The cellular protease caspase-8 activates extrinsic apoptosis and also functions to promote monocyteto-macrophage differentiation. Differentiation-induced alterations to antiviral caspase-8-dependent cell death pathways are unclear. Here, we show THP-1 monocyte-to-macrophage differentiation alters the specific cell death pathways activated in response to human cytomegalovirus (HCMV) infection. Employing viruses with mutations in UL36, the gene that encodes the viral inhibitor of caspase-8 activation (vICA), our data indicate that both caspase-dependent and -independent death pathways are activated in response to infection. Activation of caspase-dependent and -independent cell death responses restricted growth of vICA-deficient viruses, and vICA/pUL36 inhibited either response. Thus, these studies also reveal that the UL36 gene controls a caspase-independent cell death pathway. The impact of caspases on control of antiviral responses differed at early and late stages of macrophage differentiation. Early in differentiation, vICA-deficient virus-induced cell death was dependent on caspases and inhibited by the pan-caspase inhibitor z-VAD(OMe)-fluoromethyl ketone. In contrast, virus-induced death at late times of differentiation was caspase independent. Additional unlabeled and fluorescent inhibitors indicated that caspase-8 promoted death from within infected cells at early but not late stages of differentiation. These data highlight the multifunctional role of vICA/pUL36 as HCMV encounters various antiviral responses during macrophage differentiation.Based on the frequency of infected cells in patients with disseminated disease, monocytes and monocyte-derived macrophages are important to the pathogenesis of human cytomegalovirus (HCMV) (8,24,32). Further, peripheral blood monocytes and granulocyte-macrophage progenitors are suggested to be latent reservoirs as healthy seropositive individuals carry HCMV DNA in these cells, a result consistent with the maintenance of latent genomes within experimentally infected progenitors (6,37,38,58,72,76,79,80). Infected monocytes do not produce new virus; however, replication follows monocyte-macrophage differentiation whether induced by growth or proinflammatory cytokines or allogeneic stimulation. Evidence suggests that monocyte infections promote differentiation to a permissive, proinflammatory macrophage (14, 74). Thus, the production of new progeny is highly dependent on cellular differentiation. Monocytes, cells undergoing macrophage differentiation, and mature macrophages differ in the expression patterns of specific genes, including those important to cell death control (44, 49). Whether any change in expression of cell death control genes influences cell death pathways activated by HCMV infection is unclear. The current study addresses this question by evaluating the requirement for one viral cell death suppressor during productive infection of monocytes at different stages of macrophage differentiation.HCMV and the related murine cytomegalovirus (MCMV) encode several...