Potent neutralization of primary human immunodeficiency virus clade C isolates with a synergistic combination of human monoclonal antibodies raised against clade B
Wd. Xu et al., Potent neutralization of primary human immunodeficiency virus clade C isolates with a synergistic combination of human monoclonal antibodies raised against clade B, J HUMAN VIR, 4(2), 2001, pp. 55-61
Objectives: We investigated the ability of several human neutralizing monoc
lonal antibodies (mAbs), originally raised against human immunodeficiency v
irus (HIV) clade B isolates, to neutralize primary clade C isolates as sing
le agents and in combination.
tudy Design/Methods: HIV clade C isolates from five different countries wer
e tested for susceptibility to neutralization by anti-clade B mAbs in human
peripheral blood mononuclear cells. Monoclonal antibody combinations were
evaluated for possible synergy.
Results: All 20 primary HIV clade C isolates could be neutralized 97.5% to
100% by a quadruple combination of mAbs IgG1b12. 2G12, 2F5, and 4E10. These
mAbs recognized conserved epitopes and were highly synergistic, resulting
in strong cross-clade neutralization.
Conclusions: In our previous experiment, a synergistic combination of human
neutralizing mABs protected all macaque neonates against oral challenge wi
th a simian-human immunodeficiency virus encoding HIV env. Together, our da
ta suggest that passive immunization with currently available anticlade B m
Abs could play a role in preventing HIV clade C transmission through breast
feeding.