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Journal of Virology, June 2001, p. 5230-5239, Vol. 75, No. 11
0022-538X/01/$04.00+0 DOI: 10.1128/JVI.75.11.5230-5239.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Relationships between CD4 Independence, Neutralization
Sensitivity, and Exposure of a CD4-Induced Epitope in a Human
Immunodeficiency Virus Type 1 Envelope Protein
Terri G.
Edwards,1
Trevor L.
Hoffman,1
Frédéric
Baribaud,1
Stéphanie
Wyss,2
Celia C.
LaBranche,3
Josephine
Romano,2
Joshua
Adkinson,4
Matthew
Sharron,1
James A.
Hoxie,2 and
Robert W.
Doms1,*
Department of Pathology and Laboratory
Medicine1 and Department of Medicine,
Hematology-Oncology Division,2
University of Pennsylvania, Philadelphia, and Ursinus College,
Collegeville,4 Pennsylvania, and
Department of Surgery, Duke University, Durham, North
Carolina3
Received 5 December 2000/Accepted 14 March 2001
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ABSTRACT |
A CD4-independent version of the X4 human immunodeficiency virus
type 1 (HIV-1) HXBc2 envelope (Env) protein, termed 8x, mediates infection of CD4-negative, CXCR4-positive cells, binds directly to
CXCR4 in the absence of CD4 due to constitutive exposure of a conserved
coreceptor binding site in the gp120 subunit, and is more sensitive to
antibody-mediated neutralization. To study the relationships between
CD4 independence, neutralization sensitivity, and exposure of
CD4-induced epitopes associated with the coreceptor binding site, we
generated a large panel of Env mutants and chimeras between 8x and its
CD4-dependent parent, HXBc2. We found that a frameshift mutation just
proximal to the gp41 cytoplasmic domain in 8x Env was necessary but not
sufficient for CD4 independence and led to increased exposure of the
coreceptor binding site. In the presence of this altered cytoplasmic
domain, single amino acid changes in either the 8x V3 (V320I) or V4/C4
(N386K) regions imparted CD4 independence, with other changes playing a
modulatory role. The N386K mutation resulted in loss of an N-linked
glycosylation site, but additional mutagenesis showed that it was the
presence of a lysine rather than loss of the glycosylation site that
contributed to CD4 independence. However, loss of the glycosylation
site alone was sufficient to render Env neutralization sensitive,
providing additional evidence that carbohydrate structures shield
important neutralization determinants. Exposure of the CD4-induced
epitope recognized by monoclonal antibody 17b and which overlaps the
coreceptor binding site was highly sensitive to an R298K mutation at
the base of the V3 loop and was often but not always associated with CD4 independence. Finally, while not all neutralization-sensitive Envs
were CD4 independent, all CD4-independent Envs exhibited enhanced
sensitivity to neutralization by HIV-1-positive human sera, indicating
that the humoral immune response can exert strong selective pressure
against the CD4-independent phenotype in vivo. Whether this can be used
to advantage in designing more effective immunogens remains to be seen.
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INTRODUCTION |
The entry of human immunodeficiency
virus type 1 (HIV-1) into cells requires that a membrane fusion
reaction occur between the viral and cellular membranes. As for other
enveloped viruses, this function is mediated by a virally encoded type
1 membrane protein (14). In the case of HIV-1, receptor
binding and fusion are mediated by the Env protein, a trimeric protein
in which each monomer consists of a surface subunit (gp120)
noncovalently associated with the gp41 transmembrane subunit
(41). Binding to CD4 triggers conformational changes in
the gp120 subunit that enable it to efficiently interact with a viral
coreceptor (22, 36, 40), most often the chemokine
receptors CCR5 and CXCR4 (6). Coreceptor binding is
thought to lead to the final conformational changes in Env needed for
the membrane fusion reaction (7).
Primate lentiviruses that short-circuit the normal entry pathway by
interacting directly with the coreceptors have been described (8,
10-12, 19, 29). As a result, these viruses can infect CD4-negative cells provided that they express the appropriate coreceptor, thereby broadening viral tropism in vitro and perhaps in
vivo as well. CD4 independence on CCR5 is a particularly common feature
of primary simian immunodeficiency virus (SIV) and HIV-2 strains
(10, 11, 28), suggesting that CCR5 may have served as the
primordial receptor for the primate lentiviruses. While all primary
HIV-1 strains studied to date require CD4 to infect cells efficiently,
HIV-1 can be rendered CD4 independent through in vitro passaging. Three
CD4-independent HIV-1 strains have been identified to date, often as a
result of relatively subtle mutations, indicating that the structure of
HIV-1 Env can be altered so as to overcome the CD4 requirement
(8, 16, 19, 21). Why CD4-independent, primary strains of
HIV-1 have not been identified to date remains an open question.
Previous studies described the generation of a CD4-independent variant
of HIV-1 HXBc2 termed 8x (16, 21). This CD4-independent Env mediates infection of CD4-negative, CXCR4-positive cells. It was
found that mutations in 8x that rendered it CD4 independent resulted in
the stable, constitutive exposure of a chemokine receptor binding site
in gp120, enabling it to bind directly to CXCR4 (16). In
addition, the 8x virus was considerably more sensitive to
neutralization by HIV-1-positive human sera. In the present study, we
have more fully mapped the determinants in 8x that render it CD4
independent and have investigated the relationship between CD4
independence, neutralization sensitivity, and the exposure of
CD4-induced antigenic epitopes that overlap the coreceptor-binding site
in gp120. We identified specific residues in both the V3 and V4/C4
regions of 8x gp120 that contribute to the CD4-independent phenotype. In addition, a frameshift (FS) mutation in the cytoplasmic domain of 8x
gp41 and a conservative Arg to Lys mutation at the base of the V3 loop
contributed to CD4 independence and influenced exposure of CD4-induced
determinants in gp120. HXBc2 Envs made CD4 independent by the
introduction of regions or mutations from 8x were invariably more
sensitive to neutralization by HIV- 1-positive human sera,
suggesting that the humoral immune response may provide strong
selective pressure against the CD4-independent phenotype in vivo. The
study of CD4-independent viruses provides a means to dissect the steps
leading to Env-mediated membrane fusion by genetically identifying
residues in Env that presumably subserve the role of CD4 in
triggering conformational changes. In addition, CD4-independent viruses
provide a way to study the evolution of receptor use by primate
lentiviruses in vivo and, through the identification of
neutralization-sensitive Env proteins, suggest possible ways to modify
Env so as to generate more effective immunogens.
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MATERIALS AND METHODS |
Plasmids and viruses.
Parental 8x and HXBc2 Envs were
expressed in pSP73 (Promega) as described previously (16).
HXBc2-based chimeras containing the entire 8x gp120 or the 8x V1/V2,
V3, or V4/C4 domains either alone or with the 8x gp41 were constructed
using KpnI, DraIII, StuI,
Bsu36I, BsaBI and BamHI sites as
described previously (21). Site-directed mutations in V3,
V4/C4, and gp41 were made using the Quickchange site-directed
mutagenesis kit (Stratagene) by using conditions recommended by the
manufacturer. Human CXCR4 and CD4 were expressed in pCDNA3
(Invitrogen), while the luciferase gene was expressed in pGEM2
(Promega) under control of the T7 promoter. Chimeras between 8x and
JRFL were made by using the conserved BsaBI site at
nucleotide 7673 of the HXBc2 sequence. Finally, the HIV-1 ADA Env
protein was made CD4 independent through the introduction of two
previously described amino acid changes, R190S and S197N
(19).
Cell-cell fusion assay.
This assay has been described in
more detail elsewhere (32). Briefly, effector quail QT6
cells were infected with recombinant vaccinia virus vTF1.1 expressing
T7 polymerase (1) and were transfected with Env constructs
via CaPO4. Target QT6 cells were transfected with CXCR4
and/or CD4 plasmids under control of the cytomegalovirus promoter and
the luciferase gene under control of the T7 promoter. The next day,
effector cells were added to target cells and allowed to fuse for at
least 7 h. Fusion was measured by quantification of luciferase in
cell lysates. For neutralization experiments, sera from HIV-1-positive
individuals or seronegative controls were incubated with effector cells
at the indicated dilutions for 1 h prior to addition to target
cells. Serum was present at the same dilution during the cell-cell
fusion assay, and neutralization was scored as a percent reduction in luciferase activity.
Surface expression and 17b binding assays.
293T cells were
transfected with a plasmid containing the Env of interest and then were
incubated overnight at 37°C. The next day, Env-bearing cells were
washed once with phosphate-buffered saline. Cells were resuspended in
binding buffer (50 mM HEPES [pH 7.4], 2 mM magnesium chloride, 2 mM
calcium chloride, 0.5% bovine serum albumin) and were incubated with
either 1 µg of 17b/106 cells or with HIV-positive human
sera (1:100 dilution incubated with 106 cells) for 20 min
at room temperature. Cells were washed once with phosphate-buffered
saline and were resuspended in 50 µl of binding buffer. Iodinated
anti-human immunoglobulin G (100,000 cpm in 50 µl of binding buffer)
was added to the cells and was incubated for 1 h at room
temperature. Cells were collected onto Brandel grade GF/B filters with
wash buffer (the same as binding buffer plus 150 mM sodium chloride and
without bovine serum albumin) using a cell harvester. Filters were
counted using a Wallac Wizard 1470 automatic gamma counter. Percent
binding was determined by dividing the counts from the filters by the
input radioactivity.
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RESULTS |
Regions of gp120 responsible for CD4 independence.
A
CD4-independent variant of the prototype X4 HIV-1 HXBc2 Env protein
termed 8x that mediates infection and cell-cell fusion on several
CXCR4-positive, CD4-negative cell types has been described previously
(16, 21). In addition, 8x Env was neutralization sensitive
and exhibited constitutive exposure of CD4-induced epitopes recognized
by monoclonal antibodies 17b and 48d (16). Using chimeras
between HXBc2 and 8x, it was found that the V4/C4 and gp41 regions of
8x contributed to the CD4-independent phenotype (21).
Thus, CD4 independence mapped, in part, outside regions of Env
previously implicated in determining coreceptor specificity (i.e.,
V1/V2 and V3) and potentially within a highly conserved area of the
gp120 core thought to comprise a chemokine receptor binding site
(31). Previous experiments showing the stable exposure of
the 17b epitope in 8x gp120, which overlaps this region, are consistent
with the idea that CD4-independent Envs exist in a partially triggered conformation.
To identify regions of the 8x Env that conferred CD4 independence,
neutralization sensitivity, and exposure of the 17b epitope, we
introduced additional portions of the 8x Env into the CD4-dependent HXBc2 protein and tested the abilities of the chimeras to mediate fusion with cells expressing CXCR4 alone or in combination with CD4.
The chimeras are specified by the region(s) of 8x introduced into an
HXBc2 background. Thus, 8x(V3) refers to a chimera in which the V3
region of 8x is introduced into an HXBc2 background, 8x(gp41) refers to
a chimera containing the HXBc2 gp120 and 8x gp41 subunits, while
8x(V3,gp41) refers to a chimera containing both the 8x V3 loop and gp41
subunits. Cell-cell fusion assays were employed rather than virus
infection assays because we have been unable to efficiently pseudotype
the 8x Env protein onto virus particles.
As previously shown, neither the 8x gp41 nor the V1/V2, V3, or V4/C4
regions alone conferred CD4 independence on HXBc2 (Fig.
1;
21). A chimera containing
the entire 8x gp120 subunit with
the HXBc2 gp41 mediated a modest
degree of CD4 independence, though
the fusion activity of this chimera
in the presence of CD4 was
reduced. The other chimeric Env proteins
efficiently elicited
membrane fusion when CD4 was present,
indicating that they were
functional (Fig.
1). However, the
combination of the V3 region
of 8x along with the 8x gp41 subunit
[8x(V3,gp41)] conferred CD4
independence on HXBc2 that was
comparable to that seen with 8x
Env. Similarly, as reported previously
(
21), the V4/C4 region
of 8x in conjunction with the 8x
gp41 domain conferred CD4 independence
equally well (Fig.
1). The 8x
V1/V2 region did not impart CD4
independence, either with or without
the 8x gp41 (data not shown
and reference
21). These
results indicated that both the V3
and V4/C4 domains of the 8x protein
contained important determinants
for CD4 independence but that these
functioned only in the presence
of the 8x gp41 subunit.

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FIG. 1.
Regions in 8x gp120 that confer CD4 independence.
Cell-cell fusion assays were performed to identify regions required for
CD4 independence as described in Materials and Methods. (Left panel)
Env chimeras containing regions from the CD4-independent 8x (shown in
black) and the parental CD4-dependent HXBc2 (shown in gray) were
generated. (Right panel) Fusion efficiency relative to wild-type HXBc2
for each construct in the presence of CD4 is shown by the column of
numbers on the right side of the figure. Shown is the extent of
CD4-independent fusion graphed as a percentage of maximal fusion seen
with CD4 for each Env chimera ± the standard error of the mean.
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The contribution of gp41 to CD4 independence.
There are six
mutations in the 8x gp41 ectodomain, two of which have been observed in
other Env clones derived from the HIV-1 IIIB family. In addition, the
8x gp41 has a single nucleotide deletion that results in an FS at
position 706 and a truncated cytoplasmic domain of only 27 amino acids.
While truncations in the cytoplasmic domain of SIV Env proteins derived
from viruses grown in human cells are relatively common, truncations of
the HIV-1 Env cytoplasmic domain are unusual. In addition, the 8x gp41
also has two point mutations distal to the FS in the "nonsense" region of the tail that changes a Glu to Lys at position 706 and a Pro
to His at position 723 (21). To determine if the 8x FS mutation contributed to CD4 independence, we introduced the identical mutation in HXBc2 Env [8x(FS)]. The resulting 8x(FS) protein was strictly CD4 dependent (Fig. 2). We
then introduced the 8x V3 region [8x(V3,FS)], the 8x V4/C4 region
[8x(V4/C4,FS)], or both domains [8x(V3,V4/C4,FS)] into the
HXBc2 Env containing the gp41 FS. All three of these chimeras were CD4
independent, with the 8x(V3,V4/C4,FS) chimera giving maximal fusion
activity in the absence of CD4 (Fig. 2). All Envs were competent for
fusion in the presence of CD4 (Fig. 2). The FS mutation did not affect
surface expression of the proteins (data not shown) but rather
influenced exposure of the 17b epitope as discussed below. Finally, we
introduced a stop codon in gp41 at the site of the FS mutation. We
found that constructs bearing this premature stop codon functioned
identically to those with the FS mutation (data not shown). Thus,
truncation of the gp41 cytoplasmic domain either by a premature stop
codon or by an FS mutation in combination with either the V3 or V4
regions of 8x gp120 was sufficient to confer the CD4-independent
phenotype on HXBc2.

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FIG. 2.
The transmembrane region of 8x is required for CD4
independence. Cell-cell fusion assays were performed to determine the
contribution of the FS mutation present in 8x gp41 to CD4 independence.
On the left, percent CD4 independence refers to the amount of fusion
observed in the absence of CD4 relative to the amount of fusion seen in
its presence ± the standard error of the mean. The numbers at the
top of the graph indicate the amount of fusion observed in the presence
of CD4 and CXCR4 relative to that seen with the HXBc2 Env protein.
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Determinants in the V3 region important for CD4 independence.
The V3 loop region of 8x contains four mutations (R298K, Q310H, I320V,
and N339S) relative to the parental HXBc2 (21). To determine which mutations were necessary for CD4 independence, we used
the 8x(V3,gp41) chimera as a template. Each residue was changed
individually back to the wild-type sequence, and the effects on
cell-cell fusion were determined (Fig.
3A). Then, to determine which residues
were sufficient for CD4 independence, we introduced each mutation
individually into a protein containing the HXBc2 gp120 subunit and the
8x gp41 domain [8x(gp41)] (Fig. 3B).

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FIG. 3.
Determinants in the V3 region important for CD4
independence. (A) To identify residues required for CD4 independence,
the 8x(V3,gp41) chimera was used. Each of the four V3 loop mutations
found in 8x Env was changed individually back to the wild-type HXBc2
sequence, and their effects on fusion in the presence of CD4 and CXCR4
(far right column of numbers) or in the absence of CD4 (graphed as
percent CD4 independence) are shown. The percent CD4 independence
represents the extent of fusion observed in the absence of CD4 divided
by the extent of fusion in its presence for each individual
construct ± the standard error of the mean. (B) To identify
residues in the V3 region sufficient for CD4-independent membrane
fusion, individual 8x mutations were introduced into the 8x(gp41)
chimera and the extent of fusion in the presence and absence of CD4 was
determined as in panel A.
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When 8x mutations were removed individually from the 8x(V3,gp41)
chimera, K298R eliminated CD4-independent fusion, V320I almost
completely eliminated CD4 independence, S339N had a moderate effect,
and H310Q had a negligible effect on CD4-independent membrane
fusion
(Fig.
3A). When 8x mutations were introduced into the 8x(gp41)
chimera,
I320V was the only mutation that was sufficient to confer
CD4
independence, reaching a level approximately half that of
the 8x Env
protein (Fig.
3B). Therefore, the R298K and I320V mutations
appear to
be the major contributors to the CD4-independent phenotype
in the 8x V3
region.
Determinants in the V4/C4 region important for CD4
independence.
The V4/C4 region of the 8x Env contains four point
mutations (N386K, E403K, I423V, and K429E) and a five-amino-acid
deletion (WFNST at position 395 to 399) compared to the parental HXBc2. Among these, E403K, K429E, and the deletion are present in other members of the IIIB virus family, making it less likely that they substantially impact CD4 independence (21). Therefore, we
examined the effects of the two novel mutations, N386K and I423V, on
CD4-independent fusion. We confirmed that the N386K mutation resulted
in the loss of a carbohydrate structure, as this mutation resulted in a
2-to-3-kDa shift in apparent molecular mass as judged by sodium dodecyl
sulfate-polyacrylamide gel electrophoresis and Western blotting (data
not shown), consistent with an earlier study demonstrating that all
potential N-linked carbohydrate addition sites in gp120 are in fact
utilized (24). To determine if either mutation was
sufficient for CD4-independent fusion activity, we introduced I423V or
N386K into the 8x(gp41) chimera (Fig.
4A). The N386K mutation alone was
sufficient to confer nearly full CD4 independence on the 8x(gp41)
chimera, while the I423V mutation had little effect either alone or in
combination with N386K. To determine if either mutation was necessary
for CD4 independence, we changed each residue back to the HXBc2
sequence in the 8x(V4/C4,gp41) chimera, which contained these two
mutations (Fig. 4B). Both the K386N and V423I mutations reduced
CD4 independence about a third, while changing both of these residues
back to the HXBc2 sequence further reduced CD4-independent fusion.
Therefore, the N386K mutation is the most important determinant for CD4
independence in the V4/C4 region, although the I423V mutation also
contributes to this phenotype.

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FIG. 4.
Determinants in the V4 region important for CD4
independence. (A) To identify residues in the V4 region that were
sufficient for CD4 independence, the two novel mutations (I423V and
N386K) found in 8x were introduced individually or together into the
8x(gp41) chimera. To determine if it was the loss of a glycosylation
site at position 386 or the presence of a Lys residue that contributed
to CD4 independence, additional substitutions at this site were made,
either with or without the I423V mutation. The extent of fusion in the
presence of CD4 is shown (relative to HXBc2 Env) by the column of
numbers on the far right, while the panel depicts the extent of fusion
observed in the absence of CD4 relative to the amount of fusion
observed in its presence for each construct ± the standard error
of the mean. (B) To identify residues in the V4 region required for
CD4-independent membrane fusion, the 8x(V4,gp41) chimera was used.
Residues 386 and 423 were changed back to the wild-type HXBc2 sequence
alone or in combination, and the extent of fusion was observed in the
presence or absence of CD4, determined as in panel A.
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Because the N386K mutation resulted in the removal of a highly
conserved N-linked glycosylation site in the vicinity of the
chemokine
receptor binding site in Env (
31), we substituted
additional residues at this position to determine whether it was
the
loss of glycosylation or the presence of a lysine that was
responsible
for the CD4-independent phenotype (Fig.
4A). Introduction
of an alanine
at position 386 (N386A) failed to confer CD4 independence
on 8x(gp41),
indicating that loss of the glycosylation site at
this position did not
account for CD4 independence. Interestingly,
introduction of a
different, positively charged amino acid at
this position (N386R) also
failed to confer CD4-independent fusion.
Thus it appears that the
specific acquisition of a lysine at this
position is responsible for
the CD4-independent
phenotype.
Regions in 8x responsible for neutralization sensitivity.
In
addition to being CD4 independent, the 8x virus is approximately one
log more sensitive to neutralization by HIV-positive human sera
(16). We have found that a number of CD4-independent SIV
strains are also neutralization sensitive relative to closely related,
CD4-dependent virus strains (B. Puffer and R. W. Doms, unpublished
data). To determine if CD4 independence and neutralization sensitivity
are linked, we examined the Env proteins used to map determinants for
CD4 independence for their sensitivity to neutralization. Because our
previous study looked at neutralization by only two human serum
samples, we first determined if the neutralization-sensitive phenotype
of 8x would be manifest using a larger panel of HIV immune sera by the
cell-cell fusion assay. We found that the 8x Env protein was more
neutralization sensitive to every serum tested in this assay (Fig.
5A). A representative serum sample
(sample 15 in Fig. 5A) was then tested for the ability to neutralize
fusion mediated by the 8x and HXBc2 Env proteins over a broad
concentration range. The 8x Env was more sensitive to neutralization
than HXBc2 Env at all serum concentrations tested (Fig. 5B). In
subsequent experiments, we used a 1:100 dilution of this serum to
determine if the various chimeric and mutant Envs were neutralization
sensitive.

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FIG. 5.
Neutralization sensitivity of 8x Env. (A) The ability of
16 different HIV-positive human sera to inhibit HXBc2 or 8x
Env-mediated cell-cell fusion was determined at a 1:100 dilution. The
graph is a representative experiment, with 100% fusion being the
activity observed in the presence of normal human serum. (B) Serum
sample no. 15 was tested for its ability to block 8x and HXBc2-mediated
membrane fusion at various concentrations. The percent fusion is based
on the ability of each Env to elicit fusion in the presence of
HIV-negative human serum at the same concentration. The graph is a
representative experiment.
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We found that CD4-independent chimeric Env proteins containing the 8x
gp41 and either the V3 [8x(V3,gp41)] or V4/C4 [8x(V4/C4,gp41)]
regions of 8x Env were as neutralization sensitive as the full-length
8x Env protein (Fig.
6). Thus, changes in
both the V3 and V4/C4
regions influence neutralization sensitivity as
well as CD4 independence
in the context of the 8x gp41. We next
examined the neutralization
sensitivity of the various point mutants
used to map determinants
for CD4 independence by introducing them into
the 8x(gp41) chimera
(Fig.
6A). The R298K mutation in the V3 region of
8x Env did not
confer CD4 independence and only slightly increased the
neutralization
sensitivity of this Env. By contrast, the I320V
mutation, which
conferred partial CD4 independence, had a more profound
effect,
increasing neutralization sensitivity to a level comparable
with
that of 8x. The reciprocal mutants were also examined using the
8x(V3,gp41) chimera, which is relatively CD4 independent and
neutralization
sensitive (Fig.
6A). Changing Val 320 back to the Ile in
the HXBc2
sequence markedly reduced CD4 independence and made the Env
protein
more resistant to neutralization. However, changing Lys 298 back
to the Arg in the HXBc2 sequence, which ablated CD4 independence,
resulted in an Env that remained neutralization sensitive. Therefore,
within the V3 region of 8x the I320V mutation is largely responsible
for increased sensitivity to neutralization by HIV-positive human
sera.

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FIG. 6.
Relationship between CD4 independence and neutralization
sensitivity. Fusion assays with the indicated Env proteins were
performed in the presence of a 1:100 dilution of either normal human
serum or HIV-positive human serum. The efficiency with which each Env
mediated CD4-independent membrane fusion (derived from Fig. 2 to 4) is
shown for convenience. Chimeras containing the indicated 8x domains and
the V3 region point mutations described in Fig. 3 are shown in panel A,
while the V4 point mutations described in Fig. 4 are shown in panel
B.
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Mutations in the V4/C4 region of 8x were also examined for their
ability to modulate neutralization sensitivity (Fig.
6B).
When
introduced into the 8x(gp41) chimera, all mutations at positions
423 and 386 increased sensitivity to neutralization and did so
to similar
degrees. However, as noted previously, only the N386K
mutation was
capable of conferring CD4 independence. Mutations
N386R and N386A did
not impart CD4 independence but did render
the Env more sensitive to
neutralization (Fig.
6B). Thus, loss
of an N-linked glycosylation site
at position 386 results in enhanced
neutralization sensitivity but not
necessarily in CD4
independence.
Exposure of the 17b determinant.
A region known as the
bridging sheet, which connects the inner and outer domains of gp120,
has been shown to play a critical role in CCR5 binding. Due to its
highly conserved nature, this domain likely interacts with CXCR4 as
well (31). The 17b monoclonal antibody (MAb) recognizes a
CD4-induced epitope that largely overlaps this putative coreceptor
binding site (20, 35). It has been argued that detection
of this epitope can be used as a surrogate for exposure of the
chemokine receptor binding site (16, 31). As we have
shown, 17b binds well to soluble 8x gp120 in the absence of CD4 whereas
HXBc2 does not (16). To determine to what extent 17b
reactivity correlated with CD4 independence and neutralization sensitivity, we developed a cell-surface binding assay in which 17b was
incubated with cells expressing the desired Env protein for 20 min,
after which bound 17b was detected with an iodinated secondary
antibody. This assay was used because, once bound, 17b exhibits a
relatively fast off rate from 8x relative to HXBc2 gp120, most likely
due to a mutation involving a contact site for this antibody
(16). We found that very brief wash steps could be
employed with this cell-surface binding assay, whereas the additional
wash steps required for fluorescence-activated cell sorter analysis
resulted in a considerable loss of signal. Even with the cell-surface
binding assay, however, we are probably underestimating the amount of
17b bound to the 8x protein.
We found that cells expressing the 8x Env bound 17b approximately
fivefold better than cells expressing HXBc2 Env, consistent
with our
earlier findings using soluble gp120 (Fig.
7A). Surprisingly,
exposure of the 17b
epitope was found to be largely influenced
by changes in gp41. As shown
in Fig.
7A, 17b bound well to 8x(gp41)
but poorly to the 8x(gp120)
chimera. Since the FS in the 8x gp41
cytoplasmic tail contributes to
CD4 independence (Fig.
2), we
measured 17b binding to an HXBc2 Env that
contained only this
mutation, 8x(FS). Although this protein remained
CD4 dependent,
it bound 17b as well as the 8x Env (Fig.
7A).
Importantly, when
HIV-positive human sera were used to assess surface
expression,
all Env proteins were shown to be expressed at similar
levels
(data not shown). Thus, although the 8x FS mutation alone was
not sufficient to induce CD4 independence, it did cause an apparent
conformational change in gp120 that increased exposure of the
17b
epitope.

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FIG. 7.
Relationship between CD4 independence and exposure of a
CD4-induced epitope. The CD4-induced MAb, 17b, was used in a
cell-surface binding assay as described in Materials and Methods. The
Env proteins indicated in panels A and B were expressed in 293T cells,
and the extent of 17b binding relative to 8x Env, ± the standard error
of the mean, was determined. The efficiency with which each Env
mediated CD4-independent membrane fusion (derived from Fig. 2 and 3) is
shown for convenience.
|
|
We also evaluated 17b epitope exposure in chimeras containing the
8x(V3) or 8x(V4/C4) domains. In general, Envs containing
the 8x gp41
domain exhibited enhanced binding to 17b relative
to the HXB Env
regardless of whether they were CD4 independent
or not (Fig.
7B and
data not shown). Thus, exposure of the coreceptor
binding site as
judged by 17b binding does not strictly correlate
with the
CD4-independent phenotype. Interestingly, we did find
that residue 298 in the V3 loop could affect 17b binding. The
8x(V3,gp41) chimera bound
17b well and was CD4 independent (Fig.
7B). However, if residue 298 was
then changed from a Lys to an
Arg (as is found in the HXBc2 sequence),
both CD4 independence
and 17b binding were lost (Fig.
7B). Since the
17b epitope does
not include any portion of the V3 loop, we speculate
that mutation
of residue 298, located at the base of the V3 loop,
modulates
the orientation of the V3 loop. In the native HXBc2 Env, the
V3
loop may help shield the 17b epitope, while in the 8x Env the
R298K
mutation appears to alter the orientation of the V3 loop
in such a way
that the 17b determinant is more accessible. In
contrast, the I320V
mutation in the 8x V3 loop, also shown to
affect CD4 independence, had
the opposite effect. Introduction
of I320V into the 8x(gp41) Env
allowed CD4-independent fusion
but actually reduced 17b
reactivity.
Introduction of CD4-independent determinants into heterologous Env
proteins.
Finally, we determined whether the N386K and I423V
mutations could render a heterologous Env protein CD4 independent.
These residues were chosen because of their conserved nature and their ability to render HXBc2 CD4 independent provided the 8x gp41 subunit was present. We used the R5 virus strain ADA, and we also used a
CD4-independent variant of ADA described by Kolchinsky et al. (ADA-CD4i) containing two amino acid changes in the V1/V2 region (R190S
and S197N) as a positive control (19). Fusion elicited by
ADA-CD4i in the absence of CD4 was observed at a level only 20% that
of this Env with CD4 (Fig. 8A).
Introducing N386K and I423V into ADA either alone or in combination on
the CD4-dependent ADA Env failed to confer CD4 independence on ADA.
Unfortunately, an ADA gp120/8x gp41 chimera was nonfunctional (data not
shown). The N386K and I423V mutations also failed to render the
R5-tropic Env, JRFL, CD4 independent on CCR5-expressing target cells
when the 8x V4/C4 domain was transferred to JRFL alone or in
combination with the 8x gp41 (Fig. 8B). Thus, the ability of the N386K
and I423V mutations in conjunction with changes in gp41 to confer CD4
independence is context dependent.

View larger version (37K):
[in this window]
[in a new window]
|
FIG. 8.
Regions in 8x important for CD4 independence are not
transferable to heterologous envelopes. Cell-cell fusion assays were
used to determine if residues in 8x gp120 important for CD4
independence can make heterologous Envs CD4 independent. The indicated
mutations or 8x domains were introduced into the R5 Envs ADA (A) and
JRFL (B). The percentage of fusion relative to the wild-type (wt) Env
is shown ± the standard error of the mean.
|
|
 |
DISCUSSION |
Sequential binding of the HIV-1 Env protein to CD4 and a
coreceptor provides the signals necessary to activate Env's membrane fusion potential (7). Since CXCR4 is expressed in many
CD4-negative cell types, the requirement for CD4 binding would appear
to greatly restrict the tropism of X4 and R5X4 virus strains.
Nonetheless, naturally occurring CD4-independent HIV-1 strains have not
been identified. This stands in stark contrast to SIV, as many primary SIV strains have been identified that can infect CCR5-positive cells
independently of CD4, suggesting that CCR5 was the primordial receptor
for the primate lentiviruses (2, 9-11, 17, 25, 28). While
CD4-independent primary HIV-1 strains have not been identified, viruses
that can utilize either CCR5 or CXCR4 in the absence of CD4 are
relatively easy to generate in vitro by passaging virus on
CD4-negative, coreceptor-positive cells (8, 16, 19, 21).
In all cases, CD4 independence is the consequence of a small number of
mutations in Env. Given the replication rate of HIV-1 and the
mutability of this virus in vivo, one would anticipate that
CD4-independent viruses would arise in vivo unless there was selective
pressure that prevented their development.
Our study shows that one consequence of CD4 independence exhibited by
8x is markedly increased sensitivity to antibody-mediated neutralization. Every CD4-independent version of HIV-1 HXBc2 Env we
examined was considerably more sensitive to neutralization by
HIV-positive human sera than was the parental HXBc2 Env. In addition,
we found that CD4-independent SIV strains are universally more
sensitive to neutralization by SIV-positive rhesus macaque sera than
are closely related CD4-dependent SIV strains (Puffer and Doms,
unpublished). This suggests that the humoral immune response applies
significant selective pressure against CD4 independence in vivo. In the
case of SIV, this selective pressure may be counteracted by the fact
that macrophages from rhesus macaques have very low levels of CD4,
providing selective pressure for CD4 independence (27). By
contrast, human macrophages typically express relatively high levels of
CD4 per cell, though there is considerable donor variability
(23). In addition, most CD4-independent SIV isolates have
been obtained from rhesus macaques. It will be important to determine
if CD4-independent SIV strains are common in their natural hosts. As
noted previously, the majority of primary HIV-2 isolates have been
shown to be CD4 independent on either CCR5 or CXCR4 to some degree
(28). In the case of HIV-1, it will be interesting to
determine if CD4-independent HIV-1 strains evolve in vivo at late
stages of disease, in individuals with poor humoral responses, or in
antibody-privileged sites such as the central nervous system.
While all CD4-independent Envs identified in this study were
neutralization sensitive, we have not fully identified the determinants responsible for this phenotype. In an earlier study, it was shown that
a V3 loop antibody neutralized CD4-dependent and -independent versions
of HXBc2 equally well, while the CD4-induced antibodies 17b and 48d
were far more effective at neutralizing 8x (16). Whether
the CD4-induced determinants recognized by these antibodies are
responsible for the enhanced neutralization activity exhibited by
HIV-positive human sera for CD4-independent Envs remains to be
determined. However, we found a good but imperfect correlation between
exposure of the 17b epitope and neutralization sensitivity. While most
Envs that bound 17b in the absence of CD4 were neutralization sensitive, there were exceptions. For example, the Env chimera containing the HXBc2 gp120 and 8x gp41 subunits bound 17b efficiently but was CD4 dependent and neutralization resistant. This makes it
likely that the mechanisms responsible for neutralization sensitivity are complex, involving multiple determinants. Indeed, several studies
have shown that deletions in the V1/V2 region of Env result in enhanced
sensitivity to neutralization and that this involves determinants
associated with the V3 loop and the CD4-binding site, as well as
conserved regions in gp120 that have not yet been identified (3,
5, 34). The conserved bridging sheet region in gp120, already
shown to play an important role in coreceptor binding and containing a
portion of the 17b epitope, is an obvious target for such antibodies.
It will be useful to probe closely related CD4-dependent and
-independent Envs with a panel of MAbs to identify which regions of Env
are responsible for neutralization sensitivity and whether this is due
simply to increased antibody binding or to other reasons.
The failure of Env immunogens tested thus far to elicit broadly
cross-reactive neutralizing antibodies has spurred interest in
generating modified forms of Env in the hopes that antibodies can be
elicited to functionally important regions that are either not
immunogenic or are poorly accessible in the native Env trimer. Structural studies have identified highly conserved regions in Env
responsible for receptor binding and membrane fusion that are real or
potential targets of small molecule inhibitors or neutralizing
antibodies (4, 7, 20, 39). Generally, these regions are
exposed transiently as a consequence of the conformational changes
initiated by receptor binding. Such structural intermediates of the
fusion process can be targets for small molecule inhibitors. The
peptide T20 binds to the triple-stranded coiled-coil structure of gp41,
preventing it from forming the six-helix bundle that is the proximal
cause of membrane fusion (18, 26). Whether antibodies will
have access to these or other conserved determinants and so be able to
inhibit membrane fusion is not clear. The fact that our CD4-independent
Envs exhibit enhanced sensitivity to neutralization by all HIV-positive
human sera we have tested indicates that the epitopes responsible for
this phenotype are targeted in the majority of patients. Nevertheless,
there is no evidence to suggest that this has a significant effect upon
virus load. Rather, this suggests that these regions are simply not
accessible in CD4-dependent Env proteins either in the native state or
during the course of virus entry, arguing that while antibodies to
these determinants can be generated, they are not effective at
neutralizing CD4-dependent, neutralization-resistant virus strains.
Such antibodies could, however, preclude the development of
CD4-independent viruses in vivo.
While 8x gp120 proved to be incapable of eliciting antibodies competent
to neutralize CD4-dependent, primary isolates, there are potentially
many ways to genetically modify Env that could result in a more
effective immunogen. Perhaps the best evidence that genetic
modification of Env can generate a more potent immune response comes
from a study by Reitter and colleagues (30). In this
study, elimination of two N-linked glycosylation sites in SIVmac239
resulted in a fully replication-competent virus that was attenuated in
vivo, with the low virus loads being associated with high levels of
neutralizing antibodies. Interestingly, these changes also made the
virus largely CD4 independent (Puffer and Doms, unpublished).
Importantly, sera from animals infected with the partially
deglycosylated viruses were more effective in neutralizing the
parental, fully glycosylated SIVmac239, a virus that is notoriously difficult to neutralize. In our study, we used a highly
laboratory-adapted virus strain; perhaps modification of primary Env
proteins would produce a more effective immunogen. Recent advances in
understanding the structure of Env coupled with the identification of
the receptors needed to trigger conformational changes should make it
possible to more systematically modify Env and to assess the effects of these modifications on immunogenicity and antibody neutralization mechanisms.
Our study identified specific changes that can render the HIV-1 HXBc2
Env CD4 independent. These changes were context dependent in that they
did not render heterologous HIV-1 Envs CD4 independent. The most
surprising finding was that the FS mutation in gp41 was necessary for
CD4 independence. Biochemical studies have shown that truncations in
the cytoplasmic domain of gp41 can affect the conformation of the gp41
ectodomain, although the mechanism for this effect and its consequences
are unknown (33). Interestingly, we showed that the 8x FS
mutation, which leads to a truncated cytoplasmic domain of gp41,
affected the conformation of gp120. Thus, HXBc2 Env with the 8x FS
mutation exhibited markedly enhanced binding to 17b in the absence of
CD4. Provided that the FS mutation was present, a single amino acid
change in either the V3 loop (I320V) or V4 region (N386K) could
independently confer CD4 independence. Remarkably, loss of the 8x R298K
mutation in the 8x(V3,gp41) chimera resulted in complete loss of CD4
independence and 17b exposure, indicating that this conservative change
at the base of the V3 loop significantly impacts the structure and
function of Env. An Arg at this position is highly conserved among HIVs
and SIVs and has been implicated as playing an important role in
chemokine receptor interactions (37, 38).
Changes in V4/C4 contributed to CD4 independence to a lesser extent.
The mutation at position 386 resulted in the loss of an N-linked
glycosylation site, but it was the specific substitution of a Lys at
this position that was required for CD4 independence. Since this
residue is either a part of or close to the conserved coreceptor
binding region, the introduction of a positively charged residue could
enhance binding of gp120 to CXCR4, which is highly negatively charged.
However, we have found that 8x gp120 binds to CXCR4 with an affinity
that is very close to that of the parental HXBc2 gp120
(15). A plausible mechanism by which the conservative I320V mutation contributes to CD4 independence is not readily apparent.
In a previous study, it was observed that 8x gp120 bound directly to
CXCR4 and readily bound MAb 17b (16). Thus, it was concluded that CD4 independence was associated with stable and constitutive exposure of the coreceptor binding site. The results from
the present study indicate that this view is overly simplistic and that
mere exposure of the coreceptor binding site alone is not sufficient
for CD4 independence. Likewise, CD4 independence was not always
associated with exposure of the 17b epitope. As shown in Fig. 6A and B,
constructs such as 8x(gp41) with or without the R298K mutation
exhibited 17b reactivity but were completely CD4 dependent. It is
possible that differences between the 17b epitope and the coreceptor
binding site could explain these findings. Full understanding of how an
Env protein can function independently of CD4 will require a better
understanding of the roles CD4 and coreceptor play in triggering the
conformational changes in Env that ultimately lead to membrane fusion.
At present, it is known that binding to CD4 either is required for
subsequent coreceptor binding or makes coreceptor binding far more
efficient. At some point, conformational changes are triggered in the
gp41 subunit, involving the formation of a triple-stranded coiled coil
composed of one N-terminal helical domain contributed by each gp41
subunit in the Env trimer. Subsequent to this, C-terminal helices pack into grooves present on the outside of the triple-stranded coiled coil,
forming a six-helix bundle (4, 39). The formation of the
six-helix bundle is the proximal cause of membrane fusion. A recent
study by Melikyan et al. (26) coupled with an earlier study by Furuta et al. (13) argue that CD4 binding alone
is sufficient to result in formation of the triple-stranded coiled coil. If so, then coreceptor binding alone must subserve this function
in CD4-independent Env proteins. As a result, the changes we and others
have identified as being important for CD4 independence could exert
their influence not only in modulating how Env binds to coreceptors but
in how the conformational changes are triggered.
 |
ACKNOWLEDGMENTS |
We thank James Robinson (Tulane University) for providing MAb 17b.
This work was supported by National Institutes of Health grants NIH R21
AI44308 to C.C.L., NIH R01 45378 to J.A.H., and NIH R01 35383 and
-40880 to R.W.D. This work was also supported by a Burroughs Wellcome
Fund Translational Research Award to R.W.D. R.W.D. is a recipient of an
Elizabeth Glaser Scientist Award from the Pediatric AIDS Foundation.
S.W. and F.B. (grant number 823A-61172) were supported by fellowships
from the Swiss National Science Foundation.
 |
FOOTNOTES |
*
Corresponding author. Mailing address: University of
Pennsylvania, Dept. of Pathology and Laboratory Medicine, 806 Abramson, 34th and Civic Center Blvd., Philadelphia, PA 19104. Phone: (215) 898-0890. Fax: (215) 573-2883. E-mail:
doms{at}mail.med.upenn.edu.
 |
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0022-538X/01/$04.00+0 DOI: 10.1128/JVI.75.11.5230-5239.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
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