SummaryWe have investigated the biological and antiviral properties of a dimethoxytrityl (DmTr)-linked guanine (G)-rich oligodeoxynucleotide (ODN) with a phosphodiester linkage, 5A-1042 (5' DmTr-TGGGAGGTGGGTCTG 3'), that has been shown to exhibit potent inhibition of human immunodeficiency virus type 1 (HIV-l)-induced cytopathic effect. In a study of the modification of the sequences of SA-1042, it: was revealed that the inhibitory effect is exhibited in a highly sequencespecific manner, at the G-rich core sequence (5' TGGG 3'), especially near the 5' end. In a study of the gel mobility-antiviral activity relationship, DmTr modification and the G-rich core sequence of DmTr-ODNs were indispensable for the formation of a hyperstructure and for theirantiviral activity. HIV-induced syncytium formation in co-cultures of MOlT-4 cells and chronically infected MOlT-4/HIV-l m B cells was blocked by SA-1042 at a 50% inhibitory concentration (IC 50 ) of 6.5 r-tg ml'. Time-of-addition studies revealed that SA-1042 blocked virus attachment to cells. The susceptibility of 10 fresh HIV-l clinical isolates [nine with syncytium-inducing (51) phenotypes and one with a non-51 phenotype], and five laboratorystrains with both phenotypes to SA-1042 was assessed by a focus reduction assay using CD4+ Hela cells or by p24 antigen quantitative assay using human peripheral blood mononuclear cells. SA-1042 was active in both assays. These results suggest that SA-l042; which inhibits the adsorption and fusion steps of HIV·l replication through its hyperstructure formation and the G-rich core sequence, exhibits potent activity against primary clinical isolates.