The mechanism of CD4(+) cell depletion in HIV-infected patients is poo
rly understood. In this study we investigated whether rgp120 can activ
ate the complement system in the absence of anti-gp120 Abs. We found t
hat the complement proteins C4, C3d, C5b-9, and properdin bind to rgp1
20-coated CD4(+) T cells of healthy individuals when incubated in auto
logous serum. Activation of the complement system occurred primarily v
ia the classical pathway and was abolished in sera deficient in C1q an
d C4 as well as in the presence of EDTA. No cell lysis was observed in
a lymphocytotoxicity assay using human serum, possibly because of hom
ologous restriction of complement lysis. In contrast, addition of rabb
it sera induced lysis of the rgp120-precoated cells. Cell lysis by rab
bit serum was found to be because of naturally occurring IgM anti-gp12
0 Abs. The rgp120, which was immobilized on the surface of microtiter
plates activated complement in the absence of lymphocytes. Complement
activation by cell-bound HIV-1 envelope glycoprotein gp120 with subseq
uent opsonization may be relevant for the elimination of noninfected C
D4(+) T cells in HIV-infected patients.