Literature DB >> 31513771

A Meta-analysis of Passive Immunization Studies Shows that Serum-Neutralizing Antibody Titer Associates with Protection against SHIV Challenge.

Amarendra Pegu1, Bhavesh Borate2, Yunda Huang3, Matthias G Pauthner4, Ann J Hessell5, Boris Julg6, Nicole A Doria-Rose1, Stephen D Schmidt1, Lindsay N Carpp2, Michelle D Cully1, Xuejun Chen1, George M Shaw7, Dan H Barouch8, Nancy L Haigwood5, Lawrence Corey2, Dennis R Burton9, Mario Roederer1, Peter B Gilbert10, John R Mascola11, Ying Huang12.   

Abstract

Passively administered broadly neutralizing antibodies (bNAbs) targeting the HIV-1 envelope glycoprotein (Env) have been shown to protect non-human primates (NHPs) against chimeric simian-human immunodeficiency virus (SHIV) infection. With data from multiple non-human primate SHIV challenge studies that used single bNAbs, we conducted a meta-analysis to examine the relationship between predicted serum 50% neutralization titer (ID50) against the challenge virus and infection outcome. In a logistic model that adjusts for bNAb epitopes and challenge viruses, serum ID50 had a highly significant effect on infection risk (p < 0.001). The estimated ID50 to achieve 50%, 75%, and 95% protection was 91 (95% confidence interval [CI]: 55, 153), 219 (117, 410), and 685 (319, 1471), respectively. This analysis indicates that serum neutralizing titer against the relevant virus is a key parameter of protection and that protection from acquisition by a single bNAb might require substantial levels of neutralization at the time of exposure.
Copyright © 2019 Elsevier Inc. All rights reserved.

Entities:  

Keywords:  SHIV challenge; broad neutralizing antibodies; correlates of protection; meta-analysis; non-human primate studies

Mesh:

Substances:

Year:  2019        PMID: 31513771      PMCID: PMC6755677          DOI: 10.1016/j.chom.2019.08.014

Source DB:  PubMed          Journal:  Cell Host Microbe        ISSN: 1931-3128            Impact factor:   21.023


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