Duke University Medical Center, Durham, North Carolina, USA.
J Virol. 2012 Nov;86(21):11521-32. doi: 10.1128/JVI.01023-12. Epub 2012 Aug 15.
The ALVAC-HIV/AIDSVAX-B/E RV144 vaccine trial showed an estimated efficacy of 31%. RV144 secondary immune correlate analysis demonstrated that the combination of low plasma anti-HIV-1 Env IgA antibodies and high levels of antibody-dependent cellular cytotoxicity (ADCC) inversely correlate with infection risk. One hypothesis is that the observed protection in RV144 is partially due to ADCC-mediating antibodies. We found that the majority (73 to 90%) of a representative group of vaccinees displayed plasma ADCC activity, usually (96.2%) blocked by competition with the C1 region-specific A32 Fab fragment. Using memory B-cell cultures and antigen-specific B-cell sorting, we isolated 23 ADCC-mediating nonclonally related antibodies from 6 vaccine recipients. These antibodies targeted A32-blockable conformational epitopes (n = 19), a non-A32-blockable conformational epitope (n = 1), and the gp120 Env variable loops (n = 3). Fourteen antibodies mediated cross-clade target cell killing. ADCC-mediating antibodies displayed modest levels of V-heavy (VH) chain somatic mutation (0.5 to 1.5%) and also displayed a disproportionate usage of VH1 family genes (74%), a phenomenon recently described for CD4-binding site broadly neutralizing antibodies (bNAbs). Maximal ADCC activity of VH1 antibodies correlated with mutation frequency. The polyclonality and low mutation frequency of these VH1 antibodies reveal fundamental differences in the regulation and maturation of these ADCC-mediating responses compared to VH1 bNAbs.
ALVAC-HIV/AIDSVAX-B/E RV144 疫苗试验显示,其估计效力为 31%。RV144 次要免疫相关分析表明,血浆抗 HIV-1 Env IgA 抗体水平低和抗体依赖性细胞毒性 (ADCC) 水平高与感染风险呈负相关。一种假设是,RV144 中观察到的保护作用部分归因于 ADCC 介导的抗体。我们发现,大多数(73%至 90%)有代表性的疫苗接种者具有血浆 ADCC 活性,通常(96.2%)可被 C1 区特异性 A32 Fab 片段竞争阻断。使用记忆 B 细胞培养和抗原特异性 B 细胞分选,我们从 6 名疫苗接种者中分离出 23 种 ADCC 介导的非克隆相关抗体。这些抗体针对 A32 可阻断的构象表位(n=19)、非 A32 可阻断的构象表位(n=1)和 gp120 Env 可变环(n=3)。14 种抗体介导了跨谱系靶细胞杀伤。ADCC 介导的抗体显示出 VH 重链(VH)体细胞突变(0.5%至 1.5%)的适度水平,并且还显示出 VH1 家族基因的不成比例使用(74%),这种现象最近在 CD4 结合位点广谱中和抗体(bNAb)中有所描述。最大 ADCC 活性的 VH1 抗体与突变频率相关。这些 VH1 抗体的多克隆性和低突变频率揭示了这些 ADCC 介导的反应与 VH1 bNAb 相比在调节和成熟方面的根本差异。
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