Adenoviruses (Ads) are icosahedral, nonenveloped viruses with a double-stranded DNA genome. The 51 known Ad serotypes exhibit profound variations in cell tropism and disease types. The number of observed Ad infections is steadily increasing, sometimes leading to fatal outcomes even in healthy individuals. Species B Ads can cause kidney infections, hemorrhagic cystitis, and severe respiratory infections, and most of them use the membrane cofactor protein CD46 as a cellular receptor. The crystal structure of the human Ad type 11 (Ad11) knob complexed with CD46 is known; however, the determinants of CD46 binding in related species B Ads remain unclear. We report here a structural and functional analysis of the Ad11 knob, as well as the Ad7 and Ad14 knobs, which are closely related in sequence to the Ad11 knob but have altered CD46-binding properties. The comparison of the structures of the three knobs, which we determined at very high resolution, provides a platform for understanding these differences and allows us to propose a mechanism for productive high-affinity engagement of CD46. At the center of this mechanism is an Ad knob arginine that needs to switch its orientation in order to engage CD46 with high affinity. Quantum chemical calculations showed that the CD46-binding affinity of Ad11 is significantly higher than that of Ad7. Thus, while Ad7 and Ad14 also bind CD46, the affinity and kinetics of these interactions suggest that these Ads are unlikely to use CD46 productively. The proposed mechanism is likely to determine the receptor usage of all CD46-binding Ads.The nonenveloped adenoviruses (Ads) typically cause respiratory infections, with symptoms ranging from the common cold to pneumonia, but they can also infect the eye, urinary tract, and intestine. Individuals with compromised immune systems are especially prone to severe and life-threatening infections caused by Ads (24). The virion measures about 800 Å in diameter and carries a double-stranded DNA genome. Its icosahedral capsid is primarily formed by 240 copies of the hexon and 12 copies of the penton proteins (3). A trimeric, elongated protein called "fiber" protrudes from each of the 12 vertices of the capsid and mediates the initial attachment to target cells by interacting with cell surface receptors. The fiber consists of a globular head, a fibrous shaft, and a tail. The knob mediates interactions with receptors, whereas the tail anchors the fiber to the penton base. The engagement of receptors is followed by viral internalization via clathrin-coated endocytosis (54).A group of highly pathogenic species B Ads use the membrane cofactor protein CD46 as their cellular receptor (18,20,25,44,50). The heavily glycosylated extracellular portion of CD46 is composed of four short consensus repeat (SCR) modules and a 25-amino-acid sequence rich in serine, threonine, and proline residues (the STP region). CD46 inhibits complement activation by binding separately to C3b or C4b and stabilizes them for proteolytic cleavage by factor I, thus preventing conti...