Gautam, Rajeev, Nishimura, Yoshiaki, Pegu, Amarendra ORCID: 0000-0003-3564-6453, Nason, Martha C., Klein, Florian, Gazumyan, Anna, Golijanin, Jovana, Buckler-White, Alicia, Sadjadpour, Reza, Wang, Keyun, Mankoff, Zachary, Schmidt, Stephen D., Lifson, Jeffrey D., Mascola, John R., Nussenzweig, Michel C. and Martin, Malcolm A. (2016). A single injection of anti-HIV-1 antibodies protects against repeated SHIV challenges. Nature, 533 (7601). S. 105 - 117. LONDON: NATURE PUBLISHING GROUP. ISSN 1476-4687

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Abstract

Despite the success of potent anti-retroviral drugs in controlling human immunodeficiency virus type 1 (HIV-1) infection, little progress has been made in generating an effective HIV-1 vaccine. Although passive transfer of anti-HIV-1 broadly neutralizing antibodies can protect mice or macaques against a single high-dose challenge with HIV or simian/human (SIV/HIV) chimaeric viruses (SHIVs) respectively(1-8), the long-term efficacy of a passive antibody transfer approach for HIV-1 has not been examined. Here we show, on the basis of the relatively long-term protection conferred by hepatitis A immune globulin, the efficacy of a single injection (20 mg kg(-1)) of four anti-HIV-1-neutralizing monoclonal antibodies (VRC01, VRC01-LS, 3BNC117, and 10-1074 (refs 9-12)) in blocking repeated weekly low-dose virus challenges of the clade B SHIVAD8. Compared with control animals, which required two to six challenges (median = 3) for infection, a single broadly neutralizing antibody infusion prevented virus acquisition for up to 23 weekly challenges. This effect depended on antibody potency and half-life. The highest levels of plasma-neutralizing activity and, correspondingly, the longest protection were found in monkeys administered the more potent antibodies 3BNC117 and 10-1074 (median = 13 and 12.5 weeks, respectively). VRC01, which showed lower plasma-neutralizing activity, protected for a shorter time (median = 8 weeks). The introduction of a mutation that extends antibody half-life into the crystallizable fragment (Fc) domain of VRC01 increased median protection from 8 to 14.5 weeks. If administered to populations at high risk of HIV-1 transmission, such an immunoprophylaxis regimen could have a major impact on virus transmission.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Gautam, RajeevUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Nishimura, YoshiakiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pegu, AmarendraUNSPECIFIEDorcid.org/0000-0003-3564-6453UNSPECIFIED
Nason, Martha C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Klein, FlorianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gazumyan, AnnaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Golijanin, JovanaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Buckler-White, AliciaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sadjadpour, RezaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wang, KeyunUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mankoff, ZacharyUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schmidt, Stephen D.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lifson, Jeffrey D.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mascola, John R.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Nussenzweig, Michel C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Martin, Malcolm A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-275917
DOI: 10.1038/nature17677
Journal or Publication Title: Nature
Volume: 533
Number: 7601
Page Range: S. 105 - 117
Date: 2016
Publisher: NATURE PUBLISHING GROUP
Place of Publication: LONDON
ISSN: 1476-4687
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
SIMIAN/HUMAN IMMUNODEFICIENCY VIRUS; BROADLY NEUTRALIZING ANTIBODY; HIV-1/SIV CHIMERIC VIRUS; MONOCLONAL-ANTIBODIES; IMPROVES PROTECTION; PASSIVE TRANSFER; POTENT; MACAQUES; INFECTION; TRANSMISSIONMultiple languages
Multidisciplinary SciencesMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/27591

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