# Functional profile to HIV vaccine elicited antibodies in infants

> **NIH NIH R01** · DUKE UNIVERSITY · 2021 · $400,688

## Abstract

Eliminating breast milk HIV-1 transmission will likely require a combination of approaches, including immune-
based interventions such as a pediatric HIV-1 vaccine. Only a few vaccine trials have included pediatric
populations and none of them tested efficacy. Because of differences between the adult and infant immune
system, it is unclear if antibodies elicited by HIV vaccination in adults and infants are able to mediate similar
effector functions. This study will address this gap by comparing the functional profile of antibodies elicited by
the same adjuvanted HIV vaccines in adults and infants. Insights on vaccine protection can be drawn from the
moderately effective adult RV144 trial in which a reduced risk of HIV-1 acquisition was associated with high
levels of IgG against the HIV-1 Envelope (Env) V1V2 loops. We have demonstrated that infant vaccination with
a rgp120/MF59 vaccine induces plasma levels of potentially-protective anti-V1V2 IgG that are 22 times higher
than levels found in adult RV144 vaccinees. Importantly, it was recently reported that MF59 does not induce
high magnitude potentially-protective antibody responses in adults. Yet, our preliminary data show that infants
immunized with the rgp120/MF59 vaccine developed higher magnitude HIV Env-specific responses than adults
immunized with the same vaccine. This suggests that distinct adjuvants may differently modulate vaccine-
elicited responses in adults and infants. These differences are likely to influence effector functions and dictate
vaccine efficacy. The objective of this application is to evaluate the function of infant vaccine-elicited Env-
specific antibodies and define the impact of different adjuvants on infant functional antibody responses. Our
central hypothesis is that antibodies elicited by infant HIV-1 vaccination are capable of mediating distinct anti-
viral effector functions when compared to adult antibodies, and infant antibody functional profile is influenced
by the vaccine adjuvant. Our central hypothesis will be tested in the following specific aims: 1) Define the
functional profile of HIV vaccine-elicited antibodies in infants in comparison with that of adults immunized with
the same HIV Env vaccine; 2) Define the evolution, specificity, and function of mAbs isolated from Env-specific
memory B cells of HIV-exposed HIV-vaccinated infants; and 3) Assess the impact of vaccine adjuvants on HIV
vaccine antibody Fc-mediated functions in infant rhesus macaques (RMs) and the relationship between
specific B cell gene pathways upregulation and effector function. We expect that this study will identify
differences in effector functions between adults and infants, highlighting the need to test promising vaccine
candidates in pediatric populations. In addition, the identification of gene pathways associated with optimal
vaccine responses through our proposed ‘omics approach, will allow for the rational design and screening of
infant vaccine and adjuvant candidates for t...

## Key facts

- **NIH application ID:** 10131740
- **Project number:** 5R01AI131978-05
- **Recipient organization:** DUKE UNIVERSITY
- **Principal Investigator:** Justin Joseph Pollara
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $400,688
- **Award type:** 5
- **Project period:** 2017-04-01 → 2024-03-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10131740

## Citation

> US National Institutes of Health, RePORTER application 10131740, Functional profile to HIV vaccine elicited antibodies in infants (5R01AI131978-05). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10131740. Licensed CC0.

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