Abstract:SummaryIn the setting of a clinical trial evaluating the anti-HIV-1 antibody 3BNC117, Cohen et al. demonstrate that rebound viruses that emerge following interruption of antiretroviral therapy are distinct from circulating latent viruses. However, rebound viruses often appear to be recombinants between isolated latent viruses. By incorporating the possibility of recombination, 63% of the rebound viruses could have derived from the observed latent reservoir. In conclusion, viruses emerging during ATI in indi… Show more
“…Consistent with previous results, 64% and 71% of the outgrowth viruses were sensitive to 3BNC117 and 10-1074, respectively, and 48% were sensitive to both (IC 50 ≤ 2μg/ml, Extended Data Fig. 1a and Supplementary Table 1)8,9,20.…”
Section: Combination Bnab Infusion Is Well Toleratedsupporting
confidence: 91%
“…10). Similar to previous reports, 63% of all viruses obtained by Q 2 VOA belonged to expanded clones20,24–26(Extended Data Fig. 10a, b).…”
Section: The Latent Reservoirsupporting
confidence: 91%
“…7). The difference could be accounted for by distinct requirements for HIV-1 reactivation in vitro and in vivo , compartmentalization of reservoir viruses, HIV-1 mutation during the course of the trial, and/or by viral recombination in some individuals20,21 (Extended Data Fig. 8).…”
Individuals infected with HIV-1 require lifelong antiretroviral therapy, because interruption of treatment leads to rapid rebound viraemia. Here we report on a phase 1b clinical trial in which a combination of 3BNC117 and 10-1074, two potent monoclonal anti-HIV-1 broadly neutralizing antibodies that target independent sites on the HIV-1 envelope spike, was administered during analytical treatment interruption. Participants received three infusions of 30 mg kg of each antibody at 0, 3 and 6 weeks. Infusions of the two antibodies were generally well-tolerated. The nine enrolled individuals with antibody-sensitive latent viral reservoirs maintained suppression for between 15 and more than 30 weeks (median of 21 weeks), and none developed viruses that were resistant to both antibodies. We conclude that the combination of the anti-HIV-1 monoclonal antibodies 3BNC117 and 10-1074 can maintain long-term suppression in the absence of antiretroviral therapy in individuals with antibody-sensitive viral reservoirs.
“…Consistent with previous results, 64% and 71% of the outgrowth viruses were sensitive to 3BNC117 and 10-1074, respectively, and 48% were sensitive to both (IC 50 ≤ 2μg/ml, Extended Data Fig. 1a and Supplementary Table 1)8,9,20.…”
Section: Combination Bnab Infusion Is Well Toleratedsupporting
confidence: 91%
“…10). Similar to previous reports, 63% of all viruses obtained by Q 2 VOA belonged to expanded clones20,24–26(Extended Data Fig. 10a, b).…”
Section: The Latent Reservoirsupporting
confidence: 91%
“…7). The difference could be accounted for by distinct requirements for HIV-1 reactivation in vitro and in vivo , compartmentalization of reservoir viruses, HIV-1 mutation during the course of the trial, and/or by viral recombination in some individuals20,21 (Extended Data Fig. 8).…”
Individuals infected with HIV-1 require lifelong antiretroviral therapy, because interruption of treatment leads to rapid rebound viraemia. Here we report on a phase 1b clinical trial in which a combination of 3BNC117 and 10-1074, two potent monoclonal anti-HIV-1 broadly neutralizing antibodies that target independent sites on the HIV-1 envelope spike, was administered during analytical treatment interruption. Participants received three infusions of 30 mg kg of each antibody at 0, 3 and 6 weeks. Infusions of the two antibodies were generally well-tolerated. The nine enrolled individuals with antibody-sensitive latent viral reservoirs maintained suppression for between 15 and more than 30 weeks (median of 21 weeks), and none developed viruses that were resistant to both antibodies. We conclude that the combination of the anti-HIV-1 monoclonal antibodies 3BNC117 and 10-1074 can maintain long-term suppression in the absence of antiretroviral therapy in individuals with antibody-sensitive viral reservoirs.
“…GIBarekin infektatutako banakoen tratamenduaren emaitzak aztertzean, hauek populazio heterogeneo bat osatzen dutela kontuan hartu behar da. Batetik, ART hartzen ari diren banakoak izan daitezke [26][27][28][29] edota tratamendua gelditu berri dutenak [26,27,29] eta azkenik, infekzio kronikoa duten eta ART hartzen ari ez direnak [28][29][30][31][32].…”
Terapia antirretrobiral konbinatuaren erabilera iraultza bat izan zen GIBaren infekzioaren tratamenduan eta prebentzioan. Hala ere, terapia hau ez da gai birusa organismotik erabat ezabatzeko, eta GIB infekzio kasu berrien munduko tasak mantso jaisten jarraitu du. Beraz, GIBaren prebentzio eta tratamendurako ikuspegi berriak aztertzeko beharra dago. Antigorputzak GIBaren aurkako aukera terapeutiko gisa proposatuak izan dira, epitopo biralak blokeatzeaz gain ostalariaren immunitate sistemarekin elkar ekiteko gaitasuna dutelako. Azken urteotan, GIBaren fusio proteinaren eskualde desberdinak ezagutzen dituzten espektro zabaleko zenbait antigorputz neutralizatzaile (bnAb) saio klinikoetan ebaluatuak izan dira. Lan honetan, GIBaren testuinguruan bnAb-ek eskaintzen dituzten aukerak eta beren garapen klinikoan ager daitezkeen oztopoak aztertuko dira.
“…In order for this to be effective, the bNAb must be able to recognize infected cells and effectively elicit ADCC. To date, few descriptions of antibodies that are capable of this have been published [65,[85][86][87]. As demonstrated in this work, AvFc can effectively recognize SIV-infected MLN cells isolated from rhesus macaques (Figure 8), opening up the possibility that any SIV-infected cells can be targeted and possibly eliminated through ADCC in vivo in combination with an LRA.…”
My mother and father, Dr. Jason C. Dent and Ms. Kimberly A. Dent, NP, for the years of support, inspiration, and opportunity that they have given me. My wife, Dr. Milena Mazalovska, who has been by my side through it all and to whom I owe my sanity.
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