Neutralizing antibodies for HIV-1 prevention

PURPOSE OF REVIEW: In the absence of a protective vaccine against HIV-1, passive immunization using novel broadly neutralizing antibodies (bNAbs) is an attractive concept for HIV-1 prevention. Here, we summarize the results of preclinical and clinical studies of bNAbs, discuss strategies for optimizing bNAb efficacy and lay out current pathways for the development of bNAbs as prophylaxis.

RECENT FINDINGS: Passive transfer of second-generation bNAbs results inpotent protection against infection in preclinical animal models. Furthermore, multiple bNAbs targeting different epitopes on the HIV-1 envelope trimer are in clinical evaluation and have demonstrated favorable safety profiles and robust antiviral activity in chronically infected individuals. The confirmation that passive immunization with bNAb(s) will prevent HIV-1 acquisition in humans is pending and the focus of ongoing investigations. Given the global diversity of HIV-1, bNAb combinations or multispecific antibodies will most likely be required to produce the necessary breadth for effective protection.

SUMMARY: Encouraging results from preclinical and clinical studies support the development of bNAbs for prevention and a number of antibodies with exceptional breadth and potency are available for clinical evaluation. Further optimization of viral coverage and antibody half-life will accelerate the clinical implementation of bNAbs as a critical tool for HIV-1 prevention strategies.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:14

Enthalten in:

Current opinion in HIV and AIDS - 14(2019), 4 vom: 02. Juli, Seite 318-324

Sprache:

Englisch

Beteiligte Personen:

Julg, Boris [VerfasserIn]
Barouch, Dan H [VerfasserIn]

Links:

Volltext

Themen:

Antibodies, Neutralizing
HIV Antibodies
Journal Article
Research Support, N.I.H., Extramural
Review

Anmerkungen:

Date Completed 09.06.2020

Date Revised 09.07.2020

published: Print

Citation Status MEDLINE

doi:

10.1097/COH.0000000000000556

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM297017187