The successful clinical application of adenovirus ( Ad ) in cancer control has been of limited success because of the current inability to infect the majority of cancer cells with a large amount of vector. In this study, we show that when human lung tumors growing in immunodeficient nude mice were coinfected with a replication -defective ( RD ) Ad vector expressing green fluorescent protein and a replication -competent ( RC ) Ad vector named KD3, KD3 enhanced the expression of green fluorescent protein throughout the tumor. Also, KD3 and another RC vector named KD1 complemented the expression of luciferase from a RD vector in a human liver tumor xenotransplant in nude mice. Altogether, these results suggest that the combination of a RD vector with a RC vector might be a more effective treatment for cancer than either vector alone due to more widespread dissemination of the virus. Cancer Gene Therapy ( 2002 ) 9, 651 -654 doi:10.1038/sj.cgt.7700481Keywords: gene therapy; cancer; adenovirus; p53; Ad E1B -deleted; dl1520; Ad -p53; KD1; KD3 H uman adenovirus serotype 5 ( Ad5 ) offers great promise in cancer gene therapy. It is benign, primarily causing asymptomatic or mild respiratory infections in young children, followed by long -term effective immunity. 1 Fatalities are extremely rare. It transduces genes with high efficacy.There are two general types of Ad5 -based vectors, replication-defective (RD ) and replication -competent (RC). 2,3 RD vectors lack the Ad E1A, E1B, and E3 transcription units. The E1A proteins deregulate the cell cycle so that Ad DNA can replicate efficiently, and they also induce transcription of other Ad genes. 4 The deleted E1A and E1B regions (known collectively as E1 ) are usually replaced by an expression cassette where a therapeutic gene, e.g., p53, is expressed from a foreign promoter, e.g., the human cytomegalovirus ( CMV ) immediate early promoter. Vectors that lack E1A are defective for replication because Ad genes are not transcribed. The E1B proteins function to inhibit apoptosis, and are not absolutely required for replication. 4,5 The E3 proteins protect infected cells from attack by the immune system, and they, too, are not essential for replication. 4,6 RC vectors destroy cells as part of the virus life cycle. The Ad mutant dl1520, 7 which has been named ONYX -015 by ONYX Pharmaceuticals (Richmond, CA) has been used as an RC vector. 8 -10 This virus has a deletion in the Ad5 E1B region that removes the gene for a protein named E1B -55K. 7 The E1B -55K protein binds p53, 11,12 blocks transcription from p53-responsive promoters, 13,14 and inhibits p53-induced apoptosis and allows the cell cycle to be deregulated. 5 E1B -55K can also interact with the Ad protein named E4ORF6 coded by the Ad E4 transcription unit to induce degradation of p53. 15 -17 E1B -55K and E4ORF6 also act together to facilitate transport of Ad mRNA from the nucleus. 18 Because of these many functions of E1B -55K, complete deletion mutants of E1B -55K ( such as dl1520 ) are somewhat defective for replication...