- Sui, Yongjun;
- Meyer, Thomas;
- Fennessey, Christine;
- Keele, Brandon;
- Dadkhah, Kimia;
- Ma, Chi;
- LaBranche, Celia;
- Breed, Matthew;
- Kramer, Josh;
- Li, Jianping;
- Howe, Savannah;
- Ferrari, Guido;
- Williams, LaTonya;
- Cam, Maggie;
- Kelly, Michael;
- Shen, Xiaoying;
- Tomaras, Georgia;
- Montefiori, David;
- Greten, Tim;
- Miller, Chris;
- Berzofsky, Jay
Identifying immune correlates of protection is a major challenge in AIDS vaccine development. Anti-Envelope antibodies have been considered critical for protection against SIV/HIV (SHIV) acquisition. Here, we evaluated the efficacy of an SHIV vaccine against SIVmac251 challenge, where the role of antibody was excluded, as there was no cross-reactivity between SIV and SHIV envelope antibodies. After 8 low-dose intrarectal challenges with SIVmac251, 12 SHIV-vaccinated animals demonstrated efficacy, compared with 6 naive controls, suggesting protection was achieved in the absence of anti-envelope antibodies. Interestingly, CD8+ T cells (and some NK cells) were not essential for preventing viral acquisition, as none of the CD8-depleted macaques were infected by SIVmac251 challenges. Initial investigation of protective innate immunity revealed that protected animals had elevated pathways related to platelet aggregation/activation and reduced pathways related to interferon and responses to virus. Moreover, higher expression of platelet factor 4 on circulating platelet-leukocyte aggregates was associated with reduced viral acquisition. Our data highlighted the importance of innate immunity, identified mechanisms, and may provide opportunities for novel HIV vaccines or therapeutic strategy development.