Promising class of antibodies protects against HIV-1 infection
Led by Dr. Ruth Ruprecht, the team used an animal model to show for the first time that an antibody called Immunoglobulin M (IgM) was effective in preventing infection after mucosal AIDS virus exposure. Worldwide, an estimated 90 per cent of new cases of HIV-1 are caused through exposure in the mucosal cavities like the inside lining of the rectum or vagina.
“IgM is sort of the forgotten antibody,” Dr. Ruprecht, Scientist and Director of Texas Biomed’s AIDS Research Program, said.
“Most scientists believed its protective effect was too short-lived to be leveraged as any kind of protective shield against an invading pathogen like HIV-1.”
The study is published in the July 17, 2018 edition of the journal AIDS. The article is listed as “Fast Track,” indicating these new and exciting data should get special attention.
Rhesus monkeys at the Southwest National Primate Research Center on the Texas Biomed campus served as models for the in vivo study. Scientists first treated the animals with a man-made version of IgM, which is naturally produced by plasma cells located under the epithelium (the surface lining of body cavities).
Half an hour later, the same animals were exposed to SHIV (simian-human immunodeficiency virus). Four out of the six animals treated this way were fully protected against the virus. The animals were monitored for 82 days.
Ruprecht’s team found that applying the IgM antibodies resulted in what is called immune exclusion.
IgM clumped up the virus, preventing it from crossing the mucosal barrier and spreading to the rest of the body.
The technique of introducing pre-formed antibodies into the body to create immunity is known as passive immunization.
IgM has a high affinity for its antigens and “grabs them very quickly and does not let go,” Dr. Ruprecht explained.
“Our study reveals for the first time the protective potential of mucosal anti-HIV-1 IgM.
IgM has a five-times higher ability to bind to virus particles compared to the standard antibody form called IgG. It basically opens up a new area of research. IgM can do more than it has been given credit.”
Also, new research shows more promise for using AIDS treatment drugs as a prevention tool, to help keep uninfected people from catching HIV during sex with a partner who has the virus.
There were no infections among gay men who used a two-drug combo pill either daily or just before and after sex with someone with HIV, one study found.
In a second study, no uninfected men caught the virus if they had sex only with a partner whose HIV was well suppressed by medicines.
Both studies were discussed Tuesday at the International AIDS conference in Amsterdam.
The United States’ top AIDS scientist, Dr. Anthony Fauci, called the results “very impressive” and “really striking.”
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