Respiratory syncytial virus (RSV) causes respiratory tract infections in young children, and signifi cant morbidity and mortality in the elderly, immunosuppressed, and immunocompromised patients and in patients with chronic lung diseases. Recently, we reported that the pulmonary surfactant phospholipid palmitoyl-oleoyl-phosphatidylglycerol (POPG) inhibited RSV infection in vitro and in vivo by blocking viral attachment to epithelial cells. Simultaneous application of POPG along with an RSV challenge to mice markedly attenuated infection and associated infl ammatory responses. Based on these fi ndings, we expanded our studies to determine whether POPG is effective for prophylaxis and postinfection treatment for RSV infection. In vitro application of POPG at concentrations of 0.2-1.0 mg/ml at 24 h after RSV infection of HEp-2 cells suppressed interleukin-8 production up to 80% and reduced viral plaque formation by 2-6 log units. In vivo, the turnover of POPG in mice is relatively rapid, making postinfection application impractical. Intranasal administration of POPG (0.8-3.0 mg), 45 min before RSV inoculation in mice reduced viral infection by 1 log unit, suppressed infl ammatory cell appearance in the lung, and suppressed virus-elicited interferon-␥ production. These fi ndings demonstrate that POPG is effective for short-term protection of mice against subsequent RSV infection and that it has potential for application in humans. Respiratory syncytial virus (RSV) infects nearly 90% of children under age 2. Immunity to the virus is incomplete, and reinfection of adults, especially the elderly, patients