Potent anti-viral activity of a trispecific HIV neutralizing antibody in SHIV-infected monkeys

Broadly neutralizing antibodies (bNAbs) represent an alternative to drug therapy for the treatment of HIV-1 infection. Immunotherapy with single bNAbs often leads to emergence of escape variants, suggesting a potential benefit of combination bNAb therapy. Here, a trispecific bNAb reduces viremia 100...

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Published inCell reports (Cambridge) Vol. 38; no. 1; p. 110199
Main Authors Pegu, Amarendra, Xu, Ling, DeMouth, Megan E., Fabozzi, Giulia, March, Kylie, Almasri, Cassandra G., Cully, Michelle D., Wang, Keyun, Yang, Eun Sung, Dias, Joana, Fennessey, Christine M., Hataye, Jason, Wei, Ronnie R., Rao, Ercole, Casazza, Joseph P., Promsote, Wanwisa, Asokan, Mangaiarkarasi, McKee, Krisha, Schmidt, Stephen D., Chen, Xuejun, Liu, Cuiping, Shi, Wei, Geng, Hui, Foulds, Kathryn E., Kao, Shing-Fen, Noe, Amy, Li, Hui, Shaw, George M., Zhou, Tongqing, Petrovas, Constantinos, Todd, John-Paul, Keele, Brandon F., Lifson, Jeffrey D., Doria-Rose, Nicole A., Koup, Richard A., Yang, Zhi-yong, Nabel, Gary J., Mascola, John R.
Format Journal Article
LanguageEnglish
Published United States 04.01.2022
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Online AccessGet full text
ISSN2211-1247
2639-1856
2211-1247
DOI10.1016/j.celrep.2021.110199

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Abstract Broadly neutralizing antibodies (bNAbs) represent an alternative to drug therapy for the treatment of HIV-1 infection. Immunotherapy with single bNAbs often leads to emergence of escape variants, suggesting a potential benefit of combination bNAb therapy. Here, a trispecific bNAb reduces viremia 100- to 1000-fold in viremic SHIV-infected macaques. After treatment discontinuation, viremia rebounds transiently and returns to low levels, through CD8-mediated immune control. These viruses remain sensitive to the trispecific antibody, despite loss of sensitivity to one of the parental bNAbs. Similarly, the trispecific bNAb suppresses the emergence of resistance in viruses derived from HIV-1-infected subjects, in contrast to parental bNAbs. Trispecific HIV-1 neutralizing antibodies, therefore, mediate potent antiviral activity in vivo and may minimize the potential for immune escape.
AbstractList Broadly neutralizing antibodies (bNAbs) represent an alternative to drug therapy for the treatment of HIV-1 infection. Immunotherapy with single bNAbs often leads to emergence of escape variants, suggesting a potential benefit of combination bNAb therapy. Here, a trispecific bNAb reduces viremia 100- to 1000-fold in viremic SHIV-infected macaques. After treatment discontinuation, viremia rebounds transiently and returns to low levels, through CD8-mediated immune control. These viruses remain sensitive to the trispecific antibody, despite loss of sensitivity to one of the parental bNAbs. Similarly, the trispecific bNAb suppresses the emergence of resistance in viruses derived from HIV-1-infected subjects, in contrast to parental bNAbs. Trispecific HIV-1 neutralizing antibodies, therefore, mediate potent antiviral activity in vivo and may minimize the potential for immune escape.
Broadly neutralizing antibodies (bNAbs) represent an alternative to drug therapy for the treatment of HIV-1 infection. Immunotherapy with single bNAbs often leads to emergence of escape variants, suggesting a potential benefit of combination bNAb therapy. Here, a trispecific bNAb reduces viremia 100- to 1000-fold in viremic SHIV-infected macaques. After treatment discontinuation, viremia rebounds transiently and returns to low levels, through CD8-mediated immune control. These viruses remain sensitive to the trispecific antibody, despite loss of sensitivity to one of the parental bNAbs. Similarly, the trispecific bNAb suppresses the emergence of resistance in viruses derived from HIV-1-infected subjects, in contrast to parental bNAbs. Trispecific HIV-1 neutralizing antibodies, therefore, mediate potent antiviral activity in vivo and may minimize the potential for immune escape.Broadly neutralizing antibodies (bNAbs) represent an alternative to drug therapy for the treatment of HIV-1 infection. Immunotherapy with single bNAbs often leads to emergence of escape variants, suggesting a potential benefit of combination bNAb therapy. Here, a trispecific bNAb reduces viremia 100- to 1000-fold in viremic SHIV-infected macaques. After treatment discontinuation, viremia rebounds transiently and returns to low levels, through CD8-mediated immune control. These viruses remain sensitive to the trispecific antibody, despite loss of sensitivity to one of the parental bNAbs. Similarly, the trispecific bNAb suppresses the emergence of resistance in viruses derived from HIV-1-infected subjects, in contrast to parental bNAbs. Trispecific HIV-1 neutralizing antibodies, therefore, mediate potent antiviral activity in vivo and may minimize the potential for immune escape.
ArticleNumber 110199
Author Fabozzi, Giulia
March, Kylie
Shi, Wei
Lifson, Jeffrey D.
Yang, Eun Sung
Keele, Brandon F.
Wei, Ronnie R.
Rao, Ercole
Dias, Joana
Yang, Zhi-yong
DeMouth, Megan E.
Promsote, Wanwisa
Noe, Amy
Petrovas, Constantinos
Kao, Shing-Fen
Asokan, Mangaiarkarasi
Koup, Richard A.
McKee, Krisha
Todd, John-Paul
Schmidt, Stephen D.
Foulds, Kathryn E.
Pegu, Amarendra
Casazza, Joseph P.
Li, Hui
Wang, Keyun
Geng, Hui
Mascola, John R.
Hataye, Jason
Nabel, Gary J.
Doria-Rose, Nicole A.
Chen, Xuejun
Zhou, Tongqing
Liu, Cuiping
Almasri, Cassandra G.
Shaw, George M.
Cully, Michelle D.
Xu, Ling
Fennessey, Christine M.
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Snippet Broadly neutralizing antibodies (bNAbs) represent an alternative to drug therapy for the treatment of HIV-1 infection. Immunotherapy with single bNAbs often...
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SubjectTerms Animals
Antiviral Agents - therapeutic use
Broadly Neutralizing Antibodies - immunology
Broadly Neutralizing Antibodies - therapeutic use
CD8-Positive T-Lymphocytes - immunology
Cell Line, Tumor
HIV Antibodies - immunology
HIV Antibodies - therapeutic use
HIV-1 - immunology
Humans
Immune Evasion - immunology
Immunotherapy - methods
Macaca mulatta
Simian Acquired Immunodeficiency Syndrome - therapy
Simian Immunodeficiency Virus - immunology
THP-1 Cells
Viremia - prevention & control
Viremia - therapy
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