Cytotoxic conjugates were constructed by chemically coupling Pseudomonas exotoxin to antitransferrin receptor antibodies. Toxicity of these conjugates, due to entry via the transferrin receptor, was enhanced 100-to 300-fold in the presence of adenovirus. By electron microscopy and immunofluorescence it was determined that antitransferrin receptor antibodies and the conjugates derived from them entered cells from coated pits into receptosomes. We believe that the enhanced toxicity resulted when adenovirus and the toxin conjugates were internalized into the same receptosomes. In the process of infection, adenovirus enters cells and brings about a virus-mediated disruption of receptosomes; and this disruption can liberate many more toxin molecules into the cytosol than is possible in the absence of virus. tosol, it appears to disrupt the receptosome, thereby releasing the contents of this vesicle into the cytosol. The enhanced toxicity occurs because the toxin now has ready access to its target, In this paper we describe the ability of adenovirus to enhance the toxicity of a toxin-antibody conjugate. We have chosen to study a conjugate of PETX with an antibody to the transferrin receptor because this antibody is known to form cytotoxic conjugates (14).MATERIALS AND METHODS Cells. Cells were maintained as monolayers in Dulbecco modified Eagle medium (DME medium; GIBCO) supplemented with 10% calf serum (KB cells) or 10% fetal bovine serum (Swiss 3T3 cells) and penicillin (50 units/ml) and streptomycin (50 ,ug/ml). Routinely, cells were washed with DME medium containing 2 mg of bovine serum albumin per ml (DME-alb. medium) 1-2 hr before the addition of PETX or a PETX conjugate. HUT-102 cells were the generous gift of T. A. Waldmann (National Cancer Institute).Virus. Human adenovirus type 2 was propagated in KB cells grown in suspension culture and purified as described (10,19).Toxin. Purified PETX was the generous gift of S. Leppla (Ft. Detrick, MD).Monoclonal Antibodies Against the Transferrin Receptor. B3/25 was prepared as described (14). HB21 was obtained from the American Type Culture Collection, propagated as ascites in BALB/c mice, and purified by precipitation at ammonium sulfate 50% saturation and affinity chromatography on a column containing Staphylococcus aureus protein A. Both of these monoclonal antibodies are of the IgG1 subclass.PETX Conjugates. PETX-antibody conjugates were constructed by using a disulfide exchange reaction (20). Typically, 2 mg of PETX was treated with 26 mg of methyl-4-mercaptobutyrimidate (Pierce) at 370C for 2 hr to introduce two thiol groups per molecule of toxin. Derivatized PETX was then treated with 1 mM dithiobis(2-nitrobenzoic acid) (Sigma). Purified antibody (2 mg) was derivatized with 1.3 mg of methyl-4-mercaptobutyrimidate for 10 min at 370C, which introduced slightly more than one thiol group per molecule. The derivatized antibody was mixed with a 3-fold molar excess of dithiobis(2-nitrobenzoic acid)-treated toxin and allowed to incubate for 2 hr at room temper...