Like all alphaherpesviruses, varicella-zoster virus (VZV) infection proceeds by both cell-cell spread and virion production. Virions are enveloped within vacuoles located near the trans-Golgi network (TGN), while in cell-cell spread, surface glycoproteins fuse cells into syncytia. In this report, we delineate a potential role for serine/threonine phosphorylation of the cytoplasmic tail of the predominant VZV glycoprotein, gE, in these processes. The fact that VZV gE (formerly called gpI) is phosphorylated has been documented (E. A. Montalvo and C. Grose, Proc. Natl. Acad. Sci. USA 83:8967-8971, 1986), although respective roles of viral and cellular protein kinases have never been delineated. VZV ORF47 is a viral serine protein kinase that recognized a consensus sequence similar to that of casein kinase II (CKII). During open reading frame 47 (ORF47)-specific in vitro kinase assays, ORF47 phosphorylated four residues in the cytoplasmic tail of VZV gE (S593, S595, T596, and T598), thus modifying the known phosphofurin acidic cluster sorting protein 1 domain. CKII phosphorylated gE predominantly on the two threonine residues. In wild-type-virus-infected cells, where ORF47-mediated phosphorylation predominated, gE endocytosed and relocalized to the TGN. In cells infected with a VZV ORF47-null mutant, internalized VZV gE recycled to the plasma membrane and did not localize to the TGN. The mutant virus also formed larger syncytia than the wild-type virus, linking CKII-mediated gE phosphorylation with increased cell-cell spread. Thus, ORF47 and CKII behaved as "team players" in the phosphorylation of VZV gE. Taken together, the results showed that phosphorylation of VZV gE by ORF47 or CKII determined whether VZV infection proceeded toward a pathway likely involved with either virion production or cell-cell spread.Varicella-zoster virus (VZV), an alphaherpesvirus, displays a highly cell-associated phenotype in tissue culture; that is, VZV infection spreads from VZV-infected cells to uninfected cells with little or no extracellular virion production. Other alphaherpesviruses do not share this tissue culture phenotype (45). Because VZV is highly cell associated, viral mutant creation requires a cosmid system containing the entire VZV Oka genome, which can then be manipulated by molecular biological methods (2). Using this cosmid system, called rOka, several VZV-null mutants have been constructed.One of the mutants was open reading frame 47 (ORF47)-null VZV, designated VZV rOka-47S, in which stop codons replaced codons 166 and 167 of ORF47, the VZV UL protein serine kinase (15). In cell culture, the ORF47-null VZV displayed no distinguishing phenotype with regard to either plaque morphology or growth kinetics. However, VZV rOka-47S could not replicate in fetal skin or thymus implants in SCID-hu mice and replicated less efficiently in human T lymphocytes derived from fetal cord blood, a puzzling development since no tissue culture phenotype was previously observed (27, 40). Thus, ORF47 was required for efficient replication...