Monday, January 30, 2017

Human antibody trial adds new hope for HIV vaccine

Credit - BSIP/UIG Via Getty Image
Antibody 10-1074 could be key to creating a vaccine in the future






A human trial has shown tentative but significant progress towards a vaccine for HIV.

An HIV cure has eluded the scientific community for decades. Typically, when a virus strikes, the body recognises the foreign entity and sends in the troops to destroy it. The HIV virus gets around this by infecting the immune system’s first port of call - the T-cells. In the process, they are destroyed or hijacked to help create new HIV viruses.

Now, a study in Nature Medicine has shown that the antibody 10-1074 can effectively neutralise the virus by targeting a structure on the HIV envelope protein known as V3 loop. During trials, volunteers – 19 of which have the virus, 14 of which don't – were given differing doses of the antibody. It was shown to be safe, and induce high antiviral activity in all participants. In particular, among the 13 volunteers with the highest levels of HIV (most were taking antiretroviral medication to subdue it), 11 exhibited a fast drop in levels.

"These antibodies are highly potent and are able to effectively neutralise a large number of different HIV strains,” co-author on the paper, Florian Klein of the University of Cologne, said. “Therefore, they play an important role in the quest for and development of an HIV vaccine."

As the trials continued, the HIV virus was seen to mutate to defend against the introduction of 10-1074 meaning a variety of antibodies appears to be needed to truly eradicate the virus in a treatment or vaccine form. Further research into the specific antibody is slated for the next few months.

This study also adds to a body of work from other researchers across the globe similarly hunting for a vaccine. Last year, great strides were made in a UK trial that combines antiretroviral drugs with a drug that reactivates dormant HIV, and a vaccine that stimulates the immune system. It was reported that the blood of a 44-year-old male social care worker from London, the first of 50 people involved in the study, showed no detectable signs of HIV after the treatment took place.

"This is one of the first serious attempts at a full cure for HIV," Mark Samuels, the managing director of the National Institute for Health Research Office for Clinical Research Infrastructure, said at the time. "We are exploring the real possibility of curing HIV. This is a huge challenge and it’s still early days but the progress has been remarkable."

The treatment developed by the UK scientists lures the virus from its dormant state, then triggers a response from the body's immune system, which then attacks it. The method, dubbed "kick and kill" (or "shock and kill"), has been successful in lab tests. In 2014, the journal Cell published research that researchers had "flushed" out the virus in mice. "This is the first time the shock-and-kill approach designed to flush out latent viruses has seen tangible success in an animal model," scientists said at the time.

The treatment developed by the UK scientists lures the virus from its dormant state, then triggers a response from the body's immune system, which then attacks it. The method, dubbed "kick and kill" (or "shock and kill"), has been successful in lab tests. In 2014, the journal Cell published research that researchers had "flushed" out the virus in mice. "This is the first time the shock-and-kill approach designed to flush out latent viruses has seen tangible success in an animal model," scientists said at the time.













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