Can Broadly Neutralizing HIV-1 Antibodies Help Achieve an ART-Free Remission?

Many broadly neutralizing antibodies (bnAbs) targeting the HIV-1 envelope glycoprotein are being assessed in clinical trials as strategies for HIV-1 prevention, treatment, and antiretroviral-free remission. BnAbs can neutralize HIV-1 and target infected cells for elimination. Concerns about HIV-1 re...

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Main Authors: Denise C. Hsu, John W. Mellors, Sandhya Vasan
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-07-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2021.710044/full
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author Denise C. Hsu
Denise C. Hsu
John W. Mellors
Sandhya Vasan
Sandhya Vasan
author_facet Denise C. Hsu
Denise C. Hsu
John W. Mellors
Sandhya Vasan
Sandhya Vasan
author_sort Denise C. Hsu
collection DOAJ
description Many broadly neutralizing antibodies (bnAbs) targeting the HIV-1 envelope glycoprotein are being assessed in clinical trials as strategies for HIV-1 prevention, treatment, and antiretroviral-free remission. BnAbs can neutralize HIV-1 and target infected cells for elimination. Concerns about HIV-1 resistance to single bnAbs have led to studies of bnAb combinations with non-overlapping resistance profiles. This review focuses on the potential for bnAbs to induce HIV-1 remission, either alone or in combination with latency reversing agents, therapeutic vaccines or other novel therapeutics. Key topics include preliminary activity of bnAbs in preclinical models and in human studies of HIV-1 remission, clinical trial designs, and antibody design strategies to optimize pharmacokinetics, coverage of rebound-competent virus, and enhancement of cellular immune functions.
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spelling doaj.art-5422e86f933a43fe90861b3bd29161a72022-12-21T20:15:29ZengFrontiers Media S.A.Frontiers in Immunology1664-32242021-07-011210.3389/fimmu.2021.710044710044Can Broadly Neutralizing HIV-1 Antibodies Help Achieve an ART-Free Remission?Denise C. Hsu0Denise C. Hsu1John W. Mellors2Sandhya Vasan3Sandhya Vasan4U.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD, United StatesHenry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD, United StatesDivision of Infectious Diseases, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, United StatesU.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD, United StatesHenry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD, United StatesMany broadly neutralizing antibodies (bnAbs) targeting the HIV-1 envelope glycoprotein are being assessed in clinical trials as strategies for HIV-1 prevention, treatment, and antiretroviral-free remission. BnAbs can neutralize HIV-1 and target infected cells for elimination. Concerns about HIV-1 resistance to single bnAbs have led to studies of bnAb combinations with non-overlapping resistance profiles. This review focuses on the potential for bnAbs to induce HIV-1 remission, either alone or in combination with latency reversing agents, therapeutic vaccines or other novel therapeutics. Key topics include preliminary activity of bnAbs in preclinical models and in human studies of HIV-1 remission, clinical trial designs, and antibody design strategies to optimize pharmacokinetics, coverage of rebound-competent virus, and enhancement of cellular immune functions.https://www.frontiersin.org/articles/10.3389/fimmu.2021.710044/fullbroadly neutralizing HIV-1 antibodyHIV remissionHIV cureHIV immunotherapyHIV therapeutics
spellingShingle Denise C. Hsu
Denise C. Hsu
John W. Mellors
Sandhya Vasan
Sandhya Vasan
Can Broadly Neutralizing HIV-1 Antibodies Help Achieve an ART-Free Remission?
Frontiers in Immunology
broadly neutralizing HIV-1 antibody
HIV remission
HIV cure
HIV immunotherapy
HIV therapeutics
title Can Broadly Neutralizing HIV-1 Antibodies Help Achieve an ART-Free Remission?
title_full Can Broadly Neutralizing HIV-1 Antibodies Help Achieve an ART-Free Remission?
title_fullStr Can Broadly Neutralizing HIV-1 Antibodies Help Achieve an ART-Free Remission?
title_full_unstemmed Can Broadly Neutralizing HIV-1 Antibodies Help Achieve an ART-Free Remission?
title_short Can Broadly Neutralizing HIV-1 Antibodies Help Achieve an ART-Free Remission?
title_sort can broadly neutralizing hiv 1 antibodies help achieve an art free remission
topic broadly neutralizing HIV-1 antibody
HIV remission
HIV cure
HIV immunotherapy
HIV therapeutics
url https://www.frontiersin.org/articles/10.3389/fimmu.2021.710044/full
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