Adenovirus vectors containing group B fibers (such as Ad5/35) are able to target tissues that are refractory to infection with commonly used Ad serotype 5 based vectors. To evaluate the utility of Ad5/35 vectors for gene transfer into tumor cells, we studied the expression of the Ad5 receptor, CAR, and the Ad5/35 receptor, CD46, on Papanicolaou (Pap) smears of normal, pre-malignant, and malignant cervical tissue (N= 45). We observed a significant correlation between the degree of malignancy and the level of CD46 expression, while in contrast, the level of CAR expression inversely correlated with the degree of malignancy. Using qRT-PCR, we showed that CAR mRNA levels were lower in malignant tissue biopsies than in histologically normal biopsies. However, there was no significant difference in CD46 mRNA levels in normal and malignant tissues, indicating that CD46 protein expression in tumors might be regulated at the post-transcriptional level. In an attempt to delineate reasons for low CAR expression in tumors, we analyzed the methylation status of CpG island present in the promoter of the CAR gene in DNA isolated from normal and malignant tumor tissue, but found the promoter unmethylated in both groups. To better predict the infectivity of Ad5/35 in tumor patients, we studied the binding of recombinant Ad fiber knob, which is the Ad capsid moiety that mediates attachment to receptors, to the surface of cells present in Pap smears. We found that binding of recombinant Ad5 and Ad35 fiber knobs mirrored the expression patterns of CAR and CD46. Finally, we cultured primary cells from cervical cancer biopsies and performed Ad5/35 transduction studies on primary cultures and single tumor cell clones derived from these cultures (N>40). Overall, the level of CAR and CD46 in cultured cells correlated well with transduction efficiency of Ad5 and Ad5/35 vectors expressing GFP. Importantly, all tumor cell cultures could be transduced at 100% efficiency with Ad5/35-GFP at low MOIs. Despite of the uniformly efficient tumor cell transduction, a conditionally replicating Ad5/35-based oncolytic vector expressing Ad E1A and TRAIL exhibited differences in tumor cell killing when analyzed in clonal tumor cell cultures. Mechanisms that confer resistance to viral oncolysis could include inefficient viral replication and/or execution of apoptosis. Genes whose expression or repression confer resistance are currently being studied using DNA array technology.