Impact of the Maraviroc-Resistant Mutation M434I in the C4 Region of HIV-1 gp120 on Sensitivity to Antibody-Mediated Neutralization

  • Boonchawalit Samatchaya
    Center for AIDS Research, Kumamoto University AIDS Research Center, National Institute of Infectious Diseases
  • Harada Shigeyoshi
    AIDS Research Center, National Institute of Infectious Diseases
  • Shirai Noriko
    Center for AIDS Research, Kumamoto University
  • Gatanaga Hiroyuki
    AIDS Clinical Center, National Center for Global Health and Medicine
  • Oka Shinichi
    AIDS Clinical Center, National Center for Global Health and Medicine
  • Matsushita Shuzo
    Center for AIDS Research, Kumamoto University
  • Yoshimura Kazuhisa
    Center for AIDS Research, Kumamoto University AIDS Research Center, National Institute of Infectious Diseases AIDS Clinical Center, National Center for Global Health and Medicine

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We previously reported that a maraviroc (MVC)-resistant human immunodeficiency virus type 1variant, generated using in vitro selection, exhibited high sensitivity to several neutralizing monoclonal antibodies (NMAbs) and autologous plasma IgGs. The MVC-resistant variant acquired 4 sequential mutations in gp120: T297I, M434I, V200I, and K305R. In this study, we examined the mutation most responsible for conferring enhanced neutralization sensitivity of the MVC-resistant variant to several NMAbs and autologous plasma IgGs. The virus with the first resistant mutation, T297I, was sensitive to all NMAbs, whereas the passage control virus was not. The neutralization sensitivity of the variant greatly increased following its acquisition of the second mutation, M434I, in the C4 region. The M434I mutation conferred the greatest neutralizing sensitivity among the 4 MVC-resistant mutations. Additionally, the single M434I mutation was sufficient for the enhanced neutralization of the virus by NMAbs, autologous plasma IgGs, and heterologous sera relative to that of the parental virus.

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