We examined the relationship between the amino acid sequences of the V2 and V3 regions of the envelope protein and the biological properties of ten human immunodeficiency virus type 1 (HIV-1) primary isolates. The infectivity, cytopathic effect (CPE), and syncytium forming activity of these primary isolates were tested against three T cell lines (CEM, MT2, and MOLT4/CL.8 cells), CD8-depleted peripheral blood mononuclear cells (PBMC), and primary monocyte-derived macrophages (MDM) from seronegative donors. In addition to the viral groups which had the syncytium inducing/T-cell line tropic (SI/TT) phenotype or non-syncytium inducing/non-T cell line tropic (NSI/NT) phenotype (including the NSI/macrophage tropic (NSI/MT) phenotype), there was a group of viruses that infected one or two T cell lines and PBMC but could not mediate syncytium formation. We therefore classified this group of viruses as a non-syncytium inducing/partial T-cell line tropic (NSI/pTT) virus. To investigate the relationship between these viral phenotypes and the sequence variability of the V2 and V3 regions of the envelope, we cloned the viral gene segment and sequenced the individual isolates. The sequence data suggested that the SI/TT type changes in the V3 sequence alone mediate a partial T cell line tropism and mild cytopathic effect and that an isolate became more virulent (SI/TT phenotype) if there were additional changes in the V2 or other regions. On the other hand, sequence changes in the V2 region alone could not mediate phenotypic changes but some additional changes in the other variable regions (for example, V3) might be required for the phenotypic changes in combination with changes in V2. These findings also suggested that amino acid changes in both the V2 and V3 region are required for the development of virulent variants of HIV-1 that outgrow during advanced stages of the disease.Key words: Human immunodeficiency virus type 1 (HIV-1), Primary isolates, V2 and V3 sequences, Viral phenotype Genetic variability within the human immunodeficiency virus type 1 (HIV-1) genome is most pronounced in the env gene, in which nucleotide substitutions, duplications, and deletions produce extensive amino acid diversity within five hypervariable domains in the envelope glycoprotein. The hypervariable domains, designated V1 through V5, are interspersed with conserved regions along the gp120 molecule (20,22,33). Sequence variation in the env gene can affect the biological phenotype with respect to the replication rate in different cells, as well as cytotropism and the capacity to induce syncytia in vitro (4,5,8,13,15,23,24,26,35).A comparative analysis of a large set of V3 sequences derived from primary or culture-adapted isolates revealed that an acidic amino acid or alanine predominates at position 25 among the macrophage tropic isolates, whereas a basic or neutral amino acid at this site is associated with non-conservative basic amino acid substitutions mainly at positions 11, 24, and 32 and that both features correlate with the T c...