Protection of neonatal macaques against experimental SHIV infection by human neutralizing monoclonal antibodies

Transfus Clin Biol. 2001 Aug;8(4):350-8. doi: 10.1016/s1246-7820(01)00187-2.

Abstract

Neonatal macaques were completely protected against oral challenge with SHIV-vpu+, a simian-human immunodeficiency virus that encodes the envelope gene of a laboratory-adapted HIV strain, by pre- and post-natal treatment with a triple combination of human neutralizing monoclonal antibodies (mAbs). The mAbs were directed either against the CD4 binding site, a glycosylation-dependent gp120 epitope, or against a linear epitope on gp41. This triple combination was highly synergistic in vitro and neutralized primary HIV completely. Subsequently, oral challenge was performed with pathogenic SHIV89.6P, an animal-passaged variant of a chimeric virus that encodes the envelope gene of the primary, dual-tropic HIV89.6. Only post-natal treatment with a similar triple mAb combination was used. One out of 4 mAb-treated infants was completely protected from infection. In the other 3 treated animals, there was a tendency towards lower peak viral RNA loads compared with untreated controls. Two out of 4 mAb-treated infants maintained normal CD4+ T-cell numbers, in contrast to all controls that had steep declines at 2 weeks post-challenge. We conclude that the triple mAb combination significantly protected the neonates, even against mucosal challenge with pathogenic SHIV89.6P. Passively administered synergistic human mAbs may play a role in preventing mother-infant transmission of HIV, both against intrapartum transmission as well as against infection through breast milk. As passive immunization is a tool to assess correlates of immune protection, we conclude that the epitopes recognized by the mAbs in our combinations are important for AIDS vaccine development. Future passive immunization studies may reveal other important conserved epitopes.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.
  • Review

MeSH terms

  • AIDS Vaccines / administration & dosage*
  • AIDS Vaccines / immunology
  • Administration, Oral
  • Animals
  • Animals, Newborn
  • Antibodies, Monoclonal / administration & dosage*
  • Antibodies, Monoclonal / immunology
  • CD4 Lymphocyte Count
  • Cesarean Section
  • Delivery, Obstetric
  • Disease Models, Animal
  • Female
  • HIV / immunology*
  • HIV Antibodies / administration & dosage*
  • HIV Antibodies / immunology
  • HIV Envelope Protein gp120 / immunology
  • HIV Envelope Protein gp41 / immunology
  • HIV Infections / prevention & control*
  • Humans
  • Immunity, Maternally-Acquired
  • Immunization, Passive*
  • Infant, Newborn
  • Infectious Disease Transmission, Vertical / prevention & control
  • Lactation
  • Macaca mulatta
  • Maternal-Fetal Exchange
  • Milk / virology
  • Neutralization Tests
  • Pilot Projects
  • Pregnancy
  • Pregnancy Complications, Infectious / virology
  • Simian Acquired Immunodeficiency Syndrome / prevention & control*
  • Simian Immunodeficiency Virus / immunology*
  • Species Specificity
  • Vaccination*
  • Virus Assembly
  • Virus Shedding

Substances

  • AIDS Vaccines
  • Antibodies, Monoclonal
  • HIV Antibodies
  • HIV Envelope Protein gp120
  • HIV Envelope Protein gp41