SUMMARY: Cytomegalovirus (CMV) is the most common infectious cause of congenital anomalies of the brain and also causes brain damage in immunocompromised individuals. We investigated the effects of murine cytomegalovirus (MCMV) infection on the developing mouse brain in terms of susceptible cells and age-related resistance to MCMV in brain slice cultures. Brain slices from BALB/c mice at different developmental stages were infected with recombinant MCMV in which the lacZ gene was inserted into a late gene. The subventricular zone and cortical marginal region were the sites most susceptible to MCMV infection, and the susceptibility declined with the development of the brain. Immunohistochemical staining showed that the virus-susceptible cells were positive for GFAP, nestin, and Musashi-1, and that most of the infected cells were positive for the proliferative cell nuclear antigen and labeled with bromodeoxyuridine. These results suggest that the susceptible cells in the subventricular zone are immature glial cells, including neural progenitor cells. Immature glial cells proliferated when the brain slices were cultured for a prolonged time and furthermore, they showed themselves to be susceptible to virus infection even under serum-free conditions. These results suggest that the amount of immature glial cells, which include neural progenitor cells, in the developing brain or in the damaged brain with neural proliferation may be closely associated with the susceptibility of the brain to CMV infection in humans. (Lab Invest 2002, 82:1347-1358. C ytomegalovirus (CMV) is the most significant infectious cause of congenital anomalies of the central nervous system (CNS) caused by intrauterine infection in humans (Ho, 1991;Weller, 1971), with an average incidence of 1% of all live births (Demmler, 1991;Stagno et al, 1986). It is estimated that approximately 5% to 10% of infected infants have generalized cytomegalic inclusion disease at birth, with symptoms such as microcephaly, perivascular calcification, and microphthalmia (Bale, 1984;Becroft, 1981;Cinque et al, 1997). Another 10% of infected infants have subclinical congenital infection, and will subsequently suffer from brain disorders, including mental retardation, sensorineural hearing loss, visual disorders, seizures, and epilepsy (Conboy et al, 1986;Pass et al, 1980). In adults, infection with human CMV (HCMV) is usually asymptomatic in immunocompetent hosts, but the virus causes severe or fatal disease in immunocompromised patients (Britt and Alford, 1996). CMV has become the most frequent opportunistic cerebral infection in acquired immunodeficiency syndrome (AIDS), in which it results in CMV encephalitis/ encephalopathy such as ventriculoencephalitis (Morgello et al, 1987;Setinek et al, 1995;Wiley and Nelson, 1988).Because studies of human subjects have obvious limitations, we have developed model systems for brain abnormalities induced by infection of mouse embryos with murine CMV (MCMV) Tsutsui, 1995;Tsutsui et al, 1993). The susceptibility of mice to MCMV in...