Detection of Neutralizing Antibodies in HIV-1 Patients on Antiretroviral Treatment for Over Ten Years.

BACKGROUND: Recently, many broadly applicable and potent neutralizing antibodies have been screened from HIV-1-infected patients. However, all these effective neutralizing antibodies were isolated from patients naive to anti-retroviral treatment (ART). METHODS: To better understand the induction of neutralizing antibodies in patients on ART, we screened 3 patients with an over ten-year infection history on ART from 350 patients in China for a cross-reactive neutralizing antibody response based on the use of different antigens and recombinant viruses. We studied the evolution of neutralizing activity in two patients during a one-year period with previously described recombinant viruses NL4-3 and SF162 using ELISA and neutralization assays. RESULTS: Antibodies purified from sera were able to react with recombinant virus antigens R2-gp120 and SF162-gp140 and neutralize SF162 recombinant virus but not NL4-3 recombinant virus. In addition, we observed a significant increase in the neutralizing response of immunoglobulin G (IgG) isolated from the serum sample in Patient 1 and compared it with the serum from Patient 1 six months ago. CONCLUSIONS: We thus confirm the possibility of production of neutralizing antibodies in patients infected for over ten years on ART, and it is possible over time of the improvement of HIV-1 potent neutralizing activity associated with viremia and immune reconstruction.

CD4 binding loop responsible for the neutralization of human monoclonal neutralizing antibody Y498.

Broad and potent human monoclonal neutralizing antibodies have considerable potential in the prevention and treatment of acquired immunodeficiency syndrome (AIDS). To identify the key amino acid recognition site contacted with neutralizing antibody Y498, peptides were panned from the PhD-12 peptide library and predicted using online software. Then, four key amino acid sites, G367, D368, E370, and V372 located on the CD4 binding loop on gp120 of envelope of human immunodeficiency virus-1 (HIV-1), were found to determine the neutralization of antibody Y498. Residue E370 is in the deep part of the CD4 binding loop, which affects Y498-mediated neutralization. This form of recognition leads to a somewhat limiting neutralization spectrum of neutralizing antibody Y498, although it has some neutralization ability. Further study of the interactions between the neutralizing antibody Y498 and its epitope on the surface of the virus may facilitate vaccine development and so prevent new AIDS cases.