Dipyridamole is an effective inhibitor of cardiovirus growth in cell culture. The effects of dipyridamole on mengovirus replication in vivo and in vitro were examined in the hope the drug could be used as an experimental analog of the poliovirus inhibitor guanidine. Guanidine selectively inhibits poliovirus RNA synthesis but not RNA translation, and as such, has been a valuable research tool. Although guanidine does not inhibit cardiovirus infection, a compound with similar discriminatory characteristics would be experimentally useful for parallel work with these viruses. We found that mengovirus plaque formation in HeLa or L cells was inhibited nearly 100% by the presence of 80 M dipyridamole. The inhibitory effect was reversible and targeted an early step in the replication cycle. Studies with luciferase-expressing mengovirus replicons showed that viral protein synthesis was unaffected by dipyridamole, and rather, RNA synthesis was the step targeted by the drug. This assessment was confirmed by direct analyses of viral translation and RNA synthesis activities in a Krebs-2-derived in vitro system that supported complete, infectious cardiovirus replication. In Krebs extracts, dipyridamole specifically inhibited viral RNA synthesis to more than 95%, with no concomitant effect on viral protein translation or polyprotein processing. The observed inhibition reversibly affected an early step in both minus-strand and plus-strand RNA synthesis, although inhibition of plus-strand synthesis was more profound than that of minus-strand synthesis. We conclude that dipyridamole is a potent experimental tool that readily distinguishes between cardiovirus translation and RNA replication functions.The positive-sense RNA genomes of all members of the family Picornaviridae have 5Ј untranslated regions, followed by single, long open reading frames, 3Ј untranslated regions, and poly(A) tails. Translation of the reading frame is directed by an internal ribosome entry site, located as part of the 5Ј untranslated region (14). The consequent polyproteins undergo a progression of cis and trans proteolytic cleavages, generating a cascade of polyprotein intermediates and individual, mature proteins. The P1 region proteins (1A, 1B, 1C, and 1D) become the structural units for new virions. The P2 (2A, 2B, and 2C) and P3 (3A, 3BVPg , 3C pro , and 3D pol ) proteins are nonstructural. During infection, P2 and P3 region precursors and mature proteins interact with each other, with cellular proteins, and with particular cis-acting genome elements to direct the synthesis of new viral RNA.Much of our current understanding of the processes involved in picornavirus RNA replication is based on studies with poliovirus (reviewed in reference 23). Among the described steps are a discrete series of protein-RNA interactions that help regulate genome conversion from translation to replication templates. For example, cellular poly(C)-binding protein and viral polymerase precursor 3CD are known to bind an RNA cloverleaf motif near the 5Ј end of the poliovirus...