4.7 Review

Broadly neutralizing antibodies targeting HIV: Progress and challenges

Journal

CLINICAL IMMUNOLOGY
Volume 257, Issue -, Pages -

Publisher

ACADEMIC PRESS INC ELSEVIER SCIENCE
DOI: 10.1016/j.clim.2023.109809

Keywords

HIV; bNAbs; Passive immunotherapy; Genetic diversity

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Broadly neutralizing antibodies (bNAbs) against HIV offer a new approach for treating the virus, but their therapeutic potential is hindered by antibody decay, latent reservoirs, and resistance. This review discusses recent advancements and proposes strategies to enhance the effectiveness of bNAbs.
Anti-HIV broadly neutralizing antibodies (bNAbs) offer a novel approach to treating, preventing, or curing HIV. Pre-clinical models and clinical trials involving the passive transfer of bNAbs have demonstrated that they can control viremia and potentially serve as alternatives or complement antiretroviral therapy (ART). However, antibody decay, persistent latent reservoirs, and resistance impede bNAb treatment. This review discusses recent advancements and obstacles in applying bNAbs and proposes strategies to enhance their therapeutic potential. These strategies include multi-epitope targeting, antibody half-life extension, combining with current and newer antiretrovirals, and sustained antibody secretion.

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