HIV-1 is neutralized by a class of antibodies that preferentially recognize a site formed on the assembled viral spike. Such quaternary structure-specific antibodies have diverse neutralization breadths, with antibodies PG16 and PG9 able to neutralize 70 to 80% of circulating HIV-1 isolates while antibody 2909 is specific for strain SF162. We show that alteration between a rare lysine and a common N-linked glycan at position 160 of HIV-1 gp120 is primarily responsible for toggling between 2909 and PG16/PG9 neutralization sensitivity. Quaternary structure-specific antibodies appear to target antigenic variants of the same epitope, with neutralization breadth determined by the prevalence of recognized variants among circulating isolates.The extraordinary diversity of HIV-1 suggests that a vaccine serotype strategy, such as the approach used to provide broad protection against the various serotypes of poliovirus or human papillomavirus (1, 19), may have limited applicability to HIV-1. One potential alternative is to focus on conserved sites of HIV-1 vulnerability to antibody-mediated neutralization. If a limited number of immunological variants (immunotypes) exist for a given neutralization site, then a "siteof-vulnerability serotype" vaccine strategy may be possible. Several sites of HIV-1 vulnerability have been identified on the assembled envelope (Env) spike, which is composed of three gp120 exterior units and three gp41 transmembrane molecules. These sites include the initial site of viral attachment to the cellular receptor CD4 (4, 29-31), a glycan site recognized by the 2G12 antibody (22, 23), the V3 loop (6, 9, 10, 32), and the external region of gp41 proximal to the membrane (25, 33). Recently, an epitope composed of quaternary structure-dependent interactions of the V2 and V3 loops of gp120 was also identified (7,8,11,21,27,28).The first HIV-1 quaternary structure-specific antibody isolated was the human monoclonal antibody (MAb) 2909, which displays neutralization limited to strain SF162 (8, 11). In contrast, the quaternary structure-specific and clonally related human MAbs PG16 and PG9 neutralize 70 to 80% of circulating HIV-1 isolates (27). Interestingly, recognition by the PG antibodies was found to require an N-linked glycan at position 160 (based on HXB2 numbering) in the V2 region of gp120