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- W2902628587 abstract "Powerful monoclonal antibodies able to neutralise many HIV-1 circulating viral variants (bnMAbs) are safe and effective, reducing viraemia and delaying viral rebound in patients chronically infected with HIV-1.1Jaworski JP Cahn P Preventive and therapeutic features of broadly neutralising monoclonal antibodies against HIV-1.Lancet HIV. 2018; (published online Sept 20.)http://dx.doi.org/10.1016/S2352-3018(18)30174-7Summary Full Text Full Text PDF Scopus (11) Google Scholar However, single-bnMAb therapy does not maintain long-term virus suppression and, similar to what was described during the early days of antiretroviral therapy, resistance to antibodies arises. Combinations of bnMAbs directed to different sites on HIV-1 envelop protein (Env) are needed. Two phase 1b clinical trials have shown that combination bnMAb therapy (with 3BNC117 and 10-1074) targeting different sites on Env effectively suppressed HIV-1 for months. In one of these studies, Mendoza and colleagues2Mendoza P Gruell H Nogueira L et al.Combination therapy with anti-HIV-1 antibodies maintains viral suppression.Nature. 2018; 561: 479-484Crossref PubMed Scopus (276) Google Scholar tested these bnMAbs in 11 people infected with HIV-1 who had suppressed viraemia with antiretroviral drugs. Administered during analytical treatment interruption, three infusions of these antibodies (at 0 weeks, 3 weeks, and 6 weeks) were sufficient to maintain viraemia below detection levels, for more than 15 weeks (mean of 21 weeks), in nine individuals with antibody-sensitive viruses in their reservoirs.2Mendoza P Gruell H Nogueira L et al.Combination therapy with anti-HIV-1 antibodies maintains viral suppression.Nature. 2018; 561: 479-484Crossref PubMed Scopus (276) Google Scholar In the other study, Bar-On and colleagues3Bar-On Y Gruell H Schoofs T et al.Safety and antiviral activity of combination HIV-1 broadly neutralizing antibodies in viremic individuals.Nat Med. 2018; 24: 1701-1707Crossref PubMed Scopus (147) Google Scholar assessed the same bnMAb combination in seven untreated participants with detectable HIV-1. bnMAbs significantly reduced viraemia (2 log10 on average) and limited the emergence of resistant viral variants for an average time-frame of 12 weeks in the four patients who had dual antibody-sensitive viruses.3Bar-On Y Gruell H Schoofs T et al.Safety and antiviral activity of combination HIV-1 broadly neutralizing antibodies in viremic individuals.Nat Med. 2018; 24: 1701-1707Crossref PubMed Scopus (147) Google Scholar If these results can be confirmed in larger numbers of individuals, bnMAbs could simplify treatment for people who are taking daily medication and would reduce the risks of drug resistance and toxic effects. Furthermore, bnMAbs could increase efficacy of antiretroviral therapy by augmenting antiviral immunity4Schoofs T Klein F Braunschweig M et al.HIV-1 therapy with monoclonal antibody 3BNC117 elicits host immune responses against HIV-1.Science. 2016; 352: 997-1001Crossref PubMed Scopus (212) Google Scholar and targeting viral reservoirs.5Borducchi EN Liu J Nkolola JP et al.Antibody and TLR7 agonist delay viral rebound in SHIV-infected monkeys.Nature. 2018; (published online Oct 3.)DOI:10.1038/s41586-018-0600-6Google Scholar I declare no competing interests. Preventive and therapeutic features of broadly neutralising monoclonal antibodies against HIV-1The viral plasticity and the vast diversity of HIV-1 circulating strains necessitates the identification of new approaches to control this global pandemic. New generation broadly neutralising monoclonal antibodies (bnMAbs) against the HIV-1 viral envelope protein (Env) can prevent virus acquisition, reduce viraemia, enhance immunity, and induce the killing of infected cells in animal models of HIV-1 infection. Most importantly, passively administered bnMAbs are effective at decreasing viraemia and delaying viral rebound in people chronically infected with HIV-1. Full-Text PDF" @default.
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- W2902628587 date "2018-12-01" @default.
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- W2902628587 title "Long-lasting HIV suppression by combined immunotherapy" @default.
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