The stage of maturation of monocytes affects their susceptibility to HIV infection. The -chemokines and their receptor CCR5 play a crucial role in inflammatory reactions and HIV infection. We therefore examined the correlation between the expression of CCR5 and -chemokine production and the susceptibility to HIV infection during cord monocyte (CM) differentiation into macrophages. CM and CM-derived macrophages (CMDM) were examined for -chemokine and CCR5 expression. The susceptibility of the CM cultured in vitro at different time points to HIV infection was also determined. Although the levels of CCR5 mRNA expression in freshly isolated CM are comparable to those in CMDM, CM had significantly lower levels of CCR5 protein on the cell surface than CMDM did. Steady increase of CCR5 protein expression on the cell surface was observed during CM differentiation into macrophages. The CCR5 expression correlated with the increased susceptibility to HIV infection by CMDM. Although there was no significant difference in endogenous -chemokine production between CM and CMDM, HIV infection of CMDM significantly enhanced production of macrophage inflammatory protein-1␣ and -1. Macrophages are a major target of infection by HIV type 1 (HIV), and serve as an important reservoir for transmitting the virus to other immune cells such as CD4 ϩ T lymphocytes (1, 2). The -chemokine receptor CCR5 plays an important role in nonsyncytium-inducing HIV strain infection of monocytes/ macrophages (3-5). The high resistance to infection by Mtropic HIV strains in individuals homozygous for the CCR5 ⌬32 mutation confirms that CCR5 is a major co-receptor for HIV (6 -9). The natural ligands of CCR5 receptor, macrophage MIP-1␣, MIP-1, and RANTES, inhibit infection by interfering with HIV binding to the CCR5 receptor (3, 10 -12). Thus, the levels of CCR5 expression and -chemokine production directly influence HIV infection of monocytes and macrophages. Because the levels of CCR5 present on the cell surface determine the susceptibility of monocyte/macrophages to HIV infection, gaining an understanding of the mechanism that regulates the expression of this receptor on monocytes and macrophages is critical.The immaturity of the neonatal immune system may play an important role in the immunopathogenesis of pediatric viral infections, including HIV. When compared with adult cells, neonatal monocyte/macrophages are selectively abnormal or immature in various aspects of phagocytosis (13), chemotaxis (14, 15), metabolism (16), and production of 18