AIDS and Cancer Virus Program.
Laboratory Animal Sciences Program, and.
J Clin Invest. 2021 Mar 15;131(6). doi: 10.1172/JCI142421.
The effectiveness of virus-specific strategies, including administered HIV-specific mAbs, to target cells that persistently harbor latent, rebound-competent HIV genomes during combination antiretroviral therapy (cART) has been limited by inefficient induction of viral protein expression. To examine antibody-mediated viral reservoir targeting without a need for viral induction, we used an anti-CD4 mAb to deplete both infected and uninfected CD4+ T cells. Ten rhesus macaques infected with barcoded SIVmac239M received cART for 93 weeks starting 4 days after infection. During cART, 5 animals received 5 to 6 anti-CD4 antibody administrations and CD4+ T cell populations were then allowed 1 year on cART to recover. Despite profound CD4+ T cell depletion in blood and lymph nodes, time to viral rebound following cART cessation was not significantly delayed in anti-CD4-treated animals compared with controls. Viral reactivation rates, determined based on rebounding SIVmac239M clonotype proportions, also were not significantly different in CD4-depleted animals. Notably, antibody-mediated depletion was limited in rectal tissue and negligible in lymphoid follicles. These results suggest that, even if robust viral reactivation can be achieved, antibody-mediated viral reservoir depletion may be limited in key tissue sites.
在联合抗逆转录病毒疗法 (cART) 期间,针对持续潜伏、具有反弹能力的 HIV 基因组的病毒特异性策略(包括给予 HIV 特异性单抗)的有效性受到病毒蛋白表达效率低下的限制。为了在不需要病毒诱导的情况下检查抗体介导的病毒库靶向作用,我们使用抗 CD4 mAb 耗尽了感染和未感染的 CD4+T 细胞。10 只感染了带有条形码 SIVmac239M 的恒河猴在感染后 4 天开始接受 cART,共 93 周。在 cART 期间,5 只动物接受了 5 至 6 次抗 CD4 抗体治疗,然后在 cART 上允许 CD4+T 细胞群体恢复 1 年。尽管血液和淋巴结中的 CD4+T 细胞耗竭明显,但与对照组相比,停止 cART 后病毒反弹的时间并没有明显延迟。基于反弹的 SIVmac239M 克隆型比例确定的病毒再激活率,在 CD4 耗尽的动物中也没有显著差异。值得注意的是,抗体介导的耗竭在直肠组织中受到限制,在淋巴滤泡中几乎可以忽略不计。这些结果表明,即使可以实现强大的病毒再激活,抗体介导的病毒库耗竭在关键组织部位可能受到限制。
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