CD4-binding site immunogens elicit heterologous anti-HIV-1 neutralizing antibodies in transgenic and wildtype animals

Summary Passive transfer of broadly neutralizing anti-HIV-1 antibodies (bNAbs) protects against infection, and therefore eliciting bNAbs by vaccination is a major goal of HIV-1 vaccine efforts. bNAbs that target the CD4-binding site (CD4bs) on HIV-1 Env are among the most broadly active, but to date, responses elicited against this epitope in vaccinated animals have lacked potency and breadth. We hypothesized that CD4bs bNAbs resembling the antibody IOMA might be easier to elicit than other CD4bs antibodies that exhibit higher somatic mutation rates, a difficult-to-achieve mechanism to accommodate Env’s N276gp120 N-glycan, and rare 5-residue light chain complementarity determining region 3s (CDRL3s). As an initial test of this idea, we developed IOMA germline-targeting Env immunogens and evaluated a sequential immunization regimen in transgenic mice expressing germline-reverted IOMA. These mice developed CD4bs epitope-specific responses with heterologous neutralization, and cloned antibodies overcame neutralization roadblocks including accommodating the N276gp120 glycan, with some neutralizing selected HIV-1 strains more potently than IOMA. The immunization regimen also elicited CD4bs-specific responses in mice containing polyclonal antibody repertoires as well as rabbits and rhesus macaques. Thus, germline-targeting of IOMA-class antibody precursors represents a potential vaccine strategy to induce CD4bs bNAbs.


Introduction
A successful vaccine against HIV-1 would be the most effective way to contain the AIDS pandemic, which so far is responsible for > 36 million deaths in total and 1 -2 million new infections each year (https://www.unaids.org/en/resources/fact-sheet).Clinical trials of vaccine candidates have revealed disappointing outcomes, and as a result, there is no currently available protective vaccine against HIV-1 (1), in part due to the large number of circulating HIV-1 strains (2).For the last decade, a major focus of HIV-1 vaccine design has been on eliciting broadly neutralizing antibodies (bNAbs), which neutralize a majority of HIV-1 strains in vitro at low concentrations (1).Multiple studies have demonstrated that passively administered bNAbs can prevent HIV-1 or simian/human immunodeficiency virus (SHIV) infection (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15), suggesting a vaccination regimen that elicits bNAbs at neutralizing concentrations would be protective.
The HIV-1 Envelope protein (Env), a trimeric membrane glycoprotein comprising gp120 and gp41 subunits that is found on the surface of the virus, is the sole antigenic target of neutralizing antibodies (16).An impediment to HIV-1 vaccine design is that most inferred germline (iGL) precursors of known bNAbs do not bind with detectable affinity to native Envs on circulating HIV-1 strains (17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28).As a result, potential Env immunogens must be modified to bind and select for bNAb precursors in vivo during immunization (i.e., a "germline-targeting" approach).This approach has been used to activate precursors of the VRC01-class of bNAbs that target the CD4 binding site (CD4bs) on gp120 (25,29).Eliciting VRC01-class bNAbs that target the CD4bs would be desirable due to their breadth and potency (30).However, the VRC01-class of bNAbs may be difficult to elicit due to their requirement for rare short light chain complementarity region 3 (CDRL3) loops of 5 residues (present in only ~1% of human antibodies) (31) and many somatic hypermutations (SHMs), including a difficult-to achieve sequence of mutations to sterically accommodate the highly-conserved N276 gp120 glycan (32).
Crystal structures of a natively glycosylated HIV-1 soluble Env trimer derived from the clade A BG505 strain (BG505 SOSIP.664)(33) complexed with the antibody IOMA, revealed that this CD4bs bNAb exhibits distinct properties from VRC01-class bNAbs (34).In common with VRC01-class bNAbs, IOMA is derived from the VH1-2 immunoglobulin heavy chain (HC) gene segment, and it binds Env with a similar overall pose as other VH1-2-derived CD4bs bNAbs, but it is not as potent or broad as many of the VRC01-class antibodies (34).However, unlike VRC01-class bNAbs, IOMA includes a normal-length (8 residues) CDRL3 (34) and is less mutated with 9.5% HC and 7% light chain (LC) nucleotide mutations to its iGL compared to VRC01 with 30% HC and 19% LC nucleotide mutations (35,36).In addition, IOMA accommodates the N276 gp120 glycan, a roadblock for raising VRC01-class bNAbs (32), using a relatively easy-to-achieve mechanism involving a short helical CDRL1, and four amino acid changes (including a single mutated glycine) that each require single nucleotide substitutions.By contrast, the CDRL1s of VRC01-class bNAbs include either a 3 -6 residue deletion or large numbers of SHMs that introduce multiple glycines and/or other insertions to create flexible CDRL1 loops (32).Thus, IOMA-like antibodies likely represent an easier pathway for vaccine induced maturation of CD4bs precursors to mature CD4bs bNAbs.
Here we report immunogens engineered to elicit IOMA and other CD4bs bNAbs.Using these immunogens, we devised a sequential immunization strategy that elicited broad heterologous serum neutralization in both IOMA iGL knock-in and wildtype (wt) mouse models.Notably, this was achieved using fewer than half of the immunizations in other studies (37,38).Moreover, IOMA-like bNAbs elicited in knock-in mice were more potent than IOMA against some strains.Finally, the immunization regimen developed in knock-in mice also elicited CD4bs-specific responses in multiple wt animals including mice, rabbits, and rhesus macaques providing a rationale for using the IOMA-targeting immunogens described here as part of an effective HIV vaccine.

Design of IOMA-targeting immunogens
To create the IOMA iGL antibody, we reverted the HC and LC sequences of mature IOMA (34) to their presumptive germline sequences.The IOMA iGL HC sequence was based on human IGHV1-2*02, IGHD3-22*01 and IGHJ6*02 and contained 22 amino acid changes compared to the HC of IOMA, all within the V gene.The CDRH3 was unaltered due to uncertainty with respect to D gene alignment and potential P and N nucleotides -the IOMA iGL HC sequence maintains one gp120-contacting residue (W100F; Kabat numbering (39)) found in mature IOMA (34).The sequence of the IOMA iGL LC was derived from human IGLV2-23*02 and IGLJ2*01 containing 16 amino acid changes compared with mature IOMA, including 3 SHMs in CDRL3.Of the 3 mutations in CDRL3, two non-contact amino acids (V96, A97; Kabat numbering (39)) at the V-J junction were left as in mature IOMA (Figure S1A, Table S1).
No currently available germline-targeting CD4bs immunogens bind IOMA iGL with detectable affinity (Figure S1B), and IOMA iGL does not neutralize primary HIV-1 strains (Figure S1C).We therefore used in vitro selection methods to identify potential IOMAtargeting immunogens (Figure 1A).We chose S. cerevisiae yeast display for selecting an IOMA-targeting immunogen for two reasons: (i) Yeast libraries can contain up to 1 × 10 9 variants (40,41) and therefore allow screening a large number of immunogen constructs, a necessity since we were starting with no detectable binding of IOMA iGL to any CD4bs-targeting immunogens, and (ii) S. cerevisiae attach different forms of N-linked glycans to glycoproteins than mammalian cells; e.g., yeast can add up to 50 mannoses to Man 8-9 GlcNAc 2 (42).Such glycan differences may be an advantage because N-glycosylated immunogens selected in a yeast library to bind IOMA iGL and increasingly mature forms of IOMA might stimulate an antibody maturation pathway that is relatively insensitive to the form of N-glycan at any potential N-linked glycosylation site (PNGS) on HIV-1 Env.Promiscuous glycan recognition is desired because Env trimers on viruses exhibit heterogeneous glycosylation at single PNGSs, even within one HIV-1 strain (43)(44)(45).Using yeast display for immunogen selection, we sought to achieve promiscuous N-glycan accommodation through recognition of a glycan's core pentasaccharide, a common feature of both complex-type and high-mannose glycans, which we observed as being recognized at some N-glycan sites in structures of antibody Fab-Env complexes (21,46,47).
Yeast display libraries were produced using variants of the 426c.NLGS.TM4ΔV1-3 monomeric gp120 immunogen (hereafter referred to as 426c.TM4 gp120), a modified clade C gp120 that was designed to engage VRC01-class precursor antibodies (25,48,49).We started with a gp120-based immunogen instead of the engineered outer domain immunogens (eODs) previously used to select for VRC01-class bNAb precursors (27,29,50) because, unlike certain other CD4bs bNAbs, IOMA contacts the inner domain of gp120 (34), which is absent in the eOD constructs (27,29,50).To aid in determining which immunogen residues should be varied to achieve IOMA iGL binding, we solved a 2.07 Å crystal structure of IOMA iGL Fab (Figure S1D, Table S2), which was nearly identical (root mean square deviation, RMSD, of 0.64 Å for 209 Cα atoms) to the mature IOMA Fab structure complexed with BG505 Env trimer (34) (Figure S1E).Based on modeling the IOMA iGL Fab structure (Figure 1B-C, Figure S1D) into the mature IOMA Fab-Env structure (34), we varied 7 positions in 426c.TM4 gp120.A library with ~10 8 variants was produced using degenerate codons so that all possible amino acids were incorporated at the selected positions (see methods).R278 gp120 was varied because this position might select for IOMA iGL's unique CDRL1 conformation (34).In addition, we introduced a D279N gp120 substitution because IOMA is ~2-3-fold more potent against HIV-1 viruses that have an N at this position (34).Next, V430 gp120 was varied to increase the interaction with the HC of IOMA iGL.Lastly, residues 460 gp120 -464 gp120 were varied in the V5-loop of 426c gp120 to accommodate and select for IOMA iGL's normal length CDRL3.
Following three rounds of fluorescence-activated cell sorting (FACS) using one fluorophore for IOMA iGL and another against a C-terminal Myc tag to monitor gp120 expression, there was a > 100-fold enrichment for gp120 variants that bound IOMA iGL (Figure S1F, middle panel), demonstrated by increased staining for IOMA iGL compared to the starting 426c.TM4 gp120 (Figure 1B-C, Figure S1F, left and middle panels).Two clones (from ~100 sequenced after the third sort) accounted for 50% of the sequences, suggesting that IOMA iGL-binding activity was enriched.IGT1, the best variant identified by the initial yeast display library, had an affinity of ~30 μM for IOMA iGL, as determined by a surface plasmon resonance (SPR)-based binding assay (Figure 1C, right panel).IGT1 was then used as a guide to construct a second yeast library to select for an immunogen with higher affinity to IOMA iGL (Figure 1D).Based on their selection in IGT1, we maintained residues R278 gp120 , N279 gp120 , and P430 gp120 , while allowing amino acids R/N/K/S to be sampled at position 460.In addition, residues 461-464 and 471 were allowed to be fully degenerate and sample all possible amino acids.Following 7 rounds of sorting, multiple clones were selected including IGT2, which bound to IOMA iGL with a 0.5 μM affinity (Figure 1D, right panel and Figure S1F, right panel).
IOMA-targeting mutations selected by yeast display were transferred onto a 426c soluble native-like Env trimer (a SOSIP.664construct (33)) to hide potentially immunodominant offtarget epitopes within the Env trimer core that are exposed in a monomeric gp120 protein.

Sequential immunization of transgenic IOMA iGL knock-in mice elicits broad heterologous neutralizing serum responses
To evaluate whether our immunogens induced IOMA-like antibody responses, we generated transgenic mouse models expressing the full, rearranged IOMA iGL V H or V L genes in the mouse Igh (Igh IOMAiGL ) and Igk loci (Igk IOMAiGL) (Figure S2A-B).Mice homozygous for both chains, termed IOMAgl mice, showed overall normal B cell development with reduced numbers of pre-B cells and late upregulation of CD2 (suggesting accelerated B cell development due to the already rearranged VDJ and VJ genes), a preference for the IOMA iGL Igκ as seen by a reduction of mouse Igλ-expressing cells, and a reduction in IgD expression indicative of low autoreactivity (58) (Figure S2C-H).Total B cell numbers in IOMAgl mice were grossly normal, making them suitable to test IOMA germline-targeting immunogens (Figure S2D, S2G).
We primed the IOMAgl mice using mi3 nanoparticles coupled with the SOSIP version of the immunogen with the highest affinity to IOMA iGL (Figure 2A, IGT2-mi3) adjuvanted with the SMNP adjuvant (59), and compared binding by ELISA to IGT2 and a CD4bs knockout mutant IGT2 (CD4bs KO: G366R/D368R/D279N/A281T).Priming the IOMAgl mice with IGT2-mi3 elicited only weak responses to the priming and boosting (IGT1-mi3) immunogens (Figure 2B-C).However, boosting with mi3 nanoparticles coupled with IGT1, which bound IOMA iGL with a lower affinity than IGT2 (Figure 1C, middle panel), increased the magnitude and specificity of the serum responses, as demonstrated by an increase in binding to IGT2 and IGT1 compared to IGT2-and IGT1-CD4bs KO (Figure 2B-C).A comparable level of differential binding was preserved throughout the remaining immunizations (Group 1) following boosting with 426c degly2 D279N (degly2: removal of N460 gp120 and N462 gp120 PNGSs) followed by mosaic8-mi3, a nanoparticle coupled with 8 different wt SOSIPs chosen from a global HIV-1 reference panel used to screen bNAbs (60) (Table S1).Serum binding also increased throughout the immunization regimen for 426c and 426c D279N, a mutation preferred by IOMA, compared to 426c-CD4bs KO (Figure 2D).Terminal bleed sera showed binding to a panel of heterologous wt and N276A Env SOSIPs in (Figure 2E-F) and when screened against a panel of IOMA-sensitive HIV-1 strains, 8 of 12 IOMA iGL knock-in animals neutralized up to 9 of 15 strains (Figure 2G, Figure S3A-M, Table S3).However, one of these mice (ET34) also neutralized the MuLV control virus, suggesting that the neutralization activity from this mouse is at least partially non-specific for HIV.

bNAbs isolated from IOMA iGL knock-in mice
To analyze immunization-induced antibodies, we isolated B cells from spleen and mesenteric lymph nodes of three IOMA iGL knock-in mice of group 1 (ES30, HP1, and HP3) following the final boost (Week 18 or 23, Figure 2G).We sorted immunizationinduced germinal center B cells or used antigen-bait combinations of 426c degly2 D279N or CNE8 N276A together with 426c degly2 D279N-CD4bs KO (Table S1) to sort epitopespecific B cells (Figure S5).Among the identified HC and LC sequences, we noted a correlation (R 2 = 0.78 for HCs and R 2 = 0.62 for LCs) between the total number of V region amino acid mutations and V region mutations with identical or chemical similarity to IOMA.We compared this to unbiased VH1-2*01 or VL2-23*02 sequences derived from peripheral blood of HIV-negative human donors which showed both a lower rate and correlation (R 2 = 0.52 for HCs and R 2 = 0.55 for LCs) of IOMA-like mutations indicating that the immunization regimen induced maturation of IOMA iGL towards IOMA (61), particularly of the heavy chain which constitutes the majority of contact surface between IOMA and Env-based immunogens (34) (Figure 3A).55 paired sequences were selected for antibody production based on mutation load and similarity to mature IOMA (Figure S6).In addition, 10x Genomics VDJ analysis of germinal center B cells revealed 5207 paired HC and LC sequences, of which another 12 were chosen for recombinant antibody production (Figure S5, S6, S7A-B).
The selected monoclonal antibodies were tested for binding to a panel of heterologous Envs by ELISA (Figure S8A).Isolated IOMA-like antibodies that demonstrated binding to the Envs were then evaluated in pseudotyped in vitro neutralization assays (62), and several exhibited similar neutralization potencies as mature IOMA on a small panel of heterologous HIV-1 strains.Some antibodies neutralized the tier 2 strain 25710, which IOMA does not neutralize, and IO-010 neutralized Q842.D12 better than IOMA (Figure 3B).We also noted that among the Env-binding monoclonal antibodies, stronger neutralization activity tended to occur with antibodies that shared a larger number of critical residues with IOMA (Figure 3C).Two mature IOMA residues, CDRH2 residues F53 HC and R54 HC , interact with the CD4bs Phe43 binding pocket (63) on gp120 and are critical for Env recognition (34) (Figure 3D-G, Figure S6).29 of 67 clones chosen for antibody production (Figure S6) contained both mutations and another 15 contained R54 HC , 5 of which in combination with Y53 HC , which is chemically similar to F53 HC .N53F HC is a rare mutation that is found in only ~0.13% of VH1-2*02-derived antibodies (64,65).In contrast, our immunization regimen elicited this mutation in ~45% of antibodies, a ~350-fold increase.S54R is elicited at slightly higher frequencies in VH1-2*02-derived antibodies (~2.7%).However, our immunization regimen elicited this mutation at an ~24-fold higher rate compared to the random frequency of this mutation in VH1-2*02-derived antibodies (Table S4) (64).In addition, our sequential immunization regimen selected for a negatively-charged DDE motif in CDRH3 (replacing the IOMA sequence of S100, A100A and D110B) in 23 of 63 sequences and another 27 sequences with at least 1 of the 3 mutations, which was likely selected for by a highly conserved patch of positively-charged residues found at the IOMA-contacting interface of the Envs used in our immunization regimen [K97 gp120 (90% conserved), R476 gp120 (R -64% conserved, R/K -98% conserved), and R480 gp120 (99% conserved)] (Figure 3D-G, Figure S6).To accommodate the N276 gp120 glycan, IOMA acquired 3 mutations in CDRL1 (S29G LC , Y30F LC , N31D LC ).The group 1 immunization regimen elicited all 3 of these substitutions; however, none of the clones contained all these mutations.Of 63 antibodies 7 contained two and another 25 contained one of these mutations (Figure 3D-E, Figure S6).Two of the most potent antibodies elicited by our immunization regimen, IO-010 and IO-017, acquired the S31G gp120 mutation, suggesting this mutation is more critical to accommodate the N276 gp120 glycan (Figure 3D-G) and generating antibody breadth and potency.While accommodation of the N276 glycan is critical for CD4bs bNAbs to develop breadth and potency, CD4bs bNAbs must also acquire mutations to better interact with the N197 glycan, such as K19T HC in FR1.Our immunization strategy elicited the K19T HC mutation in 31 of 67 monoclonal antibodies (~46%), which is ~20-fold higher compared to the random frequency of this mutation in VH1-2*02-derived antibodies (Table S4) (64).Within the CDRL3, VRC01-class bNAbs acquire a G96E LC mutation that enables interactions with the CD4bs loop, while IOMA acquires a similar G95D LC mutation.Once again, this mutation was elicited in 22 of 67 antibodies (~33%) by our immunization regimen (Figure 3D-G, Figure S6).An essential interaction of VRC01-class bNAbs involves the germline-encoded N58 residue in FR3 HC , which makes backbone contacts to the highly (~95%) conserved R456 gp120 .Due to a shift away from gp120 in CDRL2, IOMA acquires an N58K HC substitution such that the longer lysine sidechain can access R456 gp120 (34).Our immunization regimen elicited substitutions at N58 HC to amino acids with longer sidechains in 39 of 67 (~58%) antibodies and was mutated to N58K HC in 17 of 67 (~24%) antibodies, a ~1.5-fold increase over the random frequency of the N58K HC mutation (Figure 3D-G, Figure S6, Table S4).Our immunization regimen elicited additional IOMA-like mutations within CDRH2: G56A HC (~30%) and T57V HC (~31%), ~3-fold and ~74-fold increases over the random frequency in other VH1-2*02-derived antibodies (Table S4).The 10x Genomics VDJ analysis produced an unbiased view of the extent of SHM elicited in the germinal center over the course of the immunization regimen, which, excluding frame shifts, reached up to 26 amino acid mutations in the HC exceeding the number of mutations of the IOMA HC and up to 10 mutations in the LC (Figure S7C-E).

Sera from prime-boosted wt mice targeted the CD4bs and displayed heterologous neutralizing activity
We next investigated the same immunization regimen in wt mice (Figure 4A).Since IOMA does not have the same sequence requirements as VRC01-class bNAbs (34), we hypothesized that a prime-boost with IGT2-IGT1 could induce IOMA-like antibodies (which we define as recognizing the CD4bs and including a normal-length CDRL3 (34)) in wt mice, even though these mice do not contain the VH1-2 germline gene segment.Priming with IGT2-mi3 in wt mice elicited strong serum binding responses that were CD4bs-specific (Figure 4B, p ≤ 0.05), compared to the IOMA iGL knock-in mice, which only responded robustly after boost with IGT1-mi3 (Figure 2B-C).As in the IOMA iGL knock-in mice, the magnitude of these responses increased after boosting with IGT1-mi3, and importantly, a significant fraction of the response was still epitope-specific (p ≤ 0.001).To characterize antibodies in immunized serum, we measured binding to anti-idiotypic monoclonal antibodies raised against IOMA iGL.While naïve serum did not react with either of the anti-idiotypic antibodies, priming with IGT2-mi3 elicited serum responses that bound both anti-idiotypic antibodies, and boosting with IGT1-mi3 increased these responses (Figure 4C).After further boosting with 426c-mi3 and mosaic8-mi3 (Figure 4A), we measured binding to heterologous wt Envs.Our immunization regimen elicited significantly increased binding responses to all 9 Envs (Figure 4D-E, p ≤ 0.05 to < 0.001) in the majority of mice.Importantly, serum binding to CNE8 N276A gp120 and CNE20 N276A gp120 was significantly higher compared to CNE8 and CNE20 (p ≤ 0.05), suggesting that these responses were at least partially specific to the CD4bs (Figure 4E).Finally, we evaluated neutralization activity against a panel of heterologous HIV-1 strains and detected weak heterologous neutralization in the serum of 7 of 16 wt animals (Figure 4F, Figure S3 N-X, Table S5).

Immunization of rabbits and rhesus macaques elicited CD4bs-specific responses
To evaluate this immunization regimen in other wt animals with more potential relevance to humans, we started by immunizing rabbits and rhesus macaques with IGT2-mi3 followed by IGT1-mi3 (Figure 5A).For these experiments, we assayed only for binding antibody responses since we did not achieve heterologous neutralization after a prime or a prime/ single boost of a different HIV-1 immunogen in rabbits or non-human primates (NHPs) (57,66).As with the wt mouse immunizations, the IGT2-mi3 immunization elicited robust responses that were partially epitope-specific as evaluated by comparing binding to IGT1 versus to IGT1-CD4bs KO (Figure 5B).When boosted with IGT1-mi3, the responses showed significant increases in epitope specificity to the CD4bs in both rabbits and non-human primates (NHPs) (p ≤ 0.05) (Figure 5B).In addition, post-prime and postboost sera exhibited potent neutralization of pseudoviruses generated from the IGT2 and IGT1 immunogens (Figure 5C).As stated above, we did not evaluate neutralization of heterologous pseudoviruses since our previous results using a different HIV-1 immunogen in rabbits and NHPs showed heterologous neutralization only after a second boost (57).The increase in epitope specificity and serum neutralization titers following boosting with IGT1 suggests that our immunization strategy is well optimized to elicit CD4bs antibody responses.

Discussion
Here we describe an immunization regimen to elicit antibodies to the CD4bs epitope on HIV Env using engineered immunogens targeting IOMA-like CD4bs antibody precursors.The ultimate goal of the germline-targeting approach is the induction of bNAbs at protective concentrations (1), but to date, no study has been able to accomplish this feat, although a recent study involving mRNA delivery of HIV-1 Env and gag genes reported reduced risk of SHIV infection in immunized NHPs (67).A previous study using a transgenic mouse expressing diverse VRC01 germline precursors demonstrated that priming with eOD-GT8 followed by sequential boosting with more native-like Envs elicited VRC01like bNAbs (38).However, that study required 9 immunizations over 81 weeks to elicit VRC01-class antibodies with heterologous neutralization.By comparison, our study elicited bNAbs with similar breadth and potency using only 4-5 immunizations in 18-23 weeks.In addition, sequence analysis of the monoclonal antibodies elicited in the IOMA iGL transgenic mice revealed that our immunization regimen was much more efficient at eliciting critical mutations required for bNAb development compared to the immunogens used in the attempts to elicit VRC01-class bNAbs (38).Finally, the neutralization profiles of monoclonal antibodies often correlated with serum neutralization from the mouse they were isolated from.For example, IO-010 and IO-017, which neutralized PVO.4 and Q23.17, were isolated from HP3 and HP1, whose serum also demonstrated neutralization activity against these strains (Figure 2G and Figure S3A-M).
Accommodation of the N276 gp120 glycan is considered the major impediment to the elicitation of bNAbs targeting the CD4bs (32).To accommodate the N276 gp120 glycan, VRC01-class bNAbs require a 2 -6 residue deletion or the selection of multiple glycines within CDRL1 (32).IOMA requires simpler substitution of 4 residues in CDRL1 (S27AR LC , S29G LC , Y30F LC , N31D LC ) (34).These mutations were elicited in our immunization regimen, although no single clone contained all 4 of these residues.The two most potent monoclonal antibodies isolated from immunized iGL mice, IO-010 and IO-017, contained the S31G mutation, suggesting this residue is most critical for accommodating the N276 gp120 glycan in IOMA-like antibodies and to the development of bNAbs capable of potent heterologous neutralization.Although these antibodies were cloned from mice following the 4 th or 5 th immunization, sera from week 8 of our immunization regimen displayed significant binding to 426c Envs containing the N276 gp120 glycan (Figure 2D), suggesting these mutations were elicited following only two immunizations.In contrast, in the same study noted above (38), mutations within CDRL1 of VRC01 required to accommodate the N276 gp120 glycan occurred only after the ninth immunization at 81 weeks (Figure S8B).Additional mutations known to be important for binding to the CD4bs were also elicited earlier and at higher efficiencies in our immunization regimen compared to previous studies (Figure S8B).Importantly, no other reported vaccination regimen to elicit CD4bs antibodies has elicited all of the required SHMs to accommodate the N276 gp120 glycan (23,37,38,(68)(69)(70), making our results an important achievement in the pursuit to elicit CD4bs bNAbs, although these mutations need to be elicited more efficiently and at higher frequencies in a protective vaccine.Since the CDRL1 of IOMA iGL was already in a helical conformation, the CDRL1 of the IOMA precursor cells selected by priming and boosting with IGT2 and IGT1 might have been in a conformation that allowed it to accommodate the N276 gp120 glycan and therefore not required additional SHMs to accommodate the N276 gp120 glycan introduced in the third immunization using 426c.Thus, boosting with Envs that incorporate only high-mannose glycans at N276 gp120 followed by boosting with Envs that only incorporate complex-type glycans at N276 gp120 starting at the second or third immunizations might force IOMA precursor cells to adapt to more diverse and branching glycan moieties and acquire these critical SHMs.While the vaccine-elicited IOMA-like antibodies overall contained fewer SHMs and lower potencies compared to IOMA, our immunization regimen took place over only ~5 months.In contrast, PCIN63, the fastest known VH1-2-derived CD4bs bNAb to arise in a natural infection, first emerged ~40 months post-infection and achieved breadth ~64 months post-infection and only developed into the fully mature bNAb >70 months post-infection (71).Thus, our immunization regimen may result in higher levels of SHMs and increased antibody potency if analyzed over longer time courses or if additional boosting immunizations were given at intervals over a longer time period.
Utilizing the strategy that we developed in IOMA iGL knock-in mice, we immunized wt mice with the same immunization regimen (Figure 4A).A prime-boost sequence with IGT2-mi3 (prime) and IGT1-mi3 (boost) elicited robust CD4bs-specific responses.Importantly, the antibodies elicited by these immunogens resembled IOMA based on binding to an anti-idiotypic antibody raised against IOMA iGL using previously described methods (72,73).Subsequent immunization with more native-like Envs, 426c degly2 and mosaic8, generated serum responses capable of neutralizing heterologous HIV strains.Importantly, serum neutralization correlated with ELISA binding titers; e.g., mice that elicited the highest serum binding titers against CNE8 (M21, M28, and M29) also elicited heterologous neutralizing activity against CNE8 pseudovirus.To our knowledge, these results represent the first time CD4bs-specific responses and heterologous neutralization were elicited in wt mice, thereby setting a new standard by which to evaluate HIV immunogens in wt mice, although additional work is required to determine whether antibodies targeting the CD4bs were responsible for the neutralizing responses.Due to the success of our immunogens in wt mice, we tested them in additional animals with polyclonal antibody repertoiresrabbits and rhesus macaques.Once again, our priming immunogens elicited CD4bs-specific binding responses in both animal models, representing the first time a germline-targeting immunogen designed to target CD4bs Abs elicited epitope-specific responses in rabbits and rhesus macaques.These experiments are complicated by the fact that NHPs do not contain the VH1-2 germline gene segment (74,75), which is required for eliciting VRC01-class bNAbs (31) and potentially also IOMA-like Abs.In addition, we would not expect bNAb activity in terms of heterologous neutralization ~6-10 weeks after a prime immunization since bNAbs require multiple years to arise in a natural infection (76).In fact, two previous studies immunizing NHPs with CD4bs-targeting immunogens, eOD-GT8 (75) and CH505 M5.G458Y (77), did not report heterologous neutralization against wt viruses.Nevertheless, initial reports from a phase I clinical trial suggests a prime with eOD-GT8 can elicit VRC01-class bNAb precursor responses in healthy adult humans (78).Thus, a potential lack of heterologous neutralization in these immunization experiments does not suggest that an IOMA targeting strategy involving sequential immunization would not work in humans.
As a final boost, we used a mosaic8 nanoparticle presenting eight different wt Envs on the surface, with the intention of more efficiently selecting cross-reactive B cells and increasing neutralization breadth, a strategy that was employed to elicit cross-neutralizing responses to influenza or to zoonotic coronaviruses of potential pandemic interest (79,80).Indeed, serum isolated from both wt and transgenic mice after a mosaic8-mi3 boost bound to heterologous Envs in ELISAs and neutralized a panel of heterologous HIV pseudoviruses, although additional experiments need to be completed to determine whether the cross-neutralization was due to boosting with mosaic8-mi3.
Although a previous study suggested using gp120 cores as an important intermediate immunization step (38), our approach resulted in heterologously-neutralizing antibodies using trimeric SOSIP-based Envs for all immunizations.This is an important distinction, since using trimeric Envs provides the additional benefit of simultaneous targeting of multiple bNAb epitopes.Indeed, a protective HIV-1 vaccine will most likely require the elicitation of bNAbs to multiple epitopes to prevent escape from the host immune response during early infection to enable clearing of the virus.Thus, our immunogens provide a scaffold upon which to engineer other epitopes to initiate germline-targeting of additional bNAb precursors.
IOMA's relatively lower number of SHMs and normal-length CDRL3 (34) suggest that eliciting IOMA-like bNAbs by vaccination might be easier to achieve, compared with eliciting VRC01-class bNAbs.Indeed, the fact our IOMA immunogens elicited CD4bsspecific responses in four animal models suggests that germline-targeting immunogens designed to elicit IOMA-like antibodies are an attractive route to generate an HIV-1 vaccine, which is supported by our engineered immunogens eliciting epitope-specific responses in wt animals and by a commonality of the mutations that were induced across individual transgenic mice.Furthermore, IOMA-like bNAbs have been isolated from multiple patients (34,81), suggesting an immunization regimen targeting this class of bNAbs could be universally effective in a global population.Although IOMA's neutralization breadth is smaller than that of other bNAbs, the fact that some vaccine-elicited IOMA-like antibodies neutralized strains that IOMA neutralizes less potently or does not neutralize at all suggests that it is possible to create polyclonal serum responses that include individual antibodies with more breadth than IOMA.If elicited at sufficient levels, such antibodies could mediate protection from more strains than predicted by the original IOMA antibody.This is an important property of a potential active vaccine, since clinical trials to evaluate protection from HIV-1 infection by passive administration of VRC01 in humans demonstrated a lack of protection from infection by HIV-1 strains against which the VRC01 exhibited weak in vitro potencies (28).Although polyclonal antibodies raised against the CD4bs may be more protective than a single administered monoclonal anti-CD4bs antibody, a successful HIV-1 vaccine will likely require broader and more potent responses to the CD4bs and other epitopes on HIV-1 Env.Our results provide new germline-targeting immunogens to build upon, demonstrate that IOMA-like precursors provide a new starting point to elicit CD4bs bNAbs and suggest that eliciting this class of bNAbs should be further pursued as a possible strategy to generate a protective HIV-1 vaccine.

Study design
The objective of this study was to determine whether IOMA-like Abs could be elicited through immunization and whether this process would be easier and more practical than regimens used to elicit other CD4bs Abs.To do this, we established a yeast display platform to screen gp120 libraries and select variants that bind to a germline IOMA precursor.The gp120s were then expressed in mammalian cells and validated biochemically and biophysically by SPR, ELISA, and SEC.Top candidate immunogens were then incorporated into immunization regimens and evaluated to determine whether they select B cells expressing IOMA-like precursors in transgenic and wildtype animal models.Animal immunizations and serum characterization were conducted by separate laboratories in a blinded manner.Furthermore, different labs were responsible for the immunizations of each animal -mice, rabbits, or NHPs.The size of animal cohorts, dosage, and time interval between immunizations were determined from previous experiments so that an optimal regimen could be used without the need for extensive testing.Experimental end points were determined on the basis of serum ELISA binding titers to wt Env proteins.The efficacy of the resulting immunization regimen was evaluated by serum ELISAs and serum neutralization assays.Monoclonal antibodies were isolated from transgenic animals demonstrating heterologous serum neutralization activity.These antibodies were further characterized in neutralization assays.
The iGL sequences of IOMA was derived as described in the main text.The iGL sequences of VRC01 and 3BNC60 were derived as described (27,84).The iGL of BG24, a VRC01class bNAb with relatively few SHMs (85), was derived as described (86).IgGs were expressed by transient transfection in Expi293 cells or HEK293-6E cells and purified from cell supernatants using MabSelect SURE (Cytiva) columns followed by SEC purification using a 10/300 or 16/600 Superdex 200 (GE Healthcare) column equilibrated with PBS (20 mM sodium phosphate pH 7.4, 150 mM NaCl).His-tagged Fabs were prepared by transient transfection of truncated heavy chain genes encoding a C-terminal 6x-His tag with a light chain expression vector and purified from supernatants using a 5 mL HisTrap colum (GE Healthcare) followed by SEC as described above.

ELISAs
Serum ELISAs were performed using randomly biotinylated SOSIP trimers using the EZ-Link NHS-PEG 4 -Biotin kit (Thermo Fisher Scientific) according to the manufacturer's guidelines.Based on the Pierce Biotin Quantitation kit (Thermo Fisher Scientific), the number of biotin molecules per protomer was estimated to be ~1 -4.Biotinylated SOSIP timers were immobilized on Streptavidin-coated 96-well plates (Thermo Fisher Scientific) at a concentration of 2 -5 μg/mL in blocking buffer (1% BSA in TBS-T: 20 mM Tris pH 8.0, 150 mM NaCl, 0.1% Tween 20) for 1 h at RT.After washing plates in TBS-T, plates were incubated with a 3-fold concentration series of mouse, rabbit, or rhesus macaque serum at a top dilution of 1:100 in blocking buffer for 2-3 h at RT.After washing plates with TBS-T, HRP-conjugated goat anti-mouse Fc antibody (Southern Biotech, #1033-05) or HRP-conjugated goat anti-rabbit IgG Fc antibody (Abcam, ab98467) or HRP-conjugated goat anti-human multi-species IgG antibody (Southern Biotech, #2014-05) was added at a dilution of 1:8,000 in blocking buffer for 1 h at RT.After washing plates with TBS-T, 1-Step Ultra TMB substrate (Thermo Fisher Scientific) was added for ~3 min.Reactions were quenched by addition of 1 N HCl and absorbance at 450 nm were analyzed using a plate reader (BioTek).ELISAs with gp120s and anti-idiotype monoclonal antibodies were performed as above except these proteins were immobilized directly onto high-binding 96-well assay plates (Costar) in 0.1 M sodium bicarbonate buffer (pH 9.8) at a concentration of 2 -5 μg/mL in blocking buffer (1% BSA in TBS-T) for 2 h at RT. ELISAs with IgGs instead of serum were performed as above with a top IgG concentration of 100 μg/mL.All reported values represent the average of at least two independent experiments.

Preparation of SOSIP-mi3 nanoparticles
SpyCatcher003-mi3 particles were prepared by purification from BL21 (DE3)-RIPL E. coli (Agilent) transformed with a pET28a SpyCatcher003-mi3 gene (93) (including an N-terminal 6x-His tag) as described (80,94).Briefly, cell pellets from transformed bacterial were lysed with a cell disruptor in the presence of 2.0 mM PMSF (Sigma).Lysates were spun at 21,000 g for 30 min, filtered with a 0.2 μm filter, and mi3 particles were isolated by ammonium sulfate precipitation followed by SEC purification using a HiLoad 16/600 Superdex 200 (GE Healthcare) column equilibrated with 25 mM Tris-HCl pH 8.0, 150 mM NaCl, 0.02% NaN 3 (TBS).SpyCatcher003-mi3 particles were stored at 4 °C and used for conjugations for up to 1 month after filtering with a 0.2 μm filter and spinning for 30 min at 4 °C and 14,000 g.Purified SpyCatcher003-mi3 was incubated with a 2-fold molar excess (SOSIP to mi3 subunit) of purified SpyTagged SOSIP (either a single SOSIP or an equimolar mixture of eight SOSIPs for making mosaic8 particles) overnight at RT in PBS.Conjugated SOSIP-mi3 particles were separated from free SOSIPs by SEC on a Superose 6 10/300 column (GE Healthcare) equilibrated with PBS.Fractions corresponding to conjugated mi3 particles were collected and analyzed by SDS-PAGE.Concentrations of conjugated mi3 particles were determined using the absorbance at 280 nm as measured on a Nanodrop spectrophotometer (Thermo Scientific).

Electron microscopy of SOSIP-mi3 nanoparticles
SOSIP-mi3 particles were characterized using negative stain electron microscopy (EM) to confirm stability and the presence of conjugated SOSIPs on the mi3 surface.Briefly, SOSIP-mi3 particles were diluted to 20 μg/mL in 20 mM Tris (pH 8.0), 150 mM NaCl and 3 μL of sample was applied onto freshly glow-discharged 300-mesh copper grids.Sample was incubated on the grid for 40 s and excess sample was then blotted away with filter paper (Whatman).3 μL uranyl acetate was added for 40 s and excess stain was then blotted off with filter paper.Prepared grids were imaged on a Talos Arctica (ThermoFisher Scientific) transmission electron microscope at 200 keV using a Falcon III 4k × 4k (ThermoFisher Scientific) direct electron detector at 13,500x magnification.

Mice
C57BL/6J and B6(Cg)-Tyrc-2J/J (B6 albino) mice were purchased from Jackson Laboratories.Igh IOMAiGL and Igk IOMAiGL mice were generated with the Rockefeller University CRISPR and Genome Editing Center and Transgenic and Reproductive Technology Center in CY2.4 albino C57BL/6J-Tyrc-2J-derived embryonic stem cells.Chimeras were crossed to B6(Cg)-Tyrc-2J/J for germline transmission.Igh IOMAiGL and Igk IOMAiGL mice carry the IGV(D)J genes encoding the IOMA iGL HC and LC respectively.IOMA iGL LC was targeted into the Igk locus deleting the endogenous mouse Igkj1 to Igkj5 gene segments.IOMA iGL HC was targeted into the Igh locus and deleting the endogenous mouse Ighd4-1 to Ighj4 gene segments thereby minimizing rearrangement of the locus (Figure S2A-B) (98,99).The constant regions of Igh and Igk remain of mouse origin.Mice were only crossed to C57BL/6J or B6(Cg)-Tyrc-2J/J or themselves and maintained at Rockefeller University and all experiments shown used double homozygous animals for Igh IOMAiGL and Igk IOMAiGL abbreviated IOMAgl mice.These mice are available upon request.Mice were housed at a temperature of 22 °C and humidity of 30 -70% in a 12 h light/dark cycle with ad libitum access to food and water.Male and female mice aged 6 -12 weeks at the start of the experiment were used throughout.All experiments were conducted with approval from the institutional review board and the institutional animal care and use committee at the Rockefeller University.Sample sizes were not calculated a priori.Given the nature of the comparisons, mice were not randomized into each experimental group and investigators were not blinded to group allocation.Instead, experimental groups were age-and sex-matched.

Animal immunizations and sampling
Mice were immunized intraperitoneally with 10 μg conjugated mi3-SOSIP in 100 μL PBS with 1 U SMNP adjuvant (59) (kindly provided by Murillo Silva, Mariane B. Melo and Darrell J. Irvine, MIT).Serum samples were collected throughout the experiment by submandibular bleeding and animals were terminally bled under isoflurane anesthesia first submandibularly followed by cardiac puncture.Spleen and mesenteric lymph nodes were dissected, mashed though a 70 μm cell strainer and frozen in FCS with 10% DMSO in a gradual freezing (~1 °C/min) container, followed by transfer to liquid N 2 for long-term storage.
Eight six-month-old New Zealand White rabbits (LabCorp) were used for immunizations.Rabbits were immunized subcutaneously with 50 μg of a SOSIP-mi3 in SMNP adjuvant (375 U/animal) as described (66,100).Serum samples were collected from rabbits at the time points indicated in Figure 5A.Procedures in rabbits were approved by the Denver PA IACUC Committee.
Five rhesus macaques (Macaca mulatta) of Indian genetic origin were housed in a biosafety level 2 NIAID facility and cared for in accordance with Guide for Care and Use of Laboratory Animals Report number NIH 82-53 (Department of Health and Human Services, Bethesda, 1985).All animal procedures and experiments were performed according to protocols approved by the IACUC of NIAID, NIH.The NHPs used in this study did not express the MHC class I Mamu-A*01, Mamu-B*08 and Mamu-B*17 alleles.NHPs were immunized subcutaneously in the medial inner forelegs and hind legs (total of 4 sites per animal) with 200 μg of the indicated SOSIP-mi3 adjuvated in SMNP (375 U/animal) as described (66).Immunizations and blood samples were obtained from naïve and immunized macaques at the time points indicated in Figure 5A.

Flow Cytometry and cell sorting
Fresh bone marrow was flushed out of 1 femur and 1 tibia per mouse.Fresh mouse spleens were forced through a 70 μm mesh into FACS buffer (PBS containing 2% heat-inactivated FBS and 2 mM EDTA), and red blood cells of fresh spleens or bone marrow were lysed in ammonium-chloride-potassium buffer lysing buffer (Gibco) for 3 min.Frozen cells were thawed in a 37 °C water bath and immediately transferred to prewarmed mouse B cell medium consisting of RPMI-1640, supplemented with 10% heat-inactivated FBS, 10 mM HEPES, 1× antibiotic-antimycotic, 1 mM sodium pyruvate, 2 mM L-glutamine, and 53 μM 2-mercaptoethanol (all from Gibco).
Bait proteins were randomly conjugated to biotin and free biotin removed using EZ-Link Micro NHS-PEG 4 -Biotinylation Kit (ThermoFisher # 21955) according to the manufacturer's instructions.Fluorophore conjugated bait and bait-KO antigen tetramers were prepared by mixing a 5 μg/mL solution of a single randomly-biotinylated bait protein with fluorophore-conjugated streptavidin (Table S7) at a 1:200 to 1:600 dilution in PBS for 30 min on ice.Conjugates were then mixed equivolumetrically.RAMOS cells were harvested, washed in FACS buffer and stained with human FC-blocking reagent, biotinylated bait antigen-streptavidin tetramers (PE, AF647 and sometimes PECy7) and Zombie-NIR Live/Dead cell marker for 15 min before addition of anti-human antibodies to IgL-APC, IgK-BV421, IgM-FITC, and for some experiments, CD19-PECy7 (Table S7).
Mouse cells and controls (see below) were washed and resuspended in a solution of mouse Fc-receptor blocking antibody, fluorophore-conjugated antigen tetramers and Zombie-NIR Live/Dead cell marker for 15 min on ice.A mastermix of other antibodies was then added and cells stained for another 20 min on ice.Antibodies and reagents are listed in Table S7.All cells were analyzed on an LSRFortessa or cells were sorted on a FACS Aria III (both Becton Dickinson) using IOMA-expressing RAMOS cells as an antigenbinding positive control and splenocytes from naïve IOMAgl mice as negative controls (Figure S5).To derive absolute cell numbers, a master mix of AccuCheck counting beads (ThermoFisher #PCB100) in FACS buffer was prepared and 10 4 beads/sample were added before acquisition.Absolute numbers of cells were calculated as: IOMA-expressing RAMOS cells were separated from unedited cells by sorting into RAMOS medium, and then washed and cultured as described above.
Mouse GC B cells for 10x Genomics single cell analysis were processed in PBS with 0.5% BSA instead of FACS buffer and 31,450 cells sorted into 5 μL of 0.05% BSA in PBS.Cells were spun down 400 g 6 min at 4 °C and volume adjusted to 22 μL before further processing.

Single cell antibody cloning
Sequencing and cloning of mouse monoclonal antibodies from single cell-sorted B cells were performed as described ( 105) with the modifications detailed in the supplementary materials.

Mutation analysis
All HC and LC V(D)J sequences were translated and the CDR3 region was trimmed.The resulting V region was aligned against the IOMA iGL and IOMA using MAFFT (106).Indels were ignored for downstream analysis.All mismatches to IOMA iGL were counted as total mismatches (Figure 3A).Only mismatches shared with IOMA mature when compared to IOMA iGL were used to assess chemical equivalence and calculate IOMA-like mutations (Figure 3A).Chemical equivalence was as follows: Group 1: G/A/V/L/I; Group 2: S/T; Group 3: C/M; Group 4: D/N/E/Q; Group 5: R/K/H; Group 6: F/Y/W; Group 7: P. The baseline was calculated using extracted IGHV1- 3D neutralization plot shows the total number of V(D)J amino acid mutations (untrimmed) of each antibody vs the number of these mutations that are chemically equivalent to IOMA (Figure 3C).Chemical equivalence defined as above.

In vitro neutralization assays
Pseudovirus neutralization assays were conducted as described (62,107), either in house (Figure 2G, Figure 3A, Figure 4F, Figure 5B) or at the Collaboration for AIDS Vaccine Discovery (CAVD) core neutralization facility (Figure S1C).Monoclonal antibody IgGs were evaluated in duplicate with an 8-point, 3-fold dilution series starting at a top concentration of ~100 μg/mL.All pseudovirus assays using monoclonal antibody IgGs were repeated at least twice for each value reported here.For polyclonal neutralizations, serum samples were heat inactivated at 56 ºC for 30 min before being added to the neutralization assays, and then neutralization was evaluated in duplicate with an 8-point, 4-fold dilution igpipeline2_timepoint_v2.Further information and reasonable requests for reagents and resources should be directed to Pamela J. Bjorkman (bjorkman@caltech.edu).

[
count of acquired beads] [total beads per sample] [fraction of organ used in stain] × [count of cell population]

Figure 1 .
Figure 1.Design and characterization of IOMA-iGL targeting immunogens.(A) Overview of strategy to engineer and test immunogens designed to elicit IOMA-like antibodies: (B-D) Residues selected from the unmutated starting protein 426c.TM4 gp120 to mutate in yeast display library (left panel), FACS summary (second and third panels), and SPR data for highest affinity immunogen selected from each library as gp120 (fourth panel) and SOSIP (fifth panel) are shown (B), Library 1 (C), and Library 2 (D).Residues shown in red represent degenerate positions in the library, while residues shown in green represent point mutations from 426c.TM4 gp120.Representative sensorgrams are shown in

Figure 2 .
Figure 2. Sequential immunization with IOMA-targeting immunogens elicits heterologous neutralizing serum responses in IOMA iGL transgenic mice.(A) Schematic and timeline of immunization regimen for IOMA iGL knock-in mice.(B-F) Serum ELISA binding at the indicated time points for IGT2 and IGT2 KO (B), IGT1 and IGT1 KO (C), 426c D279N, 426c, and 426c KO (D), and to a panel of wt and N276Aversions of SOSIP-based Envs (E-F).(G) Serum neutralization activity against a panel of 18 HIV pseudoviruses and a murine leukemia virus (MLV) control after terminal bleed.(H) 426c-binding serum IgG ELISA using serum samples isolated from mice at the end of the different sequential immunization regimens indicated underneath and detailed in Figure S4.Animal immunization studies were performed as 3 independent experiments.Each dot

Figure 3 .
Figure 3. Monoclonal antibodies cloned from IOMA iGL transgenic mice neutralize heterologous HIV strains.(A) Graphs show the total number of V region (excluding CDR3) amino acid mutations in HC (top) and LC (bottom) of all antibody sequences (x-axis) vs. the number of mutations that are identical or chemically equivalent to mutations in IOMA for aa positions where IOMA and IOMA iGL differ (y-axis).Sequences derived from IOMAgl mice HP1, HP3 and ES30 from immunization group 1 (red) and baseline human VH1-2*01 or VL2-23*02 sequences from peripheral blood of HIV-negative human donors (gray).The size of the

Figure 4 .
Figure 4. Sequential immunization with IOMA-targeting immunogens elicits CD4bs-specific responses and heterologous neutralizing serum responses in wildtype mice.(A) Schematic and timeline of immunization regimen for wt mice.(B) Serum ELISA binding at the indicated time points to IGT1 or IGT1 CD4bs-KO (KO).(C-D) Serum ELISA binding to anti-idiotypic monoclonal antibodies raised against IOMA iGL (left, 3D3) and IOMA iGL + mature IOMA (right, 3D7).Mean ± SEM of 9 to 16 mice per time point are depicted.(D-E) Serum ELISA binding at the indicated time points to a panel of WT and N276A-versions of SOSIP-based Envs.(F) Serum neutralization against a panel of 18

Figure 5 .
Figure 5. Prime-boost with IGT2-IGT1 elicits CD4bs-specific responses and potent autologous neutralization in rabbits and rhesus macaques.(A)Schematic and timeline of immunization regimen for rabbits and rhesus macaques.(B) Serum ELISA binding to IGT1 and IGT1 KO for rabbits (left) and rhesus macaques (right).(C) Serum neutralization ID 50 s of IGT2 and IGT1 pseudoviruses for rabbits (left) and rhesus macaques (right).The dotted line at y = 10 2 indicates the lowest dilution evaluated.Significance was demonstrated using a paired t test (p ≤ 0.05).