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Restriction of HIV-1 Escape by a Highly Broad and Potent Neutralizing Antibody.
Cell ( IF 45.5 ) Pub Date : 2020-01-30 , DOI: 10.1016/j.cell.2020.01.010
Philipp Schommers 1 , Henning Gruell 2 , Morgan E Abernathy 3 , My-Kim Tran 4 , Adam S Dingens 5 , Harry B Gristick 3 , Christopher O Barnes 3 , Till Schoofs 4 , Maike Schlotz 4 , Kanika Vanshylla 4 , Christoph Kreer 4 , Daniela Weiland 4 , Udo Holtick 6 , Christof Scheid 6 , Markus M Valter 7 , Marit J van Gils 8 , Rogier W Sanders 9 , Jörg J Vehreschild 10 , Oliver A Cornely 11 , Clara Lehmann 12 , Gerd Fätkenheuer 13 , Michael S Seaman 14 , Jesse D Bloom 15 , Pamela J Bjorkman 3 , Florian Klein 16
Affiliation  

Broadly neutralizing antibodies (bNAbs) represent a promising approach to prevent and treat HIV-1 infection. However, viral escape through mutation of the HIV-1 envelope glycoprotein (Env) limits clinical applications. Here we describe 1-18, a new VH1-46-encoded CD4 binding site (CD4bs) bNAb with outstanding breadth (97%) and potency (GeoMean IC50 = 0.048 μg/mL). Notably, 1-18 is not susceptible to typical CD4bs escape mutations and effectively overcomes HIV-1 resistance to other CD4bs bNAbs. Moreover, mutational antigenic profiling uncovered restricted pathways of HIV-1 escape. Of most promise for therapeutic use, even 1-18 alone fully suppressed viremia in HIV-1-infected humanized mice without selecting for resistant viral variants. A 2.5-Å cryo-EM structure of a 1-18-BG505SOSIP.664 Env complex revealed that these characteristics are likely facilitated by a heavy-chain insertion and increased inter-protomer contacts. The ability of 1-18 to effectively restrict HIV-1 escape pathways provides a new option to successfully prevent and treat HIV-1 infection.

中文翻译:

高度广泛和有效的中和抗体对HIV-1逃逸的限制。

广泛中和抗体(bNAbs)是预防和治疗HIV-1感染的有前途的方法。但是,通过HIV-1包膜糖蛋白(Env)突变引起的病毒逃逸限制了临床应用。在这里,我们描述1-18,一个新的VH1-46-编码的CD4结合位点(CD4bs)bNAb,具有出色的广度(97%)和效价(GeoMean IC50 = 0.048μg/ mL)。值得注意的是,1-18对典型的CD4bs逃脱突变不敏感,可以有效克服HIV-1对其他CD4bs bNAbs的抵抗力。此外,突变的抗原分析揭示了HIV-1逃逸的受限途径。对于治疗用途最有希望的是,即使单独使用1-18,也可以完全抑制HIV-1感染的人源化小鼠的病毒血症,而无需选择耐药的病毒变体。1-18-BG505SOSIP的2.5Å低温EM结构。664 Env复合物表明,重链插入和protomer间接触增加可能促进了这些特征。1-18有效限制HIV-1逃逸途径的能力为成功预防和治疗HIV-1感染提供了新的选择。
更新日期:2020-01-31
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