Human metapneumovirus (hMPV)-infected BALB/c mice were treated with ribavirin (40 mg/kg of body weight twice a day intraperitoneally), corticosterone (0.2 mg/ml in water), or both modalities. Ribavirin significantly decreased both hMPV replication in lungs (by 5 log 10 ) and global pulmonary inflammation on day 5 postinfection, whereas glucocorticoids reduced only alveolar and interstitial inflammation, compared to controls.Human metapneumovirus (hMPV) is a newly described member of the Paramyxoviridae family associated with acute respiratory tract infections in all age groups, with more-severe diseases occurring in young children, elderly individuals, and immunocompromised hosts (3,7,8,15). Experimental animal models of hMPV infection have been reported for primates and rodents (9,12,17,19). Notably, the BALB/c mouse has been described as a good and convenient animal model for this virus due to efficient viral replication and significant lung inflammation associated with systemic and respiratory symptoms when a high intranasal inoculum is used (1, 9). Although ribavirin has been reported to decrease hMPV titers in vitro (18), this drug has not been evaluated with animal models. In this study, we assessed the effects of ribavirin with or without glucocorticoids on hMPV replication and pulmonary inflammation by using a previously described BALB/c mouse model (9).Animal studies. Forty-eight 4-to 6-week-old BALB/c mice (Charles Rivers Laboratories, Wilmington, MA) were randomized into six groups of eight mice each, based on weight. On day 0, four groups (32 mice) were infected intranasally with 1 ϫ 10 8 50% tissue culture infective doses (TCID 50 ) of hMPV strain C-85473 (type A) at passage 7 in 25 l of hMPV infection medium as previously reported (9). The other two groups (16 mice) were sham infected with infection medium, and all animals were housed in groups of four in microisolator cages. Groups of hMPV-infected mice were treated with phosphatebuffered saline (PBS), ribavirin (MP Biomedicals, Aurora, OH) at 40 mg/kg of body weight every 12 h, corticosterone (Sigma, St. Louis, MO) at 0.2 mg/ml, or ribavirin and corticosterone. Groups of sham-infected mice were treated with either PBS or ribavirin as described above. Ribavirin and PBS were given intraperitoneally from day 0 to day 5 postinfection, beginning 12 h postinfection, whereas corticosterone was given in water ad libitum from day 3 to day 5. Mice were weighted every day and then sacrificed on day 5 postinfection. The right lungs were homogenized in infection medium and used to determine viral titers in LLC-MK2 cells, whereas the left lungs were used for determination of histopathological scores based on a scale previously described (9,14).