INTRODUCTION

Top Abstract Introduction Materials and Methods Results Discussion References

The broadly neutralizing antibody immunoglobulin G1 (IgG1) b12, directed to an epitope overlapping the CD4 binding site of gp120, was originally isolated from a human immunodeficiency virus type 1 (HIV-1)-infected individual by means of phage-display library cloning (11). This antibody neutralizes T-cell-line-adapted (TCLA) viruses and a broad range of primary viruses in various in vitro assays (13, 30, 41, 52). Several studies demonstrated that IgG1 b12 completely protects severe combined immunodeficiency (SCID) mice populated with human peripheral blood lymphocytes (hu-PBL-SCID mice) from infection with both TCLA and primary viruses (21, 41). The protection against primary viruses is apparent even if the antibody is given several hours after viral challenge (21). Furthermore, IgG1 b12 also protected against vaginal challenge with a pathogenic R5 SHIV (simian immunodeficiency virus [SIV]/HIV chimera expressing HIV-1 envelope) in rhesus macaques (43). In addition to IgG1 b12, a second broadly neutralizing monoclonal antibody (MAb) to gp120 (2G12 [53]) and three broadly neutralizing MAbs to gp41 (2F5, Z13, and 4E10 [9, 39, 60]) have been described. Recent studies demonstrated that 2G12 and 2F5, alone or in combination with one another, can protect against intravenous and/or mucosal SHIV challenge in macaques (3, 35, 36). Sterile protection typically requires that high antibody serum concentrations be achieved (e.g., in vitro neutralization titers of 1:100 or greater) (40, 42, 43), although some exceptions have been noted. In vaginal challenge studies with SHIV_89.6PD in rhesus macaques, for example, MAb 2G12 protected at antibody serum concentrations close to the 90% virus neutralization titer (36).

The antiviral activity of antibodies can be mediated by the neutralization of free virions or by binding to virus-specific proteins expressed on the surface of infected cells and the recruitment of Fc-mediated effector function (40).The importance of Fc-mediated effector function in protection against HIV-1 infection, however, is unclear. In a recent study, Binley and colleagues infused serum immunoglobulins purified from SIV_mac251-infected macaques (SIVIG) into other SIV_mac251-infected macaques and measured the impact on plasma viremia of infected animals. The effects on viral load observed were very modest and transient, with kinetics which seemed inconsistent with the neutralization of free viruses as the mechanism driving the effect, and a role of Fc-mediated effector mechanisms was therefore suggested. An experiment using SIVIG F(ab')₂ fragments to address this hypothesis, however, was inconclusive (7).

Fc receptors expressed on human peripheral blood cells play an important role in stimulating a variety of cytotoxic, phagocytic, and inflammatory functions. Once a virus-infected cell is opsonized by IgG, it may cross-link FcR on the cell surface of an effector cell and mediate a cytotoxic response (antibody-dependent cellular cytotoxicity [ADCC]). Arrays of antibody Fc's presented on the surface of an infected cell may also activate the classical pathway of complement activation ultimately leading to cell lysis (complement-dependent cytotoxicity [CDC]).

Multiple sites on IgG have been proposed to interact with FcR. Mutagenesis studies have shown that the lower hinge region (234-LLGGPS-239) of IgG plays an important role in the binding of IgG Fc receptors (14, 19, 28, 33, 34, 38, 47, 58, 59). High-affinity binding to FcRI is most notably affected by mutation of L235. Mouse (m)IgG2b, which does not bind FcRI, has a glutamic acid at this position, and substitution of this residue by leucine was shown to restore the binding affinity of mIgG2b to be comparable to that of hIgG1 (19). The binding affinity of IgG for FcRII, in contrast, seems more sensitive to mutations of L234 than L235, indicating that the FcR interaction sites are overlapping but not identical (33). Residues in the lower part of the hinge region itself and the lower CH2 domain in addition may have a modulating effect on FcR affinity (15, 33).

Complement activation via the classical pathway is activated through binding of C1q to the Fc domain of IgG or IgM, complexed with antigens (12, 25). Duncan and Winter (18) showed alanine substitutions in mIgG2b at positions E318, K320, K322, and N297, the last leading to the removal of carbohydrate, resulting in mutants in which binding to human C1q was strongly reduced compared to the wild type and the ability to mediate CDC was abrogated. Since E318, K320, and K322 are conserved residues in human IgG and IgG of several other species, they were designated the binding site for C1q (18). However, this binding motif has been conserved in all four human IgG subclasses which, in apparent conflict, exhibit large differences in their C1q binding abilities. Several studies have indeed implicated additional residues in C1q binding and have suggested that the binding sites for C1q on mIgG2b and hIgG are not completely identical (8, 27, 38, 51, 59). In a recent study on rituxan, a chimeric MAb with hIgG1 constant domains used in the therapy of non-Hodgkin's B-cell lymphomas, Idusogie and colleagues demonstrated that alanine substitution at positions D270, K322, P329, and P331 but not at positions E318 and K320 significantly reduced the ability of the chimeric MAb to bind C1q and activate complement, suggesting that E318 and K320 are only of minor importance for complement activation by hIgG1 (27). Some studies have furthermore suggested that C1q binding and complement activation may be modulated by residues in the lower hinge region (38). Thus, there are species differences in C1q binding. Finally, it has been shown that C1q binding alone is not sufficient for complement activation and complement-mediated cell lysis (51). Intrinsic factors, such as segmental flexibility of the hinge region (10, 50) but also extrinsic factors such as antigen specificity and density (5, 6), may play an important modulating role.

In the present study, we introduced point mutations in the heavy chain constant domain of IgG1 b12. Amino acid mutations were chosen on the basis of the studies discussed above. However, because of subtle species differences in C1q and FcR binding and the possible modulation of ADCC and CDC by antigen specificity and density, the impact of these mutations on the biological activity of IgG against HIV-1-infected cells was not immediately clear. The mutants were compared for their ability to bind FcR and C1q and to mediate ADCC and CDC. These mutants can now be used to examine the role of Fc-mediated effector function in protection against HIV-1 infection in vivo.

	MATERIALS AND METHODS

Top Abstract Introduction Materials and Methods Results Discussion References

Cell lines, viruses, and MAbs. Uninfected CEM-NKr and CEM-NKr cells chronically infected with HIV-1_MN were obtained from Shermaine Tilley (Public Health Research Institute, New York, N.Y.) (1). To obtain clones of the infected CEM-NKr cells with an increased level of envelope expression, we performed a limiting dilution and characterized for Env expression by flow cytometry. A clone with a higher level of Env expression (75% of cells expressing Env) was selected for our experiments. Adult human elutriated monocytes were obtained from Advanced Biotechnologies, Columbia, Md. HIV-1 primary isolates HIV-1_JR-CSF, HIV-1_JR-FL (contributed by Irvin Chen) (31), and HIV-1_89.6 (contributed by Ronald Collman) (16) were obtained from the National Institutes of Health (NIH) AIDS Research and Reagent Reference Program (ARRRP). IgG1-CLB was a purified paraprotein obtained from the CLB, Amsterdam, The Netherlands. Anti-FcRI MAb 10.1 was provided by Nancy Hogg (Leukocyte Adhesion Laboratory, London, United Kingdom). Fab 10.1 was prepared by papain digestion. Fab fragments of anti-FcRII MAb IV.3 and F(ab')₂ fragments of anti-FcRIII MAb 3G8 were provided by Medarex (Anandale, N.J.). Humanized OKT3 (IgG1 and IgG4) antibody was provided by Robert A. Zivin (R.W. Johnson Pharmaceutical Research Institute, Raritan, N.J.).

Mutagenesis of heavy-chain constant domain. Mutatagenesis was performed on the heavy-chain constant region derived from the IgG1 b12-expression plasmid pDR12 (see below) (13). A SacI-SalI endonuclease restriction fragment from pDR12, containing the CH2 fragment, was subcloned into M13 mp18. Site-directed mutagenesis (32) was performed using the Muta-gene M13 in vitro mutagenesis kit (Bio-Rad, Hercules, Calif.). Five clones encoding the desired changes (K322A, L234A, L235E, G237A, and L234A, L235A) were identified by automated DNA sequencing. The mutated SacI-SalI fragments were then cloned back into in the pDR12 expression vector.

Expression and purification of antibodies. Recombinant antibody was expressed in the vector pDR12 (provided by Raju Koduri and Dean Sauer). It contains a b12 light chain and heavy-chain expression cassette in which transcription is driven from a human cytomegalovirus promoter. The heavy-chain expression cassette contains the genomic human IgG1 gene. Selection and amplification of the plasmid was done on the basis of expression of the gene for glutamine synthetase (4).

Recombinant gp120 ELISA. IgG1 b12 and the Fc mutants were tested for binding to gp120 in ELISA essentially as described previously (17). Briefly, recombinant monomeric gp120_JR-FL (provided by Paul Maddon and Bill Olson, Progenics, Tarrytown, N.Y.) was coated to the wells of a microtiter plate by incubating overnight at 4°C. The plates were washed four times with PBS containing 0.05% (vol/vol) Tween 20 and blocked with 3% bovine serum albumin (BSA). The blocking solution was removed, and serial dilutions of the antibody set were added in duplicate (diluted in PBS-1% BSA-0.05% Tween 20) and incubated for 1 h at 37°C. The wells were washed and incubated for 1 h at 37°C with alkaline phosphatase-labeled goat anti-human IgG F(ab')₂ fragments (Pierce, Rockford, Ill.) (1:500 dilution in PBS-1% BSA-0.05% Tween 20). The plates were washed and developed with nitrophenol substrate (Sigma), and the absorbance was read at 405 nm.

HIV-1 neutralization. Neutralization of HIV-1 primary isolates was assessed using a phytohemagglutinin (PHA)-activated peripheral blood mononuclear cell (PBMC)-based assay as described previously (60). PBMCs (from three CCR5 wild-type donors) were isolated and stimulated with PHA (5 µg/ml) (Sigma) for 48 h, followed by PHA and interleukin-2 (40 U/ml) (obtained from the ARRRP, contributed by Hoffman-La Roche) for 72 h in RPMI 1640 medium containing 10% heat-inactivated FBS, 100 U of penicillin/ml, 100 µg of streptomycin/ml, and 2 mM L-glutamine. The antibodies were diluted, and 50 µl per well was pipetted into round-bottom microtiter plates, after which an equal volume containing 100 50% tissue culture infective doses of HIV-1 stock was added. The antibody-virus mixture was incubated for 1 h at 37°C. Next, 100 µl of PHA-activated PBMCs (5 × 10⁵/ml) was added to each well. After an overnight incubation, the cells were washed two times with tissue culture medium. On day 7, the cultures were collected and treated with 1% (vol/vol) Empigen (Calbiochem, La Jolla, Calif.). Triplicate samples were then tested for p24 content using an ELISA, as originally described by Moore et al. (37). In brief, sheep anti-p24 Ab D7320 (Aalo Bioreagents) was coated overnight on 96-well polystyrene enzyme immunoassay (EIA) plates (Costar) in 100 mM NaHCO₃, pH 8.5. The plates were washed in PBS, and p24 was captured from serial dilutions of the HIV-1-containing samples in PBS-0.1% Empigen. After a 3-h incubation, unbound p24 was washed away and bound p24 was detected with alkaline phosphatase-labeled antibody BC1071 (International Enzymes) diluted 1:3,000 in PBS containing 20% sheep serum and 2% nonfat dry milk. After a 1-h incubation, the plates were washed and developed with an AMPAK kit (Dako Diagnostics) as recommended by the manufacturer. Production of p24 antigen in the antibody-containing cultures was compared to p24 production in cultures without antibody run in the same assay, and the antibody concentrations resulting in a 90% reduction in p24 content were determined.

FcR binding assays. FcR binding assays were performed essentially as described by Parren et al. (45). Binding of antibody to FcR was assessed using antibody monomers or dimers as indicated. Antibody dimers were prepared by incubating overnight with F(ab')₂ fragments of mouse anti-human -light chain MAb K35 in a molar ratio of 1:1, which resulted in stable tetrameric complexes as detailed by Huizinga et al. (26). FcR-transfected cells (3 × 10⁵ in 100 µl of PBS-1% BSA) were incubated with 25 µl of serial dilutions of antibody monomers or dimers for 45 min at 4°C, washed, and then incubated with fluorescein isothiocyanate-labeled F(ab')₂ fragments of goat anti-human IgG. After washing, cell-bound antibody was detected using flow cytometry. The assays were performed using IIA1.6 cells transfected with FcRIA and -chain, or FcRIIa (H131), and Jurkat cells transfected with FcRIIIa (24, 45, 54, 55).

C1q ELISA. Antibody was diluted to 1.25 µg/ml in PBS and coated overnight at room temperature onto EIA ELISA plates (Costar, Corning, N.Y.). Plates were washed three times with PBS-0.05% Tween 20 and a titration of human C1q (Calbiochem) prepared in PTG (PBS-0.02% Tween-0.1% gelatin) was added. After a 4-h incubation at room temperature, the plates were washed four times with PBS-0.05% Tween 20. A mixture of goat anti-human C1q (Calbiochem) and rabbit anti-goat IgG alkaline phosphatase conjugate (Sigma), both diluted at 1/1,000 in PTG, was added, and the plates were incubated for 1 h at room temperature. The plates were washed four times and developed using nitrophenol substrate (Sigma). Absorbance was measured at 405 nm. All data are expressed as means of triplicates.

ADCC with TCLA HIV-1. ADCC was assessed in standard chromium release assays (56). Effector cells were either PBMCs or adult human elutriated monocytes, as noted in the text. The PBMCs were isolated by centrifugation over Histopaque-1077 (Sigma). Cells were washed in PBS and resuspended in RPMI 1640 containing 10% FCS, 2 mM L-glutamine, penicillin (50 U/ml), and streptomycin (50 µg/ml) at a density of approximately 4 × 10⁶ cells/ml and incubated overnight at 37°C prior to use as effector cells in ADCC. The following day, 10⁶ target cells were labeled with Na₂⁵¹CrO₄ (Amersham, Arlington Heights, Ill.) for approximately 2 h in 50 µl of fetal calf serum (FCS) containing 10 mM HEPES. These target cells were either uninfected CEM-NKr cells or CEM-NKr cells chronically infected with HIV-1_MN. After labeling, target cells were washed four times with RPMI 1640-10 mM HEPES. In each well of a microtiter plate, 10⁶ washed ⁵¹Cr-labeled target cells were incubated with antibody for 30 min at 37°C in a total volume of 150 µl. Then, 10⁶ PBMCs or 6 × 10⁵ human elutriated monocytes (monocytes were thawed rapidly at 37°C and washed once with RPMI 1640 before addition to target cells) were added as a source of effector cells in 50 µl of assay medium, bringing the total volume to 200 µl. The plates were spun at 1,000 rpm for 5 min in a Beckman GS-6R centrifuge to pellet the cells prior to a 4-h incubation at 37°C. At the end of this incubation period, plates were spun another time as described above, 100 µl of supernatant was collected, and ⁵¹Cr release was measured in a gamma counter (Packard, Meriden, Conn.). The percent specific lysis was calculated as follows: (experimental release  spontaneous release)/(total release  spontaneous release) × 100%. Total ⁵¹Cr release was determined by substituting 50 µl of antibody for Empigen detergent (Calbiochem). All data are expressed as the means of triplicate determinations.

CDC assay. Target cells (CEM-NKr cells; uninfected or infected with HIV-1_MN) were labeled by Na₂⁵¹CrO4 as described above. After three washes, the labeled cells were sensitized by adding wild-type or mutant IgG1 b12 to the cells at a final concentration of 10 µg/ml and were incubated at 4°C for 1 h. After three washes, 2 × 10⁵ sensitized target cells were dispensed into 96-well U-bottom microtiter plates. Rabbit serum (Calbiochem) was used as a source of complement and was serially diluted with RPMI 1640. The latter was added to sensitized target cells at 100 µl/well, and the plates were incubated at 37°C for 1 h. At the end of this time, plates were spun and 100 µl of supernatant was used to measure the ⁵¹Cr release as described above.

	RESULTS

Top Abstract Introduction Materials and Methods Results Discussion References

Antigen recognition and neutralization. Five IgG1 b12 mutants were constructed by introducing point mutations in the lower hinge (L234A, L235E, G237A, and double mutant L234A, L235A) and the N-terminal end of the CH2 domain (K322A). Although it was unlikely that these mutations would influence the affinity of the antibody for gp120, all five antibodies were tested for binding to recombinant HIV-1_JRFL gp120 in ELISA. All mutants bound similarly to gp120 as expected (Fig. 1a). In addition, we tested all mutants in a PHA-activated PBMC-based neutralization assays with HIV-1_JR-FL (Fig. 1b), HIV-1_JR-CSF, and HIV-1_89.6 (Table 1). All mutants neutralized these primary isolates similarly (Fig. 1b; Table 1).

View larger version (15K): [in this window] [in a new window]   FIG. 1.   Binding of wild-type and mutant IgG1 b12 to recombinant HIV-1JR-FL gp120 in ELISA (a) and neutralization of HIV-1JR-FL (b).

Binding of wild-type and mutant IgG1 b12 to FcRI, FcRIIa, and FcRIIIa. The ability of antibodies to mediate ADCC is dependent on the relative affinity of the antibody for FcRI, -II, and -III. We first measured the ability of IgG1 b12 and the mutant antibodies described above to bind to FcRI by flow cytometry using both monomeric and dimeric IgG1 (cross-linked with an anti-light chain MAb) (26). Binding of IgG by the high-affinity receptor FcRI is usually studied using monomeric IgG. We, however, also included dimeric IgG which allowed us to also examine possible lower-affinity interactions. In these binding studies, we used FcRIa- and -chain-transfected IIA1.6 cells (54). Binding of both dimeric and monomeric wild-type and mutant IgG1 b12 to IIA1.6 cells revealed that the mutation at position 234 reduced the affinity for FcRI about fivefold, whereas the other two mutations in the lower hinge (L235E and G237A) reduced IgG1 b12 affinity for FcRI about 40-fold. Combining the 234 and 235 mutations completely abolished FcRI binding, and binding was reduced to undetectable levels even in the IgG dimer-binding assay. The FcRI binding affinity of K322A was not affected. The rank order of FcRI-binding by the IgG1 b12 variants therefore is as follows: b12 = K322A > L234A G237A, L235E, double-mutant L234A, L235A (Table 2).

View this table: [in this window] [in a new window]   TABLE 2.   Binding of IgG1 b12 and IgG1 b12 Fc mutants to FcR

ADCC. Antibody (IgG1 b12) bound to envelope expressed on the surface of HIV-1-infected cells may recruit effector cells, such as NK cells or monocytes, by interacting with specific Fc receptors and induce ADCC leading to lysis of the infected cells. In order to measure the ability of IgG1 b12 and the mutants described above to mediate ADCC of HIV-1-infected cells, we incubated serial dilutions of these antibodies with ⁵¹Cr-labeled HIV_MN-infected CEM-Nkr cells in the presence of PBMCs and purified monocytes as effector cells. As shown in Fig. 2a and b, IgG1 b12 mediated specific cell lysis of HIV_MN-infected CEM-NKr cells in the presence of both human PBMCs and purified monocytes, whereas ADCC by mutant K322A was reduced. The ability of IgG1 b12 mutants L235E, L234A, G237A, and double mutant L234A, L235A to mediate ADCC of HIV-1_MN-infected CEM-NKr cells was strongly reduced with PBMCs and abolished with monocytes as effector cells (Fig. 2a and b). The positive control serum, FDA-2, is a potently neutralizing serum with a 90% HIV-1_MN neutralization titer of 1:4,000 (44); ADCC of IgG1 b12 on noninfected CEM-Nkr cells was used as a negative control.

View larger version (14K): [in this window] [in a new window]   FIG. 2.   ADCC of CEM-Nkr cells infected with HIV-1MN by PBMC and purified human monocytes. Uninfected and HIV-1MN-infected CEM-NKr cells were labeled with 51Cr for 2 h at 37°C. The labeled target cells were incubated with wild-type or mutant IgG1 b12 before addition of cultured PBMCs (a) or purified human monocytes (b) as effector cells. Wild-type and mutant IgG1 b12 were used at 12.5 µg/ml. Serum from an HIV-1-seropositive patient (FDA-2 [44]) was used at a 1/4,000 dilution as a positive control. Uninfected CEM-NKr cells incubated with wild-type IgG1 b12 were included as a negative control. The assays were performed twice with similar results.

View larger version (16K): [in this window] [in a new window]   FIG. 3.   Inhibition of ADCC by anti-FcR antibodies. ADCC of HIV-1MN-infected CEM-NKr cells by PBMC (a) or purified human monocytes (b) in the presence and absence of F(ab')2 fragments of anti-FcRIII MAb 3G8 (20 µg/ml), Fab fragments of anti-FcRII MAb IV.3 (5 µg/ml), and Fab fragments of anti-FcRI MAb 10.1 (20 µg/ml). IgG1 b12 was used at a concentration of 12.5 µg/ml. Serum from an HIV-1-seropositive patient (FDA-2 [44]) was used at a 1/4,000 dilution as a positive control. The assays were performed twice with similar results.

C1q binding and complement activation. The ability of b12 and the mutant antibodies to bind C1q and CDC of HIV-1-infected cells was investigated. As shown in Fig. 4a and b, wild-type IgG1b12 bound well to C1q and mediated a potent CDC of HIV-1_MN-infected CEM-Nkr cells in the presence of rabbit serum as a source for complement. The ability of the K322A mutant to bind C1q and mediate CDC was strongly reduced. All b12 variants with mutations in the lower hinge region (L235E, L234A, G237A and L234A, L235A) furthermore were reduced in their ability to mediate CDC of HIV-1-infected cells as well (Fig. 4a and b).

View larger version (27K): [in this window] [in a new window]   FIG. 4.   Binding of wild-type and mutant IgG1 b12 to C1q (a) and complement-mediated lysis of HIV-1MN-infected CEM-Nkr-MN cells by IgG1 b12 and IgG1 b12 mutants (b). Isotype variants of anti-CD3 MAb OKT3 (IgG1 and IgG4) were used as controls.

	DISCUSSION

Top Abstract Introduction Materials and Methods Results Discussion References

The role of effector function in the anti-HIV-1 activity of antibody is poorly understood. It has been shown in a number of passive antibody transfer studies that MAbs or polyclonal antisera capable of neutralizing the challenge virus can protect against HIV-1 infection (2, 3, 20-22, 35, 36, 40, 41, 46). Significantly, passive immunization studies using broadly neutralizing antibodies, including b12, have recently been used to protect rhesus macaques from intravenous and mucosal challenge with pathogenic primary HIV-1 isolate-derived SHIVs (35, 36, 43).

Neutralizing antibody may limit the dissemination of an enveloped virus, such as HIV-1, by at least two separate mechanisms. First, the antibody may interact with free virus and neutralize it by interfering with the attachment or fusion of its target cells, thereby protecting the cells from infection. Second, the neutralizing antibody may bind to envelope expressed on the surface of infected cells and induce cell lysis by the recruitment of effector functions, including ADCC and CDC (reviewed by Parren and Burton [40]). The relative roles of neutralization and Fc-mediated effects in HIV-1 infection have not yet been directly determined. In a recent study, Binley and colleagues (7) suggested that a transient effect on viral load by the infusion of anti-SIV antibodies was likely due to killing of SIV-infected cells, although this conclusion could only be drawn by inference.

We set out to directly study the role of Fc-mediated effector function in HIV-1 infection by the preparation of a panel of Fc mutants of the broadly HIV-1-neutralizing MAb b12. The FcR binding assays demonstrated that single mutations at residues 234 and 235 strongly reduced the binding to FcRI and completely abolished binding to FcRIIa and FcRIIIa. Our results are in agreement with previous studies showing the importance of the lower hinge region of IgG1 in FcRI, FcRII, and FcRIII binding (38, 48, 57, 59). We also showed that double mutation of amino acids 234 and 235 completely abolished binding to all FcRs.

We examined the nature of the FcRs involved in the ADCC of HIV-infected cells by using anti-FcR antibodies. Our data indicate that ADCC by PBMCs is inhibited only in the presence of anti-FcRIII antibody, while ADCC by monocytes is abolished in the presence of anti-FcRI antibody. Alsmadi and Tilley (1) proposed previously that ADCC of HIV-infected cells is exclusively mediated through FcRIII expressed on the surface of CD56⁺ NK cells. In their study, they measured ADCC activity using cultured PBMCs as effector cells which are likely reduced in monocyte content due to the adherence of these cells to plastic. Similarly, we found that PBMC-dependent ADCC was primarily mediated through FcRIII, even though monocytes represented up to 8% of total cells in our PBMC preparations, as measured by fluorescence-activated cell sorting (FACS) using a CD14 marker (data not shown). The effective ADCC by purified monocytes in vitro in our study, however, indicates that it is likely that monocytes or macrophages expressing FcRI contribute to the ADCC of HIV-1-infected cells in vivo. Therefore, we suggest that ADCC of HIV-infected cells in vivo may be mediated by both FcRI and FcRIIIa.

Human IgG1 has the ability to bind C1q and lyse cells by activating complement through the classical pathway. The binding site for C1q on murine IgG2b was mapped to residues 318, 320, and 322 (18). We measured the ability of b12 and the mutants described to bind to C1q and to activate complement-mediated cell lysis. We used heterologous rather than homologous complement, as this resulted in more efficient lysis of HIV-1-infected (human) cells (data not shown). Changing lysine 322 to alanine completely abolished binding to C1q and complement activation, which confirms a previous report (27). Less expected was the reduction of C1q binding and complement activation by mutations in the lower hinge. In an earlier study, Morgan and colleagues had reported on the reduction of C1q binding and complement activation by changes in residues 235 and 237 for a chimeric mouse/human antibody (38). We show that in a fully human IgG1, L235, G237, and, in addition, L234 in the lower hinge region appear to play a significant direct or indirect role in C1q binding.

A concern may be that the null phenotype of the L234A, L235A double mutation for FcR as well as C1q binding is a result of more-drastic rearrangements of the IgG Fc structure of this mutant. However, in a recent study, we have shown that the binding of the L234A, L235A double mutant to FcRn was only slightly reduced (<25%) compared to wild-type b12 (57). Protein A and G binding furthermore were unaffected (not shown). Proteins A, G, and FcRn all bind to the CH2-CH3 interface. The retention of FcRn binding, in particular, is significant as this receptor has two important functions, namely the cross-placental transport of maternal IgG to the fetus and the protection of IgG from normal serum protein catabolism (23, 29, 49). The serum half-life of the L234A, L235A mutant should therefore not be significantly affected.

In summary, we demonstrated that manipulation of residues 234, 235, and 237 in the lower hinge region of hIgG1 modulates binding to FcRs. Our data also indicated that, in hIgG1, both the lower hinge and N-terminal end of the CH2 domain are involved in C1q binding and complement lysis. Furthermore, using both PBMCs and purified monocytes as effector cells, we found that ADCC of HIV-infected cells is mediated through both FcRI and FcRIIIa. As shown in our results, mutant K322A was only slightly, up to twofold, reduced in its ability to mediate ADCC and did not mediate CDC. On the other hand, the double mutant L234A, L235A mediated neither CDC nor ADCC. Both mutants were unchanged in their ability to neutralize primary HIV-1 isolates. Therefore, these mutants display specific valuable features that can be used in future in vivo studies. Our goal will be to use these mutants in in vivo passive antibody transfer-SHIV challenge studies in rhesus macaques to elucidate the relative roles of neutralization and of ADCC and complement activation in protection against HIV-1 infection and pathogenesis.