We previously reported the isolation of a mutant poliovirus lacking the entire genomic RNA 3 noncoding region. Infection of HeLa cell monolayers with this deletion mutant revealed only a minor defect in the levels of viral RNA replication. To further analyze the consequences of the genomic 3 noncoding region deletion, we examined viral RNA replication in a neuroblastoma cell line, SK-N-SH cells. The minor genomic RNA replication defect in HeLa cells was significantly exacerbated in the SK-N-SH cells, resulting in a decreased capacity for mutant virus growth. Analysis of the nature of the RNA replication deficiency revealed that deleting the poliovirus genomic 3 noncoding region resulted in a positive-strand RNA synthesis defect. The RNA replication deficiency in SK-N-SH cells was not due to a major defect in viral translation or viral protein processing. Neurovirulence of the mutant virus was determined in a transgenic mouse line expressing the human poliovirus receptor. Greater than 1,000 times more mutant virus was required to paralyze 50% of inoculated mice, compared to that with wild-type virus. These data suggest that, together with a cellular factor(s) that is limiting in neuronal cells, the poliovirus 3 noncoding region is involved in positive-strand synthesis during genome replication.Paralytic poliomyelitis is the consequence of the destruction of motor neurons during a poliovirus infection. Only 1 to 2% of individuals infected with poliovirus develop poliomyelitis, suggesting that factors affecting virus tropism and systemic distribution play a significant role in the pathogenic outcome of an infection (7). The cell-and tissue-specific tropism of poliovirus during a systemic infection may be restricted by tissue accessibility (i.e., the blood-brain barrier), cellular attachment and entry, or intracellular interactions between the virus and the cell. In the late 1950s, Holland and colleagues demonstrated that purified poliovirus genomic RNA introduced into nonprimate cells by transfection leads to a single replicative cycle (21). Their data showed that cells which are not normally susceptible to poliovirus infections can be productively infected when receptor-mediated entry of the virus is bypassed, suggesting that the poliovirus receptor (PVR) plays a major role in virus tropism. These conclusions were further supported by the finding that transgenic mice expressing the human PVR (hPVR) are susceptible to poliovirus infection (27,44). Furthermore, the pathology in PVR transgenic mice infected with attenuated or wild-type poliovirus resembles the pathology observed in infected primates, the natural host of poliovirus (22, 43). These observations suggested a strong correlation between PVR-mediated tropism and poliovirus pathology.Although PVR expression may be a major determinant of poliovirus tropism, it is clear that additional factors can influence virus tropism and disease pathology. Assays for virus binding activity in tissue homogenates revealed that binding of virus can occur in tissues where poli...