Word Count: 249 13 Article Word Count: 4942 14 15 2 Abstract (249/250 words)
16The envelope glycoprotein (Env) of human immunodeficiency virus-1 (HIV-1) is the sole target of 17 broadly neutralizing antibodies (bnAbs). Several mechanisms, such as acquisition of mutations due to 18 the error prone reverse transcriptase, variability of loop length and alterations in glycan pattern are 19 employed by the virus to shield neutralizing epitopes on the env, to sustain survival and infectivity 20 within the host. Identification of mutations that can lead to viral evasion from host immune response is 21 essential for optimization and engineering of Env based trimeric immunogens. Herein, we report a 22 rare leucine to phenylalanine escape mutation (L184F) at the base of hypervariable loop 2 (population 23 frequency of 0.0045%) in a nine-month-old perinatally HIV-1 infected infant broad neutralizer. The
24L184F mutation disrupted the intramolecular interaction, stabilizing the trimer apex thereby leading to 25 viral escape from autologous plasma bnAbs and known bnAbs, targeting exclusively the N160 glycan 26 at trimer apex and not any other known epitope. The L184F amino acid change led to acquisition of a 27 relatively open trimeric configuration, often associated with tier 1 HIV-1 isolates and an increased 28 susceptibility to neutralization by polyclonal plasma antibodies of weak neutralizers. While there was 29 no impact of the L184F mutation on free virus transmission, a reduction in cell-to-cell transmission 30 was observed. In conclusion, we report a viral escape mutation that plausibly destabilized the trimer 31 apex and favoured evasion from broadly neutralizing antibodies. Such mutations, though rare, should 32 be taken into consideration while designing an immunogen, based on a stable correctly-folded HIV-1 33 Env trimer.
34Importance (148/150 words)
35Design of HIV-1 envelope-based immunogens, capable of eliciting broadly neutralizing antibodies 36 (bnAbs), are currently under active research. Some of the most potent bnAbs target the quaternary 37 epitope at the V2 apex of HIV-1 Env trimer. By studying naturally circulating viruses from an HIV-1 38 perinatally infected infant, with plasma neutralizing antibodies targeted to the V2-apex, we identified a 39 rare leucine to phenylalanine substitution in two out of six functional viral clones, that destabilized the 40 trimer apex. This single amino acid alteration impaired the interprotomeric interactions that stabilize 41 the trimer apex, resulting in an open trimer conformation, and escape from broadly neutralizing 42 autologous plasma antibodies and known V2-apex directed bnAbs, thereby favouring viral evasion of 43 the early bnAb response of the infected host. Defining the mechanisms by which viral mutations 44 3 influence the sensitivity of HIV-1 to bnAbs is crucial for the development of effective vaccines against 45 HIV-1 infection. 49 Envelope glycoprotein (Env) is a trimer of non-covalently linked heterodimers (gp120/gp41)3, and is 50 the primary target of ...