Evolution of HIV-1 envelope towards reduced neutralization sensitivity, as demonstrated by contemporary HIV-1 subtype B from the United States

PLoS Pathog. 2023 Dec 6;19(12):e1011780. doi: 10.1371/journal.ppat.1011780. eCollection 2023 Dec.

Abstract

Subtype B HIV-1 has been the primary driver of the HIV-1 epidemic in the United States (U.S.) for over forty years and is also a prominent subtype in the Americas, Europe, Australia, the Middle East and North Africa. In this study, the neutralization profiles of contemporary subtype B Envs from the U.S. were assessed to characterize changes in neutralization sensitivities over time. We generated a panel of 30 contemporary pseudoviruses (PSVs) and demonstrated continued diversification of subtype B Env from the 1980s up to 2018. Neutralization sensitivities of the contemporary subtype B PSVs were characterized using 31 neutralizing antibodies (NAbs) and were compared with strains from earlier in the HIV-1 pandemic. A significant reduction in Env neutralization sensitivity was observed for 27 out of 31 NAbs for the contemporary as compared to earlier-decade subtype B PSVs. A decline in neutralization sensitivity was observed across all Env domains; the NAbs that were most potent early in the pandemic suffered the greatest decline in potency over time. A meta-analysis demonstrated this trend across multiple subtypes. As HIV-1 Env diversification continues, changes in Env antigenicity and neutralization sensitivity should continue to be evaluated to inform the development of improved vaccine and antibody products to prevent and treat HIV-1.

Publication types

  • Meta-Analysis

MeSH terms

  • Antibodies, Neutralizing
  • HIV Antibodies
  • HIV Infections*
  • HIV Seropositivity*
  • HIV-1* / genetics
  • Humans
  • Neutralization Tests
  • Pandemics
  • United States / epidemiology
  • env Gene Products, Human Immunodeficiency Virus / genetics

Substances

  • HIV Antibodies
  • env Gene Products, Human Immunodeficiency Virus
  • Antibodies, Neutralizing