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Cell-Bound mRNA HIV Vaccine Elicits Potent Antibody Response

Researchers aim to identify the cause of unexpected hives to improve vaccine safety before larger efficacy trials.

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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

  • An early-phase trial of 108 healthy adults tested two membrane-bound and one free-floating mRNA HIV vaccine candidates across ten US sites.
  • Vaccines encoding cell-bound envelope trimers induced neutralizing antibodies in 80% of participants compared with 4% for unbound versions.
  • Approximately 6.5% of volunteers developed hives, a higher-than-expected reaction that is now under active investigation.
  • Preclinical studies in rabbits and monkeys had shown similarly robust neutralizing responses, informing the design of the human trial.
  • Research teams are refining mRNA formulations to mitigate side effects, broaden protection and pave the way for larger, definitive studies toward licensure.