While the majority of primary HIV-1 isolates exhibit resistance to
neutralization by antibodies compared with laboratory-adapted viruses
passaged on T-cell lines (44, 63, 73), only a subset of
primary viruses have been shown to exhibit detectable enhancement (66, 67, 71, 73). Primary virus envelope glycoproteins, as
assembled oligomers, bind anti-gp120 antibodies less efficiently than
do the envelope glycoproteins of laboratory-adapted viruses (44,
63, 73). Our studies demonstrate that neutralization resistance
and enhancement are determined primarily by the configuration of the
major variable (V1/V2 and V3) loops of the gp120 envelope glycoprotein.
Previous studies have suggested the ability of these loops to mask
HIV-1 neutralization epitopes and have demonstrated that these effects
are most evident in the context of the assembled envelope glycoprotein
complex (82, 83). The variable loops on the YU2 envelope
glycoprotein may be particularly effective at achieving this masking
effect. Thus, at antibody concentrations typically used in
neutralization experiments, most of the YU2 oligomeric envelope
glycoprotein spikes may be occupied by an insufficient number of
antibody molecules to achieve neutralization. The high affinity of sCD4
for gp120 enables it to neutralize YU2, but only at higher
concentrations, again supporting the notion that enhancement occurs
when there is suboptimal occupation of binding sites on the envelope
glycoprotein oligomers.
One consequence of epitope masking by the gp120 variable loops is that
elements of the envelope glycoproteins that require exposure during the
entry process (e.g., receptor binding regions) may also be occluded.
Indeed, the relative resistance of many primary HIV-1 isolates to
soluble CD4 has been attributed to a lower binding affinity of the
primary virus envelope glycoprotein oligomers for CD4 (44, 63,
73). While the monomeric gp120 glycoproteins of primary viruses
bind CCR5 in the presence of CD4 with high affinity (78,
81), the relative ability of envelope glycoprotein oligomers of
primary and laboratory-adapted HIV-1 isolates to bind their respective
chemokine receptors has not been assessed. The extreme degree of
neutralization resistance achieved by viruses like YU2 may necessitate
some means of achieving more efficient receptor binding in vivo.
Activation by neutralizing antibodies, which are abundant in most
HIV-1-infected individuals after several months of infection, would
provide a means to do so. Indeed, in the absence of antibodies, the
entry of viruses with the YU2 envelope glycoproteins into PBMC is less
efficient than that of viruses with envelope glycoproteins derived from other HIV-1 isolates (73). In the presence of antibodies,
these differences in entry efficiency are nullified.
Antibodies and Fab fragments directed against a number of gp120
epitopes that map to the presumably exposed surface of the assembled
oligomeric spike were able to enhance YU2 virus entry. These results
indicate that cross-linking of envelope glycoproteins or Fc-mediated
uptake does not play a necessary role in enhancement of YU2 virus
entry. The observation that binding of antibodies or Fab fragments to a
number of nonoverlapping gp120 regions can activate virus entry
suggests that enhancement might be triggered by the binding of any
ligand that can access the envelope glycoprotein oligomer. If the YU2
envelope glycoproteins need to assume a conformation of high free
energy to achieve an antibody-enhanceable state, the binding of any
ligand to the glycoproteins could induce a return to a lower-energy
conformation that is favorably disposed to progress along the pathway
toward membrane fusion. Based on inhibition by MIP-1
, this pathway
appears to require CCR5 interaction, indicating that enhancement does
not involve use of alternative or additional coreceptors. The
similarity in pattern of enhancement by sCD4 and antibodies observed
for the chimeric envelope glycoproteins suggests that antibody-mediated
enhancement shares fundamental features with the receptor-activated
virus entry pathway.
Enhancement is mediated by antibodies that have been shown
to interfere with gp120 binding to either CD4 or chemokine receptors. This observation supports a model in which antibody binding to one
subunit of the envelope glycoprotein oligomer induces conformational changes in the unoccupied subunits conducive to entry. Our mapping of
the determinants of antibody-mediated enhancement makes it likely that
the major variable loops of the gp120 glycoprotein participate in this
process. While the precise nature of the conformational changes
involved in enhancement requires further investigation, we could not
find evidence that they result in an increase in CD4 binding affinity.
The prevalence of natural HIV-1 strains that exhibit enhanced entry
into target cells in response to antibodies is unknown. However, it is
noteworthy that the YU2 virus demonstrates the most dramatic
enhancement among the viruses tested. Since the YU2 sequences were
cloned directly from an HIV-1-infected individual into phage, changes
in the envelope glycoproteins due to virus passage in culture or due to
provirus cloning were minimized. Our observation that some other
primary HIV-1 envelope glycoproteins do not exhibit the degree of
antibody-mediated enhancement of virus entry seen for the YU2
envelope glycoproteins (73) raises the question of whether
even minimal tissue culture passage in PBMC alters this phenotype. The
availability of infectious HIV-1 proviral clones derived by PCR
technology should help to address this important issue.
We thank Gunilla Karlsson for the sCD4 expressor plasmid,
Marshall Posner for the F105 antibody, and Yvette McLaughlin for manuscript preparation.
J.S. was supported by NIH awards AI 24755 and AI 31783 and by gifts
from the late William McCarty-Cooper, the Friends 10, and the Mathers
Charitable Foundation and Douglas and Judy Krupp. The Dana-Farber
Cancer Institute was a recipient of a Center for AIDS Research grant.
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