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Therapeutic efficacy of combined active and passive immunization in ART-suppressed, SHIV-infected rhesus macaques

  • Victoria E.K. Walker-Sperling
  • , Noe B. Mercado
  • , Abishek Chandrashekar
  • , Erica N. Borducchi
  • , Jinyan Liu
  • , Joseph P. Nkolola
  • , Mark Lewis
  • , Jeffrey P. Murry
  • , Yunling Yang
  • , Romas Geleziunas
  • , Merlin L. Robb
  • , Nelson L. Michael
  • , Maria G. Pau
  • , Frank Wegmann
  • , Hanneke Schuitemaker
  • , Emily J. Fray
  • , Mithra R. Kumar
  • , Janet D. Siliciano
  • , Robert F. Siliciano
  • , Dan H. Barouch*
  • *Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

28 Scopus citations

Abstract

The latent viral reservoir is the critical barrier for developing an HIV-1 cure. Previous studies have shown that therapeutic vaccination or broadly neutralizing antibody (bNAb) administration, together with a Toll-like receptor 7 (TLR7) agonist, enhanced virologic control or delayed viral rebound, respectively, following discontinuation of antiretroviral therapy (ART) in SIV- or SHIV-infected rhesus macaques. Here we show that the combination of active and passive immunization with vesatolimod may lead to higher rates of post-ART virologic control compared to either approach alone. Therapeutic Ad26/MVA vaccination and PGT121 administration together with TLR7 stimulation with vesatolimod resulted in 70% post-ART virologic control in SHIV-SF162P3-infected rhesus macaques. These data suggest the potential of combining active and passive immunization targeting different immunologic mechanisms as an HIV-1 cure strategy.

Original languageEnglish
Article number3463
JournalNature Communications
Volume13
Issue number1
DOIs
StatePublished - Dec 2022

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