eCD4-Ig promotes ADCC activity of sera from HIV-1-infected patients

PLoS Pathog. 2017 Dec 18;13(12):e1006786. doi: 10.1371/journal.ppat.1006786. eCollection 2017 Dec.

Abstract

Antibody-dependent cell-mediated cytotoxity (ADCC) can eliminate HIV-1 infected cells, and may help reduce the reservoir of latent virus in infected patients. Sera of HIV-1 positive individuals include a number of antibodies that recognize epitopes usually occluded on HIV-1 envelope glycoprotein (Env) trimers. We have recently described eCD4-Ig, a potent and exceptionally broad inhibitor of HIV-1 entry that can be used to protect rhesus macaques from multiple high-dose challenges with simian-human immunodeficiency virus AD8 (SHIV-AD8). Here we show that eCD4-Ig bearing an IgG1 Fc domain (eCD4-IgG1) can mediate efficient ADCC activity against HIV-1 isolates with differing tropisms, and that it does so at least 10-fold more efficiently than CD4-Ig, even when more CD4-Ig molecules bound cell surface-expressed Env. An ADCC-inactive IgG2 form of eCD4-Ig (eCD4-IgG2) exposes V3-loop and CD4-induced epitopes on cell-expressed trimers, and renders HIV-1-infected cells susceptible to ADCC mediated by antibodies of these classes. Moreover, eCD4-IgG2, but not IgG2 forms of the broadly neutralizing antibodies VRC01 and 10-1074, enhances the ADCC activities of serum antibodies from patients by 100-fold, and significantly enhanced killing of two latently infected T-cell lines reactivated by vorinostat or TNFα. Thus eCD4-Ig is qualitatively different from CD4-Ig or neutralizing antibodies in its ability to mediate ADCC, and it may be uniquely useful in treating HIV-1 infection or reducing the reservoir of latently infected cells.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antibody-Dependent Cell Cytotoxicity
  • CD4 Antigens / immunology
  • CD4 Immunoadhesins / immunology*
  • CD4 Immunoadhesins / therapeutic use*
  • Cell Line
  • Epitopes / immunology
  • HEK293 Cells
  • HIV Antibodies / blood
  • HIV Antibodies / therapeutic use*
  • HIV Infections / immunology*
  • HIV Infections / therapy*
  • HIV Infections / virology
  • HIV-1* / immunology
  • HIV-1* / pathogenicity
  • HIV-1* / physiology
  • Host-Pathogen Interactions / immunology
  • Humans
  • Macaca mulatta
  • Virus Activation / immunology
  • Virus Latency / immunology
  • env Gene Products, Human Immunodeficiency Virus / immunology

Substances

  • CD4 Antigens
  • CD4 Immunoadhesins
  • Epitopes
  • HIV Antibodies
  • env Gene Products, Human Immunodeficiency Virus