Crystal structure of HIV-1 primary receptor CD4 in complex with a potent antiviral antibody

Michael M Freeman1, Michael S Seaman, Sophia Rits-Volloch

  • 1Division of Molecular Medicine, Children's Hospital, and Department of Pediatrics, Harvard Medical School, 3 Blackfan Circle, Boston, MA 02115, USA.

Insights

Ibalizumab, an anti-CD4 antibody, effectively blocks HIV-1 infection by binding to CD4 without disrupting essential immune functions. Its structure reveals it grips CD4 without needing to crosslink, offering insights into HIV entry inhibition.

Area of Science:

  • Structural Biology
  • Immunology
  • Virology

Background:

  • Ibalizumab is a humanized monoclonal antibody targeting CD4.
  • It inhibits HIV-1 infection by binding to a specific CD4 epitope.
  • This binding avoids interference with CD4 interactions crucial for immune functions.

Purpose of the Study:

  • To determine the crystal structure of the ibalizumab Fab fragment in complex with CD4 domains D1-D2.
  • To elucidate the binding mechanism of ibalizumab to CD4.
  • To understand how ibalizumab inhibits HIV-1 entry at a molecular level.

Main Methods:

  • X-ray crystallography was used to obtain the structure at 2.2 Å resolution.
  • Analysis of the ibalizumab-CD4 complex structure.
  • Functional assays to assess viral blocking activity of different ibalizumab forms.

Main Results:

  • The crystal structure reveals ibalizumab binds to the BC-loop of CD4 domain D2.
  • This binding site is distinct from gp120 and MHC-II binding sites.
  • Ibalizumab effectively blocks viral infection in both monovalent and bivalent forms, indicating crosslinking is not required.
  • CD4 exhibits minimal conformational changes upon ibalizumab binding, and its structural rigidity is not essential for inhibition.

Conclusions:

  • Ibalizumab's unique binding mode to CD4 provides a structural basis for its potent HIV-1 inhibition.
  • The findings suggest that CD4 crosslinking is unnecessary for ibalizumab's antiviral activity.
  • This structural understanding can inform the design of novel CD4-based immunogens and therapies for HIV-1 entry.

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