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Journal of Virology, December 2004, p. 13190-13196, Vol. 78, No. 23
0022-538X/04/$08.00+0 DOI: 10.1128/JVI.78.23.13190-13196.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Sequence Variation within the Dominant Amino Terminus Epitope Affects Antibody Binding and Neutralization of Human Immunodeficiency Virus Type 1 Tat Protein
Tracy J. Ruckwardt,1,
Ilia Tikhonov,1
Shannon Berg,1
Glen S. Hatfield,1
Angelika Chandra,2
Prakash Chandra,2
Bruce Gilliam,1
Robert R. Redfield,1
Robert C. Gallo,1 and
C. David Pauza1*
Institute of Human Virology, University of Maryland Biotechnology Center, Baltimore, Maryland,1
Institute of Transfusion Medicine, Frankfurt University School of Medicine, Frankfurt, Germany2
Received 24 March 2004/
Accepted 19 July 2004

ABSTRACT
Tat is among the required regulatory genes of human immunodeficiency
virus type 1 (HIV-1). Tat functions both within infected cells
as a transcription factor and as an extracellular factor that
binds and alters bystander cells. Some functions of extracellular
Tat can be neutralized by immune serum or monoclonal antibodies.
In order to understand the antibody response to Tat, we are
defining antibody epitopes and the effects of natural Tat sequence
variation on antibody recognition. The dominant Tat epitope
in macaque sera is within the first 15 amino acids of the protein
amino terminus. Together with a subdominant response to amino
acids 57 to 60, these two regions account for most of the macaque
response to linear Tat epitopes and both regions are also sites
for the binding of neutralizing antibodies. However, the dominant
and subdominant epitope sequences differ among virus strains,
and this natural variation can preclude antibody binding and
Tat neutralization. We also examined serum samples from 31 HIV-positive
individuals that contained Tat binding antibodies; 23 of the
31 sera recognized the amino terminus peptide. Similar to binding
in macaques, human antibody binding to the amino terminus was
affected by variations at positions 7 and 12, sequences that
are distinct for clade B compared to other viral clades. Tat-neutralizing
antibodies to the dominant amino terminus epitope are affected
by HIV clade variation.

INTRODUCTION
The Tat protein of human immunodeficiency virus type 1 (HIV-1)
is the product of two exons within the second half of the viral
genome. The first exon codes for amino acids 1 to 72, and the
second exon has open reading frames of various lengths, resulting
in Tat proteins ranging from 86 to 102 amino acids and having
molecular sizes of up to 14 kDa. Tat is expressed early after
infection and forms a complex with host nuclear proteins and
the viral RNA (vRNA) stem-loop structure, called a transactivation
response element, to relieve a block to transcript elongation
(for a review, see references
14,
17, and
32). The Tat protein
is also released from infected cells and functions as an extracellular
factor (for a review, see references
15 and
27) that modifies
bystander cells and favors virus spread.
Extracellular Tat binds chemokine receptors, integrins, or CD26 to induce cellular signaling (27). The in vitro effects of Tat include altered cytokine secretion (6), cellular anergy (43, 47), apoptosis (26, 45, 48), chemokine receptor induction (24, 38), and T-cell activation (29, 39, 46). Only the effects on cytokines and chemokine receptors were verified in vivo in a nonhuman primate model of AIDS (30).
Evidence for the role of extracellular Tat in HIV-1 pathogenesis, along with studies showing a correlation between Tat immunity and prognosis, prompted a search for vaccines against Tat. Protein, peptides, and DNA constructs have been used to immunize nonhuman primates. Most of these studies used an HIV Tat protein antigen (7, 8, 30, 40) or a carboxy-methylated form demonstrated to be biologically inert, called Tat toxoid (30, 40). Macaques immunized with Tat or Tat toxoid protein developed antibody and lymphoproliferative responses (7, 30, 40). Some macaque antisera neutralized the in vitro activity of Tat (4, 41). Plasmid DNA constructs were used to elicit cytotoxic T-lymphocyte (CTL) responses to the simian immunodeficiency virus (SIV) Tat protein. The CTL response to SIV Tat was reported to be strong enough to select for Tat escape variants in infected animals (2), but a preexisting CTL response to Tat had no effect on SIV infection (1). Overall, the results of published Tat vaccine studies in nonhuman primates range from complete protection against a challenge virus (7-9, 13) to disease attenuation (18, 30, 42) to no effect (1, 40). In the first clinical studies employing a Tat vaccine, HIV-infected (22) or noninfected control individuals (21) were vaccinated with Tat toxoid, and the vaccine was immunogenic, eliciting proliferative responses and Tat-binding antibodies.
Animal immunization studies showed that the dominant Tat epitope was contained within the amino terminus (5, 10, 36, 41). Clinical studies of sera from HIV-infected individuals also identified antibodies to this region (12), but the effect of sequence variation on binding or Tat neutralization was not well studied. Here, we identify amino acids that are essential for antibody binding to the amino terminus and show how natural sequence variation distinguishes clade B Tat from Tat proteins produced by other viral clades.

MATERIALS AND METHODS
Immune sera from rhesus macaques.
Four healthy rhesus macaques were immunized by intradermal and
intramuscular injection of Tat toxoid for a previous study of
vaccine effects (
30). Antigen doses ranged from 20 to 60 µg
of protein for each injection. Sera were collected 8 to 12 days
after the last immunization and stored at 130°C until
used.
HIV-infected individuals.
Sera were also obtained from 31 HIV-positive individuals receiving antiretroviral therapy. All had vRNA levels of <50 copies/ml of plasma and CD4+-T-cell counts of >200 cells/mm3 at the time of sampling. Volunteers provided informed consent, and the protocol was approved by the Institutional Review Board for the University of Maryland, Baltimore.
Monoclonal antibodies.
The TR1 murine monoclonal antibody was derived in our laboratory (41). The C3.2.D7 murine monoclonal antibody was isolated in the laboratory of Chandra (11). Both antibodies are of the immunoglobulin G2a (IgG2a) isotype, both bind Tat protein at the amino terminus epitope, and both neutralize Tat transactivation.
ELISA.
Peptides (1 µg/well) or 86-amino-acid Tat protein (kindly provided by Aventis Pasteur, Inc. Toronto, Canada) at a concentration of 100 ng/well were adsorbed to enzyme-linked immunosorbent assay (ELISA) plates (Costar, Cambridge, Mass.) by overnight incubation at 4°C in 100 mM carbonate buffer, pH 9.5. The coated plates were washed and then treated with 50 mM Tris HCl (pH 7.8), 0.15 M NaCl, 0.05% Tween 20, and 1% bovine serum albumin (BSA) (ELISA buffer). The wells were filled with monoclonal antibody solution at a concentration of 0.5 µg/ml or monkey serum diluted in ELISA buffer and incubated for 1 h. After four washes with ELISA buffer, secondary antibodies (anti-mouse IgG-alkaline phosphatase conjugate for the monoclonal antibody samples and anti-monkey IgG alkaline phosphate conjugate for the monkey serum samples) were added for 1 h at a 1:5,000 dilution. After four more washes, p-nitrophenyl phosphate substrate solution was added, and plates were incubated at 37°C for 30 min before the optical density was measured at 405 nm. The baseline was determined for BSA-coated wells without peptide or Tat that were overlaid with each serum dilution. Positive wells in the ELISA had A405 values of
2 standard deviations above the mean of background wells after subtracting the mean background values.
Peptide competition assay.
A total of 100 ng of an 86-amino-acid Tat protein (Aventis Pasteur) was incubated overnight at 4°C to bind this protein to plastic 96-well assay plates. Dilutions of sera (1:100 to 1:100,000) from Tat-immunized rhesus macaques were incubated with 50 µg of peptide (N-terminal peptide, MEPVDPRLEPWKHPGSQPKT; basic domain peptide, SYGSKKRRQRRRPPQDNQTH; scrambled N-terminal peptide, DPGTVEPKPLHPERKQMPWS; or scrambled basic domain peptide, QKRHRQHTGRAQYRSRSKRN) per ml for 30 min before the serum-peptide mix was added to the Tat-coated plate. Unbound antibodies were removed by washing. Secondary antibody incubation and color development were the same as for the standard ELISA.
Peptide arrays.
Two peptide arrays were generated. The first set was used for fine mapping of the N-terminal antibody response and included the N-terminal clade B 15-mer peptide, along with five peptides generated by sequentially substituting three amino acids at a time with alanine residues as follows: control (Tat sequence), MEPVDPRLEPWKHPG; first substitution, AAAVDPRLEPWKHPG; second substitution, MEPAAARLEPWKHP; third substitution, MEPVDPAAAPWKHPG; fourth substitution, MEPVDPRLEAAAHPG; and fifth substitution, MEPVDPRLEPWKAAA. The second peptide array contained five N-terminal 20-mer peptides; three represent clade B Tat sequences, and two are clade C sequences (B.-.NL43E9, MEPVDPRLEPWKHPGSQPKT; B.AU.MBCD36, MEPVDPKLEPWKHPGSQPRT; B.US.SF2, MEPVDPNLEPWKHPGSQPRT; consensus C, MEPVDPNLEPWNHPGSQPKT; and C.BW.96BW17, MDPVDPSLEPWNHPGSQPKT [Los Alamos HIV database]). A sixth, negative control peptide (DPGTVEPKPLHPERKQMPWS) was generated by randomly scrambling the 20 N-terminal amino acids from the consensus clade B sequence so that no sequence of three amino acids or longer in the scrambled peptide matched any of the other five corresponding peptide sequences. Peptides were synthesized by using 9-fluorenylmethoxy carbonyl chemistry at the Biopolymer Core Facility, Department of Microbiology and Immunology, University of Maryland School of Medicine.
Tat neutralization assay.
In order to measure transactivation by extracellular Tat, we used HeLa cells containing an HIV-1 provirus lacking Tat (kindly provided by Barbara Felber and George Pavlakis [37]). Cells were seeded into a 96-well plate at 20,000 cells per well and incubated overnight. The cells were then washed three times with warmed serum-free RPMI medium before they were overlaid with RPMI medium containing 0.1% ultrapure BSA (Panvera, Madison, Wis.) and 500 ng of HIV Tat protein per well for 90 min. Other experimental samples involved the addition of Tat that was preincubated for 30 min with monoclonal antibodies at a 2.5-fold molar excess (12.5 µg of Tat to 1 µg of TR1 monoclonal antibody or control IgG2a) or the preincubations of the monoclonal antibodies with B or C clade N-terminal peptides at a 100-fold molar excess (20 µg of peptide to 12.5 µg of antibody) for 30 min prior to the addition of the Tat protein. All treatments were overlaid on the indicator cells for 90 min and then removed and replaced with Dulbecco's modified Eagle medium containing 10% heat inactivated fetal bovine serum. Culture fluids were collected 72 h later, and cell-free virus was detected with a commercial antigen capture ELISA for the p24 capsid protein (R & D Systems, Minneapolis, Minn.).

RESULTS
Linear epitopes in the Tat amino terminus.
Four rhesus macaques were immunized with Tat toxoid for a previous
study (
30). These sera bound strongly to Tat and to N-terminal
sequences (
41). We established a competition binding assay by
using soluble peptides to compete with whole Tat antigen on
the plate to measure the proportion of antibodies that bind
the linear amino terminus epitope peptide. We also tested whether
peptides for a second major epitope (basic region, amino acids
57 to 60) would compete with full-length Tat antigen for serum
antibody binding. Lastly, we combined the two peptides and competed
for antibody binding to Tat protein. In all four animals, preincubating
sera with an N-terminal peptide matched to the immunogen sequence
eliminated most of the antibody binding to Tat protein on the
plate (Fig.
1). The basic peptide alone had less capacity to
block antibody binding. When we combined the amino terminus
and basic region epitope peptides, serum antibody binding to
Tat protein was virtually eliminated. Scrambled (control) peptides
having the same composition but with different sequences did
not compete for antibody binding to Tat (Fig.
1). Serum antibodies
to a linear N-terminal region comprised the dominant response
in immunized rhesus macaques, and together with a subdominant
basic region epitope, accounted for nearly all of the macaque
antibody responses to Tat linear epitopes.
Fine mapping of amino terminus epitopes with monoclonal antibodies.
We decided to fine map the N terminus epitope by using two mouse
monoclonal antibodies against Tat. The TR1 (
41) and C3.2.D7
(
11) antibodies were tested on a peptide array where each peptide
was modified by the substitution of three sequential alanines
for the immunogen sequence. Both of the monoclonal antibodies
reacted to whole Tat protein and to the 15-amino-acid clade
B N-terminal sequence (Table
1). Substitution of the first three
amino acids with alanine did not affect binding for either of
the monoclonal antibodies. Substitution of the second triplet
eliminated peptide binding by the TR1 antibody but did not affect
binding of C3.2.D7. Neither monoclonal antibody was able to
bind when the third triplet of amino acids was replaced with
alanines. However, some reactivity of the TR1 antibody but not
the C3.2.D7 antibody was observed when the fourth triplet was
replaced. Peptides with substitutions at the fifth triplet were
bound by both antibodies. For the TR1 monoclonal antibody, amino
acid residues 4 to 9 were most important for binding to the
peptide epitope; for C3.2.D7, residues 7 to 12 were most important
(Table
1). These studies indicate the presence of at least two
overlapping, linear antibody epitopes within the N-terminal
15 amino acids of the Tat protein.
In order to define individual amino acids that impacted monoclonal
antibody binding, we used an array of peptides with amino acid
substitutions reflecting natural variation in the Tat N terminus.
We used three clade B and two clade C peptides, as well as a
scrambled control peptide. Within the region important for binding
these monoclonal antibodies (amino acids 4 to 12), there were
frequent substitutions at two positions, amino acids 7 and 12.
Results of the peptide scan (Table
1) showed that both of these
amino acid positions were critical for monoclonal antibody binding.
Substitutions at position 7 eliminated binding of the TR1 monoclonal
antibody, and substitutions at position 12 eliminated binding
of the C3.2.D7 antibody. We also noted that amino acids 7 and
12 are highly variable in Tat sequences (
19,
41).
Macaque sera and monoclonal antibodies recognize similar N terminus epitopes.
The specificity of immune macaque serum was tested further by binding to peptides that were systematically altered. Sera were diluted 1:100 or 1:1,000 and tested. Results of the alanine scan peptide array are shown in Table 2. Dilutions of 1:100 of sera from all four macaques reacted strongly with whole Tat protein and to the clade B amino terminus epitope peptide. Alanine substitutions for amino acids 4, 5, and 6 reduced binding with sera from two animals (numbers 95011 and 96061). However, binding for all sera was reduced by alanine substitutions of amino acids 7 to 9 or 10 to 12, showing that positions 7 to 12 are critical for antibody recognition of the Tat amino terminus. When these positions were altered, binding was reduced to baseline levels. When the final three amino acids in the 15-mer peptide were replaced with alanine, binding was not affected. This pattern mimicked the performance of murine monoclonal antibodies and confirmed the importance of amino acids 4 to 12 for macaque serum antibody binding to the N terminus of Tat.
The same sera were screened on the cross-clade peptide array
at a 1:1,000 dilution; these peptides reflect natural sequence
variation within the Tat amino terminus. Previous results with
this cohort showed a high degree of cross-reactivity to N-terminal
peptides at a 1:100 dilution (
41). At a 1:1,000 dilution, differences
in reactivity were observed (Table
2). Each serum sample bound
the clade B (immunogen) peptide. Two distinct patterns were
observed for binding to variant N-terminal peptides. Sera from
two macaques (animals 95011 and 96032) had higher binding compared
to other clade B or consensus clade C sequences to a peptide
matching the immunogen. Despite having some binding to all Tat
sequences, the highest binding was to the clade B immunogen
sequence. Sera from the remaining two macaques (animals 95042
and 96061) had lower binding to heterologous N-terminal sequences
but, overall, had higher reactivity to clade B than to clade
C sequences. To further investigate the differences in reactivity,
endpoint titrations were done for the two macaques with the
highest reactivity to Tat (animals 95011 and 96032). These data
show that amino acid changes at positions 7 and 12 caused up
to eightfold differences in binding (Table
3).
Sequence-specific Tat neutralizing antibodies.
We next tested whether antibody neutralization of Tat function
was affected by amino terminus variation. We used CD4
+ HeLa
cells with an integrated provirus lacking Tat function to measure
viral transactivation by extracellular clade B Tat protein (Fig.
2). When Tat protein was preincubated with the TR1 monoclonal
antibody, transactivation was reduced, as has been reported
previously (
41). We then competed for antibody neutralization
by preincubating TR1 with a B clade amino terminus peptide and
showed that transactivation was restored. Substituting a C clade
peptide having asparagine at both positions 7 and 12 in place
of the arginine or lysine found in clade B failed to block antibody
neutralization of Tat (Fig.
2).
Antibodies from HIV-positive individuals recognize the Tat amino terminus.
We tested sera from 31 HIV-positive individuals receiving antiretroviral
therapy with vRNA levels of <50 copies/ml of plasma and CD4
+-T-cell
counts of >200 cells/mm
3. We detected Tat binding antibodies
in every specimen; 23 of the 31 sera also had positive binding
to amino terminus peptides. The consensus clade B sequence (peptide
1) was recognized most frequently (Table
4). The other B clade
sequences (peptides 2 and 3) with changes at either position
7 or 12 were recognized by 32 or 45% of sera, respectively,
and the clade C sequences (peptides 4 and 5) were recognized
by less than 30% of the serum samples.
The peptide recognition pattern showed that changes at amino
acids 7 and 12 affected human antibody binding to the Tat amino
terminus. The highest binding occurred when these amino acids
were arginine and lysine, respectively. Importantly, the sequence
containing Arg7 and Lys12 is characteristic of clade B Tat and
is not found in consensus sequences from other clades (Table
5). The most frequent sequences in non-B clades are Asn7 and
Asn12. As shown in Table
4, both of these changes reduced binding
by the human sera (from individuals presumed to have clade B
virus infections in Baltimore), showing a focus on the B clade
sequence and a lack of cross-reaction with more common amino
terminus sequences found in non-B clade viruses.

DISCUSSION
We characterized the dominant antibody epitope in HIV-1 Tat
protein by using mouse monoclonal antibodies, immunized macaque
sera, and sera from HIV-positive volunteers. We defined two
overlapping epitopes in the amino terminus. Natural variation
in Tat protein sequences includes substitutions at amino acids
7 and 12, both of which lowered antibody recognition by monoclonal,
macaque, and human antibodies. The consensus clade B sequence
includes Arg7 and Lys12, making clade B Tat distinct from all
other clade consensus sequences at these critical antibody recognition
sites. Antibodies directed at the amino terminus can neutralize
Tat protein functions in vitro, and natural sequence variation
will affect both antibody binding and neutralization. Our data
suggest that other immunogen sequences, likely including Asn7
and Asn12, may be needed to elicit antibodies against this dominant
epitope in non-B clade viruses.
We know from previous studies (16, 25, 33-35) that the Tat amino terminus is critical for its function. N-terminal deletions (between residues 2 to 6, 3 to 19, or 2 to 35) render Tat defective for transactivation (25), and substitutions for proline within this domain also reduced activity (33, 34). Of direct interest to our studies, substitution of glutamine for Arg7 or Lys12 had little effect on Tat transactivation (34). Naturally occurring variant viruses with similar substitutions at these positions still have functional Tat and cause disease worldwide.
Recently obtained nuclear magnetic resonance structures placed the N terminus of Tat within the core of the Tat protein (3, 20, 31). However, apparent burying of the N terminus did not preclude the generation of antibodies to this immunodominant domain, and the pattern of epitope dominance seems to be independent of the route for immunization. Dominant N terminus responses were observed in mice immunized with either Tat protein (5) or DNA expression constructs (23). Several groups reported this pattern for immunized macaques or HIV-infected individuals (10, 12, 36, 41).
The present study provides a quantitative analysis for the proportion of macaque antibodies that recognize the N terminus and depend on amino acid sequences at positions 4 to 12. Changing amino acids (positions 7 and 12) within this region eliminated antibody binding. This result indicated the presence of two, overlapping linear epitopes or a single, complex epitope within the N terminus. Goldstein et al. demonstrated that antisera from monkeys immunized with the N-terminal sequence VDPNLEPWKHPGS showed only 20% cross-reactivity to VDPRLEWPWK (19). Conversely, immunization with VDPNLEPWNHPGS resulted in only 1% cross-reactivity with a VDPRLEPWK peptide (19); bold type indicates amino acid positions 7 and 12. Our results agree with these findings and show similar results for HIV-positive individuals. Rabbit antisera to a clade B 101-amino-acid Tat protein showed only low binding to heterologous Tat variants (28), further supporting the idea that Tat antibodies recognizing linear, neutralizing epitopes may not show broad cross-reactivity.
N terminus antibodies prevent Tat uptake and transactivation in vitro (11, 41), and their levels were correlated with better prognoses for infected individuals (35). In the five studies that reported protection against simian-human immunodeficiency virus (SHIV) challenge after Tat immunization (7, 9, 18, 30, 42), the antibody responses were shown (10, 18, 41), or presumed to be, mainly focused on the amino terminus. However, the one published study showing no protection from SHIV after Tat immunization also found antibody responses to the amino terminus (40), but they were not as dominant as the responses we observed in macaques that were protected by Tat toxoid immunization (30). At present, the discrepant findings have not been explained and could involve differences in the Tat-neutralizing capacity of each serum or aspects of the cellular immune response.
Our goal is to develop Tat antigens that can be combined with virus structural antigens to create a more effective HIV vaccine. Immunity to Tat may lessen the destructive capacity of HIV by decreasing the levels of immunosuppressive cytokines and preventing up-regulation of chemokine receptors that facilitate virus spread (30). It is important to note a recent paper that explored the efficacy of complex vaccines in macaques. By adding a Tat-Nef fusion protein to a gp120 immunization regimen, macaques were protected from SHIV challenge even though neither antigen was protective on its own (44). The possibility of achieving similar results for HIV vaccines in humans encourages the further development of safe and effective Tat antigens.

ACKNOWLEDGMENTS
This work was supported by PHS grant AI49805 (C.D.P.).
We are grateful to Maria Salvato for critical reading of the manuscript.

FOOTNOTES
* Corresponding author. Mailing address: Institute of Human Virology, University of Maryland Biotechnology Institute, 725 W. Lombard St., Room N546, Baltimore, MD 21201. Phone: (410) 706-1367. Fax: (410) 706-6212. E-mail:
pauza{at}umbi.umd.edu.

Present address: Vaccine Research Center, National Institutes of Health, Bethesda, Md. 

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Journal of Virology, December 2004, p. 13190-13196, Vol. 78, No. 23
0022-538X/04/$08.00+0 DOI: 10.1128/JVI.78.23.13190-13196.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.