Diverse pathways of escape from all well-characterized VRC01-class broadly neutralizing HIV-1 antibodies.

Many broadly neutralizing antibodies (bNAbs) against human immunodeficiency virus type 1 (HIV-1) were shown effective in animal models, and are currently evaluated in clinical trials. However, use of these antibodies in humans is hampered by the rapid emergence of resistant viruses. Here we show tha...

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Main Authors: Yuka Otsuka, Kimberly Schmitt, Brian D Quinlan, Matthew R Gardner, Barnett Alfant, Adrian Reich, Michael Farzan, Hyeryun Choe
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2018-08-01
Series:PLoS Pathogens
Online Access:http://europepmc.org/articles/PMC6117093?pdf=render
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author Yuka Otsuka
Kimberly Schmitt
Brian D Quinlan
Matthew R Gardner
Barnett Alfant
Adrian Reich
Michael Farzan
Hyeryun Choe
author_facet Yuka Otsuka
Kimberly Schmitt
Brian D Quinlan
Matthew R Gardner
Barnett Alfant
Adrian Reich
Michael Farzan
Hyeryun Choe
author_sort Yuka Otsuka
collection DOAJ
description Many broadly neutralizing antibodies (bNAbs) against human immunodeficiency virus type 1 (HIV-1) were shown effective in animal models, and are currently evaluated in clinical trials. However, use of these antibodies in humans is hampered by the rapid emergence of resistant viruses. Here we show that soft-randomization can be used to accelerate the parallel identification of viral escape pathways. As a proof of principle, we soft-randomized the epitope regions of VRC01-class bNAbs in replication-competent HIV-1 and selected for resistant variants. After only a few passages, a surprisingly diverse population of antibody-resistant viruses emerged, bearing both novel and previously described escape mutations. We observed that the escape variants resistant to some VRC01-class bNAbs are resistant to most other bNAbs in the same class, and that a subset of variants was completely resistant to every well characterized VRC01-class bNAB, including VRC01, NIH45-46, 3BNC117, VRC07, N6, VRC-CH31, and VRC-PG04. Thus, our data demonstrate that soft randomization is a suitable approach for accelerated detection of viral escape, and highlight the challenges inherent in administering or attempting to elicit VRC01-class antibodies.
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spelling doaj.art-a8160b611bce49b6a7b475f9f83d8f832022-12-22T01:17:42ZengPublic Library of Science (PLoS)PLoS Pathogens1553-73661553-73742018-08-01148e100723810.1371/journal.ppat.1007238Diverse pathways of escape from all well-characterized VRC01-class broadly neutralizing HIV-1 antibodies.Yuka OtsukaKimberly SchmittBrian D QuinlanMatthew R GardnerBarnett AlfantAdrian ReichMichael FarzanHyeryun ChoeMany broadly neutralizing antibodies (bNAbs) against human immunodeficiency virus type 1 (HIV-1) were shown effective in animal models, and are currently evaluated in clinical trials. However, use of these antibodies in humans is hampered by the rapid emergence of resistant viruses. Here we show that soft-randomization can be used to accelerate the parallel identification of viral escape pathways. As a proof of principle, we soft-randomized the epitope regions of VRC01-class bNAbs in replication-competent HIV-1 and selected for resistant variants. After only a few passages, a surprisingly diverse population of antibody-resistant viruses emerged, bearing both novel and previously described escape mutations. We observed that the escape variants resistant to some VRC01-class bNAbs are resistant to most other bNAbs in the same class, and that a subset of variants was completely resistant to every well characterized VRC01-class bNAB, including VRC01, NIH45-46, 3BNC117, VRC07, N6, VRC-CH31, and VRC-PG04. Thus, our data demonstrate that soft randomization is a suitable approach for accelerated detection of viral escape, and highlight the challenges inherent in administering or attempting to elicit VRC01-class antibodies.http://europepmc.org/articles/PMC6117093?pdf=render
spellingShingle Yuka Otsuka
Kimberly Schmitt
Brian D Quinlan
Matthew R Gardner
Barnett Alfant
Adrian Reich
Michael Farzan
Hyeryun Choe
Diverse pathways of escape from all well-characterized VRC01-class broadly neutralizing HIV-1 antibodies.
PLoS Pathogens
title Diverse pathways of escape from all well-characterized VRC01-class broadly neutralizing HIV-1 antibodies.
title_full Diverse pathways of escape from all well-characterized VRC01-class broadly neutralizing HIV-1 antibodies.
title_fullStr Diverse pathways of escape from all well-characterized VRC01-class broadly neutralizing HIV-1 antibodies.
title_full_unstemmed Diverse pathways of escape from all well-characterized VRC01-class broadly neutralizing HIV-1 antibodies.
title_short Diverse pathways of escape from all well-characterized VRC01-class broadly neutralizing HIV-1 antibodies.
title_sort diverse pathways of escape from all well characterized vrc01 class broadly neutralizing hiv 1 antibodies
url http://europepmc.org/articles/PMC6117093?pdf=render
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