HIV-infected cells are selectively killed by an immunotoxin in which a truncated form of Pseudomonas exotoxin A is joined to the variable region of a broadly neutralizing antibody (3B3) that recognizes the viral envelope glycoprotein (Env). To improve the efficacy of this molecule, we used three-dimensional structural information and phage selection data to design 23 single and multiple point mutations in the antibody variable region sequences that contact Env. Substituting an aromatic residue for an aspartate in the third complementarity-determining region of V H increased the potency of the immunotoxin by ϳ10-fold in a cell-killing assay. Detailed analysis of one such mutant, N31H/Q100eY, revealed both a higher affinity for monomeric and cell surface Env and an increased stability against aggregation compared with the starting immunotoxin. Conversion to a disulfide-linked two-chain format further stabilized the protein. N31H/Q100eY retained the ability to bind to Env from multiple viral isolates, to inhibit Envmediated cell fusion, and to limit spreading viral infection in peripheral blood mononuclear cells. Such sitedirected mutants may increase the utility of immunotoxins for reducing or eradicating persistent HIV-1 infection in humans.
Human immunodeficiency virus type 1 (HIV-1)1 is a persistent virus. Although highly active antiretroviral treatment (HAART) can reduce circulating virus to below the limits of detection and partially restore immune function in many individuals, the suppression of viral replication is not permanent. When HAART is ceased, the virus almost invariably rebounds to high levels due to the existence of long-lived viral reservoirs including persistently infected macrophages, latently infected CD4 ϩ memory T-cells, thymocytes, microglia, seminal cells, and natural killer cells (1-5). In view of the cumulative toxicity and cost of HAART, as well as the potential for the development of drug-resistant virus, it is important to develop strategies to reduce or eliminate such viral reservoirs. Immunotoxins that recognize and kill cells expressing the viral envelope glycoprotein (Env), which is displayed on the surface of many HIV-1-infected cell types, are logical candidates for this purpose (6 -10).For such immunotoxins to be clinically useful, they must bind with high affinity and specificity to a region of Env that is conserved between different viral isolates. They should also display suitable pharmacokinetic properties including stability in the circulation and minimal nonspecific toxicity. Recently Bera et al. (11) described a recombinant fusion protein that begins to meet these criteria. This molecule, termed 3B3(scFv)-PE, consists of a single-chain variable region construct (scFv) of human Fab 3B3 joined to a truncated version of Pseudomonas exotoxin A. The 3B3 Fab recognizes the highly conserved CD4-binding site of gp120, the external subunit of Env (12). 3B3 was derived by mutagenesis of b12, a Fab isolated from a combinatorial phage display library constructed from bone marrow RNA...