Literature DB >> 33600506

TLR7 agonist, N6-LS and PGT121 delayed viral rebound in SHIV-infected macaques after antiretroviral therapy interruption.

Denise C Hsu1,2,3, Alexandra Schuetz1,2,3, Rawiwan Imerbsin1, Decha Silsorn1, Amarendra Pegu4, Dutsadee Inthawong1, Jumpol Sopanaporn1, Pornsuk Visudhiphan1, Weerawan Chuenarom1, Boot Keawboon1, Wei Shi4, Merlin L Robb2,3, John R Mascola4, Romas Geleziunas5, Richard A Koup4, Dan H Barouch6, Nelson L Michael7, Sandhya Vasan1,2,3.   

Abstract

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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Year:  2021        PMID: 33600506      PMCID: PMC7924766          DOI: 10.1371/journal.ppat.1009339

Source DB:  PubMed          Journal:  PLoS Pathog        ISSN: 1553-7366            Impact factor:   6.823


  31 in total

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