Replication-competent adenoviruses are being investigated as potential anticancer agents. Exclusive virus replication in cancer cells has been proposed as a safety trait to be considered in the design of oncolytic adenoviruses. From this perspective, we have investigated several adenovirus mutants for their potential to conditionally replicate and promote the killing of cells expressing human papillomavirus (HPV) E6 and E7 oncoproteins, which are present in a high percentage of anogenital cancers. For this purpose, we have employed an organotypic model of human stratified squamous epithelium derived from primary keratinocytes that have been engineered to express HPV-18 oncoproteins stably. We show that, whereas wild-type adenovirus promotes a widespread cytopathic effect in all infected cells, E1A-and E1A/E1B-deleted adenoviruses cause no deleterious effect regardless of the coexpression of HPV18 E6E7. An adenovirus deleted in the CR2 domain of E1A, necessary for binding to the pRB family of pocket proteins, shows no selectivity of replication as it efficiently kills all normal and E6E7-expressing keratinocytes. Finally, an adenovirus mutant deleted in the CR1 and CR2 domains of E1A exhibits preferential replication and cell killing in HPV E6E7-expressing cultures. We conclude that the organotypic keratinocyte culture represents a distinct model to evaluate adenovirus selectivity and that, based on this model, further modifications of the adenovirus genome are required to restrict adenovirus replication to tumor cells.Among human cancers, one of the most distinctive features of anogenital carcinomas is its virological nature. Numerous reports have established the causal association of human papillomavirus (HPV) infections with squamous carcinomas and adenocarcinomas of the anogenital tract (9, 49). Over 95% of cervical tumors contain integrated HPV sequences that belong to the oncogenic HPV group (HPV16, -18, and related types) (49) and consistently express papillomavirus early 6 and 7 oncogenes (38, 42). E6 and E7 oncoproteins interact with the master cell cycle regulatory proteins, p53 and pRB, respectively (17, 36), and are able to immortalize primary keratinocytes in vitro and cause cell transformation in cooperation with other oncoproteins, such as activated Ras (34, 37, 44). Furthermore, continuous expression of E6 and E7 oncoproteins is necessary for the maintenance of the transformed phenotype. These properties have made E6 and E7 targets of various experimental therapeutics, including vaccination-, antisense RNA-, and ribozyme-based approaches (4, 11, 41).Although a virus-based therapeutic approach for the treatment of cancer is not a novel concept, recent years have witnessed with increasing attention the design of new oncolytic adenoviruses (for a review, see reference 1). Since the discovery of adenovirus in 1953, the knowledge about adenovirus biology and the interaction with its hosts has helped identify the need to introduce safety traits, such as the restriction of adenovirus replication to tumor...