High monoclonal neutralization titers reduced breakthrough HIV-1 viral loads in the Antibody Mediated Prevention trials.


Journal

Nature communications
ISSN: 2041-1723
Titre abrégé: Nat Commun
Pays: England
ID NLM: 101528555

Informations de publication

Date de publication:
14 Dec 2023
Historique:
received: 13 06 2023
accepted: 07 11 2023
medline: 15 12 2023
pubmed: 15 12 2023
entrez: 14 12 2023
Statut: epublish

Résumé

The Antibody Mediated Prevention (AMP) trials (NCT02716675 and NCT02568215) demonstrated that passive administration of the broadly neutralizing monoclonal antibody VRC01 could prevent some HIV-1 acquisition events. Here, we use mathematical modeling in a post hoc analysis to demonstrate that VRC01 influenced viral loads in AMP participants who acquired HIV. Instantaneous inhibitory potential (IIP), which integrates VRC01 serum concentration and VRC01 sensitivity of acquired viruses in terms of both IC50 and IC80, follows a dose-response relationship with first positive viral load (p = 0.03), which is particularly strong above a threshold of IIP = 1.6 (r = -0.6, p = 2e-4). Mathematical modeling reveals that VRC01 activity predicted from in vitro IC80s and serum VRC01 concentrations overestimates in vivo neutralization by 600-fold (95% CI: 300-1200). The trained model projects that even if future therapeutic HIV trials of combination monoclonal antibodies do not always prevent acquisition, reductions in viremia and reservoir size could be expected.

Identifiants

pubmed: 38097552
doi: 10.1038/s41467-023-43384-y
pii: 10.1038/s41467-023-43384-y
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

8299

Subventions

Organisme : NIAID NIH HHS
ID : K25 AI155224
Pays : United States
Organisme : NIAID NIH HHS
ID : UM1 AI068635
Pays : United States
Organisme : NIAID NIH HHS
ID : UM1 AI068635
Pays : United States
Organisme : NIAID NIH HHS
ID : UM1 AI068614
Pays : United States
Organisme : NIAID NIH HHS
ID : P30 AI064518
Pays : United States
Organisme : NIAID NIH HHS
ID : UM1 AI068619
Pays : United States
Organisme : NIAID NIH HHS
ID : R01 AI150500
Pays : United States

Informations de copyright

© 2023. The Author(s).

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Auteurs

Daniel B Reeves (DB)

Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA, USA. dreeves@fredhutch.org.
Department of Global Health, University of Washington, Seattle, WA, USA. dreeves@fredhutch.org.

Bryan T Mayer (BT)

Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.

Allan C deCamp (AC)

Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.

Yunda Huang (Y)

Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.
Department of Global Health, University of Washington, Seattle, WA, USA.

Bo Zhang (B)

Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.

Lindsay N Carpp (LN)

Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.

Craig A Magaret (CA)

Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.

Michal Juraska (M)

Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.

Peter B Gilbert (PB)

Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.
Public Health Sciences Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.
Department of Biostatistics, University of Washington, Seattle, WA, USA.

David C Montefiori (DC)

Department of Surgery, Duke University Medical Center, Durham, NC, USA.

Katharine J Bar (KJ)

Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

E Fabian Cardozo-Ojeda (EF)

Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.

Joshua T Schiffer (JT)

Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.
Department of Medicine, University of Washington, Seattle, WA, USA.

Raabya Rossenkhan (R)

Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.

Paul Edlefsen (P)

Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.

Lynn Morris (L)

National Institute for Communicable Diseases, National Health Laboratory Service, Johannesburg, South Africa.
Antibody Immunity Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Centre for the AIDS Programme of Research in South Africa, University of KwaZulu-Natal, Durban, South Africa.

Nonhlanhla N Mkhize (NN)

National Institute for Communicable Diseases, National Health Laboratory Service, Johannesburg, South Africa.
Antibody Immunity Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Carolyn Williamson (C)

Division of Medical Virology, Faculty of Health Sciences, University of Cape Town and National Health Laboratory Service, Cape Town, South Africa.

James I Mullins (JI)

Department of Global Health, University of Washington, Seattle, WA, USA.
Department of Medicine, University of Washington, Seattle, WA, USA.
Department of Microbiology, University of Washington, Seattle, WA, USA.

Kelly E Seaton (KE)

Center for Human Systems Immunology, Duke University, Durham, NC, USA.
Departments of Surgery, Immunology, and Molecular Genetics and Microbiology, Duke University, Durham, NC, USA.

Georgia D Tomaras (GD)

Center for Human Systems Immunology, Duke University, Durham, NC, USA.
Departments of Surgery, Immunology, and Molecular Genetics and Microbiology, Duke University, Durham, NC, USA.

Philip Andrew (P)

Family Health International, Durham, NC, USA.

Nyaradzo Mgodi (N)

Clinical Trials Research Centre, University of Zimbabwe College of Health Sciences, Harare, Zimbabwe.

Julie E Ledgerwood (JE)

Vaccine Research Center, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.

Myron S Cohen (MS)

Institute for Global Health and Infectious Diseases, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Lawrence Corey (L)

Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.
Department of Laboratory Medicine and Pathology, University of Washington, Seattle, WA, USA.

Logashvari Naidoo (L)

South African Medical Research Council, HPRU, Durban, South Africa.

Catherine Orrell (C)

Desmond Tutu HIV Centre, Institute of Infectious Disease and Molecular Medicine and Department of Medicine, University of Cape Town, Cape Town, South Africa.

Paul A Goepfert (PA)

Division of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.

Martin Casapia (M)

Facultad de Medicina Humana, Universidad Nacional de la Amazonia Peru, Iquitos, Peru.

Magdalena E Sobieszczyk (ME)

Division of Infectious Diseases, Department of Medicine, Vagelos College of Physicians and Surgeons, New York-Presbyterian/Columbia University Irving Medical Center, New York, NY, USA.

Shelly T Karuna (ST)

Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.
GreenLight Biosciences, Medford, MA, USA.

Srilatha Edupuganti (S)

Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA.

Classifications MeSH