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Cell-Bound mRNA HIV Vaccine Elicits 80% Neutralizing Response but Triggers Hives

Investigations into unexpected hives aim to refine antigen design before larger trials of a single-dose, multi-immunogen mRNA HIV vaccine.

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Colorized scanning electron micrograph of HIV-1 virus particles (blue) both budding and attached to the surface of Hut-78/human lymphocyte cells (red). Image captured at the NIAID Integrated Research Facility in Fort Detrick, Maryland. Credit: NIAID
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Overview

  • Latest phase 1 trial showed cell-bound envelope trimer mRNA vaccine induced broadly neutralizing antibodies in about 80% of participants.
  • Free-floating trimer constructs yielded only about 4% neutralizing response, underscoring the superior immunogenicity of membrane-bound designs.
  • Approximately 6–7% of volunteers experienced persistent urticaria, a side effect not seen in other mRNA vaccine studies.
  • Research teams from Scripps Research, Fred Hutchinson Cancer Centre and University of Queensland are probing allergic mechanisms and antigen tweaks to eliminate the hives reaction.
  • Plans are underway to integrate sequential immunogen release into a single injection and to launch larger efficacy and safety trials.