Journal: bioRxiv
Article Title: Inhibitory potential of autologous neutralizing antibodies sets quantitative limits on the rebound-competent HIV-1 reservoir
doi: 10.64898/2025.12.07.692769
Figure Lengend Snippet: (a-c) Modified quantitative viral outgrowth assays (mQVOAs) from representative participants showing variable suppression of ex vivo viral outgrowth by pre-ATI autologous IgG (50 µg/mL) compared to control arms with no IgG, or IgG (50 µg/mL) purified from HIV-negative donors. Each circle represents the supernatant p24 level in an individual well seeded with 2X10 5 resting CD4 + T cells isolated from pre-ATI leukapheresis samples. Maximum likelihood IUPM estimates were provided for mQVOAs (see Methods). (d) Percent reduction in infectious units per million cells (IUPM) relative to control IgG across standard progressors (SPs), illustrating wide functional heterogeneity in aNAbs against inducible, infectious reservoir virus; open circles represent values from a previously described cohort . SP206 lacked detectable HIV-specific antibodies due to being treated during hyperacute infection (HAI) and served as a control for study rebound dynamics in the absence of neutralizing antibody responses. Bars indicate median with IQR. (e) Time to rebound was measured as the time in days to ≥200 HIV-1 RNA copies/mL, and was variable across all study participants. The LOD for the VL measurements was 30 HIV-1 RNA copies/mL. (f) Among SPs with measurable viral outgrowth, those with higher aNAb-mediated suppression of outgrowth showed significantly delayed rebound by Kaplan-Meier analysis (p = 0.0025, log-rank test). (g) Plasma HIV-1 RNA rebound trajectories for representative phenotypes (SP with HAI, SP, VC, EC), modeled by exponential growth curves. (h) Correlation of pre-ATI IgG-mediated suppression of ex vivo outgrowth with in vivo plasma viral load exponential growth rate during the ATI for SPs, including SP with HAI. Higher ex vivo suppression of outgrowth by aNAbs correlates with slower viral load exponential growth rates (p=0.0409, simple linear regression). (i) Plasma HIV-1 RNA doubling time during the ATI for representative phenotypes (HAI, SP, VC, EC), modeled by exponential growth curves. (j) Correlation of pre-ATI IgG-mediated suppression of ex vivo outgrowth with in vivo plasma viral load doubling time during the ATI for SPs, including SP with HAI. Higher ex vivo suppression of outgrowth by aNAbs correlates with delayed viral load doubling time during the ATI (p=0.0060, simple linear regression).
Article Snippet: Qualitative detection of HIV-1 antigen reactivity by purified participant IgG was performed using the GS HIV-1 Western Blot Kit (Bio-Rad Laboratories, #32508) according to the manufacturer’s protocol.
Techniques: Modification, Ex Vivo, Control, Purification, Isolation, Functional Assay, Virus, Infection, Clinical Proteomics, In Vivo