TLR7 agonist, N6-LS and PGT121 delayed viral rebound in SHIV-infected macaques after antiretroviral therapy interruption
Toll-like receptor 7 (TLR7) agonist and PGT121 (broadly neutralizing antibody, bnAb) administration previously delayed viral rebound and induced SHIV remission. We evaluated the impact of GS-986 (TLR7 agonist) and dual bnAbs on viral rebound after antiretroviral therapy (ART) interruption. Rhesus ma...
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creator | Hsu, Denise C Schuetz, Alexandra Imerbsin, Rawiwan Silsorn, Decha Pegu, Amarendra Inthawong, Dutsadee Sopanaporn, Jumpol Visudhiphan, Pornsuk Chuenarom, Weerawan Keawboon, Boot Shi, Wei Robb, Merlin L Mascola, John R Geleziunas, Romas Koup, Richard A Barouch, Dan H Michael, Nelson L Vasan, Sandhya |
description | Toll-like receptor 7 (TLR7) agonist and PGT121 (broadly neutralizing antibody, bnAb) administration previously delayed viral rebound and induced SHIV remission. We evaluated the impact of GS-986 (TLR7 agonist) and dual bnAbs on viral rebound after antiretroviral therapy (ART) interruption. Rhesus macaques inoculated with SHIV-1157ipd3N4 were initiated on daily suppressive ART from Day 14 post SHIV inoculation. Active arm animals (n = 8) received GS-986, N6-LS and PGT121 after plasma viral suppression, starting from week 14. GS-986 induced immune activation and SHIV-specific T cell responses but not viral expression in all the active arm animals. After ART interruption, median time to viral rebound was 6 weeks in the active and 3 weeks in the control arm (p = 0.024). In this animal model, the administration of the combination of GS-986 and dual bnAbs was associated with a modest delay in viral rebound. This strategy should be further evaluated to better understand the underlying mechanisms for the induction of virus-specific immune responses and delay in viral rebound. |
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We evaluated the impact of GS-986 (TLR7 agonist) and dual bnAbs on viral rebound after antiretroviral therapy (ART) interruption. Rhesus macaques inoculated with SHIV-1157ipd3N4 were initiated on daily suppressive ART from Day 14 post SHIV inoculation. Active arm animals (n = 8) received GS-986, N6-LS and PGT121 after plasma viral suppression, starting from week 14. GS-986 induced immune activation and SHIV-specific T cell responses but not viral expression in all the active arm animals. After ART interruption, median time to viral rebound was 6 weeks in the active and 3 weeks in the control arm (p = 0.024). In this animal model, the administration of the combination of GS-986 and dual bnAbs was associated with a modest delay in viral rebound. This strategy should be further evaluated to better understand the underlying mechanisms for the induction of virus-specific immune responses and delay in viral rebound.</description><identifier>ISSN: 1553-7374</identifier><identifier>ISSN: 1553-7366</identifier><identifier>EISSN: 1553-7374</identifier><identifier>DOI: 10.1371/journal.ppat.1009339</identifier><identifier>PMID: 33600506</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Agonists ; Animals ; Antibodies ; Antiretroviral agents ; Antiretroviral drugs ; Antiretroviral therapy ; Antiviral activity ; Binding sites ; Biology and life sciences ; CD4 antigen ; Colon ; Colonies ; Colony-stimulating factor ; Cytokines ; Deoxyribonucleic acid ; DNA ; Dosage ; Drug dosages ; Drug therapy ; Glycan ; Granulocyte colony-stimulating factor ; Granulocyte-macrophage colony stimulating factor ; Granulocytes ; HIV ; Human immunodeficiency virus ; Inflammation ; Interferon ; Interleukin 1 ; Interleukin 10 ; Interleukin 12 ; Interleukin 13 ; Interleukin 15 ; Interleukin 18 ; Interleukin 2 ; Interleukin 6 ; Intravenous administration ; Leukocytes (granulocytic) ; Lymph nodes ; Lymphatic system ; Lymphocytes ; Macrophage inflammatory protein ; Medicine and Health Sciences ; Monocytes ; Plasma ; Proteins ; Receptors ; Research and Analysis Methods ; Tumor necrosis factor-TNF</subject><ispartof>PLoS pathogens, 2021-02, Vol.17 (2), p.e1009339-e1009339</ispartof><rights>This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. 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This strategy should be further evaluated to better understand the underlying mechanisms for the induction of virus-specific immune responses and delay in viral rebound.</description><subject>Agonists</subject><subject>Animals</subject><subject>Antibodies</subject><subject>Antiretroviral agents</subject><subject>Antiretroviral drugs</subject><subject>Antiretroviral therapy</subject><subject>Antiviral activity</subject><subject>Binding sites</subject><subject>Biology and life sciences</subject><subject>CD4 antigen</subject><subject>Colon</subject><subject>Colonies</subject><subject>Colony-stimulating factor</subject><subject>Cytokines</subject><subject>Deoxyribonucleic acid</subject><subject>DNA</subject><subject>Dosage</subject><subject>Drug dosages</subject><subject>Drug therapy</subject><subject>Glycan</subject><subject>Granulocyte colony-stimulating factor</subject><subject>Granulocyte-macrophage colony stimulating 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We evaluated the impact of GS-986 (TLR7 agonist) and dual bnAbs on viral rebound after antiretroviral therapy (ART) interruption. Rhesus macaques inoculated with SHIV-1157ipd3N4 were initiated on daily suppressive ART from Day 14 post SHIV inoculation. Active arm animals (n = 8) received GS-986, N6-LS and PGT121 after plasma viral suppression, starting from week 14. GS-986 induced immune activation and SHIV-specific T cell responses but not viral expression in all the active arm animals. After ART interruption, median time to viral rebound was 6 weeks in the active and 3 weeks in the control arm (p = 0.024). In this animal model, the administration of the combination of GS-986 and dual bnAbs was associated with a modest delay in viral rebound. 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subjects | Agonists Animals Antibodies Antiretroviral agents Antiretroviral drugs Antiretroviral therapy Antiviral activity Binding sites Biology and life sciences CD4 antigen Colon Colonies Colony-stimulating factor Cytokines Deoxyribonucleic acid DNA Dosage Drug dosages Drug therapy Glycan Granulocyte colony-stimulating factor Granulocyte-macrophage colony stimulating factor Granulocytes HIV Human immunodeficiency virus Inflammation Interferon Interleukin 1 Interleukin 10 Interleukin 12 Interleukin 13 Interleukin 15 Interleukin 18 Interleukin 2 Interleukin 6 Intravenous administration Leukocytes (granulocytic) Lymph nodes Lymphatic system Lymphocytes Macrophage inflammatory protein Medicine and Health Sciences Monocytes Plasma Proteins Receptors Research and Analysis Methods Tumor necrosis factor-TNF |
title | TLR7 agonist, N6-LS and PGT121 delayed viral rebound in SHIV-infected macaques after antiretroviral therapy interruption |
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