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Abstract
The development of an effective AIDS vaccine remains a challenge. Nucleoside-modified mRNAs formulated in lipid nanoparticles (mRNA-LNP) have proved to be a potent mode of immunization against infectious diseases in preclinical studies, and are being tested for SARS-CoV-2 in humans. A critical question is how mRNA-LNP vaccine immunogenicity compares to that of traditional adjuvanted protein vaccines in primates. Here, we show that mRNA-LNP immunization compared to protein immunization elicits either the same or superior magnitude and breadth of HIV-1 Env-specific polyfunctional antibodies. Immunization with mRNA-LNP encoding Zika premembrane and envelope or HIV-1 Env gp160 induces durable neutralizing antibodies for at least 41 weeks. Doses of mRNA-LNP as low as 5 μg are immunogenic in macaques. Thus, mRNA-LNP can be used to rapidly generate single or multi-component vaccines, such as sequential vaccines needed to protect against HIV-1 infection. Such vaccines would be as or more immunogenic than adjuvanted recombinant protein vaccines in primates.
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1 Duke Human Vaccine Institute, Duke School of Medicine, Durham, USA; Duke School of Medicine, Department of Surgery, Durham, USA (GRID:grid.26009.3d) (ISNI:0000 0004 1936 7961); Duke School of Medicine, Department of Molecular Genetics and Microbiology, Durham, USA (GRID:grid.26009.3d) (ISNI:0000 0004 1936 7961); Duke School of Medicine, Department of Immunology, Durham, USA (GRID:grid.26009.3d) (ISNI:0000 0004 1936 7961)
2 University of Pennsylvania, Department of Medicine, Philadelphia, USA (GRID:grid.25879.31) (ISNI:0000 0004 1936 8972)
3 Duke Human Vaccine Institute, Duke School of Medicine, Durham, USA (GRID:grid.25879.31); Duke School of Medicine, Department of Medicine, Durham, USA (GRID:grid.26009.3d) (ISNI:0000 0004 1936 7961)
4 Beth Israel Deaconess Medical Center, Boston, USA (GRID:grid.239395.7) (ISNI:0000 0000 9011 8547)
5 Duke Human Vaccine Institute, Duke School of Medicine, Durham, USA (GRID:grid.239395.7); Duke School of Medicine, Department of Immunology, Durham, USA (GRID:grid.26009.3d) (ISNI:0000 0004 1936 7961)
6 Duke Human Vaccine Institute, Duke School of Medicine, Durham, USA (GRID:grid.26009.3d); Duke School of Medicine, Department of Medicine, Durham, USA (GRID:grid.26009.3d) (ISNI:0000 0004 1936 7961)
7 Duke School of Medicine, Department of Surgery, Durham, USA (GRID:grid.26009.3d) (ISNI:0000 0004 1936 7961)
8 Duke Human Vaccine Institute, Duke School of Medicine, Durham, USA (GRID:grid.26009.3d); Duke School of Medicine, Department of Surgery, Durham, USA (GRID:grid.26009.3d) (ISNI:0000 0004 1936 7961)
9 Bioqual Inc., Rockville, USA (GRID:grid.282501.c) (ISNI:0000 0000 8739 6829)
10 Duke Human Vaccine Institute, Duke School of Medicine, Durham, USA (GRID:grid.282501.c); Duke School of Medicine, Department of Medicine, Durham, USA (GRID:grid.26009.3d) (ISNI:0000 0004 1936 7961)
11 National Institute of Allergy and Infectious Disease, National Institutes of Health, Laboratory of Viral Diseases, Bethesda, USA (GRID:grid.419681.3) (ISNI:0000 0001 2164 9667)
12 Acuitas Therapeutics, Vancouver, BC, USA (GRID:grid.419681.3)
13 Duke Human Vaccine Institute, Duke School of Medicine, Durham, USA (GRID:grid.419681.3); Duke School of Medicine, Department of Surgery, Durham, USA (GRID:grid.26009.3d) (ISNI:0000 0004 1936 7961)
14 Duke Human Vaccine Institute, Duke School of Medicine, Durham, USA (GRID:grid.25879.31); Duke School of Medicine, Department of Immunology, Durham, USA (GRID:grid.26009.3d) (ISNI:0000 0004 1936 7961); Duke School of Medicine, Department of Medicine, Durham, USA (GRID:grid.26009.3d) (ISNI:0000 0004 1936 7961)