Human monoclonal antibody 2219 is a neutralizing antibody isolated from a human immunodeficiency virus type 1-infected individual. 2219 was originally selected for binding to a V3 fusion protein and can neutralize primary isolates from subtypes B, A, and F. Thus, 2219 represents a cross-reactive, human anti-V3 antibody. Fab 2219 binds to one face of the variable V3 -hairpin, primarily contacting conserved residues on the N-terminal -strand of V3, leaving the V3 crown or tip largely accessible. Three V3/2219 complexes reveal the antibody-bound conformations for both the N-and C-terminal regions that flank the V3 crown and illustrate how twisting of the V3 loop alters the relative dispositions and pairing of the amino acids in the adjacent V3 -strands and how the antibody can accommodate V3 loops with different sequences.Recent crystal structures of human immunodeficiency virus type 1 (HIV-1) neutralizing antibodies have revealed how the immune system can utilize many different strategies to recognize this constantly evolving virus. Prototypic examples include the broadly neutralizing antibody b12, which is thought to use its long complementarity-determining region (CDR) loops to access the recessed, but conserved, CD4 binding site (63), and antibody 2G12, which capitalizes on a unique domain-swapped dimer-of-Fab configuration to create a multivalent binding surface to enhance avidity for low-affinity carbohydrate epitopes (5) on the gp120 silent face. Novel antibodies that block gp120 binding to its chemokine receptor have recently been shown to contain sulfated tyrosines in their CDR loops that likely mimic sulfated tyrosines in the chemokine receptor itself (12), whereas the anti-V3 antibody 447-52D uses a long CDR H3 loop to bind V3 in a way that makes the recognition largely sequence independent, except for interaction with the relatively conserved GPGR crown region (72). Finally, antibody 4E10, the most broadly HIV-1-neutralizing antibody known, binds to a membrane-proximal epitope on gp41 and may also use its long CDR H3 loop to interact with the membrane (6). We report here the structure of a human anti-V3 neutralizing antibody, 2219, that shows yet another way the immune system has found to evoke broad recognition of multiple HIV-1 viral isolates.The HIV-1 viral proteins gp120 and gp41 are located on the outer membrane surface of the virus, forming a trimeric assembly of the two noncovalently associated proteins. Antibodies that neutralize the virus are directed against these envelope proteins. One of the major epitopes on gp120 is its V3 (third hypervariable) loop, a region of approximately 35 amino acids, linked by a disulfide bond at the base (Cys296-Cys331; HXB2 numbering). Although V3 is termed "hypervariable," much of the V3 loop, including the tip or crown, is fairly well conserved, with usually just one or two chemically similar amino acid types found at each position (Table 1). The V3 region is highly immunogenic and induces a spectrum of antibodies that can either be highly specific for a par...