Most of an intravenous dose of species C adenovirus serotype 5 (Ad5) is destroyed by liver Kupffer cells. In contrast, another species C virus, Ad6, evades these cells to mediate more efficient liver gene delivery. Given that this difference in Kupffer cell interaction is mediated by the hypervariable (HVR) loops of the virus hexon protein, we genetically modified each of the seven HVRs of Ad5 with a cysteine residue to enable conditional blocking of these sites with polyethylene glycol (PEG). We show that these modifications do not affect in vitro virus transduction. In contrast, after intravenous injection, targeted PEGylation at HVRs 1, 2, 5, and 7 increased viral liver transduction up to 20-fold. Elimination or saturation of liver Kupffer cells did not significantly affect this increase in the liver transduction. In vitro, PEGylation blocked uptake of viruses via the Kupffer cell scavenger receptor SRA-II. These data suggest that HVRs 1, 2, 5, and 7 of Ad5 may be involved in Kupffer cell recognition and subsequent destruction. These data also demonstrate that this conditional genetic-chemical mutation strategy is a useful tool for investigating the interactions of viruses with host tissues.A denovirus serotype 5 (Ad5) has proven to be one of the most potent in vivo gene delivery vectors for liver-directed gene therapy. As much as 95 to 98% of an intravenously (i.v.) injected dose of Ad5 is trafficked to the liver (12). The adenovirus capsid is comprised of three major proteins: hexon, penton base, and fiber (reviewed in reference 7). Based on numerous in vitro studies, adenovirus fiber and penton base have been shown to be cellular attachment proteins. The fiber of Ad5 binds coxsackie and adenovirus receptor (CAR) (3), which triggers binding of penton base to ␣v integrins via an RGD motif (35,36) and results in viral cell internalization. Although necessary for providing specificity of the virus in vitro, modifications to the fiber have little effect on vector tropism in vivo (25). Instead, increasing evidence suggests that hexon plays a large role in the natural liver tropism of Ad5.Hexon is the most abundant viral capsid protein with 720 monomers per virion. Hexon organizes into trimers so that three hexon monomers and their loops wrap tightly around each other to create a tower-like structure with a central depression (20,28). Each hexon monomer has seven flexible, serotype-specific loops, named hypervariable regions (HVRs) (23), that are predicted to be located on the surface of the hexon trimer and the virion (29). This location allows the HVRs of hexon to interact with neutralizing antibodies, receptors, proteins, and cells. Considering there are 5,040 (720 ϫ 7 ϭ 5,040) HVRs per virion, these represent a complex, exposed surface for many interactions.After i.v. injection, Ad5 exhibits the greatest transduction within liver hepatocytes (12). Despite this robust in vivo gene delivery, ϳ90% of the injected dose is sequestered and destroyed by resident liver macrophages called Kupffer cells (1). These anti...