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      Design and crystal structure of a native-like HIV-1 envelope trimer that engages multiple broadly neutralizing antibody precursors in vivo

      research-article
      1 , 3 , 5 , 4 , 1 , 1 , 6 , 7 , 8 , 3 , 1 , 2 , 5 , 3 , 3 , 5 , 7 , 1 , 7 , 1 , 4 , 2 , 1 , 8 , 3 , 8 , 3 , 6 , 7 , 7 , 4 , 5 , 9 , 3 , , 1 , 7 ,
      The Journal of Experimental Medicine
      The Rockefeller University Press

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          Abstract

          Induction of broadly neutralizing antibodies (bNAbs) to HIV would be a major advance toward an effective vaccine. A critical step in this process is the activation of naive B cells expressing bNAb precursors. Medina-Ramírez et al. developed a BG505 SOSIP.v4.1-GT1 trimer that activates bNAb precursors in vitro and in vivo.

          Abstract

          Induction of broadly neutralizing antibodies (bNAbs) by HIV-1 envelope glycoprotein immunogens would be a major advance toward an effective vaccine. A critical step in this process is the activation of naive B cells expressing germline (gl) antibody precursors that have the potential to evolve into bNAbs. Here, we reengineered the BG505 SOSIP.664 glycoprotein to engage gl precursors of bNAbs that target either the trimer apex or the CD4-binding site. The resulting BG505 SOSIP.v4.1-GT1 trimer binds multiple bNAb gl precursors in vitro. Immunization experiments in knock-in mice expressing gl-VRC01 or gl-PGT121 show that this trimer activates B cells in vivo, resulting in the secretion of specific antibodies into the sera. A crystal structure of the gl-targeting trimer at 3.2-Å resolution in complex with neutralizing antibodies 35O22 and 9H+109L reveals a native-like conformation and the successful incorporation of design features associated with binding of multiple gl-bNAb precursors.

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          Most cited references45

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          Rational HIV immunogen design to target specific germline B cell receptors.

          Vaccine development to induce broadly neutralizing antibodies (bNAbs) against HIV-1 is a global health priority. Potent VRC01-class bNAbs against the CD4 binding site of HIV gp120 have been isolated from HIV-1-infected individuals; however, such bNAbs have not been induced by vaccination. Wild-type gp120 proteins lack detectable affinity for predicted germline precursors of VRC01-class bNAbs, making them poor immunogens to prime a VRC01-class response. We employed computation-guided, in vitro screening to engineer a germline-targeting gp120 outer domain immunogen that binds to multiple VRC01-class bNAbs and germline precursors, and elucidated germline binding crystallographically. When multimerized on nanoparticles, this immunogen (eOD-GT6) activates germline and mature VRC01-class B cells. Thus, eOD-GT6 nanoparticles have promise as a vaccine prime. In principle, germline-targeting strategies could be applied to other epitopes and pathogens.
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            Therapeutic Efficacy of Potent Neutralizing HIV-1-Specific Monoclonal Antibodies in SHIV-Infected Rhesus Monkeys

            HIV-1-specific monoclonal antibodies (mAbs) with extraordinary potency and breadth have recently been described. In humanized mice, combinations of mAbs have been shown to suppress viremia, but the therapeutic potential of these mAbs has not yet been evaluated in primates with an intact immune system. Here we show that administration of a cocktail of HIV-1-specific mAbs, as well as the single glycan-dependent mAb PGT121, resulted in a rapid and precipitous decline of plasma viremia to undetectable levels in rhesus monkeys chronically infected with the pathogenic virus SHIV-SF162P3. A single mAb infusion afforded up to a 3.1 log decline of plasma viral RNA in 7 days and also reduced proviral DNA in peripheral blood, gastrointestinal mucosa, and lymph nodes without the development of viral resistance. Moreover, following mAb administration, host Gag-specific T lymphocyte responses exhibited improved functionality. Virus rebounded in the majority of animals after a median of 56 days when serum mAb titers had declined to undetectable levels, although a subset of animals maintained long-term virologic control in the absence of further mAb infusions. These data demonstrate a profound therapeutic effect of potent neutralizing HIV-1-specific mAbs in SHIV-infected rhesus monkeys as well as an impact on host immune responses. Our findings strongly encourage the investigation of mAb therapy for HIV-1 in humans.
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              Antibodies in HIV-1 vaccine development and therapy.

              Despite 30 years of study, there is no HIV-1 vaccine and, until recently, there was little hope for a protective immunization. Renewed optimism in this area of research comes in part from the results of a recent vaccine trial and the use of single-cell antibody-cloning techniques that uncovered naturally arising, broad and potent HIV-1-neutralizing antibodies (bNAbs). These antibodies can protect against infection and suppress established HIV-1 infection in animal models. The finding that these antibodies develop in a fraction of infected individuals supports the idea that new approaches to vaccination might be developed by adapting the natural immune strategies or by structure-based immunogen design. Moreover, the success of passive immunotherapy in small-animal models suggests that bNAbs may become a valuable addition to the armamentarium of drugs that work against HIV-1.
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                Author and article information

                Journal
                J Exp Med
                J. Exp. Med
                jem
                jem
                The Journal of Experimental Medicine
                The Rockefeller University Press
                0022-1007
                1540-9538
                04 September 2017
                04 September 2017
                : 214
                : 9
                : 2573-2590
                Affiliations
                [1 ]Department of Medical Microbiology, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands
                [2 ]Department of Experimental Immunology, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands
                [3 ]Department of Integrative Structural and Computational Biology, Scripps CHAVI-ID, IAVI Neutralizing Antibody Center and Collaboration for AIDS Vaccine Discovery (CAVD), The Scripps Research Institute, La Jolla, CA
                [4 ]Department of Immunology and Microbiology, Scripps CHAVI-ID, The Scripps Research Institute, La Jolla, CA
                [5 ]Laboratory of Molecular Immunology, The Rockefeller University, New York, NY
                [6 ]Seattle Biomedical Research Institute, Seattle, WA
                [7 ]Department of Microbiology and Immunology, Weill Medical College of Cornell University, New York, NY
                [8 ]Oxford Glycobiology Institute, Department of Biochemistry, University of Oxford, Oxford, England, UK
                [9 ]Howard Hughes Medical Institute, The Rockefeller University, New York, NY
                Author notes
                Correspondence to Rogier W. Sanders: r.w.sanders@ 123456amc.uva.nl ;
                [*]

                M. Medina-Ramírez and F. Garces contributed equally to this paper.

                Author information
                http://orcid.org/0000-0001-6520-3501
                http://orcid.org/0000-0002-5759-5071
                http://orcid.org/0000-0003-1841-6859
                http://orcid.org/0000-0002-2386-8991
                http://orcid.org/0000-0002-4270-6744
                http://orcid.org/0000-0002-9695-8138
                http://orcid.org/0000-0001-5117-3380
                http://orcid.org/0000-0001-8132-3167
                http://orcid.org/0000-0001-9429-7754
                http://orcid.org/0000-0001-9521-9184
                http://orcid.org/0000-0001-8222-278X
                http://orcid.org/0000-0002-9902-6096
                http://orcid.org/0000-0002-4769-6311
                http://orcid.org/0000-0003-0592-8564
                Article
                20161160
                10.1084/jem.20161160
                5584115
                28847869
                37b52936-822c-433a-b46d-21186bb33f26
                © 2017 Medina-Ramírez et al.

                This article is available under a Creative Commons License (Attribution 4.0 International, as described at https://creativecommons.org/licenses/by/4.0/).

                History
                : 23 July 2016
                : 17 March 2017
                : 12 May 2017
                Funding
                Funded by: Netherlands National Institute for Public Health and the Environment, DOI http://dx.doi.org/10.13039/501100007192;
                Funded by: National Cancer Institute, DOI http://dx.doi.org/10.13039/100000054;
                Award ID: ACB-12002
                Funded by: National Institute of General Medical Sciences, DOI http://dx.doi.org/10.13039/100000057;
                Award ID: AGM-12006
                Funded by: U.S. Department of Energy, DOI http://dx.doi.org/10.13039/100000015;
                Award ID: DE-AC02-06CH11357
                Funded by: Consejo Nacional de Ciencia y Tecnología, DOI http://dx.doi.org/10.13039/501100003141;
                Funded by: Netherlands Organization for Scientific Research, DOI http://dx.doi.org/10.13039/501100003246;
                Award ID: 917.11.314
                Funded by: European Research Council, DOI http://dx.doi.org/10.13039/100010663;
                Award ID: ERC-StG-2011-280829-SHEV
                Funded by: National Institutes of Health, DOI http://dx.doi.org/10.13039/100000002;
                Award ID: P01 AI110657
                Funded by: Neutralizing Antibody Consortium
                Award ID: SFP1849
                Funded by: Center for HIV/AIDS Vaccine Immunology and Immunogen Discovery
                Award ID: UM1 AI100663
                Funded by: National Institutes of Health, DOI http://dx.doi.org/10.13039/100000002;
                Award ID: R01 AI073148
                Funded by: Collaboration for AIDS Vaccine Discovery
                Award ID: OPP1111923
                Award ID: OPP1132237
                Funded by: Bill and Melinda Gates Foundation, DOI http://dx.doi.org/10.13039/100000865;
                Award ID: OPP1115782
                Funded by: European Union Horizon 2020, DOI http://dx.doi.org/10.13039/100010661;
                Award ID: 681137
                Funded by: International AIDS Vaccine Initiative, DOI http://dx.doi.org/10.13039/100000866;
                Funded by: Aids Fonds Netherlands, DOI http://dx.doi.org/10.13039/100007553;
                Award ID: 20160192
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