e Recently, several broadly neutralizing monoclonal antibodies (bnMAbs) directed to the CD4-binding site (CD4bs) of gp120 have been isolated from HIV-1-positive donors. These include VRC01, 3BNC117, and NIH45-46, all of which are capable of neutralizing about 90% of circulating HIV-1 isolates and all of which induce conformational changes in the HIV-1 gp120 monomer similar to those induced by the CD4 receptor. In this study, we characterize PGV04 (also known as VRC-PG04), a MAb with potency and breadth that rivals those of the prototypic VRC01 and 3BNC117. When screened on a large panel of viruses, the neutralizing profile of PGV04 was distinct from those of CD4, b12, and VRC01. Furthermore, the ability of PGV04 to neutralize pseudovirus containing single alanine substitutions exhibited a pattern distinct from those of the other CD4bs MAbs. In particular, substitutions D279A, I420A, and I423A were found to abrogate PGV04 neutralization. In contrast to VRC01, PGV04 did not enhance the binding of 17b or X5 to their epitopes (the CD4-induced [CD4i] site) in the coreceptor region on the gp120 monomer. Furthermore, in contrast to CD4, none of the anti-CD4bs MAbs induced the expression of the 17b epitope on cell surface-expressed cleaved Env trimers. We conclude that potent CD4bs bnMAbs can display differences in the way they recognize and access the CD4bs and that mimicry of CD4, as assessed by inducing conformational changes in monomeric gp120 that lead to enhanced exposure of the CD4i site, is not uniquely correlated with effective neutralization at the site of CD4 binding on HIV-1.A study (Protocol G) that screened 1,800 HIV-1 donors infected with viruses of different clades revealed that a significant fraction of donors developed broad and potent neutralizing serum responses, in agreement with studies from several laboratories (5-8, 20, 23). The top 1% of Protocol G donors that exhibited the most broad and potent serum neutralizing responses were designated "elite neutralizers." A significant proportion of Protocol G donors, who ranked within the top 5%, had an overall broad and/or potent serum neutralization activity that was mediated by antibodies to a conserved region on the primary entry receptor of the virus, the CD4 binding site (CD4bs) (26). The CD4bs is of particular interest as a potential vaccine target since it is a conserved region whose accessibility, at least to CD4, must be maintained.The first potent broadly neutralizing monoclonal antibody (bnMAb) to this region, MAb b12, was isolated from a phage display library utilizing RNA from an HIV-1-seropositive individual (presumed clade B virus) (1, 2) and neutralized 35% of a 162-virus cross-clade panel (25). However, the observation that b12 interacts with gp120 apparently solely through its heavy chain (34) and the inability, despite extensive efforts, to isolate further antiCD4bs bnMAbs led to doubts as to whether such Abs could be elicited through immunization. An advance came when MAb HJ16 was isolated by immortalization of memory B cells from a c...