RT Journal Article SR Electronic T1 Rapid development of an infant-derived HIV-1 broadly neutralizing antibody lineage JF bioRxiv FD Cold Spring Harbor Laboratory SP 416032 DO 10.1101/416032 A1 Cassandra A Simonich A1 Laura Doepker A1 Duncan Ralph A1 James A Williams A1 Amrit Dhar A1 Zak Yaffe A1 Lauren Gentles A1 Christopher T Small A1 Brian Oliver A1 Vladimir Vigdorovich A1 Vidya Mangala Prasad A1 Ruth Nduati A1 D Noah Sather A1 Kelly K Lee A1 A Matsen Frederick IV A1 Julie Overbaugh YR 2018 UL http://biorxiv.org/content/early/2018/09/13/416032.abstract AB HIV-infected infants develop broadly neutralizing plasma responses with more rapid kinetics than adults, suggesting the ontogeny of infant responses could better inform a path to achievable vaccine targets. We developed computational methods to reconstruct the developmental lineage of BF520.1, the first example of a HIV-specific broadly neutralizing antibody (bnAb) from an infant. The BF520.1 inferred naïve precursor binds HIV Env and a bnAb evolved within six months of infection and required only 3% mutation. Mutagenesis and structural analyses revealed that for this infant bnAb, substitutions in the kappa chain were critical for activity, particularly in CDRL1. Overall, the developmental pathway of this infant antibody includes features distinct from adult antibodies, including several that may be amenable to better vaccine responses.