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1 bnAbs appear very late, and patients are typically not p
2 bnAbs are therefore expected to evolve only when the B c
3 We describe two genetically similar V(H)6-1 bnAb clonotypes from the same individual that exhibit di
6 lbow region are frequently observed in HIV-1 bnAbs and MD simulations show that such FWR mutations al
7 mined the maturation pathway of select HIV-1 bnAbs from acute infection through neutralizing antibody
11 (MPER) (2F5) and outer domain glycan (2G12) bnAbs were also efficient in preventing infection of muc
14 Env antibody responses in macaques, and in a bnAb-precursor mouse model, CTLA-4 blocking or OX40 agon
15 ative study of the therapeutic efficacy of a bnAb in acutely and chronically SHIV-infected macaques.
21 virion-associated spikes present nearly all bnAb epitopes and are therefore promising vaccine antige
22 velope (Env) vaccines to rhesus macaques and bnAb immunoglobulin knock-in (KI) mice expressing divers
23 Apex broadly neutralizing HIV antibodies (bnAbs) recognize glycans and protein surface close to th
24 on of broadly neutralizing human antibodies (bnAbs) to the highly conserved stem region of influenza
26 ge in human broadly neutralizing antibodies (bnAbs) against both HIV and influenza virus, suggesting
31 rization of broadly neutralizing antibodies (bnAbs) against influenza virus identified the conserved
32 on of human broadly neutralizing antibodies (bnAbs) against influenza virus provide valuable insights
33 nduction of broadly neutralizing antibodies (bnAbs) against this diversity by vaccination likely requ
34 a panel of broadly neutralizing antibodies (bnAbs) and nnAbs, including those associated with protec
35 iters by 16 broadly neutralizing antibodies (bnAbs) and sera from 30 subjects with chronic clade C in
36 target for broadly neutralizing antibodies (bnAbs) and the focus for design of an antibody-based HIV
37 rized HIV-1 broadly neutralizing antibodies (bnAbs) are polyreactive with additional specificities fo
38 Potent and broadly neutralizing antibodies (bnAbs) are the hallmark of HIV-1 protection by vaccinati
39 tigenic for broadly neutralizing antibodies (bnAbs) but not for third variable region (V3) antibodies
41 nduction of broadly neutralizing antibodies (bnAbs) capable of inhibiting infection with diverse vari
44 r target of broadly neutralizing antibodies (bnAbs) developed during infection in some individuals.
45 ials, HIV-1 broadly neutralizing antibodies (bnAbs) effectively lower plasma viremia and delay virus
47 review how broadly neutralizing antibodies (bnAbs) exploit these evolutionary constraints to protect
48 it broadly reactive neutralizing antibodies (bnAbs) has been a major obstacle to HIV-1 vaccine develo
50 er of HIV-1 broadly neutralizing antibodies (bnAbs) have demonstrated remarkable efficacy as prophyla
51 Anti-HIV broadly neutralizing antibodies (bnAbs) have revealed vaccine targets on the virus's enve
52 volution of broadly neutralizing antibodies (bnAbs) in infection and to recreate those events by vacc
53 nduction of broadly neutralizing antibodies (bnAbs) inform most current vaccine strategies for influe
54 rs of HIV-1 broadly neutralizing antibodies (bnAbs) is a goal of HIV-1 vaccine development, but curre
57 hat trigger broadly neutralizing antibodies (bnAbs) is a priority as bnAbs are considered key to elic
59 nduction of broadly neutralizing antibodies (bnAbs) targeting conserved epitopes following vaccinatio
60 rity of the broadly neutralizing antibodies (bnAbs) targeting HIV-1 have been isolated from non-subty
61 etection of broadly neutralizing antibodies (bnAbs) that interact with the FP has revealed it as a si
62 on of HIV-1 broadly neutralizing antibodies (bnAbs) to date has only been observed in the setting of
64 tanding how broadly neutralizing antibodies (bnAbs) to HIV envelope (Env) develop during natural infe
66 tanding how broadly neutralizing antibodies (bnAbs) to influenza hemagglutinin (HA) naturally develop
67 ely require broadly neutralizing antibodies (bnAbs) with maximum breadth and potency to ensure therap
69 target for broadly neutralizing antibodies (bnAbs), but to date, no vaccination regimen has elicited
70 cts develop broadly neutralizing antibodies (bnAbs), such as the potent VRC01-class bnAbs, that neutr
71 ies, called broadly neutralizing antibodies (bnAbs), that have a high breadth and can neutralize mult
72 us-known as broadly neutralizing antibodies (bnAbs)-could protect against highly mutable pathogens.
84 on of passive broadly neutralizing antibody (bnAb) infusion and active vaccination promises to provid
85 binding site broadly neutralizing antibody (bnAb) that is active against a broad range of HIV-1 prim
86 cacy of HIV-1 broadly neutralizing antibody (bnAb) therapies may be compromised by the preexistence o
87 elopment of a broadly neutralizing antibody (bnAb) vaccine for HIV or other difficult pathogens becau
90 HIV-specific broadly neutralizing antibody (bnAb), using computational methods developed specificall
96 ralizing antibodies (bnAbs) is a priority as bnAbs are considered key to elicitation of a protective
97 afforded by analyses of recombinant Ig-based bnAb structures, it became apparent that key functional
99 ructural studies can define contacts between bnAbs and Env, only functional studies can define mutati
101 infection, we used LSEVh-LS-F, a bispecific bnAb targeting the CD4 binding site and CD4-induced epit
102 Env interaction, we showed that the broadest bnAbs targeted more conserved epitopes (Spearman's rho =
103 ere screened on the basis of high binding by bnAbs and low binding by nonneutralizing antibodies.
105 t different conformations for recognition by bnAbs, which enables approach to Env from diverse angles
108 single infusion of CD4 binding site (CD4bs) bnAb administered at birth on de novo antibody responses
109 Thus, stepwise immunization initiates CD4bs-bnAb responses, but immune tolerance mechanisms restrict
110 mise for initiating the induction of certain bnAb classes; yet for most bnAbs, a strong dependence on
116 wever, some HIV-infected individuals develop bnAbs after approximately 2-4 years of infection, enabli
121 cially to variable loop 3 (V3 loop)-directed bnAbs, than exclusively CCR5-utilizing strains in some,
122 ramework for development of HA stem-directed bnAbs, sequence differences in CDR H3 junctional regions
125 d diversity at key V2 epitope residues drove bnAb maturation toward breadth, mirroring the Env evolut
128 aracteristics in infected infants with early bnAb responses will provide key information about antige
131 nAb development, the challenges of eliciting bnAbs via immunizations, and the putative central roles
132 e review the progress to date in elucidating bnAb B cell lineages in HIV-1 infection, discuss new res
133 mbled into variable region exons that encode bnAb precursors), have been engineered to evaluate novel
134 ould, in principle, support germline-encoded bnAb elicitation using a single recombinant hemagglutini
135 vaccine strategies that specifically engage bnAb precursors and subsequently select for improbable m
141 imers suitable for use as antigenic bait for bnAb isolation, structural studies, and use as potential
145 omplete neutralization is not imperative for bnAbs to prevent infection but that with increasing leve
154 known about the immunological process of HIV bnAb development, the challenges of eliciting bnAbs via
156 iking amount of somatic hypermutation in HIV bnAbs led to the hypothesis that T follicular helper (Tf
157 mework for priming the induction of many HIV bnAbs and could be applied to most HCDR3-dominant antibo
159 as a strategy for durable elicitation of HIV bnAbs to protect against infection and as a contributor
160 pected to prove useful for the design of HIV bnAbs, where the computation of the potency must be acco
163 to immunize mouse models that express human bnAb precursors and assess whether the vaccine can conve
164 serum neutralizing HIV-1 antibodies in human bnAb precursor knock-in mice and wild-type macaques vacc
166 IGHV1-69, which shows biased usage in human bnAbs targeting the hemagglutinin stalk of group 1 influ
168 d pharmacokinetics similar to those of human bnAbs, and conferred complete immunity against a mixture
169 most potent and most broadly reactive human bnAbs, RVC20, in complex with its target domain III of t
170 M structure of another previously identified bnAb VRC34.01 with AMC011 SOSIP.v4.2 shows that it also
172 of the GC and Tfh-cell processes involved in bnAb generation, including the difficulty of quantifying
175 distant variants is shown to robustly induce bnAbs that focus on conserved elements of the target epi
176 However no vaccine was able so far to induce bnAbs demanding their expensive biotechnological product
179 ctural analyses reveal that, for this infant bnAb, substitutions in the kappa chain were critical for
180 lation between the fast clearance of infused bnAbs and the treatment failure in the acute period of S
181 lation between the fast clearance of infused bnAbs and treatment failure during the acute period of i
182 cquired improbable mutations, could initiate bnAb B cell lineages and select for key improbable mutat
184 capable of identifying impediments limiting bnAb induction and ranking vaccine strategies for their
186 allowed immune tolerance mechanisms limiting bnAb production to be elucidated and strategies to overc
187 modeling suggested that the primary V3 loop bnAb epitope is equally accessible among CCR5- and CXCR4
193 that predict treatment efficacy with V3 loop bnAbs.IMPORTANCE The efficacy of HIV-1 broadly neutraliz
198 ced precursor V(D)J rearrangements of mature bnAbs or unrearranged germline V, D, J segments (that ca
199 n an early intermediate and affinity-matured bnAb against autologous and heterologous Tier-2 viruses,
200 ggest that an effective strategy to maximize bnAb evolution is through a sequential immunization prot
201 uction of certain bnAb classes; yet for most bnAbs, a strong dependence on antibody heavy chain compl
203 ficity of lipid interactions of an anti-MPER bnAb (4E10) in an intact membrane context, we determine
204 ar mechansims of neutralization by anti-MPER bnAb, LN01, which was isolated from lymph-node-derived g
206 infections.IMPORTANCE Currently, there is no bnAb-based monotherapy that has been reported to clear t
210 elected panels to represent the diversity of bnAb neutralization profiles and Env neutralization sens
212 monstrated the safety and the feasibility of bnAb administration to achieve biologically relevant lev
213 understanding the immunologic mechanisms of bnAb induction, and address issues relevant to the use o
214 From these studies has come a picture of bnAb development that has led to new insights in host-pa
215 y be attributed to the unusual properties of bnAb variable regions, such as poly-reactivity and long
216 ore explore the functional sequence space of bnAb C05, which targets the receptor-binding site (RBS)
217 -electron microscopy (cryo-EM) structures of bnAb ACS202, from an HIV-infected elite neutralizer, wit
218 incomplete neutralization for the ability of bnAbs to mediate protective effects in vivo, however, is
221 A recent study reports the development of bnAbs in an elite controller that, along with the help o
223 al tissues, while the protective efficacy of bnAbs targeting V1-V2 glycans (PG9 and PG16) was more va
229 nipulate the production and/or expression of bnAbs in vivo, to further facilitate vaccine-guided bnAb
230 ame apparent that key functional features of bnAbs often are problematic for their elicitation in mic
231 pt has emerged that one path to induction of bnAbs is to define the viral and immunologic events that
233 es regarding the regulation and induction of bnAbs, and discuss new Ig KI methodologies to manipulate
235 e mechanism for the disparate performance of bnAbs in different periods of SHIV infection, we used LS
236 rotection strategies, we assessed a range of bnAbs and nnAbs for their potential to block ex vivo cha
238 ould be important for the therapeutic use of bnAbs and eventually towards the functional cure of HIV/
239 tant implications for the therapeutic use of bnAbs to treat acute HIV infections.IMPORTANCE Currently
240 be generally applicable for expressing other bnAbs that are under negative selection during B cell de
241 accination and that a combination of passive bnAb infusion and active HIV-1 Env vaccination is a viab
245 Herein, we evaluate the presence of plasma bnAbs in a cohort of 51 HIV-1 clade-C infected infants a
247 The Env mutations selected by two pooled bnAbs were similar to those expected from the combinatio
249 a mouse model and bound a range of potential bnAb-precursor human naive B cells in ex vivo screens.
250 esis of Env to play out all of the potential bnAb escape strategies and in doing so define the functi
252 d immunogens that primed responses from rare bnAb-precursor B cells in a mouse model and bound a rang
254 nd CD4-induced epitopes, as a representative bnAb and assessed its potential therapeutic benefit in c
256 breadth than any previously described single bnAb, showed pharmacokinetics similar to those of human
259 The solid protection provided by specific bnAbs clearly demonstrates their superior potential over
261 members of a family of oligomannose-specific bnAbs and their putative common germline precursor when
263 the interactions and mechanism of anti-stem bnAb CR6261, we selected and optimized small molecules t
264 ected ones, we hypothesized that the HA stem bnAbs may be autoreactive and thus eliminated through th
268 at the genetic barrier to resistance to stem bnAbs is low for the H3 subtype but substantially higher
272 ions, and/or autoreactivity, suggesting that bnAb generation is likely to be highly dependent on the
274 onses were not significantly enhanced in the bnAb-treated animals compared to control animals, arguin
277 bnAb N6-LS alone or in combination with the bnAb PGT121, in rhesus macaques that were chronically in
282 that bind with moderate to high affinity to bnAb B cell precursors, and with higher affinity to prec
285 ibody generation, and how this is related to bnAb development, and considers the implications for HIV
287 tro, these immunogens bound more strongly to bnAb precursors once the precursor acquired the desired
288 t binds to pockets in the HA stem similar to bnAbs FI6v3 and CR9114, cyclic peptide P7, and small-mol
290 ing complex glycosylation of Env affected V2 bnAb recognition, as previously described, but also nota
291 A number of Env-stabilizing mutations and V2 bnAb-enhancing mutations were identified in Env, but the
292 ions together increased neutralization by V2 bnAb and eliminated binding by V3 crown antibodies.
293 that when mutations outside V2 increased V2 bnAb recognition, they often also increased Env stabilit
294 e stability of mutant Envs and the MPN of V2 bnAb, PG9, as well as an inverse correlation between sta
295 relates to neutralization sensitivity to V2 bnAbs and V3 crown antibodies that engage subunit interf
296 ow region reversion mutations in a glycan-V3 bnAb modestly reduces potency against an autologous viru
297 In addition to the effect on plasma viremia, bnAb administration resulted in significantly reduced pr