Abstract

The proposed clinical trial in Africa of VRC01, a potent broadly neutralizing antibody (bNAb) capable of neutralizing 91% of known HIV-1 isolates, raises concerns about testing a treatment which will be too expensive to be accessible by the most important target population, the poor in under-developed regions such as sub-Saharan Africa. Here, we report the expression of VRC01 in plants as an economic alternative to conventional mammalian-cell-based production platforms. The heavy and light chain genes of VRC01 were cloned onto a single vector, pTRAk.2, which was transformed into Nicotiana benthamiana or Nicotiana tabacum using transient and stable expression production systems respectively. VRC01 has been successfully expressed transiently in plants with expression level of approximately 80 mg antibody/kg; stable transgenic lines expressing up to 100 mg antibody/kg were also obtained. Plant-produced VRC01 from both systems showed a largely homogeneous N-glycosylation profile with a single dominant glycoform. The binding kinetics to gp120 IIIB (approximately 1 nM), neutralization of HIV-1 BaL or a panel of 10 VRC01-sensitive HIV-1 Env pseudoviruses of VRC01 produced in transient and stable plants were also consistent with VRC01 from HEK cells.

Highlights

  • Human immunodeficiency virus infection/acquired immunodeficiency syndrome (HIV/AIDS) is a global pandemic and one of the leading causes of deaths in the world (WHO, 2008)

  • ARV drugs can be used to reduce the chance of HIV transmission through ‘treatment as prevention’ (TasP) (WHO, 2012a)

  • antiretroviral therapy (ART) can be used by noninfected individuals topically as vaginal or rectal microbicides (Shattock and Rosenberg, 2012) or as pre- or postexposure prophylaxis (PrEP or PEP) (WHO, 2012b; WHO and ILO, 2007)

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Summary

Introduction

Human immunodeficiency virus infection/acquired immunodeficiency syndrome (HIV/AIDS) is a global pandemic and one of the leading causes of deaths in the world (WHO, 2008). The worst affected region is sub-Saharan Africa, accounting for nearly 70 per cent of all people living with HIV. There is currently no cure or effective vaccine for HIV/AIDS. Current treatment protocols involve antiretroviral therapy (ART), a combination of three or more antiretroviral (ARV) drugs which control viraemia, increasing the survival rate of HIV-infected individuals (May and Ingle, 2011). ARV drugs can be used to reduce the chance of HIV transmission through ‘treatment as prevention’ (TasP) (WHO, 2012a). ART can be used by noninfected individuals topically as vaginal or rectal microbicides (Shattock and Rosenberg, 2012) or as pre- or postexposure prophylaxis (PrEP or PEP) (WHO, 2012b; WHO and ILO, 2007)

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