Germline-targeting SOSIP trimer immunization elicits precursor CD4 binding-site targeting broadly neutralizing

Ashley N Nelson1, Xiaoying Shen2, Sravani Vekatayogi2

  • 1Department of Pediatrics, Weill Cornell Medicine; New York, NY, USA.

Insights

A novel vaccine strategy using B cell lineage-designed HIV envelope SOSIPs in infant macaques successfully induced broadly neutralizing antibodies (bnAbs) before adolescence. This early childhood immunization approach shows promise for preventing adolescent HIV infections.

Area of Science:

  • Immunology
  • Vaccinology
  • Virology

Background:

  • Adolescent HIV prevention requires vaccines inducing protective immunity before sexual debut.
  • Early childhood offers a critical window for HIV immunization due to faster broadly neutralizing antibody (bnAb) development in children.
  • This study aimed to evaluate a B cell lineage-designed HIV envelope SOSIP vaccine for its ability to induce bnAbs in early life.

Approach:

  • Infant rhesus macaques received either BG505 SOSIP or germline-targeting BG505 GT1.1 SOSIP with 3M-052-SE adjuvant at 0, 6, and 12 weeks.
  • A pediatric immunization schedule involved boosting all infants with BG505 SOSIP at weeks 26, 52, and 78.
  • The study assessed binding antibodies, plasma neutralization, and bnAb precursor development.

Key Points:

  • Both immunization strategies elicited durable, high-magnitude binding antibodies and autologous virus neutralization targeting CD4-binding site (CD4bs) or C3/465 epitopes.
  • BG505 GT1.1 SOSIP immunization in infants led to neutralization signatures indicative of VRC01-like CD4bs bnAb precursor development and heterologous neutralization.
  • Infant rhesus macaques demonstrated precursor bnAb responses at frequencies comparable to adult macaques.

Conclusions:

  • A multi-dose immunization regimen with bnAb lineage-designed SOSIPs is a promising strategy for inducing protective HIV bnAb responses in childhood.
  • This approach aims to establish protective immunity prior to adolescence, the period of highest HIV exposure risk.
  • Early childhood immunization represents a viable window for eliciting potent HIV-specific immune responses.