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Journal of Virology, June 2006, p. 6177-6181, Vol. 80, No. 12
0022-538X/06/$08.00+0 doi:10.1128/JVI.02625-05
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
Nonneutralizing Antibodies Are Able To Inhibit Human Immunodeficiency Virus Type 1 Replication in Macrophages and Immature Dendritic Cells
Vincent Holl,1
Maryse Peressin,1
Thomas Decoville,1
Sylvie Schmidt,1
Susan Zolla-Pazner,2
Anne-Marie Aubertin,1 and
Christiane Moog1*
EA 3770, ULP, Institut de Virologie, 3 rue K
berlé, 67000 Strasbourg, France,1
Veterans Affairs and NYU Medical Centers, 423 East 23rd Street, Room 18124N, New York, New York 100102
Received 16 December 2005/
Accepted 22 March 2006

ABSTRACT
Only five monoclonal antibodies (MAbs) neutralizing a broad
range of primary isolates (PI) have been identified up to now.
We have found that some MAbs with no neutralizing activities
according to the "conventional" neutralization assay, involving
phytohemagglutinin-stimulated peripheral blood mononuclear cells
as targets, efficiently inhibit the replication of human immunodeficiency
virus type 1 (HIV-1) PI in macrophages and immature dendritic
cells (iDC). The mechanism of inhibition is distinct from the
neutralization of infectivity occurring via Fab fragments and
involves the interaction of the F portion with the Fc

Rs present
on macrophages and iDC. We propose that, if such nonneutralizing
inhibitory antibodies limit mucosal HIV transmission, they should
be induced by vaccination.

TEXT
It is now generally recognized that neutralizing antibodies
(NAbs) constitute one of the elements of the adaptative immune
response that must be induced by an effective vaccine against
human immunodeficiency virus (HIV). Complete protection of macaques
from experimental challenge was obtained after a passive transfer
of NAbs (
4,
12,
15). However, only five broadly NAbs have been
identified and attempts to induce strong and broad NAb responses
by immunization have failed. Broadly NAbs are also infrequently
detected in sera from HIV type 1-infected individuals (
13).
NAbs are identified in vitro using "conventional" neutralization
assays with phytohemagglutinin (PHA)-stimulated peripheral blood
mononuclear cells (PBMC) as targets. This assay is based on
the evaluation of HIV replication in CD4
+ T lymphocytes. Nevertheless,
macrophages and dendritic cells (DC) are also permissive for
HIV. Macrophages are considered a major reservoir of HIV in
vivo, and immature DC (iDC) are among the first cells infected
by HIV after mucosal transmission (
1,
9). Thus, antibodies induced
by immunization should also prevent HIV infection of these target
cells.
To study the ability of MAbs to inhibit viral growth in various cells, the activity of anti-HIV MAbs was analyzed in vitro using a neutralization assay that measures, by flow cytometry, the percentage of infected cells by detecting intracellular p24 in lymphocytes obtained from PHA-PBMC (6, 11) and in macrophages (6) or iDC (7) generated by the differentiation of CD14+ cells. Briefly, antibodies (Abs) were incubated for 1 h with viruses at concentrations of 2 to 10 µg/ml of p24, depending on the stain and the target cell (to reach 2 to 5% cells infected after a single round of infection) and then the mixture was added to target cells. This technique has the advantage of allowing the characterization of infected cells by phenotyping. For the five previously described broadly NAbs, we found higher inhibitory activity when iDC instead of PHA-stimulated PBMC were used as target cells and an even higher activity when macrophages were the HIV targets (Table 1). When two subtype B primary isolates (PI), HIV-1BaL (obtained from the NIH) and Bx08 (courtesy of H. Fleury), were tested with each of the NAbs, activities were increased by 16- to 12,000-fold when macrophages and iDC were used as target cells compared to activities measured with PBMC. With a subtype C PI TV1 (obtained from S. Engelbrecht), a virus described as relatively "resistant" to neutralization (10), no neutralization was noted with MAbs IgG1b12 or 447-52D, but with the other three MAbs, increases of 8- to 2,000-fold in activity were found with macrophages and iDC compared to those with PBMC. Contrary to the change in inhibitory concentrations noted with the MAbs, the 90% inhibitory concentrations (IC90) for soluble CD4 and the T20 fusion inhibitor were similar on the three different target cells (Table 1), confirming previously published data for T20 (8). These results suggest that the increased inhibitory activity detected in iDC and macrophages is not due to a lower density of CD4 or to a reduction in virus fusion.
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TABLE 1. Inhibition of HIV-1BaL, Bx08, and TV1 by neutralizing MAbs, sCD4, and T20 when PHA-stimulated PBMC, macrophages, or iDC were used as target cells
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Next, the mechanism of HIV inhibition was investigated. The
iDC and macrophages express Fc

Rs on their surfaces. These receptors
are involved in immune complex capture, endocytosis, and degradation.
To define their roles in HIV inhibition, we analyzed the inhibitory
activity of the Fab fragments of MAb 447-52D (provided by R.
Stanfield) (Fig.
1). Contrary to whole immunoglobulin G (IgG),
447-52D Fabs exhibit similar inhibition of HIV-1BaL infection
in PBMC, macrophages, and iDC. This result strongly suggests
a role for the Fc portion of the IgG in the increased inhibitory
activity observed with macrophages and iDC.
Given these observations, we extended the studies by determining
the IC
90 of additional anti-HIV MAbs (Table
2). Of the 45 MAbs
to various epitopes of gp120 and gp41 tested, only two, MAbs
F425B4e8 and 391-D directed against the V3 loop, were able to
inhibit HIV-1BaL infection of PHA-stimulated PBMC. In contrast,
13 of the 45 MAbs tested inhibit HIV-1BaL replication in macrophages.
These 13 MAbs mainly recognize either a linear epitope on the
V3 loop of gp120 or the principal immunodominant domain (PID)
of gp41. In addition, one MAb that was active in the macrophage-based
assay recognizes a conformational epitope on gp120 (anti-C5
MAb 221) and one is directed against amino acids (aa) 731 to
752 of gp41 (MAb 1577) (Table
2). Most of these MAbs also inhibit
the replication of Bx08, and the three MAbs directed against
the PID inhibit the "neutralization-resistant" strain TV1 (Table
3). These latter results with MAbs to the PID are particularly
notable since MAbs to this region have not previously been shown
to exhibit potent neutralizing activity (
3,
5,
17). These results
indicate that some MAbs exhibiting low or no inhibitory activity
on T lymphocytes are able to successfully inhibit the replication
of three PI in macrophages. Moreover, six of nine MAbs tested
were able to diminish HIV-1BaL replication in iDC (Table
3).
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TABLE 2. Inhibition of HIV-1BaL replication in PHA-stimulated PBMC and macrophages by MAbs directed against various HIV epitopesa
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To determine whether the Fc portions of these IgGs bind to the
Fc

Rs on the surface of macrophages and iDC, Fc

Rs were blocked
by incubation for 30 min with 10 µg/ml of anti-Fc

RI, anti-Fc

RII,
or anti-Fc

RIII (BD-Pharmingen, San Diego, CA). The anti-Fc

R
Abs were added to cells before the addition of virus and MAb
mixtures using conditions similar to those for neutralization
assay. The inhibitory activity of MAb 240 on Bx08 replication
was reversed after blockage of Fc

RI in macrophages (Fig.
2A)
and Fc

RII in iDC (data not shown), demonstrating that binding
of the Fc portion of IgG MAb 240-D to Fc

R participates in HIV
inhibition in macrophages and iDC. Moreover, the inhibitory
activity of MAb 240-D targeting the PID was abolished in macrophages
(Fig.
2B) and iDC (not shown) when 25 µg/ml of peptide
corresponding to the gp41 PID (aa 593 to 616, ARP7022; obtained
through the NIBSC) was added to the Ab-Bx08 mixture 1 h prior
to incubation with target cells, whereas the addition of rgp160

PID
(gp160 of Bx08 deleted from PID; kind gift from R. ElHabib,
Aventis Pasteur) at 12.5 µg/ml had no effect. This competition
experiment shows that the binding of the Fab portion of the
MAb is necessary for HIV inhibition.
We have demonstrated that for macrophages and iDC, the inhibition
of HIV replication by Abs can occur by two distinct mechanisms,
the first consisting of the neutralization of infectivity (which
involves only the Fab part of the IgG) and the second depending
on IgG-Fc

R interaction, probably leading to endocytosis and
the degradation of opsonized HIV particles. Abs that act only
via the second mechanism in macrophages and iDC could be referred
as nonneutralizing inhibitory Abs (NNiAbs) to distinguish them
from NAbs displaying both mechanism of inhibition and neutralizing
PBMC infection. The NNiAbs are directed against epitopes distinct
from those recognized by NAbs and will not impair virus entry
into cells. These Abs may not necessarily recognize functional
envelope spikes, but they will link infectious virus particles
to the target cell by efficient binding of the Fc region of
IgG to Fc

R and by binding of Fab regions to the HIV envelope.
Binding of Ab to HIV is, however, apparently not sufficient
for the inhibition of virus replication, as anti-C5 MAb 670D,
for example, which binds to virus particles (
16), was not able
to inhibit HIV replication in macrophages (Table
2). The inhibition
of HIV by Ab may also depend on the affinity of the Fc part
of the Ab for Fc

R and on an occupancy threshold below which
MAb binds but does not inhibit. These parameters may also be
involved in virus inhibition. We showed that NNiAbs were mainly
directed against the V3 loop and the PID. These two regions
are accessible and highly immunogenic domains of HIV. Indeed,
Abs directed to V3 loop and PID are detected in sera from HIV-infected
individuals (
2,
14) and the inhibition of HIV replication in
macrophages (
6) and iDC (
7) has been evidenced with such sera.
We propose that NNiAbs that are not detected by using conventional assays using PBMC as target cells could participate in vivo in the protection of mucosal HIV transmission by preventing the infection of macrophages and iDC. These results, demonstrating new categories of protective Abs, may open new perspectives in the development and design of vaccines.

ACKNOWLEDGMENTS
This work was supported by grants from the Agence Nationale
de Recherches sur le SIDA, the European Union (QLK2-CT-199-01321
"Eurovac"), and the NIH (AI36085, HL59725, and AI 27742) and
funds from the U.S. Department of Veterans Affairs.

FOOTNOTES
* Corresponding author. Mailing address: EA 3770, Université Louis Pasteur, Institut de Virologie, 3 rue Koeberlé, F-67000 Strasbourg, France. Phone: 333 90 24 37 42. Fax: 333 90 24 37 23. E-mail:
c.moog{at}viro-ulp.u-strasbg.fr.


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Journal of Virology, June 2006, p. 6177-6181, Vol. 80, No. 12
0022-538X/06/$08.00+0 doi:10.1128/JVI.02625-05
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
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