Abstract

The idea of using antibodies to restrain HIV viral replication has been a growing interest since many years ago. HIV-patient serum with elite virus-neutralizing breadth has led to preparation of broadly neutralizing antibodies (BrNAbs) with long and highly mutated CDRH3 domains that can neutralize a broad array of viral strains and prevent transmission in animal models. Recent advances have resulted in the discovery of BrNAbs that are more potent and can neutralize many HIV-1 subtypes. However, elicitation of these antibodies in infected individuals usually requires a long time of antigen exposure. Though, BrNAbs are shown to be successful either therapeutically or prophylactically against HIV-1, production of these antibodies in bulk, commercial-sized batches is expensive and non-affordable particularly for poor countries. Therefore, more durable preventative or therapeutic strategies are required. Immunization of the cows with HIV Env is shown to be capable of producing 20 kg purified anti-HIV-1 BrNAbs and this amount could be sufficient for 2 million × 10 mg doses for formulation and pre-clinical testing as an HIV microbicide. In addition, bovine immunoglobulins typically have variable third heavy complementarity determining regions (CDRH3) that may potentially facilitate access to antigenic epitopes that are very difficult for other species to engage. Thus, cows could be engaged to elicit anti-HIV antibodies with the features of human BrNAbs and bovine colostrum could be a promising and cheap resource for development of combination microbicides.

Highlights

  • A key component of a vaccine against human immunodeficiency infection (HIV) will be the production of broadly neutralizing antibodies (BrNAbs) capable of blocking infectivity of a diverse array of HIV strains

  • The serum immunoglobulin G (IgG) from these “elite neutralizer” patients can neutralize many different HIV-1 strains across various different subtypes [2]

  • While waiting for the development of a fully effective HIV vaccine capable of eliciting these BrNAbs that are considered essential for blocking HIV transmission, other prevention strategies have turned towards testing passive infusions of broadly HIVneutralizing monoclonal antibodies (BrNmAb) [3,4,5,6] derived from HIV-1 patients

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Summary

Introduction

A key component of a vaccine against human immunodeficiency infection (HIV) will be the production of BrNAbs capable of blocking infectivity of a diverse array of HIV strains. The results showed that the cows were capable of producing broad cross-subtype strain neutralizing activity that was transferred at high titer (1: 1 × 106) into colostrum These antibodies include specificities that bind the highly conserved CD4bs on HIV Env trimmers and compete with the VRC01 mAb selected for analysis in the AMP trial and related BrNAbs, like b12 [40]. Kramski et al showed that polyclonal colostrum IgG fractions from cows hyperimmunized with HIV Env. Bovine CDRH3 length goes beyond expectation Potent antibody binding to key pathogen infectivity determinants requires a high level of evolution of the immunoglobulin CDRH3 domain to achieve high affinity for antigen [44]. The long CDRH3, high level of SHMs and presence of Cys and aromatic residues are parts of the normal bovine immunoglobulin that are comparable to what was observed from human neutralizing immunoglobulins which in contrast, require a long time to develop and are not observed in normal antibodies [1]

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