The protective efficacy of antibodies (Abs) to Cryptococcus neoformans glucuronoxylomannan (GXM) is dependent on Ab fine specificity. Two clonally related immunoglobulin M monoclonal Abs (MAbs) (12A1 and 13F1) differ in fine specificity and protective efficacy, presumably due to variable (V)-region sequence differences resulting from somatic mutations. MAb 12A1 is protective and produces annular immunofluorescence (IF) on serotype D C. neoformans, while MAb 13F1 is not protective and produces punctate IF. To determine the Ab molecular determinants responsible for the IF pattern, site-directed mutagenesis of the MAb 12A1 heavy-chain V region (V H ) was followed by serological and functional studies of the various mutants. Changing two selected amino acids in the 12A1 V H binding cavity to the corresponding residues in the 13F1 V H altered the IF pattern from annular to punctate, reduced opsonic efficacy, and abolished recognition by an antiidiotypic Ab. Analysis of the binding of the various mutants to peptide mimetics revealed that different amino acids were responsible for GXM binding and peptide specificity. The results suggest that V-region motifs associated with annular binding and opsonic activity may be predictive of Ab efficacy against C. neoformans. This has important implications for immunotherapy and vaccine design that are reinforced by the finding that GXM and peptide reactivities are determined by different amino acid residues.The protective efficacy of antibodies (Abs) to the humanpathogenic fungus Cryptococcus neoformans depends on the Ab isotype and specificity (reviewed in references 3 and 46). The evidence that Ab specificity is critical for protective efficacy comes from studies of two clonally related immunoglobulin M (IgM) monoclonal Abs (MAbs) known as 12A1 and 13F1 (3, 31, 39, 46). Although these MAbs originated from the same B-cell precursor and use the same variable (V)-region genes, they differ in specificity as a result of V-region somatic mutations that translate into 12 amino acid differences (31, 39). The differences in specificity are manifested by differences in the indirect immunofluorescence (IF) binding pattern such that MAbs 12A1 and 13F1 produce annular and punctate patterns, respectively, after binding to serotype D C. neoformans cells (11,31,39). The annular binding pattern is correlated with opsonic efficacy, capsular reaction patterns, and complement activation kinetics (27) and Ab protection against serotype D organisms (31, 39). Since the MAb pair 12A1 and 13F1 have markedly different biological properties yet differ in sequence by only a few amino acids, they provide a unique opportunity for the study of Ab specificity.MAbs to C. neoformans capsular glucuronoxylomannan (GXM) have been grouped into five classes based on V-region usage and idiotype and serotype specificity (5). Class II MAbs include a large set of MAbs that bind to an immunodominant epitope found in all cryptococcal serotypes and are characterized by the use of V H 7183, J H 2, V 5.1, and J 1 gene eleme...