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Drift of the HIV-1 Envelope Glycoprotein gp120 toward Increased Neutralization Resistance over the Course of the Epidemic: a Comprehensive Study Using the Most Potent and Broadly Neutralizing Monoclonal Antibodies
Authors:M. Bouvin-Pley  M. Morgand  L. Meyer  C. Goujard  A. Moreau  H. Mouquet  M. Nussenzweig  C. Pace  D. Ho  P. J. Bjorkman  D. Baty  P. Chames  M. Pancera  P. D. Kwong  P. Poignard  F. Barin  M. Braibant
Abstract:Extending our previous analyses to the most recently described monoclonal broadly neutralizing antibodies (bNAbs), we confirmed a drift of HIV-1 clade B variants over 2 decades toward higher resistance to bNAbs targeting almost all the identified gp120-neutralizing epitopes. In contrast, the sensitivity to bNAbs targeting the gp41 membrane-proximal external region remained stable, suggesting a selective pressure on gp120 preferentially. Despite this evolution, selected combinations of bNAbs remain capable of neutralizing efficiently most of the circulating variants.
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