Abstract
Broadly neutralizing antibodies (bNAbs), known to mediate immune control of HIV-1 infection, only develop in a small subset of HIV-1 infected individuals. Despite being traditionally associated with patients with high viral loads, bNAbs have also been observed in therapy naïve HIV-1+ patients naturally controlling virus replication [Virus Controllers (VCs)]. Thus, dissecting the bNAb response in VCs will provide key information about what constitutes an effective humoral response to natural HIV-1 infection. In this study, we identified a polyclonal bNAb response to natural HIV-1 infection targeting CD4 binding site (CD4bs), V3-glycan, gp120-gp41 interface and membrane-proximal external region (MPER) epitopes on the HIV-1 envelope (Env). The polyclonal antiviral antibody (Ab) response also included antibody-dependent cellular phagocytosis of clade AE, B and C viruses, consistent with both the Fv and Fc domain contributing to function. Sequence analysis of envs from one of the VCs revealed features consistent with potential immune pressure and virus escape from V3-glycan targeting bNAbs. Epitope mapping of the polyclonal bNAb response in VCs with bNAb activity highlighted the presence of gp120-gp41 interface and CD4bs antibody classes with similar binding profiles to known potent bNAbs. Thus, these findings reveal the induction of a broad and polyfunctional humoral response in VCs in response to natural HIV-1 infection.
Original language | English (US) |
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Article number | 670561 |
Journal | Frontiers in immunology |
Volume | 12 |
DOIs | |
State | Published - Dec 23 2021 |
Funding
This work was supported by the NIH/NIAID-funded 1P01A1120756, R01AI145687, R01AI131722, R56AI052779, Center for HIV-1/AIDS Vaccine Immunology and Immunogen Discovery (Grant UMI-AI100645), and the Center for AIDS Research (P30 AI064518). We thank Tom Denny and the Immunology Quality Assessment Program for viral load analyses (NIH/NIAID 272201400014C). We thank Guido Ferrari for helpful discussions; Mike Archibald, Milite Abraha, LaTonya Williams, Jonathan Li, Richard Huntwork, Matthew Tay, and Heidi Register for their technical expertise and advice; Mark Sampson for help with figures; Drs. Coleen Cunningham and John Bartlett of the Duke CFAR Clinical Core, Clinical Core Staff (Stuart Carr and Sunita Patil) and the patients, physicians, and staff of the Duke Adult Infectious Diseases Clinic (Gary Cox, Nathan Thielman, Cameron Wolfe, Elizabeth Livingston, Brianna Norton, Kristen Dicks, Mehri McKellar, Vivian Chu, Jason Stout, and Ann Mosher) for virus controller patient recruitment.
Keywords
- CD4-binding site antibodies
- HIV-1 Virus Controllers
- antibody-dependent cellular phagocytosis (ADCP)
- broadly neutralizing antibodies
- negative-stain electron microscopy
- neutralization fingerprinting assay
ASJC Scopus subject areas
- Immunology and Allergy
- Immunology