Oregon National Primate Research Center, Oregon Health & Science University, Portland, Oregon, USA.
Icahn School of Medicine at Mount Sinai, New York, New York, USA.
J Virol. 2018 May 14;92(11). doi: 10.1128/JVI.02198-17. Print 2018 Jun 1.
A high level of V1V2-specific IgG antibodies (Abs) in vaccinees' sera was the only independent variable that correlated with a reduced risk of human immunodeficiency virus (HIV) acquisition in the RV144 clinical trial. In contrast, IgG avidity, antibody neutralization, and antibody-dependent cellular cytotoxicity each failed as independent correlates of infection. Extended analyses of RV144 samples demonstrated the antiviral activities of V1V2-specific vaccine-induced antibodies. V2-specific antibodies have also been associated with protection from simian immunodeficiency virus (SIV), and the V2i-specific subset of human monoclonal antibodies (MAbs), while poor neutralizers, mediates Fc-dependent antiviral functions The objective of this study was to determine the protective efficacy of a V2i-specific human MAb, 830A, against mucosal simian/human immunodeficiency virus (SHIV) challenge. V2i MAb binding sites overlap the integrin binding site in the V2 region and are similar to the epitopes bound by antibodies associated with reduced HIV infection rates in RV144. Because the IgG3 subclass was a correlate of reduced infection rates in RV144, we compared passive protection by both IgG1 and IgG3 subclasses of V2i MAb 830A. This experiment represents the first test of the hypothesis emanating from RV144 and SIV studies that V2i Abs can reduce the risk of infection. The results show that passive transfer with a single V2i MAb, IgG1 830A, reduced plasma and peripheral blood mononuclear cell (PBMC) virus levels and decreased viral DNA in lymphoid tissues compared to controls, but too few animals remained uninfected to achieve significance in reducing the risk of infection. Based on these findings, we conclude that V2i antibodies can impede virus seeding following mucosal challenge, resulting in improved virus control. Since the results of the HIV RV144 clinical trial were reported, there has been significant interest in understanding how protection was mediated. Antibodies directed to a subregion of the envelope protein called V1V2 were directly correlated with a reduced risk, and surprisingly low virus neutralization was observed. To determine whether these antibodies alone could mediate protection, we used a human monoclonal antibody directed to V2 with properties similar to those elicited in the vaccine trial for passive infusions in rhesus macaques and challenge with SHIV. The single V2 antibody at the dose given did not significantly reduce the number of infections, but there was a significant reduction in the seeding of virus to the lymph nodes and a decrease in plasma viremia in the HIV antibody-infused macaques compared with the control antibody-infused animals. This finding shows that V2 antibodies mediate antiviral activities that could contribute to a protective HIV vaccine.
在 RV144 临床试验中,疫苗接种者血清中高水平的 V1V2 特异性 IgG 抗体(Abs)是与降低人类免疫缺陷病毒(HIV)感染风险相关的唯一独立变量。相比之下,IgG 亲和力、抗体中和作用和抗体依赖的细胞细胞毒性都不能作为感染的独立相关因素。对 RV144 样本的进一步分析表明,V1V2 特异性疫苗诱导的抗体具有抗病毒活性。V2 特异性抗体也与预防猴免疫缺陷病毒(SIV)感染有关,而 V2i 特异性人单克隆抗体(Mab)亚群虽然中和能力差,但介导 Fc 依赖性抗病毒功能。本研究的目的是确定 V2i 特异性人单抗 830A 对粘膜性猴/人免疫缺陷病毒(SHIV)攻击的保护效力。V2i MAb 的结合位点与 V2 区的整合素结合位点重叠,与 RV144 中与降低 HIV 感染率相关的抗体结合的表位相似。由于 IgG3 亚类是 RV144 中降低感染率的相关因素,我们比较了 V2i MAb 830A 的 IgG1 和 IgG3 亚类的被动保护作用。该实验代表了源自 RV144 和 SIV 研究的假设的首次检验,即 V2i Abs 可降低感染风险。结果表明,与对照组相比,单次静脉注射 V2i MAb IgG1 830A 可降低血浆和外周血单核细胞(PBMC)中的病毒水平,并降低淋巴组织中的病毒 DNA,但感染的动物太少,无法显著降低感染风险。基于这些发现,我们得出结论,V2i 抗体可以阻止粘膜攻击后病毒的定植,从而改善病毒控制。自 HIV RV144 临床试验结果公布以来,人们对了解保护机制产生了浓厚的兴趣。针对包膜蛋白的一个亚区的抗体称为 V1V2 与降低风险直接相关,而且观察到的病毒中和作用很低。为了确定这些抗体本身是否可以介导保护作用,我们使用了一种针对 V2 的人单克隆抗体,其特性与疫苗试验中诱导的特性相似,用于恒河猴的被动输注,并进行 SHIV 攻击。在给予的剂量下,单一的 V2 抗体并没有显著降低感染的数量,但显著降低了病毒向淋巴结的定植,并降低了 HIV 抗体输注的猕猴的血浆病毒血症,与对照抗体输注的动物相比。这一发现表明,V2 抗体介导抗病毒活性,这可能有助于保护性 HIV 疫苗的产生。
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