Antibodies against CCR5, the major coreceptor for human immunodeficiency virus type 1 (HIV-1), may have antiviral potential as viral fusion inhibitors. In this study, we generated a virus-like particle (VLP)-based vaccine that effectively breaks B-cell tolerance and elicits autoantibodies against CCR5 in pig-tailed macaques. Initial studies in mice identified a polypeptide comprising the N-terminal domain of pig-tailed macaque CCR5 fused to streptavidin that, when conjugated at high density to bovine papillomavirus major capsid protein L1 VLPs, induced high-titer immunoglobulin G (IgG) that bound to a macaque CCR5-expressing cell line in vitro. In macaques, CCR5 peptide-conjugated VLP preparations induced high-avidity anti-CCR5 IgG autoantibody responses, and all five immunized macaques generated IgG that could block infection of CCR5-tropic simian/ human immunodeficiency virus SHIV SF162P3 in vitro. Although the anti-CCR5 IgG titers declined with time, autoantibody levels were boosted upon revaccination. Vaccinated macaques remained healthy for a period of over 3 years after the initial immunization, and no decline in the number of CCR5-expressing T cells was detected. To test the prophylactic efficacy of CCR5 autoantibodies, immunized macaques were challenged with SHIV SF162P3 . Although the plasma-associated virus in half of six control macaques declined to undetectable levels, viral loads were lower, declined more rapidly, and eventually became undetectable in all five macaques in which CCR5 autoantibodies had been elicited. In addition, in the four vaccinated macaques with higher autoantibody titers, viral loads and time to control of viremia were significantly decreased relative to controls, indicating the possibility that CCR5 autoantibodies contributed to the control of viral replication.Primate lentiviruses, such as human immunodeficiency virus type 1 (HIV-1) and simian immunodeficiency virus (SIV), use chemokine coreceptors in addition to the CD4 receptor to initiate virus infection (11,33,44). While a number of chemokine receptors can function as coreceptors, CCR5 is likely the most physiologically important coreceptor during natural infection. In individuals infected with HIV-1, CCR5-tropic (R5-tropic) viruses are the predominant species isolated during the early stages of viral infection (56), suggesting that these viruses may have a selective advantage during either transmission or the acute phase of disease. Moreover, at least half of all infected individuals harbor only R5 viruses throughout the course of infection (14, 31). Genetic studies of a defective CCR5 allele (⌬32) have demonstrated that homozygous individuals are strongly resistant to HIV-1 infection and that heterozygotes have delayed progression to AIDS (11,13,25,33,37,44,50,57). Thus, decreasing the availability of coreceptor can have profound effects on viral pathogenesis. Individuals possessing the ⌬32 allele are healthy, suggesting that modulation of CCR5 may not strongly affect the normal function of the T cells and macrophages th...