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Clinical Trial
. 2025 Jul 31;389(6759):eadr8382.
doi: 10.1126/science.adr8382. Epub 2025 Jul 31.

Vaccination with mRNA-encoded nanoparticles drives early maturation of HIV bnAb precursors in humans

Jordan R Willis #  1   2   3 Madhu Prabhakaran #  4 Michelle Muthui #  5 Ansuya Naidoo #  6 Troy Sincomb #  1   2   3 Weiwei Wu #  4 Christopher A Cottrell #  1   2   3 Elise Landais #  1   2   3 Allan C deCamp #  7 Nahid R Keshavarzi  6 Oleksandr Kalyuzhniy  1   2   3 Jeong Hyun Lee  1   2   3 Linda M Murungi  8 Wilfrida A Ogonda  5 Nicole L Yates  9 Martin M Corcoran  10 Swastik Phulera  3   11 Joel Musando  12 Amanda Tsai  7 Gabrielle Lemire  7 Yiakon Sein  5 Michael Muteti  5 Praveen Alamuri  6 Jennifer A Bohl  4 Drienna Holman  7 Sunny Himansu  13 Brett Leav  13 Caroline Reuter  13 Li-An Lin  13 Baoyu Ding  13 Chunla He  13 Walter L Straus  13 Kellie J MacPhee  7 Isabel Regadas  10 Diana V Nyabundi  5 Ruth Chirchir  12 Omu Anzala  12 John N Kimotho  5 Caleb Kibet  9 Kelli Greene  14 Hongmei Gao  14 Erica Beatman  7 Kiara Benson  6 Dominick Laddy  6 David M Brown  15 Rhianna Bronson  4 Jalen Jean-Baptiste  4 Suprabhath Gajjala  4 Zahra Rikhtegaran-Tehrani  4 Alison Benner  4 Mukundhan Ramaswami  4 Danny Lu  1   2   3 Nushin Alavi  1   2   3 Sonya Amirzehni  1   2   3 Michael Kubitz  1   2   3 Ryan Tingle  1   2   3 Erik Georgeson  1   2   3 Nicole Phelps  1   2   3 Yumiko Adachi  1   2   3 Alessia Liguori  1   2   3 Claudia Flynn  1   2   3 Katherine McKenney  1   2   3 Xiaoya Zhou  1   2   3 D Collins Owuor  4 Sharon A Owuor  4 Soo-Young Kim  7 Michael Duff  7 Ju Yeong Kim  7 Grace Gibson  11 Sabyasachi Baboo  11 Jolene Diedrich  11 Torben Schiffner  1   2   3 Marisa Shields  6 Mabela Matsoso  6 Jennifer Santos  6 Kristen Syvertsen  6 Allison Kennedy  6 Melissa Schroeter  6 Johan Vekemans  6 John R Yates 3rd  11 James C Paulson  1   3 Ollivier Hyrien  7 Adrian B McDermott  16 Pholo Maenetje  17 Julien Nyombayire  18 Etienne Karita  18 Rosine Ingabire  18 Vinodh Edward  17   19   20 Vincent Muturi-Kioi  8 Janine Maenza  7   21 Adrienne E Shapiro  7   21 M Juliana McElrath  7   21 Srilatha Edupuganti  22 Barbara S Taylor  23 David Diemert  24   25 Gabriel Ozorowski  2   3   11 Richard A Koup  4 David Montefiori  14 Andrew B Ward  2   3   11 Gunilla B Karlsson Hedestam  10 Georgia Tomaras  9 Devin J Hunt  6 Daniel Muema  12 Devin Sok  6 Dagna S Laufer  6 Sarah F Andrews  4 Eunice W Nduati  5 William R Schief  1   2   3   13
Affiliations
Clinical Trial

Vaccination with mRNA-encoded nanoparticles drives early maturation of HIV bnAb precursors in humans

Jordan R Willis et al. Science. .

Abstract

A leading HIV vaccine strategy requires a priming immunogen to induce broadly neutralizing antibody (bnAb) precursors, followed by a series of heterologous boosters to elicit somatic hypermutation (SHM) and produce bnAbs. In two randomized, open-label phase 1 human clinical trials, IAVI G002 in the United States and IAVI G003 in Rwanda and South Africa (IAVI, International Aids Vaccine Initiative), we evaluated the safety and immunogenicity of mRNA-encoded nanoparticles as priming immunogens (both trials) and first-boosting immunogens (IAVI G002). The vaccines were generally safe and well tolerated, except that 18% of IAVI G002 participants experienced skin reactions. Priming induced bnAb precursors with substantial frequencies and SHM; heterologous boosting elicited increased SHM, affinity, and neutralization activity toward bnAb development; and elicited antibodies exhibited precise bnAb structural mimicry. The results establish clinical proof of concept that heterologous boosting can advance bnAb precursor maturation and demonstrate bnAb priming in Africa, where the HIV burden is highest.

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