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

MS Parsons, WS Lee, AB Kristensen… - The Journal of …, 2019 - Am Soc Clin Investig
MS Parsons, WS Lee, AB Kristensen, T Amarasena, G Khoury, AK Wheatley, A Reynaldi
The Journal of clinical investigation, 2019Am Soc Clin Investig
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 iv high-dose cell …
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.
The Journal of Clinical Investigation