Durable suppression of viremia by lipid nanoparticle-formulated RNA encoding for a highly potent HIV-1 neutralizing antibody
- 1University Hospital Cologne
Abstract
Recombinant broadly neutralizing antibodies (bNAbs) are promising tools to treat and prevent HIV-1 infection but are associated with manufacturing challenges. To overcome this limitation, we encoded the potent bNAb 1-18-LS on RNA (1-18-LS RibobNAb) for delivery via lipid nanoparticles (LNPs). Indicating high in vivo antibody expression, a 30 ug RNA-LNP intravenous injection resulted in an average peak 1-18-LS RibobNAb serum concentration of 1,061 ug/mL in human neonatal Fc receptor-transgenic mice. Notably, weekly 30 ug RNA-LNP doses maintained higher trough bNAb levels than 500 ug protein injections. Highlighting potent antiviral activity, RNA-LNP-mediated 1-18-LS RibobNAb monotherapy of viremic HIV-1YU2-infected humanized mice resulted in durable HIV-1 suppression without emerging viral escape. Importantly, 1-18-LS RNA-LNP treatment also fully controlled infection after interruption of antiretroviral therapy in humanized mice infected with different patient-derived polyclonal HIV-1 isolates. Our findings provide a proof-of-principle for effective RNA-mediated bNAb immunotherapy of HIV-1 infection.
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BibTeX
@misc{sayettat2026durable,
title = {{Durable suppression of viremia by lipid nanoparticle-formulated RNA encoding for a highly potent HIV-1 neutralizing antibody}},
author = {S. Sayettat and F. Tolksdorf and R. Johannson and J. Nelke and A. Malz and L. Fischer and I. Gerhard and N. Ullrich and U. Ellinghaus and C. R. Stadler and J. P. Bogen and C. Morin and J. Knüfer and R. Stumpf and P. Schommers and U. Sahin and M. S. Seaman and S. Kratochvil and F. Klein and V. Le Douce and H. Gruell},
howpublished = {bioRxiv},
year = {2026},
month = sep,
doi = {10.64898/2026.09.17.752120},
url = {https://www.biorxiv.org/content/10.64898/2026.09.17.752120v1},
note = {CC BY-NC-ND},
}
RIS
TY - UNPB
TI - Durable suppression of viremia by lipid nanoparticle-formulated RNA encoding for a highly potent HIV-1 neutralizing antibody
AU - S. Sayettat
AU - F. Tolksdorf
AU - R. Johannson
AU - J. Nelke
AU - A. Malz
AU - L. Fischer
AU - I. Gerhard
AU - N. Ullrich
AU - U. Ellinghaus
AU - C. R. Stadler
AU - J. P. Bogen
AU - C. Morin
AU - J. Knüfer
AU - R. Stumpf
AU - P. Schommers
AU - U. Sahin
AU - M. S. Seaman
AU - S. Kratochvil
AU - F. Klein
AU - V. Le Douce
AU - H. Gruell
PY - 2026
DA - 2026/09/17
PB - bioRxiv
DO - 10.64898/2026.09.17.752120
UR - https://www.biorxiv.org/content/10.64898/2026.09.17.752120v1
AB - Recombinant broadly neutralizing antibodies (bNAbs) are promising tools to treat and prevent HIV-1 infection but are associated with manufacturing challenges. To overcome this limitation, we encoded the potent bNAb 1-18-LS on RNA (1-18-LS RibobNAb) for delivery via lipid nanoparticles (LNPs). Indicating high in vivo antibody expression, a 30 ug RNA-LNP intravenous injection resulted in an average peak 1-18-LS RibobNAb serum concentration of 1,061 ug/mL in human neonatal Fc receptor-transgenic mice. Notably, weekly 30 ug RNA-LNP doses maintained higher trough bNAb levels than 500 ug protein injections. Highlighting potent antiviral activity, RNA-LNP-mediated 1-18-LS RibobNAb monotherapy of viremic HIV-1YU2-infected humanized mice resulted in durable HIV-1 suppression without emerging viral escape. Importantly, 1-18-LS RNA-LNP treatment also fully controlled infection after interruption of antiretroviral therapy in humanized mice infected with different patient-derived polyclonal HIV-1 isolates. Our findings provide a proof-of-principle for effective RNA-mediated bNAb immunotherapy of HIV-1 infection.
ER -