Vaccination generates broadly cross-neutralizing antibodies to the HIV Env apex

Nature. 2026 Jun;654(8119):777-785. doi: 10.1038/s41586-026-10429-3. Epub 2026 Apr 29.

Abstract

As a chronically replicating virus, HIV has evolved extreme sequence variability and effective shielding of functionally constrained spike protein determinants by host-derived glycans1. Broadly neutralizing antibodies, although rare, can be isolated from people living with HIV, revealing conserved envelope glycoprotein (Env) sites as key targets for vaccine development2-4. One such target is the apex of the Env spike. Here we identify a vaccination strategy using heterologous HIV Env trimers covalently coupled to liposomes for multivalent display that resulted in the elicitation of cross-neutralizing HIV serum antibody responses in all trimer-liposome-immunized non-human primates. Critically, we isolated monoclonal antibodies from multiple macaques that cross-neutralize divergent HIV clinical isolates. High-resolution cryogenic electron microscopy structural analyses of monoclonal antibodies from four different macaques demonstrate that they target the Env trimer apex in a manner highly similar to that of the human-infection-elicited, apex-directed broadly neutralizing antibody PG9, representing a substantial advance in HIV vaccine development.

MeSH terms

  • AIDS Vaccines* / chemistry
  • AIDS Vaccines* / immunology
  • Animals
  • Antibodies, Monoclonal / chemistry
  • Antibodies, Monoclonal / immunology
  • Antibodies, Monoclonal / ultrastructure
  • Antibodies, Neutralizing* / chemistry
  • Antibodies, Neutralizing* / immunology
  • Antibodies, Neutralizing* / ultrastructure
  • Cross Reactions / immunology
  • Cryoelectron Microscopy
  • Female
  • HIV Antibodies* / chemistry
  • HIV Antibodies* / immunology
  • HIV Antibodies* / ultrastructure
  • HIV Infections / immunology
  • HIV Infections / prevention & control
  • HIV Infections / virology
  • HIV-1* / chemistry
  • HIV-1* / immunology
  • Humans
  • Liposomes / chemistry
  • Macaca mulatta / immunology
  • Male
  • Models, Molecular
  • Vaccination
  • env Gene Products, Human Immunodeficiency Virus* / chemistry
  • env Gene Products, Human Immunodeficiency Virus* / immunology

Substances

  • AIDS Vaccines
  • Antibodies, Monoclonal
  • Antibodies, Neutralizing
  • env Gene Products, Human Immunodeficiency Virus
  • HIV Antibodies
  • Liposomes