Université Paris-Saclay, Inserm, CEA, Center for Immunology of Viral, Auto-immune, Hematological and Bacterial diseases (IMVA-HB/IDMIT), Fontenay-aux-Roses & Le Kremlin-Bicêtre, France.
Laboratory of Humoral Immunology, Institut Pasteur, Université Paris Cité, INSERM U1222, 75015, Paris, France.
Nat Commun. 2023 Oct 6;14(1):6224. doi: 10.1038/s41467-023-41966-4.
Passive immunization using broadly neutralizing antibodies (bNAbs) is investigated in clinical settings to inhibit HIV-1 acquisition due to the lack of a preventive vaccine. However, bNAbs efficacy against highly infectious cell-associated virus transmission has been overlooked. HIV-1 transmission mediated by infected cells present in body fluids likely dominates infection and aids the virus in evading antibody-based immunity. Here, we show that the anti-N-glycans/V3 loop HIV-1 bNAb 10-1074 formulated for topical vaginal application in a microbicide gel provides significant protection against repeated cell-associated SHIV vaginal challenge in non-human primates. The treated group has a significantly lower infection rate than the control group, with 5 out of 6 animals fully protected from the acquisition of infection. The findings suggest that mucosal delivery of potent bnAbs may be a promising approach for preventing transmission mediated by infected cells and support the use of anti-HIV-antibody-based strategies as potential microbicides in human clinical trials.
由于缺乏预防性疫苗,临床上研究使用广泛中和抗体(bnAbs)进行被动免疫来抑制 HIV-1 的感染。然而,针对高度感染性细胞相关病毒传播的 bnAbs 疗效却被忽视了。体液中受感染细胞介导的 HIV-1 传播可能主导了感染,并帮助病毒逃避基于抗体的免疫。在这里,我们表明,针对 N-糖基/V3 环的 HIV-1 bnAb 10-1074 被制成阴道微凝胶,用于局部阴道应用,可显著防止非人类灵长类动物重复的细胞相关 SHIV 阴道挑战。治疗组的感染率明显低于对照组,6 只动物中有 5 只完全免受感染的影响。研究结果表明,粘膜递送有效的 bnAbs 可能是预防受感染细胞介导传播的一种很有前途的方法,并支持将抗 HIV 抗体策略作为人类临床试验中的潜在杀微生物剂。
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