2020
DOI: 10.1038/s41467-020-14670-w
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Immune checkpoint modulation enhances HIV-1 antibody induction

Abstract: Eliciting protective titers of HIV-1 broadly neutralizing antibodies (bnAbs) is a goal of HIV-1 vaccine development, but current vaccine strategies have yet to induce bnAbs in humans. Many bnAbs isolated from HIV-1-infected individuals are encoded by immunoglobulin gene rearrangments with infrequent naive B cell precursors and with unusual genetic features that may be subject to host regulatory control. Here, we administer antibodies targeting immune cell regulatory receptors CTLA-4, PD-1 or OX40 along with HI… Show more

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Cited by 28 publications
(31 citation statements)
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References 97 publications
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“…Alternative animal models, such as rabbits, transgenic/humanized mouse models, or non-human primates are more suitable animal models to specifically interrogate the induction of bnAbs and whether or not the addition of CTLA-4 blockade can improve neutralizing antibody responses [79][80][81][82][83]. A recent report in rhesus macaques and bnAb immunoglobulin knock-in (KI) mice that express diverse precursors of the CD4 binding site of HIV-1 bnAbs supports our hypothesis by demonstrating that co-administering antibodies targeting both CTLA-4 and PD-1 along with HIV Env vaccines augmented the HIV-1 Env antibody responses, increased germinal center B and Tfh cells, and plasma neutralizing antibodies [84].…”
Section: Discussionsupporting
confidence: 77%
“…Alternative animal models, such as rabbits, transgenic/humanized mouse models, or non-human primates are more suitable animal models to specifically interrogate the induction of bnAbs and whether or not the addition of CTLA-4 blockade can improve neutralizing antibody responses [79][80][81][82][83]. A recent report in rhesus macaques and bnAb immunoglobulin knock-in (KI) mice that express diverse precursors of the CD4 binding site of HIV-1 bnAbs supports our hypothesis by demonstrating that co-administering antibodies targeting both CTLA-4 and PD-1 along with HIV Env vaccines augmented the HIV-1 Env antibody responses, increased germinal center B and Tfh cells, and plasma neutralizing antibodies [84].…”
Section: Discussionsupporting
confidence: 77%
“…Much recent effort is being placed on the delivery to, and persistence of antigen in, germinal centers to further promote somatic hypermutation. Continuous delivery of antigen [44,45]**,**, multivalent antigen presentation [46,47]*,* adjuvants, and other technologies, including immune checkpoint modultation to promote germinal center activity, [48] may help overcome the limitations of protein subunits as immunogens. Many of these concepts must now be tested empirically.…”
Section: Somatic Hypermutationmentioning
confidence: 99%
“…Further research is needed to understand whether polyreactive broadly neutralizing B cells against influenza viruses are counter-selected or become anergic. Notably, breaking B cell tolerance or blocking immune checkpoints allows for the selection of high-affinity B cell clones and broadly neutralizing B cells ( Kaur et al., 2015 ; Schroeder et al., 2017 ; Bradley et al., 2020 ), suggesting that the precursors of B cells against conserved epitopes are limited by clonal deletion or anergy. Mice with a genetically targeted introduction of a polyreactive HIV-binding BCR counter-select these polyreactive B cells ( Verkoczy et al., 2010 ), indicating B cell tolerance limits polyreactive pathogen-binding antibody responses.…”
Section: Discussionmentioning
confidence: 99%