Paired immunoglobulin (Ig)-like type 2 receptor alpha (PILR␣) and PILR are paired receptors that are highly homologous to each other. When engaged by ligand, PILR␣ is inhibitory whereas PILR is activating. PILR␣ is a newly identified herpes simplex virus type 1 (HSV-1) glycoprotein B (gB) receptor and is associated with membrane fusion and entry activity of HSV-1. PILR␣ is a 303-amino-acid protein with an Ig-like V (variable)-type domain from amino acid 31 to 150, whereas PILR is a 217-amino-acid protein with an Ig-like V-type domain from amino acid 21 to 143. We report that PILR is not a receptor for HSV-1 and HSV-2. Domain swaps between PILR␣ and PILR reveal that the Ig-like V-type domain of PILR␣, but not PILR, plays a critical role in cell membrane fusion activity and the binding of PILR␣ to gB. Individual replacement of 13 amino acids in PILR␣ showed that most of these mutations had no effect on cell fusion activity. However, mutation of the tryptophan residue at amino acid 139 significantly impaired cell fusion activity for HSV-1 and eliminated binding to gB.Herpes simplex virus type 1 (HSV-1) is a member of the alphaherpesvirus subfamily and can cause recurrent mucocutaneous lesions on the mouth, face, or genitalia and potentially meningitis or encephalitis. Four membrane glycoproteins (gB, gD, gH, and gL) encoded by HSV mediate membrane fusion, a process required for entry of HSV into cells. Membrane fusion requires gD binding to a cellular entry receptor. To date, at least four gD receptors have been identified, including herpesvirus entry mediator (HVEM) (19), nectin-1 (2, 6, 17, 18, 29), nectin-2 (14, 43), and modified heparan sulfate (30,31). HVEM is a member of the tumor necrosis factor receptor family and is expressed by cells of the immune system as well as other cell types, including epithelial, stromal, and endothelial cells (42). Nectin-1 and nectin-2 are cell adhesion molecules belonging to the immunoglobulin (Ig) superfamily and are widely expressed by a variety of cell types, including epithelial cells and neurons (38). Modified heparan sulfate generated by particular 3-O-sulfotransferases can serve as a gDbinding entry receptor (31). The binding of gD to a receptor is associated with a conformational change in gD that is thought to enable gD to interact with gB and/or the heterodimer gH-gL to trigger fusion (10, 24).The paired immunoglobulin-like type 2 receptor alpha (PILR␣) was identified as an entry receptor that binds to gB (26). The interaction of gB and PILR␣ can mediate viral entry and cell-cell fusion provided that gD also binds to one of its receptors (26). HSV-1 entry into CHO cells expressing PILR␣ was via virus-cell fusion at the cell surface, not endocytosis (1). Interestingly, human and murine PILR␣ were able to mediate entry of pseudorabies virus but not HSV-2 (1).The PILR locus on chromosome 7 contains inhibitory B cells, macrophages, neutrophils, eosinophils, mast cells, and megakaryocyte/platelets (4, 11, 20, 21, 28, 39), as well as neurons (26). PILR is expresse...