability of RSV to infect the upper respiratory tract of mice and both resulted in a 3-to 10-fold reduction in the lower respiratory tract. Thus, although the G protein is necessary for efficient virus replication in vivo, this activity does not require the central conserved cystine noose region.Human respiratory syncytial virus (RSV), the prototype of the Pneumovirus genus in the paramyxovirus family, is the most important viral etiologic agent of pediatric respiratory disease worldwide (6). Its genome consists of a single, negative-sense RNA of 15,190 to 15,225 nucleotides (for the three strains sequenced to date) encoding 10 major subgenomic mRNAs and 11 viral proteins. Three of these proteins, G, F, and SH, are transmembrane virion glycoproteins. The G glycoprotein has been identified as the viral attachment protein (25) although, as described below, under certain conditions it is completely dispensable for efficient replication in vitro. The F protein mediates membrane fusion and also appears to be able to serve as an auxiliary attachment protein (17,21,22,34,36). Expression of the SH protein can be eliminated with little effect on virus replication in vitro and in vivo and its function remains unknown (3, 41), although its counterpart in simian virus 5 was recently shown to function as an antagonist of apoptosis (16).RSV G is a highly glycosylated type II transmembrane protein with a single hydrophobic region near the N terminus which serves as both signal sequence and membrane anchor. The protein backbone is 292 to 299 amino acids long, depending on the virus strain (19,33), and has an M r of approxim...