Insensitivity of paediatric HIV-1 subtype C viruses to broadly neutralising monoclonal antibodies raised against subtype B
2006

HIV-1 Subtype C Viruses and Monoclonal Antibodies

Sample size: 7 publication Evidence: moderate

Author Information

Author(s): Gray Elin Solomonovna, Meyers Tammy, Gray Glenda, Montefiori David Charles, Morris Lynn

Primary Institution: National Institute for Communicable Diseases, Johannesburg, South Africa

Hypothesis

Are pediatric HIV-1 subtype C viruses sensitive to broadly neutralizing monoclonal antibodies raised against subtype B?

Conclusion

Only the antibody 4E10 showed significant activity against HIV-1 subtype C isolates, while 2G12 and 2F5 were ineffective.

Supporting Evidence

  • None of the seven HIV-1 subtype C pseudovirions was sensitive to 2G12 or 2F5.
  • Four viruses were sensitive to IgG1b12, and all seven viruses were sensitive to 4E10.
  • The lack of crucial N-linked glycans correlated with the insensitivity to 2G12 and 2F5.

Takeaway

The study found that most HIV-1 subtype C viruses from children did not respond to certain antibodies that were expected to help prevent mother-to-child transmission.

Methodology

The study cloned envelope genes from HIV-1 subtype C viruses and tested their sensitivity to various monoclonal antibodies using a neutralization assay.

Limitations

The study used an artificial laboratory-based assay, which may not fully represent in vivo conditions.

Participant Demographics

Children with perinatally acquired HIV-1 infection from Johannesburg, South Africa.

Digital Object Identifier (DOI)

10.1371/journal.pmed.0030255

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