Precise targeting of HIV broadly neutralizing antibody precursors in humans
May-25
Journal Article
Authors:
            
  
    Caniels, T. G.; 
          
  
    Prabhakaran, M.; 
          
  
    Ozorowski, G.; 
          
  
    MacPhee, K. J.; 
          
  
    Wu, W.; 
          
  
    van der Straten, K.; 
          
  
    Agrawal, S.; 
          
  
    Derking, R.; 
          
  
    Reiss, Eimm ; 
          
  
    Millard, K.; 
          
  
    Turroja, M.; 
          
  
    Desrosiers, A.; 
          
  
    Bethony, J.; 
          
  
    Malkin, E.; 
          
  
    Liesdek, M. H.; 
          
  
    van der Veen, A.; 
          
  
    Klouwens, M.; 
          
  
    Snitselaar, J. L.; 
          
  
    Bouhuijs, J. H.; 
          
  
    Bronson, R.; 
          
  
    Jean-Baptiste, J.; 
          
  
    Gajjala, S.; 
          
  
     Rikhtegaran Tehrani, Z.; 
          
  
    Benner, A.; 
          
  
    Ramaswami, M.; 
          
  
    Duff, M. O.; 
          
  
    Liu, Y. W.; 
          
  
    Sato, A. H.; 
          
  
    Kim, J. Y.; 
          
  
    Baken, I. J. L.; 
          
  
    Mendes Silva, C.; 
          
  
    Bijl, T. P. L.; 
          
  
    van Rijswijk, J.; 
          
  
    Burger, J. A.; 
          
  
    Cupo, A.; 
          
  
    Yasmeen, A.; 
          
  
    Phulera, S.; 
          
  
    Lee, W. H.; 
          
  
    Randall, K. N., Jr.; 
          
  
    Zhang, S.; 
          
  
    Corcoran, M. M.; 
          
  
    Regadas, I.; 
          
  
    Sullivan, A. C.; 
          
  
    Brown, D. M.; 
          
  
    Bohl, J. A.; 
          
  
    Greene, K. M.; 
          
  
    Gao, H.; 
          
  
    Yates, N. L.; 
          
  
    Sawant, S.; 
          
  
    Prins, J. M.; 
          
  
    Kootstra, N. A.; 
          
  
    Kaminsky, S. M.; 
          
  
    Barin, B.; 
          
  
    Rahaman, F.; 
          
  
    Meller, M.; 
          
  
    Philiponis, V.; 
          
  
    Laufer, D. S.; 
          
  
    Lombardo, A.; 
          
  
    Mwoga, L. ; 
          
  
    Shotorbani, S.; 
          
  
    Holman, D.; 
          
  
    Koup, R. A.; 
          
  
    Klasse, P. J.; 
          
  
    Karlsson Hedestam, G. B.; 
          
  
    Tomaras, G. D.; 
          
  
    van Gils, M. J.; 
          
  
    Montefiori, D. C.; 
          
  
    McDermott, A. B.; 
          
  
    Hyrien, O.; 
          
  
    Moore, J. P.; 
          
  
    Wilson, I. A.; 
          
  
    Ward, A. B.; 
          
  
    Diemert, D. J.; 
          
  
    de Bree, G. J.; 
          
  
    Andrews, S. F.; 
          
  
    Caskey, M.; 
          
  
    Sanders, R. W.
  
Journal:
            Science
      
PMID:
40373114
URL:
            https://www.ncbi.nlm.nih.gov/pubmed/40373114
      
Keywords:
      
              humans HIV vaccine CD4 neutralizing antibody
          
  
Abstract:
            <p>A protective HIV vaccine will need to induce broadly neutralizing antibodies (bnAbs) in humans, but priming rare bnAb precursor B cells has been challenging. In a double-blinded, placebo-controlled phase 1 human clinical trial, the recombinant, germline-targeting envelope glycoprotein (Env) trimer BG505 SOSIP.v4.1-GT1.1, adjuvanted with AS01(B), induced bnAb precursors of the VRC01-class at a high frequency in the majority of vaccine recipients. These bnAb precursors, that target the CD4 receptor binding site, had undergone somatic hypermutation characteristic of the VRC01-class. A subset of isolated VRC01-class monoclonal antibodies neutralized wild-type pseudoviruses and was structurally extremely similar to bnAb VRC01. These results further support germline-targeting approaches for human HIV vaccine design and demonstrate atomic-level manipulation of B cell responses with rational vaccine design.</p>