KD-247, a humanized monoclonal antibody to an epitope of gp120-V3 tip, has potent cross-neutralizing activity against subtype B primary human immunodeficiency virus type 1 (HIV-1) isolates. To assess how KD-247 escape mutants can be generated, we induced escape variants by exposing bulked primary R5 virus, MOKW, to increasing concentrations of KD-247 in vitro. In the presence of relatively low concentrations of KD-247, viruses with two amino acid mutations (R166K/D167N) in V2 expanded, and under high KD-247 pressure, a V3 tip substitution (P313L) emerged in addition to the V2 mutations. However, a virus with a V2 175P mutation dominated during passaging in the absence of KD-247. Using domain swapping analysis, we demonstrated that the V2 mutations and the P313L mutation in V3 contribute to partial and complete resistance phenotypes against KD-247, respectively. To identify the V2 mutation responsible for the resistance to KD-247, we constructed pseudoviruses with single or double amino acid mutations in V2 and measured their sensitivity to neutralization. Interestingly, the neutralization phenotypes were switched, so that amino acid residue 175 (Pro or Leu) located in the center of V2 was exchanged, indicating that the amino acid at position 175 has a crucial role, dramatically changing the Env oligomeric state on the membrane surface and affecting the neutralization phenotype against not only anti-V3 antibody but also recombinant soluble CD4. These data suggested that HIV-1 can escape from anti-V3 antibody attack by changing the conformation of the functional envelope oligomer by acquiring mutations in the V2 region in environments with relatively low antibody concentrations.The envelope protein (Env) of human immunodeficiency virus type 1 (HIV-1) presents on the virus surface as "spikes" composed of trimers comprising three gp120-gp41 complexes (6,32,33). Among the regions that induce the neutralization antibody (NAb) response, the third variable domain (V3 loop) of gp120 is considered one of the major targets of the host immune response (23, 69). It has been estimated that as much as half of the antibody response against HIV-1 Env in patient serum is directed against the V3 region (43). A recent crystallographic study revealed that the V3 loop contains features that are essential for coreceptor binding and that the extended nature and antibody accessibility of V3 are associated with its immunodominance (20).HIV-1 primary isolates are relatively resistant to neutralization by NAbs and recombinant soluble CD4 (rsCD4) compared with variants selected for growth in permanent cell lines (42,52,55). Studies addressing differences between neutralization-sensitive and -resistant variants have revealed the involvement of several mechanisms that underlie the neutralization resistance of primary isolates, including the occlusion of epitopes within the oligomer, extensive glycosylation, and extension of variable loops from the surface of the complex, as well as steric and conformational blocking of receptor binding sites ...