It is becoming apparent that many viruses employ more than one cell surface molecule for their attachment and cell entry. In this study, we have tested the role of integrin alpha(v)beta 3 and MHC class I molecules in the coxsackievirus A9 (CAV-9) infectious cycle. Binding experiments utilizing CHO cells transfected and expressing human integrin alpha(v)beta 3, revealed that CAV-9 particles were able to bind to cells, but did not initiate a productive cell infection, Antibodies specific for integrin alpha(v)beta 3 molecules significantly reduced CAV-9 infection in susceptible cell lines. Moreover, MAbs specific for beta(2)-microglobulin (beta(2)-m) and MHC class I molecules completely inhibited CAV-9 infection. To assess the effect of these antibodies on virus binding, we analysed CAV-9 binding by Row cytometry in the presence of beta(2)-m- or integrin alpha(v)beta 3-specific antibodies, The results showed a reduction in CAV-9 binding in the presence of integrin alpha(v)beta 3-specific antibodies while there was no reduction in the presence of beta(2)-m-specific MAb, Taken together, these data suggest that integrin alpha(v)beta 3 is required for CAV-9 attachment but is not sufficient for cell entry, while beta(2)-m, although not directly involved in CAV-9 binding, plays a post-attachment role in the CAV-9 infectious process, possibly being involved in virus entry.