[HTML][HTML] Anti-drug antibody responses impair prophylaxis mediated by AAV-delivered HIV-1 broadly neutralizing antibodies

MR Gardner, I Fetzer, LM Kattenhorn… - Molecular Therapy, 2019 - cell.com
MR Gardner, I Fetzer, LM Kattenhorn, ME Davis-Gardner, AS Zhou, B Alfant, JA Weber…
Molecular Therapy, 2019cell.com
Adeno-associated virus (AAV) delivery of potent and broadly neutralizing antibodies (bNAbs
is a promising approach for the prevention of HIV-1 infection. The immunoglobulin G (IgG) 1
subtype is usually selected for this application, because it efficiently mediates antibody
effector functions and has a somewhat longer half-life. However, the use of IgG1-Fc has
been associated with the generation of anti-drug antibodies (ADAs) that correlate with loss
of antibody expression. In contrast, we have shown that expression of the antibody-like …
Adeno-associated virus (AAV) delivery of potent and broadly neutralizing antibodies (bNAbs is a promising approach for the prevention of HIV-1 infection. The immunoglobulin G (IgG)1 subtype is usually selected for this application, because it efficiently mediates antibody effector functions and has a somewhat longer half-life. However, the use of IgG1-Fc has been associated with the generation of anti-drug antibodies (ADAs) that correlate with loss of antibody expression. In contrast, we have shown that expression of the antibody-like molecule eCD4-Ig bearing a rhesus IgG2-Fc domain showed reduced immunogenicity and completely protected rhesus macaques from simian-HIV (SHIV)-AD8 challenges. To directly compare the performance of the IgG1-Fc and the IgG2-Fc domains in a prophylactic setting, we compared AAV1 expression of rhesus IgG1 and IgG2 forms of four anti-HIV bNAbs: 3BNC117, NIH45-46, 10-1074, and PGT121. Interestingly, IgG2-isotyped bNAbs elicited significantly lower ADA than their IgG1 counterparts. We also observed significant protection from two SHIV-AD8 challenges in macaques expressing IgG2-isotyped bNAbs, but not from those expressing IgG1. Our data suggest that monoclonal antibodies isotyped with IgG2-Fc domains are less immunogenic than their IgG1 counterparts, and they highlight ADAs as a key barrier to the use of AAV1-expressed bNAbs.
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