2017
DOI: 10.1126/science.aan8630
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Trispecific broadly neutralizing HIV antibodies mediate potent SHIV protection in macaques

Abstract: The development of an effective AIDS vaccine has been challenging due to viral genetic diversity and the difficulty in generating broadly neutralizing antibodies (bnAbs). Here, we engineered trispecific antibodies (Abs) that allow a single molecule to interact with three independent HIV-1 envelope determinants: 1) the CD4 binding site, 2) the membrane proximal external region (MPER) and 3) the V1V2 glycan site. Trispecific Abs exhibited higher potency and breadth than any previously described single bnAb, show… Show more

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Cited by 235 publications
(248 citation statements)
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“…We note that an improved 10E8 antibody has been described that utilized a bi-specific strategy in combination with self-targeting to achieve exquisite potency (Huang et al, 2016b) and that trispecific antibodies engineered with 10E8v4 show substantial protection against simian HIV (SHIV) in rhesus macaques (Huang et al, 2016b; Xu et al, 2017). It will be interesting to see whether the enhancements in neutralization potency—achieved here through optimization of semi-specific interactions—will prove to be a general means to improve antibodies.…”
Section: Discussionmentioning
confidence: 99%
“…We note that an improved 10E8 antibody has been described that utilized a bi-specific strategy in combination with self-targeting to achieve exquisite potency (Huang et al, 2016b) and that trispecific antibodies engineered with 10E8v4 show substantial protection against simian HIV (SHIV) in rhesus macaques (Huang et al, 2016b; Xu et al, 2017). It will be interesting to see whether the enhancements in neutralization potency—achieved here through optimization of semi-specific interactions—will prove to be a general means to improve antibodies.…”
Section: Discussionmentioning
confidence: 99%
“…[8,9] To address these challenges, broadly neutralizing antibodies that target HIV envelope glycoproteins of the circulating HIV virions have received much attention. [10,11] However, as the immunity generated by these antibodies remains low, neutralization against cell free viruses is inefficient and the treatment outcome remains unsatisfactory. [12] Mean-while, enormous efforts have been devoted to developing safe and effective vaccines as preventive strategies against HIV infection.…”
mentioning
confidence: 99%
“…Therefore, a cocktail of bNAbs may be required (Mujib et al 2017b). Impressively engineered bispecific or trispecific bNAbs, capable of targeting multiple vulnerable sites in Env, may provide an alternative solution (Asokan et al 2015; Xu et al 2017). Another caveat is that passive immunization is currently the only method of delivering bNAbs to HIV + individuals, and the half-lives of bNAbs, which range from 12–20 days in HIV + individuals, will require sequential infusions for improved reservoir reduction (Caskey et al 2016; Scheid et al 2016).…”
Section: Directing the Immune Response To Effectively Target The Resementioning
confidence: 99%