[HTML][HTML] Pentavalent HIV-1 vaccine protects against simian-human immunodeficiency virus challenge

T Bradley, J Pollara, S Santra, N Vandergrift… - Nature …, 2017 - nature.com
T Bradley, J Pollara, S Santra, N Vandergrift, S Pittala, C Bailey-Kellogg, X Shen, R Parks…
Nature communications, 2017nature.com
Abstract The RV144 Thai trial HIV-1 vaccine of recombinant poxvirus (ALVAC) and
recombinant HIV-1 gp120 subtype B/subtype E (B/E) proteins demonstrated 31% vaccine
efficacy. Here we design an ALVAC/Pentavalent B/E/E/E/E vaccine to increase the diversity
of gp120 motifs in the immunogen to elicit a broader antibody response and enhance
protection. We find that immunization of rhesus macaques with the pentavalent vaccine
results in protection of 55% of pentavalent-vaccine-immunized macaques from simian …
Abstract
The RV144 Thai trial HIV-1 vaccine of recombinant poxvirus (ALVAC) and recombinant HIV-1 gp120 subtype B/subtype E (B/E) proteins demonstrated 31% vaccine efficacy. Here we design an ALVAC/Pentavalent B/E/E/E/E vaccine to increase the diversity of gp120 motifs in the immunogen to elicit a broader antibody response and enhance protection. We find that immunization of rhesus macaques with the pentavalent vaccine results in protection of 55% of pentavalent-vaccine-immunized macaques from simian–human immunodeficiency virus (SHIV) challenge. Systems serology of the antibody responses identifies plasma antibody binding to HIV-infected cells, peak ADCC antibody titres, NK cell-mediated ADCC and antibody-mediated activation of MIP-1β in NK cells as the four immunological parameters that best predict decreased infection risk that are improved by the pentavalent vaccine. Thus inclusion of additional gp120 immunogens to a pox-prime/protein boost regimen can augment antibody responses and enhance protection from a SHIV challenge in rhesus macaques.
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