2014
DOI: 10.3389/fimmu.2014.00398
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The Antibody Germline/Maturation Hypothesis, Elicitation of Broadly Neutralizing Antibodies Against HIV-1 and Cord Blood IgM Repertoires

Abstract: We have previously observed that all known potent broadly neutralizing antibodies (bnAbs) against HIV-1 are highly divergent from their putative germline predecessors in contrast to bnAbs against viruses causing acute infections such as henipaviruses and SARS CoV, which are much less divergent from their germline counterparts. Consequently, we have hypothesized that germline antibodies may not bind to the HIV-1 envelope glycoprotein (Env) because they are so different compared to the highly somatically mutated… Show more

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Cited by 15 publications
(10 citation statements)
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“…BnAbs generally have atypical features compared to the normal antibody repertoire including unusually long heavy chain complementary determining region 3 (CDRH3) or short CDRL3s, autoand poly-reactivity, and/or high levels of somatic hypermutation (SHM) (West et al, 2014;Yu and Guan, 2014). Moreover, many germline-reverted bnAbs have little or no affinity for the HIV envelope trimer (Escolano et al, 2016;Prabakaran et al, 2014). Thus, elicitation of bnAbs within the practical framework of a prime-boost vaccination approach is not trivial.…”
Section: Introductionmentioning
confidence: 99%
“…BnAbs generally have atypical features compared to the normal antibody repertoire including unusually long heavy chain complementary determining region 3 (CDRH3) or short CDRL3s, autoand poly-reactivity, and/or high levels of somatic hypermutation (SHM) (West et al, 2014;Yu and Guan, 2014). Moreover, many germline-reverted bnAbs have little or no affinity for the HIV envelope trimer (Escolano et al, 2016;Prabakaran et al, 2014). Thus, elicitation of bnAbs within the practical framework of a prime-boost vaccination approach is not trivial.…”
Section: Introductionmentioning
confidence: 99%
“…The aim is to drive the human immune response towards highly mutated anti-HIV-1 bnAbs by using sequential immunizations with various Env immunogens. Several teams have successfully analyzed the paths along which anti-HIV-1 bnAbs develop [58][59][60][61][62][63][64][65][66] but it is not clear yet whether unravelling large numbers of different antibody maturation pathways [67] will make it possible to identify a series of effective immunogens suitable for vaccinating large human populations.…”
Section: Discussionmentioning
confidence: 99%
“…The difficulties in designing an epitope-based vaccine capable of eliciting broadly neutralizing antibody responses is compounded by the extensive affinity maturation process that anti-HIV neutralizing antibodies undergo before acquiring the broadly neutralizing characteristics ( 39 ). This challenge is being addressed by the use of sequential immunization with different HIV envelope immunogens designed to guide the evolution of the antibody, triggering the selection and expansion of germline precursor and intermediate memory B cells to recapitulate B cell ontogenies associated with the maturation of a broadly neutralizing antibody response ( 40 , 41 ), a concept that had been proposed several years before ( 42 ). Others, perhaps more practical approaches, have been proposed to develop a globally relevant HIV vaccine capable of protecting against a variety of strains and clades ( 43 ), including the use of mosaic immunogens ( 29 , 44 ).…”
Section: Current Hiv Vaccine Paradigm and Drifts That Have Occurred Omentioning
confidence: 99%