Vaccination with mRNA-encoded nanoparticles drives early maturation of HIV bnAb precursors in humans
Document Type
Journal Article
Publication Date
5-15-2025
Journal
Science (New York, N.Y.)
DOI
10.1126/science.adr8382
Abstract
A leading HIV vaccine strategy requires a priming immunogen to induce broadly neutralizing antibody (bnAb) precursors, followed by a series of heterologous boosters to elicit somatic hypermutation (SHM) and produce bnAbs. In two randomized, open-label phase 1 human clinical trials, IAVI-G002 in the United States and IAVI-G003 in Rwanda and South Africa, we evaluated the safety and immunogenicity of mRNA-encoded nanoparticles as priming immunogens (both trials) and first-boosting immunogens (IAVI-G002). The vaccines were generally safe and well tolerated, except 18% of IAVI-G002 participants experienced skin reactions. Priming induced bnAb precursors with substantial frequencies and SHM, and heterologous boosting elicited increased SHM, affinity, and neutralization activity toward bnAb development. The results establish clinical proof of concept that heterologous boosting can advance bnAb-precursor maturation and demonstrate bnAb priming in Africa where the HIV burden is highest.
APA Citation
Willis, Jordan R.; Prabhakaran, Madhu; Muthui, Michelle; Naidoo, Ansuya; Sincomb, Troy; Wu, Weiwei; Cottrell, Christopher A.; Landais, Elise; deCamp, Allan C.; Keshavarzi, Nahid R.; Kalyuzhniy, Oleksandr; Lee, Jeong Hyun; Murungi, Linda M.; Ogonda, Wilfrida A.; Yates, Nicole L.; Corcoran, Martin M.; Phulera, Swastik; Musando, Joel; Tsai, Amanda; Lemire, Gabrielle; Sein, Yiakon; Muteti, Michael; Alamuri, Praveen; Bohl, Jennifer A.; Holman, Drienna; Himansu, Sunny; Leav, Brett; Reuter, Caroline; Lin, Li-An; Ding, Baoyu; He, Chunla; and Straus, Walter L., "Vaccination with mRNA-encoded nanoparticles drives early maturation of HIV bnAb precursors in humans" (2025). GW Authored Works. Paper 7257.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/7257
Department
Medicine