Precise targeting of HIV broadly neutralizing antibody precursors in humans

Science. 2025 Jul 31;389(6759):eadv5572. doi: 10.1126/science.adv5572. Epub 2025 Jul 31.

Abstract

A protective HIV vaccine will need to induce broadly neutralizing antibodies (bnAbs) in humans, but priming rare bnAb precursor B cells has been challenging. In a double-blinded, placebo-controlled phase 1 human clinical trial, the recombinant, germline-targeting envelope glycoprotein (Env) trimer BG505 SOSIP.v4.1-GT1.1, adjuvanted with AS01B, induced bnAb precursors of the VRC01-class at a high frequency in the majority of vaccine recipients. These bnAb precursors, which target the CD4 receptor binding site, had undergone somatic hypermutation characteristic of the VRC01-class. A subset of isolated VRC01-class monoclonal antibodies neutralized wild-type pseudoviruses and was structurally extremely similar to bnAb VRC01. These results further support germline-targeting approaches for human HIV vaccine design and demonstrate atomic-level manipulation of B cell responses with rational vaccine design.

Publication types

  • Clinical Trial, Phase I
  • Randomized Controlled Trial

MeSH terms

  • AIDS Vaccines* / immunology
  • Adjuvants, Immunologic / administration & dosage
  • Antibodies, Monoclonal* / chemistry
  • Antibodies, Monoclonal* / genetics
  • Antibodies, Monoclonal* / immunology
  • B-Lymphocytes / immunology
  • Broadly Neutralizing Antibodies* / chemistry
  • Broadly Neutralizing Antibodies* / genetics
  • Broadly Neutralizing Antibodies* / immunology
  • CD4 Antigens / immunology
  • Double-Blind Method
  • HIV Antibodies* / chemistry
  • HIV Antibodies* / genetics
  • HIV Antibodies* / immunology
  • HIV Infections* / immunology
  • HIV Infections* / prevention & control
  • HIV-1* / immunology
  • Humans
  • Somatic Hypermutation, Immunoglobulin
  • env Gene Products, Human Immunodeficiency Virus* / immunology

Substances

  • Adjuvants, Immunologic
  • AIDS Vaccines
  • Antibodies, Monoclonal
  • Broadly Neutralizing Antibodies
  • CD4 Antigens
  • env Gene Products, Human Immunodeficiency Virus
  • HIV Antibodies
  • VRC01 monoclonal antibody