4.7 Article

Reprogramming of the heavy-chain CDR3 regions of a human antibody repertoire

Journal

MOLECULAR THERAPY
Volume 30, Issue 1, Pages 184-197

Publisher

CELL PRESS
DOI: 10.1016/j.ymthe.2021.10.027

Keywords

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Funding

  1. NIH [R37 AI091476, DP1 DA043912]

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In this study, a diverse B cell repertoire that recognizes a key HIV-1 neutralizing epitope was generated by replacing the heavy-chain CDR3 region of human B cells. The edited B cells efficiently bound trimeric HIV-1 antigens, suggesting their potential for in vivo affinity maturation.
B cells have been engineered ex vivo to express an HIV-1 broadly neutralizing antibody (bNAb). B cell reprograming may be scientifically and therapeutically useful, but current approaches limit B cell repertoire diversity and disrupt the organization of the heavy-chain locus. A more diverse and physiologic B cell repertoire targeting a key HIV-1 epitope could facilitate evaluation of vaccines designed to elicit bNAbs, help identify more potent and bioavailable bNAb variants, or directly enhance viral control in vivo. Here we address the challenges of generating such a repertoire by replacing the heavychain CDR3 (HCDR3) regions of primary human B cells. To do so, we identified and utilized an uncharacterized Cas12a ortholog that recognizes PAM motifs present in human JH genes. We also optimized the design of 200 nucleotide homologydirected repair templates (HDRT) by minimizing the required 30-50 deletion of the HDRT-complementary strand. Using these techniques, we edited primary human B cells to express a hemagglutinin epitope tag and the HCDR3 regions of the bNAbs PG9 and PG16. Those edited with bNAb HCDR3 efficiently bound trimeric HIV-1 antigens, implying they could affinity mature in vivo in response to the same antigens. This approach generates diverse B cell repertoires recognizing a key HIV-1 neutralizing epitope.

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