Measles virus (MV), which belongs to the family Paramyxoviridae within the order Mononegavirales (1), may be the most contagious aerosol-transmitted virus circulating in human populations (2). In 2010, about 139,000 people died from secondary infections due to MV-induced immune suppression (3, 4). While a worldwide vaccination campaign aiming at eradication is ongoing (5), diminishing vaccine coverage in the United States and Europe has caused a rebound of measles cases in 2011, threatening the feasibility of eradication by 2020 (6).MV infection starts in alveolar macrophages and dendritic cells of the airways, which transport the virus to the lymphoid organs (7,8). MV then replicates rapidly and extensively in local lymph nodes and primary lymphatic organs. Infected immune cells circulate through the body and can transmit the infection to the respiratory epithelium, from where the virus is shed through coughing and sneezing (9-12).Wild-type MV sequentially infects immune cells through the signaling lymphocytic activation molecule (SLAM; CD150) (13) and epithelial cells through the adherens junction protein nectin-4, also known as poliovirus receptor-like 4 (PVRL4) (12,14,15). In addition, the MV vaccine strain uses the ubiquitous regulator of complement activation membrane cofactor protein (MCP; CD46) as a receptor (16,17). MV attachment to its three receptors occurs through hemagglutinin (H), a type II transmembrane glycoprotein (18). The H ectodomain is composed of a tetrameric membrane-proximal stalk topped by four six-bladed -propeller globular heads (19). Receptor attachment to the H globular head can trigger refolding of the trimeric fusion (F) protein and cell entry.While H-to-F signal transmission is only beginning to be understood (20-24), the molecular basis of the interactions of the receptors with H is better characterized. Initial functional analyses identified different H residues important for the interactions with the three receptors (11,(25)(26)(27)(28)(29)(30)(31). These studies were recently complemented by crystal structures of H in complex with CD46, SLAM, and nectin-4 (32-34). The SLAM (32) and CD46 (33) costructures are based on slightly different vaccine lineage H proteins, while the nectin-4 costructure (34) is based on a wild-type H protein differing by more than 17 residues from the other two proteins. Comparative analyses of the three costructures (34) concluded that a hydrophobic pocket centered in the 4-5 groove is involved in binding of all receptors. On the other hand, previous functional analyses revealed differences between the interactions of H and individual receptors (11,(25)(26)(27)(28)(29)(30)(31). Based on the recent identification of nectin-4 as an epithelial receptor, based on the availability of new cell lines and specific reagents for all three receptors, and focusing on the overlap of the structural footprints of the receptors, we reexamined here the functional interactions of H with its three cellular partners. We used a vaccine lineage H protein, allowing direct...