A human antibody library constructed by utilizing a phage display system was used for the isolation of human antibodies with neutralizing activity specific for human rotavirus. In the library, the Fab form of an antibody fused to truncated cp3 is expressed on the phage surface. Purified virions of strain KU (G1 serotype and P[8] genotype) were used as antigen. Twelve different clones were isolated. Based on their amino acid sequences, they were classified into three groups. Three representative clones-1-2H, 2-3E, and 2-11G-were characterized. Enzyme-linked immunosorbent assay with virus-like particles (VLP-VP2/6 and VLP-VP2/6/7) and recombinant VP4 protein produced from baculovirus recombinants indicated that 1-2H and 2-3E bind to VP4 and that 2-11G binds to VP7. The neutralization epitope recognized by each of the three human antibodies might be human specific, since all of the antigenic mutants resistant to mouse monoclonal neutralizing antibodies previously prepared were neutralized by the human antibodies obtained here. After conversion from the Fab form of an antibody into immunoglobulin G1, the neutralizing activities of these three clones toward various human rotavirus strains were examined. The 1-2H antibody exhibited neutralizing activity toward human rotaviruses with either the P[4] or P[8] genotype. Similarly, the 2-3E antibody showed cross-reactivity against HRVs with the P[6], as well as the P[8] genotype. In contrast, the 2-11G antibody neutralized only human rotaviruses with the G1 serotype. The concentration of antibodies required for 50% neutralization ranged from 0.8 to 20 g/ml.Rotavirus is the major cause of severe acute gastroenteritis among infants and young children. Rotavirus infection is lifethreatening in developing countries, resulting in 500,000 to 600,000 deaths annually (33). In developed countries, rotavirus infections lead to a high disease burden with considerable medical expense due to the high morbidity. Furthermore, adults, particularly the elderly, are also affected by rotavirus infection (34, 39), and immunocompromised children and adults develop persistent rotavirus diarrhea (12,42,43). Thus, vaccination is thought to be the best way to reduce severe rotavirus gastroenteritis worldwide. Tetravalent rhesus rotavirus (RRV) human reassortant vaccine comprising RRV and three RRV-based monoreassortants carrying the VP7 genes from G1, G2, and G4 human rotaviruses (HRVs) was developed (25), and 1.5 million doses of this vaccine had been administered to infants by the end of May 1999 in the United States. However, the vaccine was withdrawn due to the occurrence of gut intussusception, which appeared to be epidemiologically linked to vaccine application (5, 38). Moreover, even if a safe and effective rotavirus vaccine is developed, vaccination would be less effective in immunocompromised patients.Rotaviruses have two outer capsid proteins, viral protein 4 (VP4) and VP7, encoded on RNA segment 4 and RNA segment 7, 8, or 9, depending on the strain, respectively (19). VP4 and VP7 are kn...