Human respiratory syncytial virus is a human pathogen that causes severe infection of the respiratory tract. Current information about the structure of the virus and its interaction with host cells is limited. We carried out an electron cryotomographic characterization of cell culture-grown human respiratory syncytial virus to determine the architecture of the virion. The particles ranged from 100 nm to 1,000 nm in diameter and were spherical, filamentous, or a combination of the two. The filamentous morphology correlated with the presence of a cylindrical matrix protein layer linked to the inner leaflet of the viral envelope and with local ordering of the glycoprotein spikes. Recombinant viruses with only the fusion protein in their envelope showed that these glycoproteins were predominantly in the postfusion conformation, but some were also in the prefusion form. The ribonucleocapsids were left-handed, randomly oriented, and curved inside the virions. In filamentous particles, they were often adjacent to an intermediate layer of protein assigned to M2-1 (an envelopeassociated protein known to mediate association of ribonucleocapsids with the matrix protein). Our results indicate important differences in structure between the Paramyxovirinae and Pneumovirinae subfamilies within the Paramyxoviridae, and provide fresh insights into host cell exit of a serious pathogen.cryo-ET | paramyxovirus | virus structure H uman respiratory syncytial virus (HRSV) causes severe disease, especially in children and the elderly (1, 2). In a study covering data from 2005, it was found that HRSV was responsible for 22% of acute lower respiratory infections worldwide and 66,000-199,000 deaths in children under the age of 5 y (2). Treatment is currently limited to purine analogs (Ribavirin) and passive immune-prophylaxis with humanized monoclonal antibodies (Palivizumab) (3).RSV belongs to the Paramyxoviridae, a large family of enveloped, negative-sense RNA viruses with many members from humans and animals. Together with human metapneumovirus, it constitutes the Pneumovirinae subfamily. Like other paramyxoviruses, it has a plasma-membrane-derived lipid envelope and a helical ribonucleocapsid (RNP) that contains a single viral RNA molecule associated with nucleoproteins (N), and an RNA-dependent RNA polymerase. The virion contains, in addition, a matrix protein (M) (4-7) and a transcription antiterminator, M2-1 (an envelopeassociated protein known to mediate association of RNPs with the M protein) (8-11). The lipid envelope contains two transmembrane glycoproteins: the fusion protein, F, and a glycoprotein, G, used for attachment to host cells. In addition, HRSV contains a small hydrophobic protein, SH, of unclear function and proteins of cellular origin, such as actin and chaperones (12). The RNP and F have been analyzed using 3D-EM and X-ray crystallography (13,14).HRSV particles are pleomorphic with both spherical and filamentous particles of different sizes (15). Early electron microscopy studies showed the presence of a helical p...