HIV controllers are a valuable source for the identification of HIV-neutralizing antibodies, as chronic infection over decades allows extensive affinity maturation of antibodies for improved Ag recognition. We analyzed a small cohort of elite controllers (ECs) for HIVneutralizing antibodies using a panel of standardized HIV-1 pseudovirions on TZM-bl cells. An HIV-1 Env-tailored phage display library was generated to select epitopes targeted by neutralizing antibodies in the EC26 plasma sample showing the broadest neutralizing activity. Selected Env fragments were mostly allocated to the membrane proximal external region of gp41. After preabsorbing the EC26 plasma with the selected phage EC26-2A4, we achieved 50% depletion of its neutralizing activity. Furthermore, antibodies affinity-purified with the EC26-2A4 epitope from EC26 plasma showed neutralizing activity, proving that the selected phage indeed contains an epitope targeted by neutralizing plasma antibodies. Epitope fine mapping of the purified plasma antibodies on peptide arrays identified a new epitope overlapping, but clearly distinct, from the prominent 2F5 epitope. Of note, the purified antibodies did not show autoreactivity with cardiolipin, whereas low reactivity with phosphatidylserine comparable to mAb 2F5 was observed. Thus, this new epitope represents a promising candidate for further analysis in view of HIV vaccine development.Keywords: Elite controllers r Epitopes r HIV-1 r neutralizing antibodies r phage display Additional supporting information may be found in the online version of this article at the publisher's web-site Correspondence: Ursula Dietrich e-mail: ursula.dietrich@em.uni-frankfurt.de
IntroductionEliciting broadly neutralizing antibodies (bnAbs) against HIV-1 is a major goal in HIV vaccine development [1]. However, despite the identification of a number of epitopes for bnAbs present in C 2012 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim www.eji-journal.eu
500Mingkui Zhou et al. Eur. J. Immunol. 2013. 43: 499-509 patient sera [2], these epitopes failed so far to induce such antibodies after vaccination in vivo [3][4][5][6][7][8]. The mechanism behind the elicitation of bnAbs during natural infection remains unclear. Emerging evidence indicates that most HIV-1-specific antibodies elicited during early infection fail to neutralize a wide-spectrum of HIV-1 strains and emphasizes the importance of analyzing the Ab profile of patients showing delayed disease progression to allow for sufficient affinity maturation [9]. A subgroup of HIV-1-infected individuals controlling the infection over years in the absence of antiretroviral therapy and maintaining serum viral loads (VL) below the detection limit (<50 copies/mL) is termed "elite controllers" (ECs) [10]. Although virus control is certainly due to a potent HIV-specific immune response [10], few qualitative differences in immune responses have been identified between controllers and viremic individuals. The differences encountered so far mainly concern the cellular immune response an...