grow, thanks for the reference to the upcoming sym
Post# of 148109
Here are excerpts from another abstract which look interesting (although this may require a long-term research project):
Quote:
AAV Delivery of the CCR5-blocking monoclonal antibody Leronlimab yields long-term expression and ART-free remission from SHIV viremia
Methods: Eight SHIVsf162p3- or SHIV-AD8-EOM-infected RMs received a single intramuscular dose of AAV9 encoding macaque Fc Leronlimab with stabilizing, silencing, and half-life extending mutations (AAV9-MacLSLeron).
Animals were longitudinally monitored for CCR5 receptor occupancy (RO), plasma Leronlimab concentrations, Leronlimab-directed anti-drug antibodies (ADA), and SHIV plasma viral loads.
Results: All eight RMs achieved 100% CCR5 RO on blood CD4+ T cells with detectable free plasma Leronlimab within 4 weeks of AAV9-MacLSLeron administration. Of these, four RMs sustained complete CCR5 RO and stable
plasma Leronlimab concentrations for >1.5 years post-AAV with minimal ADA responses, which was associated with completely undetectable SHIV plasma viremia in two RMs (<15 copies/ml for >1 year), decreased SHIV plasma
viral loads in one RM, and unaffected, persistent SHIV viremia in one RM. The remaining four RMs developed robust Leronlimab-directed ADA responses within 5-15 weeks of AAV9-MacLSLeron administration, resulting in complete
clearance of Leronlimab from plasma and rapid decline in CCR5 RO. However, long-term monitoring of three such RMs revealed eventual decline of plasma ADA titers and return of blood CD4+ T cell CCR5 RO approximately 1 year
post-AAV, without subsequent rebound of ADA titers. One such macaque eventually achieved sustained 100% CCR5 RO with stable plasma Leronlimab concentrations, which was coincident with decline of SHIV plasma viral loads to undetectable levels for >1 year.
Conclusions: Overall, these data demonstrate the potential of AAV vectors for sustained antibody-based CCR5 blockade as a gene therapy approach to long-term ART-free HIV remission. However, further investigation is needed to
identify factors responsible for variability in SHIV control after complete CCR5 blockade of blood CD4+ T cells is achieved. In addition, while transgene-directed ADA remains a major obstacle for antibody-mediated therapy, the
observed re-emergence of AAV transgene product after ADA-mediated clearance highlights the need to further investigate the interplay between AAV establishment and the development of transgene-directed ADA.