HMAb 1F4 may block DC-SIGN from binding to the glycosylation site on N67. One DC-SIGN molecule binds across two N67 glycans on the virus surface. When Fab 1F4 is allowed to bind to the virus surface, it engages the N67 glycan on molecule B. This would cause steric hindrance thereby preventing the virus from binding to DC-SIGN on the surface of dendritic cells (Pokidysheva
et al,
2006). Superposition of the cryo-EM complex structures of DENV1-Fab 1F4 and the DENV2-carbohydrate recognition domain (CRD) of DC-SIGN (PDB code 2B6B) showed that the Fab and the CRD molecules clashed. This indicates that simultaneous binding of these molecules on the virus surface is not possible. E protein molecules A, B and C are colored in light gray and molecules A’, B’ and C’ in gray. DC-SIGN is shown as a transparent orange surface. The glycosylation sites on N67 and N153 are marked as red stars and blue squares, respectively. The clashes between the Fab and DC-SIGN molecules are indicated by arrows.