“…30 Adenovirus vector biodistribution in vivo, however, is not determined solely by receptor biodistribution. 31 Intravenous administration of Ad results in accumulation in the liver, spleen, heart, lung and kidneys of mice, although these tissues may not necessarily be the highest in CAR expression. 32,33 This is true with regard to the liver in particular, which sequesters the majority of systemically administered Ad particles via hepatic macrophage (Kupffer cell) uptake 34 and hepatocyte transduction, 35 leading to Ad-mediated inflammation and liver toxicity.…”