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A Novel Model for in vivo SIV Neutralization
Philip Johnson
Stokes Res Inst, Children`s Hosp of Philadelphia, PA, US
The Holy Grail of HIV vaccine development is an immunogen
that elicits antibodies that broadly neutralize field strains of the virus.
While tremendous insights have been gained into the structure and function of
the HIV envelope glycoprotein, precious little progress has been made in
designing such immunogens. In fact, it remains formally possible that with
current technologies, engagement of the adaptive immune system will not lead to
an effective HIV vaccine. Considering this possibility, we have taken a markedly
different approach to the generation of serum neutralizing activity against HIV,
dubbed “reverse immunization.” In this model, we select the antibody or
antibody-like molecule of interest (ie, one that broadly neutralizes), then
synthetically derive the representative gene and place it into the context of
an adeno-associated virus (AAV) gene transfer vector. When injected
intramuscularly into a vaccinee, the AAV vector genome directs in vivo
production of the gene product that leads to serum neutralizing activity
against HIV. Recently, we have refined this approach for the SIV model system,
and can now provide in a single dose, sterilizing immunity to vaccinated
monkeys against a virulent SIV challenge virus. Thus, reverse immunization
holds significant promise as a “designer” approach to an effective HIV vaccine.
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