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Journal of Virology, June 2008, p. 5807-5814, Vol. 82, No. 12
0022-538X/08/$08.00+0 doi:10.1128/JVI.02585-07
Copyright © 2008, American Society for Microbiology. All Rights Reserved.

Program in Molecular Medicine and Department of Molecular Genetics and Microbiology, University of Massachusetts Medical School, Worcester, Massachusetts 01605,1 The Scripps Research Institute, Department of Immunology, IMM2, La Jolla, California 920372
Received 4 December 2007/ Accepted 25 March 2008
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Previously, we reported that CCR5-using, R5 envelopes varied considerably in macrophage tropism (11, 13). For example, highly macrophage-tropic R5 envelopes were prevalent in brain tissue of patients with neurological complications including dementia but were less frequent in lymph node (LN), blood, and semen (11, 13). These envelopes were characterized by their capacity to infect cells via low levels of CD4 (11, 13). In addition, Dunfee et al. (4) described an envelope polymorphism at residue 283 in the C2 part of the CD4 binding site. Thus, N283 was associated with 41% of envelopes present in the brain of subjects with HIV-associated dementia and with only 8% in non-HIV-associated dementia subjects (4). We also noted that N283 was present in over 50% of highly macrophage-tropic envelopes from brain but infrequent in envelopes from LN, blood, and semen (13). N283 may form a hydrogen bond with Q40 on CD4 (more readily than the usual T283 residue) and confer a higher gp120:CD4 affinity (4). Nonetheless, not all macrophage-tropic R5 envelopes carry N283, and additional unknown determinants must also exist.
More recently, we have shown that most macrophage-tropic brain envelopes tested were sensitive to the CD4 binding site MAb b12, while the majority of non-macrophage-tropic R5 envelopes from LN were resistant. For example, for two subjects, several envelopes amplified from LN tissue were resistant to b12, while those from brain were sensitive, thus revealing clear intrapatient and tissue-specific variation in b12 sensitivity. These results suggested to us that HIV-1 replication in the brain may result in the evolution of envelopes that carry a more exposed CD4bs which would contribute to an increased affinity for CD4 but increase the vulnerability of envelopes to CD4bs Abs. Moreover, the blood-brain barrier excludes most immunoglobulin from the brain and may thus provide an ideal environment for the evolution of such variants.
Several studies show that b12 carries the potential to neutralize diverse HIV-1 isolates (9, 10), while the CD4bs and the b12 epitope are under intense investigation as potential candidates for vaccines. It is therefore important to understand how variation in b12 sensitivity arises in vivo and to elucidate the mechanisms of resistance involved. It will also be critical to understand how envelope mutations that confer b12 resistance affect exposure of the b12 epitope and the CD4bs. Here, we have mapped envelope determinants involved in b12 resistance by constructing chimeric envelopes from a b12-sensitive brain envelope and a resistant LN envelope from the same patient. We show that determinants on the N-terminal flank of the CD4 binding loop conferred partial resistance to b12. Moreover, a glycosylation site at N386 conferred complete b12 resistance but required the presence of an arginine at residue 373. R373 and N386 are close to the CD4 binding loop and together appear to sterically prevent the benzene ring on the side chain of W100 of b12 from penetrating a pocket close to the two gp120 residues.
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Patient tissue samples and molecular constructs of pseudovirions. HIV envelopes used here were described previously (11, 13). Envelopes B33, B42, and LN40 were derived from subject NA420, a heterosexual patient who died of AIDS with no cognitive impairment and sparse giant-cell encephalitis. Samples from temporal lobe brain and LN tissue obtained at autopsy were frozen at –80°C, and DNA was extracted as described previously (15). PCR amplification of complete envelopes from tissue DNA was performed as described previously (11). NA420 envelope genes were cloned via conserved KpnI restriction sites into pSVIIIenv (6) and into pBluescript for direct mutagenesis.
Mutagenesis. Site-directed mutagenesis was carried out using the QuikChange site-directed mutagenesis kit (Stratagene Inc.) using gp160+ pBluescript plasmids as templates and mutagenic primers to introduce the desired mutations. The presence of each mutation was confirmed by sequencing. Mutated gp160s were cloned into pSVIIIenv via conserved KpnI sites.
Production and titration of env+ pseudovirions. The env– pNL4.3 construct and pSVIIIenv expression vectors were described previously (11, 13). Pseudovirions carrying patient envelopes were produced by cotransfection of env+ pSVIIIenv with env– pNL4.3 into 293T cells using calcium phosphate. Cell supernatants carrying pseudovirions were harvested 48 h after transfection, clarified (1,000 x g for 10 min), aliquoted, and stored at –152°C.
Pseudovirions carrying patient-derived envelopes were titrated on HeLa TZM-BL cells using the long terminal repeat-controlled β-galactosidase reporter gene to identify infected cells as described previously (16). Since env+ pseudovirions undergo only a single round of replication, focus-forming units/ml were estimated by counting individual or small groups of blue-stained cells.
Neutralization and inhibition assays. Neutralization was measured as a reduction in β-galactosidase reporter gene expression after infection of HeLa TZM-BL cells with MAb-treated pseudovirions. Two hundred microliters of HeLa TZM-BL (4 x 104 cells/ml) was added to each well in 96-well luminescence plates (Corning Inc.) 1 day before neutralization assays. Two hundred focus-forming units of pseudovirions was incubated with twofold dilutions of b12 for 2 h at 37°C. Fifty microliters of this mixture was incubated with HeLa TZM-BL cells at 37°C overnight before being removed, and 200 µl of growth medium was added. Seventy-two hours after incubation, the luminescence reaction was initiated by adding 100 µl of Beta-Glo (Promega Inc.) with 100 µl of Dulbecco modified Eagle medium (no phenol red) per well. Luminescence was measured 30 min later. Percent neutralization was defined by the formula (1 – p/n) x 100, where p is the mean luminescence value produced in the presence of b12 MAb and n is the mean luminescence value produced in the absence of b12 MAb (positive control).
ELISA for soluble gp120. Costar 96-well enzyme-linked immunosorbent assay (ELISA) plates (catalog no. 3690; Corning Inc.) were coated with 250 ng/well of sheep anti-gp120 Ab D7324 (catalog no. 6205; Cliniqa, Inc.) in phosphate-buffered saline (PBS). After overnight incubation at 4°C, plates were washed twice with PBS-0.05% Tween, incubated for 1 h at room temperature (RT) with blocking solution (3% bovine serum albumin in PBS), and washed four times with PBS-0.05% Tween. Fifty microliters/well of env+ pseudovirion dilutions (in 1% bovine serum albumin-PBS-0.02% Tween) was added for 2 h at RT. After 10 washes, appropriate dilutions of b6 and b12 MAbs or QCmix were incubated at RT for 2 h and washed 10 times. Fifty microliters/well of goat anti-human immunoglobulin G, F(ab')2 fragment-specific, calf intestinal alkaline phosphatase conjugate (Pierce 31312) diluted 1:1,000 in dilution buffer was added to plates. After 1 h of incubation at 37°C, an AMPAK kit (Argene Inc.; K6200) was used to detect alkaline phosphatase activity, following kit instructions. Plates were read at 492 nm after stop solution was added.
PyMol analyses. The structure of HIV-1 gp120 complexed with the broadly neutralizing CD4 binding site Ab b12 was described by Zhou et al. (17). The 2NY7.pdb file of the gp120:b12 structure was downloaded from the Research Collaboratory for Structural Bioinformatics (RCSB) Protein Data Bank web page.
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FIG. 1. gp160 amino acid sequence alignment for NA420 envelopes. StuI and Bsu36I restriction sites used to prepare chimeric envelopes occur after residues Q203 and S364, respectively. Note that residue numbering for envelopes in this figure does not precisely follow HXBc2 numbering, which is used throughout the text.
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FIG. 2. Chimeric B33/LN40 envelopes constructed for mapping determinants of b12 sensitivity.
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FIG. 3. Identification of gp120 regions responsible for b12 resistance by using chimeric constructs made from B33 and LN40 envelopes.
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FIG. 4. Amino acid sequence alignment for NA420 envelopes. Amino acids from StuI to the V4 loop are shown. This region covers the residues identified here as determinants in b12 resistance. StuI and Bsu36I restriction sites occur after residues Q203 and S364, respectively. Note that residue numbering for envelopes in this figure does not precisely follow HXBc2 numbering, which is used throughout the text.
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IFNQP) flanking the GDPE motif in the CD4 binding loop. We constructed mutant versions of B33 carrying various combinations of the amino acids present in both b12-resistant LN40 and LN85 but absent in b12-sensitive B33. We first tested B33 mutants that carried SHFE, INQP, or SHFEINQP substitutions (Fig. 4). B33 (SFHE) was only marginally less sensitive to b12 than was B33 (Fig. 5A). However, B33 (INQP) showed a marked shift toward b12 resistance, yet it was still more sensitive than the Stu-Bsu chimeric envelope that carries the entire Stu-Bsu region from LN40. B33 (SFHEINQP) combines eight implicated substitutions and conferred resistance to b12 similar to that conferred by the partially resistant Stu-Bsu chimeric env. We next investigated the role of residues in the upstream flank of the CD4 binding loop. B33 mutants carrying Q, P, QP, NQP, or INQP (residues present in LN40) were partially resistant to b12, with the QP motif consistently conferring b12 resistance closest to that conferred by the Stu-Bsu chimera (Fig. 5B). Finally, we analyzed B33 carrying INQP and various combinations of the SFHE substitutions. B33 mutants that carried V3 loop residues H and F in combination with INQP conferred resistance to b12 similar to that conferred by the Stu-Bsu chimera (Fig. 5C). In summary, QP substitutions located in the upstream flank of the CD4 binding loop confer partial resistance to b12. However, this resistance is enhanced by upstream residues, 308H and 317F, within the V3 loop.
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FIG. 5. Amino acids flanking the CD4 binding loop influence b12 sensitivity. Residues present in the LN40 Stu-Bsu fragment but absent in B33 were introduced into B33. (A) B33 substitutions were made for residues on the N-terminal flank of the CD4 binding loop (INQP [Fig. 4]) and for residues upstream (SHFE) or both. Residues on the CD4 binding loop flank confer partial resistance, and this is enhanced by upstream residues. (B) Residues QP on the CD4 binding loop flank confer the most resistance. (C) Residues H and F in the V3 loop combine with CD4 binding loop flanking residues to confer the partial b12 resistance shown by the Stu-Bsu LN40 fragment.
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B33 mutants carrying double (K373R/D386N, D386N/Q389K, or K373R/Q389K) or triple (K373R/D386N/Q389K) substitutions were tested for b12 sensitivity. K373R/Q389K had no effect on b12 sensitivity (Fig. 6A). However, while D386N/Q389K conferred a small shift toward resistance, K373R/D386N and K373R/D386N/Q389K conferred complete resistance. These observations implicate the PGS at residue 386; however, optimal b12 resistance was observed only when N386 was present together with R373.
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FIG. 6. Resistance to b12 is conferred by a PGS at residue 386 but is modulated by the residue at 373. (A) Double and triple B33 mutants carrying substitutions at 373, 386, or 389. The combination of R373 and N386 is required for optimal resistance to b12. (B) Neither R373 nor N386 alone confers b12 resistance. However, b12 resistance conferred by R373/N386 is abrogated if the PGS at N386 is eliminated by a T388V substitution. Thus, R373 and the glycan at N386 are required for maximal b12 resistance. (C) T388A in LN40 retains the asparagine at 386 but eliminates the glycosylation signal. T388A confers sensitivity to b12 for LN40.
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The mutants described above were all based on the B33 envelope and have implicated a PGS at residue 386 as important for b12 resistance. We next substituted T388 for alanine in b12-resistant LN40 env, leaving the N386 intact but eliminating the PGS. T388A rendered LN40 sensitive to b12, confirming the role of the N386 glycan as a critical determinant for LN40 resistance to b12 (Fig. 6C).
Envelopes that carry the N386 glycosylation site may be sensitive or resistant to b12 depending on residue 373. NA420 B42 envelope is from the same patient as are the B33 and LN40 envelopes. However, unlike B33, B42 carried a PGS at N386 and yet was sensitive to b12. Results presented above show that B33 required the presence of an arginine residue at 373 in addition to N386 for optimal resistance to b12. We therefore introduced an arginine at residue 373 in B42. M373R rendered B42 resistant to b12 (Table 1) and confirmed the importance of residue 373 for b12 resistance.
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TABLE 1. Role of envelope residue 373 in b12 neutralization
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We next introduced R373 into NL4.3 and macrophage-tropic AD8 envelopes, both of which are sensitive to b12 despite carrying PGSs at N386. AD8 usually has M at 373, while NL4.3 has T373. The presence of R373 rendered both NL4.3 and AD8 resistant to b12 (Fig. 7), indicating that variation at residue 373 can completely modulate b12 resistance for envelopes unrelated to B33 and LN40. Finally, we introduced a valine residue at position 388 into the AD8 envelope that already carried R373. This mutant thus carries R373 and N386; however, N386 is no longer a potential glycosylation signal. This AD8 mutant was sensitive to b12 (Fig. 7, top panel), confirming that R373 and the glycan at N386 act together in AD8 to confer b12 resistance.
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FIG. 7. R373 and the N386 glycan confer b12 resistance to NL4.3 and AD8. The introduction of an arginine at residue 373 conferred b12 resistance on both AD8 and NL4.3, both of which carry a PGS at N386. A valine was next introduced at residue 388 in R373+ AD8 to eliminate the PGS at N386. This mutant was sensitive to b12 (top panel), showing that R373 and the N386 glycan act together to confer b12 resistance on NL4.3 and AD8.
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FIG. 8. Proximal gp120 residues R373 and N386 cooperate to sterically block b12 binding and neutralization. Residues 373 and 386 are proximal in the published structure of b12 complexed with gp120 as shown (17). In this reported structure, residue 373 is a threonine. The introduction of an arginine residue at this position using the PyMol program is not possible due to the steric limitations of residues surrounding this pocket. The presence of R373 and N386 is therefore likely to sterically exclude the benzene ring of b12 W100 from this pocket.
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FIG. 9. b12 binding to captured, solubilized, monomeric gp120. Serial dilutions of env+ pseudovirions were treated with Tween 20 and captured onto a solid phase as described in Materials and Methods. The capacities of b6, b12, and QCmix to bind captured B33 or LN gp120 were evaluated by ELISA. Generally b6 and QCmix bound to captured B33 or LN40 gp120s at equivalent levels. Binding of b12 to B33, LN40, and mutants that carried K, R, M, or T373 in combination with N386 varied. Generally, M and T373 (with N386) bound b12 better than did K or R373. Nevertheless, this modest variation in binding b12 does not explain the more complete modulation of neutralization sensitivity.
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Our data also show a partial but significant shift in b12 sensitivity that is conferred by residues on the N-terminal flank of the CD4 binding loop. This region is variable and may play a role in the exposure of the CD4 binding loop, perhaps by altering its orientation. Interestingly, residues in the V3 loop also contributed to this partial resistance to b12. It is therefore possible that the V3 loop in the unliganded envelope lies close enough to the CD4 binding loop to influences its exposure, although other mechanisms are also tenable. Recently, Lynch et al. reported that a single change in the V3 loop of a clade C envelope conferred exposure of the CD4 binding site and sensitivity to soluble CD4 (8). These observations also suggest a role for the V3 loop in protecting the CD4 binding site. Using the same B33 and LN40 envelopes described here, we have recently investigated envelope determinants that confer R5 macrophage tropism. We showed that determinants affecting R5 macrophage tropism essentially overlap with those reported here for b12 sensitivity. However, R373 and N386 have only a modest influence on R5 macrophage tropism, while the determinants on the N-terminal flank of the CD4 binding loop are more critical (M. J. Duenas-Decamp et al., unpublished observations). Nevertheless, together these results strongly support a hypothesis where the evolution of envelopes in the brain that confer enhanced macrophage infection directly results in increased sensitivity to neutralizing Abs that target the CD4bs. Conversely, replication in immune tissues such as LNs selects for variants where the CD4bs is protected from CD4bs Abs such as b12. The variation in b12 sensitivity reported here and in a more extensive study (12) thus supports the possibility that Abs recognizing the CD4bs or proximal epitopes are present in vivo and are an important selective force that impacts on R5 macrophage tropism and neutralization sensitivity.
In summary, we describe important mechanisms exploited by HIV-1 to protect the CD4 binding site from neutralizing Abs. We have identified determinants on the N-terminal flank of the CD4 binding loop that partially modulate b12 sensitivity and likely influence the exposure or orientation of this loop. In addition, we show that a combination of R373 and a glycosylation site at N386 acts to sterically block W100 of b12 penetrating a pocket proximal to these two residues. N-linked glycans have been reported to protect against neutralizing Abs. However, our data show that additional envelope determinants modulate the capacity of glycans to provide such protection. Our results greatly improve our understanding of envelope sensitivity to b12 neutralization and may lead to improved ways to design optimal CD4 binding site structures for vaccines.
This study was supported by NIH grants AI062514, MH064408, and HD049273.
Published ahead of print on 2 April 2008. ![]()
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