Identifying structural determinants of human immunodeficiency virus (HIV) neutralization is an important component of rational drug and vaccine design. We used cryoelectron tomography and atomic force microscopy to characterize the structure of an extremely potent HIV-neutralizing protein, D1D2-Ig␣tp (abbreviated as D1D2-IgP), a polyvalent antibody construct that presents dodecameric CD4 in place of the Fab regions. We show that D1D2-IgP has a novel structure, displaying greater flexibility of its antibody arms than the closely related IgM. Using simian immunodeficiency virus in complex with D1D2-IgP, we present unequivocal evidence that D1D2-IgP can cross-link surface spikes on the same virus and on neighboring viruses. The observed binding to the viral envelope spikes is the result of specific CD4-gp120 interaction, because binding was not observed with MICA-IgP, a construct that is identical to D1D2-IgP except that major histocompatibility complex Class I-related Chain A (MICA) replaces the CD4 moiety. CD4-mediated binding was also associated with a significantly elevated proportion of ruptured viruses. The ratio of inactivated to CD4-liganded gp120-gp41 spikes can be much greater than 1:1, because all gp120-gp41 spikes on the closely apposed surfaces of cross-linked viruses should be incapable of accessing the target cell surface and mediating entry, as a result of inter-virus spike cross-linking. These results implicate flexibility rather than steric bulk or polyvalence per se as a structural explanation for the extreme potency of D1D2-IgP and thus suggest polyvalence presented on a flexible scaffold as a key design criterion for small molecule HIV entry inhibitors.
Human immunodeficiency virus type 1 (HIV-1)3 infection of target cells is initiated by binding of the viral envelope glycoprotein gp120 to the cell surface receptor CD4 (1-3). The first step in the infection process, gp120-CD4 binding is an attractive drug target because the CD4 binding site of gp120 is well conserved and because de novo infection of target cells would be blocked, preventing all subsequent stages of the viral life cycle. No therapeutic agents that target gp120-CD4 binding are currently available, although certain small molecules are in clinical trials (reviewed in Ref. 4).Soluble monomeric CD4 (sCD4) neutralizes primary isolates poorly at pharmacologically realizable concentrations (5) and is therefore not useful as a therapeutic agent against HIV-1. Minimally passaged clinical primary isolates, which best model the in vivo virus, are unaffected by physiologically sustainable concentrations of sCD4 in infectivity assays (6). Recent reports suggest that the sCD4-induced conformational fixation in gp120 (7-9) makes sCD4 binding energetically unfavorable (6).In contrast to the soluble monomeric form, CD4 on the cell surface is thought to be clustered (10, 11). The clustered CD4 may mediate an avidity effect, so that soluble CD4 competes poorly with target cell CD4 for viral gp120 (6). To mimic the clustering of cell surface CD4, Ar...