Fc-dependent functions are redundant to efficacy of anti-HIV antibody PGT121 in macaques

J Clin Invest. 2019 Jan 2;129(1):182-191. doi: 10.1172/JCI122466. Epub 2018 Nov 26.

Abstract

A considerable body of evidence suggests that Fc-dependent functions improve the capacity of broadly neutralizing antibodies (BnAbs) to protect against and control HIV-1 infection. This phenomenon, however, has not been formally tested in robust cell-associated macaque simian-human immunodeficiency virus (SHIV) models with newer-generation BnAbs. We studied both the WT BnAb PGT121 and a LALA mutant of PGT121 (which has impaired Fc-dependent functions) for their ability to protect pigtail macaques from an i.v. high-dose cell-associated SHIVSF162P3 challenge. We found that both WT and LALA PGT121 completely protected all 12 macaques studied. Further, partial depletion of NK cells, key mediators of Fc-dependent functions, did not abrogate the protective efficacy of PGT121 in 6 macaques. Additionally, in animals with established SHIVSF162P3 infection, SHIV viremia levels were equally rapidly reduced by LALA and WT PGT121. Our studies suggest that the potent neutralizing capacity of PGT121 renders the Fc-dependent functions of the Ab at least partially redundant. These findings have implications for Ab-mediated protection from and control of HIV-1 infection.

Keywords: AIDS vaccine; AIDS/HIV; Immunology.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antibodies, Neutralizing* / immunology
  • Antibodies, Neutralizing* / pharmacology
  • Female
  • HIV Antibodies* / immunology
  • HIV Antibodies* / pharmacology
  • HIV Infections* / immunology
  • HIV Infections* / pathology
  • HIV Infections* / therapy
  • HIV-1 / genetics
  • HIV-1 / immunology*
  • Immunoglobulin Fc Fragments* / immunology
  • Immunoglobulin Fc Fragments* / pharmacology
  • Macaca nemestrina
  • Male
  • Simian Immunodeficiency Virus / genetics
  • Simian Immunodeficiency Virus / growth & development*

Substances

  • Antibodies, Neutralizing
  • HIV Antibodies
  • Immunoglobulin Fc Fragments