A significant fraction of the individuals infected with HIV-1 develop broadly neutralizing antibodies, but only after a prolonged period of infection (
Sather et al., 2009;
Simek et al., 2009;
Stamatatos et al., 2009;
Doria-Rose et al., 2010;
Walker et al., 2010;
Gray et al., 2011;
Mikell et al., 2011). These antibodies do not resolve the infection, but exert selective pressure on the virus as indicated by the emergence of HIV-1 variants that are antibody resistant (
Albert et al., 1990;
Bunnik et al., 2008;
Richman et al., 2003;
Wei et al., 2003). Despite the viruses’ ability to avert the antibody response, broad HIV-1–neutralizing antibodies are of interest because they can prevent infection in nonhuman primates and have been shown to delay viral rebound (
Mascola et al., 1999;
Shibata et al., 1999;
Mascola et al., 2000;
Trkola et al., 2005;
Hessell et al., 2009a,
b). Additionally, the presence of envelope-reactive IgGs correlates with protection in the vaccination trial RV144 (
Haynes et al., 2012).
Notwithstanding their potential importance, little was known about the molecular composition of the HIV-1–neutralizing response until recently (
Stamatatos et al., 2009;
Mascola and Montefiori, 2010;
McMichael et al., 2010;
Moir et al., 2011). The introduction of HIV-1–specific single-cell antibody cloning methods (
Scheid et al., 2009a,
b;
Tiller et al., 2008) resulted in the cloning of dozens of antibodies, and today HIV-1–neutralizing antibodies with far greater potency and breadth are available (
Walker et al., 2009,
2011;
Corti et al., 2010;
Wu et al., 2010;
Bonsignori et al., 2011;
Diskin et al., 2011;
Scheid et al., 2011). Here, we report on a new antibody cloning method based on the use of cell surface–expressed HIV-1 envelope protein gp160Δc
BaL as bait. The cellular bait is far less efficient than the soluble protein bait; nevertheless, it captured unique antibodies that target an epitope that has not previously been associated with broad neutralization.
Although the recent HIV-1 antibody cloning experiments have uncovered broad and potent antibodies, they have not revealed new antibody target regions on the HIV-1 spike. For example, the recently identified broadly neutralizing anti-CD4bs antibodies, which are the most potent and broadest of the new antibodies to date (
Wu et al., 2010;
Diskin et al., 2011;
Scheid et al., 2011), recognize the CD4bs, a well-known target of previously characterized, less potent antibodies (
Stamatatos et al., 2009;
Mascola and Montefiori, 2010;
McMichael et al., 2010). In addition, PG9 and PG16 target epitopes on the variable loops (
Walker et al., 2009;
Davenport et al., 2011;
McLellan et al., 2011) that are also seen by the strain-specific antibody 2909 (
Gorny et al., 2005) and the antibodies CH1-CH4 (
Bonsignori et al., 2011). The PGT antibodies (
Walker et al., 2011) recognize the V3 loop, which has been studied extensively as a target for broadly neutralizing antibodies (
Hioe et al., 2010). Similarly, although we have not pinpointed the precise target of 3BC176 and 3BC315, the epitope is likely to be in close proximity to the V3 loop and the CD4i site (
Stamatatos et al., 2009;
Mascola and Montefiori, 2010;
McMichael et al., 2010). However, the epitope recognized by 3BC176 and 3BC315 differs from previously described epitopes. Unlike PG9, PG16, 2909, and CH01-CH04, 3BC176 and 3BC315 are able to neutralize HIV-1 strains that do or do not carry a glycosylation site at position 160 of the gp120 envelope molecule (HXBc2-numbering). Furthermore, 3BC176 and 3BC315 failed to recognize any of the panel of soluble envelope monomers or trimers tested. Further analysis may reveal soluble envelope proteins that react with 3BC176 and 3BC315, and these envelopes would be promising candidates to elicit 3BC176/3BC315-type antibodies by immunization.
Only a small number of patients have been studied in depth by single-cell antibody cloning methods, but the results reveal that there is significant heterogeneity in the antibodies responsible for anti–HIV-1 serologic activity (
Scheid et al., 2009a,
2011;
Walker et al., 2009,
2010,
2011;
Corti et al., 2010;
Wu et al., 2010,
2011;
Bonsignori et al., 2011,
2012;
Morris et al., 2011). The serologic activity in patient 3B appears to result from at least two different types of broadly neutralizing antibody clones to two different sites on the HIV-1 spike: one that targets the CD4bs and a second that targets a conformational epitope likely to be in the vicinity of the CD4i site. The anti-CD4bs antibodies from this patient, typified by 3BNC117 and 3BNC55, were obtained by single-cell sorting using soluble protein baits (
Scheid et al., 2011).
Although patient 3B’s broadly neutralizing anti-CD4bs antibodies cover nearly 90% of all viruses initially tested, there are significant holes in the repertoire, many of which are common to other known broadly neutralizing anti-CD4bs antibodies (
Scheid et al., 2011;
Wu et al., 2011). 3BC176 and 3BC315 complement the spectrum of viruses neutralized by the broadly neutralizing anti-CD4bs antibodies. As a result 10 out of 13 of the anti-CD4bs antibody resistant viruses in the 39 virus panel tested were sensitive to 3BC176 and/or 3BC315.
Development of broad HIV-1–neutralizing antibodies is likely to involve iterative cycles of germinal center formation, antibody gene somatic mutation, and viral escape. This is evident from the appearance of viral escape mutants (
Albert et al., 1990;
Richman et al., 2003;
Wei et al., 2003;
Bunnik et al., 2008) and the exceedingly high levels of somatic hypermutation found on HIV-1–neutralizing antibodies (
Corti et al., 2010;
Wu et al., 2010,
2011;
Scheid et al., 2011). In addition to the emergence of unique clones of broadly neutralizing antibodies to a single epitope, HIV-1 infection can also elicit broadly neutralizing antibodies to different epitopes with complementary breadth (
Bonsignori et al., 2012). We would like to propose that vaccine strategies aimed at producing such antibodies should include the maximum possible number of epitopes recognized by such antibodies to optimize the opportunities for development of anti–HIV-1 antibody breadth and potency.