Germline-targeting HIV vaccination induces neutralizing antibodies to the CD4 binding site

针对种系HIV疫苗接种可诱导产生针对CD4结合位点的中和抗体

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作者:Tom G Caniels ,Max Medina-Ramìrez ,Shiyu Zhang ,Sven Kratochvil ,Yuejiao Xian ,Ja-Hyun Koo ,Ronald Derking ,Jakob Samsel ,Jelle van Schooten ,Simone Pecetta ,Edward Lamperti ,Meng Yuan ,María Ríos Carrasco ,Iván Del Moral Sánchez ,Joel D Allen ,Joey H Bouhuijs ,Anila Yasmeen ,Thomas J Ketas ,Jonne L Snitselaar ,Tom P L Bijl ,Isabel Cuella Martin ,Jonathan L Torres ,Albert Cupo ,Lisa Shirreff ,Kenneth Rogers ,Rosemarie D Mason ,Mario Roederer ,Kelli M Greene ,Hongmei Gao ,Catarina Mendes Silva ,Isabel J L Baken ,Ming Tian ,Frederick W Alt ,Bali Pulendran ,Michael S Seaman ,Max Crispin ,Marit J van Gils ,David C Montefiori ,Adrian B McDermott ,François J Villinger ,Richard A Koup ,John P Moore ,Per Johan Klasse ,Gabriel Ozorowski ,Facundo D Batista ,Ian A Wilson ,Andrew B Ward ,Rogier W Sanders

Abstract

Eliciting potent and broadly neutralizing antibodies (bnAbs) is a major goal in HIV-1 vaccine development. Here, we describe how germline-targeting immunogen BG505 SOSIP germline trimer 1.1 (GT1.1), generated through structure-based design, engages a diverse range of VRC01-class bnAb precursors. A single immunization with GT1.1 expands CD4 binding site (CD4bs)-specific VRC01-class B cells in knock-in mice and drives VRC01-class maturation. In nonhuman primates (NHPs), GT1.1 primes CD4bs-specific neutralizing serum responses. Selected monoclonal antibodies (mAbs) isolated from GT1.1-immunized NHPs neutralize fully glycosylated BG505 virus. Two mAbs, 12C11 and 21N13, neutralize subsets of diverse heterologous neutralization-resistant viruses. High-resolution structures revealed that 21N13 targets the same conserved residues in the CD4bs as VRC01-class and CH235-class bnAbs despite its low sequence similarity (~40%), whereas mAb 12C11 binds predominantly through its heavy chain complementarity-determining region 3. These preclinical data underpin the ongoing evaluation of GT1.1 in a phase 1 clinical trial in healthy volunteers.

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