Varicella-zoster virus (VZV) glycoprotein H (gH)is the major neutralization target of VZV, and its neutralizing epitope is conformational. Ten neutralizing human monoclonal antibodies to gH were used to map the epitopes by immunohistochemical analysis and were categorized into seven epitope groups. The combinational neutralization efficacy of two epitope groups was not synergistic. Each epitope was partially or completely resistant to concanavalin A blocking of the glycomoiety of gH, and their antibodies inhibited the cell-to-cell spread of infection. The neutralization epitope comprised at least seven independent protein portions of gH that served as the target to inhibit cell-to-cell spread.Varicella-zoster virus (VZV) glycoprotein H (gH) is the major target for neutralization (4,5,7,9,18), and it plays an important role in viral entry and cell-to-cell spread of infection (1,3,11,12,15). We isolated human monoclonal antibodies (MAb) to gH using an antibody library called AIMS4 constructed from B-lymphocyte-rich tissues of several dozen people (6,19). Nine clones were selected for their neutralizing ability and their Fab sequences of heavy (H) and light (L) chains and used, in addition to TI-57, an anti-gH human MAb from a hybridoma, to characterize the neutralization epitopes of gH (18). Our system makes it possible to use the Fab form, which has about one-third the molecular weight of immunoglobulin G (IgG), in order to eliminate the spatial interaction between the Fc or other unreacted Fab of IgG molecules on one gH molecule. The neutralizing epitopes of gH are conformational, making gH hardly detectable by Western blot or enzyme-linked immunosorbent assay, and therefore, the conformational epitopes were mapped immunohistochemically. The combinational neutralizing activity between two species of Fab protein A (Fabpp) forms and the inhibition of cell-to-cell infection were characterized, and the neutralization domain of gH was found to comprise a cluster of the seven neutralization epitopes and to prevent cell-to-cell infection.Human embryonic lung cells were used to propagate Oka varicella vaccine, and cell-free virus was obtained by sonication of infected cells in SPGC medium (phosphate-buffered saline [PBS] containing 0.1% sodium glutamate, 5% sucrose, and 10% fetal bovine serum) followed by centrifugation (13,14,16).Except for TI-57, each MAb was expressed in two forms: Fab-pp and Fab with an avidin tag (Fab-Avi-tag). Fab-pp corresponds to an Fab molecule fused with two domains of the Fc-binding protein A from Staphylococcus aureus (8) and purified on an IgG-conjugated column (19). Fab-Avi-tag is composed of an Fab bearing a 23-amino-acid-long peptide tag that can be biotinylated by the bacterial BirA biotin ligase (1). Fab-Avi-tag antibodies were purified by using SoftLink soft release avidin resin (Promega, Madison, WI).To map the neutralizing epitope by Fab-pp, VZV-infected cells in 24-well plates were fixed by air-drying and then with 50% methanol and 50% acetone. The Fab-pp form (5 g/ml in 0.5 ml of ...