Functional analysis of a monoclonal antibody reactive against anti-cluster A epitope obtained from a patient infected with HIV-1 CRF02_AG

Background: Recent data suggest the importance of non-neutralizing antibodies (nnAbs) in the development of vaccines against HIV-1 because two types of nnAbs that recognize the coreceptor binding site (CoRBS) and inner domain cluster A mediate antibody-dependent cellular-cytotoxicity (ADCC) against HIV-1-infected cells. However, many studies have been conducted with nnAbs obtained from subtype B-infected individuals, with few studies in patients with non-subtype B infections. Results: We isolated a monoclonal antibody 1E5 from a CRF02_AG-infected individual and constructed two forms of antibody with constant regions of IgG1 or IgG3. The epitope of 1E5 belongs to cluster A, which consists of C1 and C2 of gp120, and 1E5 binds to 27 out of 35 strains (77%) across the subtypes. The 1E5 showed strong ADCC activity, especially in the form of IgG3 in the presence of small CD4-mimetic compounds (CD4mc) and anti-CoRBS antibody, but did not show any neutralizing activity even against the isolates with strong binding activities. The enhancement in the binding of A32, anti-cluster A antibody isolated from a patient with subtype B infection, was observed in the presence of 1E5 and the combination of both anti-cluster A antibodies enhanced ADCC activity. Conclusions: These results suggest that anti-cluster A antibodies that are induced in patients with different HIV-1 subtype infections have common functional modality and may have unexpected interactions. These data may have implications for vaccine development against HIV-1.