Evidence map›Paper›PMID 39626747›Full record

ArticleJournal of the Royal Society, Interface2024

Trade-off between the antiviral and vaccinal effects of antibody therapy in the humoral response to HIV.

Soumya Mittal, Amar K Garg, Rajat Desikan, Narendra M Dixit

Abstract read
In one paragraph

Article in Journal of the Royal Society, Interface, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Soumya MittalDepartment of Chemical Engineering, Indian Institute of Science, Bangalore 560012, India.
Amar K GargDepartment of Chemical Engineering, Indian Institute of Science, Bangalore 560012, India.
Rajat DesikanDepartment of Chemical Engineering, Indian Institute of Science, Bangalore 560012, India.
Narendra M DixitDepartment of Chemical Engineering, Indian Institute of Science, Bangalore 560012, India.ORCID 0000-0002-2145-9828

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antibody therapy for HIV-1 infection exerts two broad effects: a drug-like, antiviral effect, which rapidly lowers the viral load, and a vaccinal effect, which may control the viral load long-term by improving the immune response. Here, we elucidate a trade-off between these two effects as they pertain to the humoral response, which may compromise antibody therapy aimed at eliciting long-term HIV-1 remission. We developed a multi-scale computational model that combined within-host viral dynamics and stochastic simulations of the germinal centre (GC) reaction, enabling simultaneous quantification of the antiviral and vaccinal effects of antibody therapy. The model predicted that increasing antibody dosage or antibody-antigen affinity increased immune complex formation and enhanced GC output. Beyond a point, however, a strong antiviral effect reduced antigen levels substantially, extinguishing GCs and limiting the humoral response. We found signatures of this trade-off in clinical studies. Accounting for the trade-off could be important in optimizing antibody therapy for HIV-1 remission.

Indexed as

HIV-1HIV InfectionsImmunity, HumoralAIDS VaccinesGerminal CenterHIV AntibodiesHumansModels, ImmunologicalViral LoadAIDS VaccinesHIV Antibodiesantibody therapygerminal centreHIVmathematical modeltrade-offvaccinal effect

Identifiers

PMID39626747
PMCPMC11614529

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.