Antibody 10-1074 suppresses viremia in HIV-1-infected individuals

被引:373
作者
Caskey, Marina [1 ]
Schoofs, Till [1 ]
Gruell, Henning [2 ,3 ,4 ]
Settler, Allison [1 ]
Karagounis, Theodora [1 ]
Kreider, Edward F. [5 ,6 ]
Murrell, Ben [7 ]
Pfeifer, Nico [8 ]
Nogueira, Lilian [1 ]
Oliveira, Thiago Y. [1 ]
Learn, Gerald H. [5 ,6 ]
Cohen, Yehuda Z. [1 ]
Lehmann, Clara [3 ,4 ]
Gillor, Daniel [3 ]
Shimeliovich, Irma [1 ]
Unson-O'Brien, Cecilia [1 ]
Weiland, Daniela [2 ,3 ,4 ]
Robles, Alexander [9 ]
Kuemmerle, Tim [3 ]
Wyen, Christoph [3 ]
Levin, Rebeka [1 ]
Witmer-Pack, Maggi [1 ]
Eren, Kemal [10 ,11 ]
Ignacio, Caroline [7 ]
Kiss, Szilard [12 ]
West, Anthony P., Jr. [13 ]
Mouquet, Hugo [14 ]
Zingman, Barry S. [15 ,16 ]
Gulick, Roy M. [17 ]
Keler, Tibor [18 ]
Bjorkman, Pamela J. [13 ]
Seaman, Michael S. [9 ]
Hahn, Beatrice H. [5 ,6 ]
Faetkenheuer, Gerd [3 ,4 ]
Schlesinger, Sarah J. [1 ]
Nussenzweig, Michel C. [1 ,19 ]
Klein, Florian [2 ,3 ,4 ]
机构
[1] Rockefeller Univ, Lab Mol Immunol, 1230 York Ave, New York, NY 10021 USA
[2] Univ Cologne, Expt Immunol Lab, Ctr Mol Med Cologne, Cologne, Germany
[3] Univ Hosp Cologne, Dept Internal Med 1, Cologne, Germany
[4] German Ctr Infect Res, Partner Site Bonn Cologne, Cologne, Germany
[5] Univ Penn, Dept Med, Perelman Sch Med, Philadelphia, PA 19104 USA
[6] Univ Penn, Dept Microbiol, Perelman Sch Med, Philadelphia, PA 19104 USA
[7] Univ Calif San Diego, Dept Med, San Diego, CA 92103 USA
[8] Max Planck Inst Informat, Dept Computat Biol & Appl Algorithm, Saarbrucken, Germany
[9] Harvard Med Sch, Beth Israel Deaconess Med Ctr, Ctr Virol & Vaccine Res, Boston, MA USA
[10] Univ Calif San Diego, Dept Biomed Informat, San Diego, CA USA
[11] Univ Calif San Diego, Bioinformat & Syst Biol, San Diego, CA 92103 USA
[12] Cornell Univ, Weill Carnell Med Coll, Dept Ophthalmol, New York, NY 10021 USA
[13] CALTECH, Div Biol & Biol Engn, Pasadena, CA 91125 USA
[14] Inst Pasteur, Dept Immunol, Lab Humoral Response Pathogens, Paris, France
[15] Montefiore Med Ctr, Albert Einstein Coll Med, Div Infect Dis, Bronx, NY 10467 USA
[16] Einstein Rockefeller CUNY Ctr AIDS Res, Bronx, NY USA
[17] Weill Cornell Med, Div Infect Dis, New York, NY USA
[18] Celldex Therapeut, Hampton, VA USA
[19] Rockefeller Univ, Howard Hughes Med Inst, New York, NY 10021 USA
基金
欧洲研究理事会; 美国国家卫生研究院;
关键词
BROADLY NEUTRALIZING ANTIBODIES; HUMAN MONOCLONAL-ANTIBODIES; HIV-1; VACCINE; GLYCAN RECOGNITION; PASSIVE TRANSFER; IN-VIVO; POTENT; VRC01; THERAPY; PHARMACOKINETICS;
D O I
10.1038/nm.4268
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Monoclonal antibody 10-1074 targets the V3 glycan supersite on the HIV-1 envelope (Env) protein. It is among the most potent anti-HIV-1 neutralizing antibodies isolated so far. Here we report on its safety and activity in 33 individuals who received a single intravenous infusion of the antibody. 10-1074 was well tolerated and had a half-life of 24.0 d in participants without HIV-1 infection and 12.8 d in individuals with HIV-1 infection. Thirteen individuals with viremia received the highest dose of 30 mg/kg 10-1074. Eleven of these participants were 10-1074-sensitive and showed a rapid decline in viremia by a mean of 1.52 logic copies/ml. Virologic analysis revealed the emergence of multiple independent 10-1074-resistant viruses in the first weeks after infusion. Emerging escape variants were generally resistant to the related V3-specific antibody PGT121, but remained sensitive to antibodies targeting nonoverlapping epitopes, such as the anti-CD4-binding-site antibodies 3BNC117 and VRC01. The results demonstrate the safety and activity of 10-1074 in humans and support the idea that antibodies targeting the V3 glycan supersite might be useful for the treatment and prevention of HIV-1 infection.
引用
收藏
页码:185 / 191
页数:7
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