We have studied the mechanism of action of Arg*-Arg-Nal 2 -Cys(1ϫ)-Tyr-Gln-Lys-(D-Pro)-Pro-Tyr-Arg-Cit-Cys(1ϫ)-ArgGly-(D-Pro)* (POL3026), a novel specific -hairpin mimetic CXC chemokine receptor (CXCR)4 antagonist. POL3026 specifically blocked the binding of anti-CXCR4 monoclonal antibody 12G5 and the intracellular Ca 2ϩ signal induced by CXC chemokine ligand 12. POL3026 consistently blocked the replication of human immunodeficiency virus (HIV), including a wide panel of X4 and dualtropic strains and subtypes in several culture models, with 50% effective concentrations (EC 50 ) at the subnanomolar range, making POL3026 the most potent CXCR4 antagonist described to date. However, 1- [[4-(1,4,8,11-tetrazacyclotetradec-1-ylmethyl