This study demonstrates a method for increasing the immunogenicity of gp120 by replacing its multiple SA residues with α-gal epitopes. These epitopes can bind the natural anti-Gal antibody (present in all humans as 1% of IgG), when injected as a vaccine in humans. The formation of immune complexes with anti-Gal results in targeting of the vaccinating gp120
αgal molecules to APC, thereby inducing an effective anti-gp120 immune response. The incubation of gp120 with an enzyme mixture of neuraminidase and recombinant α1,3GT and with the sugar donor UDP-Gal results in synthesis of multiple α-gal epitopes on most N-linked carbohydrate chains of the complex type on gp120, as indicated by the subsequent extensive binding of the monoclonal anti-Gal antibody (Fig. ). The increased immunogenicity of gp120
αgal was demonstrated in the only nonprimate mammalian experimental model available for studies of anti-Gal-mediated immune response, the α1,3GT-knockout mouse (KO mouse). Our previous studies demonstrated in this model increased immunogenicity of tumor vaccines consisting of tumor cells engineered to express α-gal epitopes (
28). In tumor vaccine studies, the efficacy of vaccines expressing α-gal epitopes can be demonstrated by the immune protection following challenge of the mouse with live tumor cells. The present study demonstrates increased immunogenicity of a soluble protein expressing α-gal epitopes, the HIV envelope glycoprotein gp120. The increased production of anti-gp120 antibodies in response to vaccination with gp120
αgal versus vaccination with gp120 was observed in all three doses of 0.5, 5, and 50 μg per vaccine. The greatest difference, of >100-fold, in the antibody response was observed in mice immunized with 5 μg of the glycoprotein. Similarly, we observed a parallel increase in T-cell response, as assessed by ELISPOT. However, we could not analyze immune protection from challenge postvaccination as there are no HIV strains that are infective in mice.
The principle of increasing immunogenicity of a given antigen by 10- to 1,000-fold, by complexing the antigen with its corresponding antibody, was demonstrated with a variety of antigens, including tetanus toxoid (
21,
32), hepatitis B virus antigen (
6), and Eastern equine encephalomyelitis virus antigen (
26). Accordingly, recent studies demonstrated that immune complexes between SIV and anti-SIV antibodies were targeted to APC, resulting in enhanced cross-presentation of SIV peptides, as indicated by effective activation of cytotoxic T cells by MHC class I-presented peptides, in SIV-infected monkeys (
55). As expected, enzymatic destruction of the Fc portion of the anti-SIV antibodies, or blocking of the FcγR on APC, abrogated this enhancing effect of immune complexes (
55). Similarly, natural antibodies in mice were found to function as an endogenous adjuvant forming immune complexes with
Leishmania vaccine and inducing a strong CD8
+-T-cell response against the intracellular form of the
Leishmania parasite (
47). Thus, the interaction between the Fc portion of the opsonizing antibody and FcγR on APC is considered to be the most effective mechanism by which APC identify and internalize antigens that should be targeted for an effective immune response (
54). The same principle applies to vaccines that express α-gal epitopes and thus form immune complexes with anti-Gal antibodies which can target the vaccine to APC in any immunized individual. This anti-Gal-mediated targeting to APC is supported by previous in vitro studies of inactivated influenza virions that express α-gal epitopes and form immune complexes with anti-Gal. These virions displayed a 10-fold-higher uptake by APC and subsequent processing and presentation of envelope hemagglutinin peptides than virions lacking α-gal epitopes and incubated with anti-Gal (
17). It should be stressed that anti-Gal is the only antibody in humans that can serve for this purpose of targeting vaccines to APC. This is because anti-Gal is the only natural antibody known to be produced ubiquitously in humans as ~1% of IgG (
16). Thus, any particulate or soluble vaccine that expresses α-gal epitopes will form immune complexes with anti-Gal and will be targeted for effective uptake by APC (
13).
In view of the ability of gp120 to mutate during infection and evade the detrimental effect of neutralizing antibodies, vaccination only with gp120 may not suffice for conferring resistance to HIV infections in large populations (
3-
5,
22,
27,
31,
40,
41,
53,
58). Other viral proteins such as tat, rev, p17, and p24 may also be used as vaccines eliciting a cellular immune response for destruction of HIV-infected cells. However, because of poor targeting to APC, immunogenicity of these proteins also may be low. The effective anti-Gal-mediated targeting of gp120
αgal to APC may be further exploited for effective targeting of other HIV proteins to APC, in order to induce a protective cellular immune response. This can be achieved by fusion of tat, rev, p17, or p24 to gp120 and enzymatic conversion of the SA residues on the carbohydrate chains of gp120 into α-gal epitopes as in Fig. . Thus, vaccination with gp120
αgal that is fused to each of these proteins is likely to produce high titers of anti-gp120 antibodies, as well as high CTL activity against cells infected by HIV.
As indicated above, KO mice are the only nonprimate mammal that produces anti-Gal and thus can serve as a model for anti-Gal-mediated targeting of vaccines to APC. Anti-Gal production in these mice is achieved by immunization with PKMs. This mouse-produced anti-Gal is an elicited antibody, whereas anti-Gal in humans is a natural antibody. Nevertheless, they share similar characteristics in their class and subclass distribution (Fig. ) and in biological activities. Both human and mouse anti-Gal mediate hyperacute xenograft rejection and induce antibody-dependent cell cytotoxicity and phagocytosis of the various antigens (
9,
11,
20,
45). Despite these similarities, demonstration of primate anti-Gal ability to target gp120
αgal to APC will require studies in a monkey model. Since Old World monkeys (e.g., rhesus monkeys, cynomolgus monkeys, and baboons) naturally produce anti-Gal in titers comparable to those of humans (
12), future studies of immunogenicity in monkeys immunized with SIV gp120
αgal and with gp120
αgal fused to other viral proteins will enable evaluation of the efficacy of these vaccines in eliciting a protective immune response against challenge with SIV.