TY - JOUR U1 - Wissenschaftlicher Artikel A1 - Schommers, Philipp A1 - Kim, Dae Sung A1 - Schlotz, Maike A1 - Kreer, Christoph A1 - Eggeling, Ralf A1 - Hake, Anna A1 - Stecher, Melanie A1 - Park, Juyeon A1 - Radford, Caelan E. A1 - Dingens, Adam S. A1 - Ercanoglu, Meryem S. A1 - Gruell, Henning A1 - Odidika, Stanley A1 - Dahlhaus, Marten A1 - Gieselmann, Lutz A1 - Ahmadov, Elvin A1 - Lawong, Rene Y. A1 - Heger, Eva A1 - Knops, Elena A1 - Wyen, Christoph A1 - Kümmerle, Tim A1 - Römer, Katja A1 - Scholten, Stefan A1 - Wolf, Timo A1 - Stephan, Christoph A1 - Suárez, Isabelle A1 - Raju, Nagarajan A1 - Adhikari, Anurag A1 - Esser, Stefan A1 - Streeck, Hendrik A1 - Duerr, Ralf A1 - Nanfack, Aubin J. A1 - Zolla-Pazner, Susan A1 - Geldmacher, Christof A1 - Geisenberger, Otto A1 - Kroidl, Arne A1 - William, Wiston A1 - Maganga, Lucas A1 - Ntinginya, Nyanda Elias A1 - Georgiev, Ivelin S. A1 - Vehreschild, Jörg J. A1 - Hoelscher, Michael A1 - Fätkenheuer, Gerd A1 - Lavinder, Jason J. A1 - Bloom, Jesse D. A1 - Seaman, Michael S. A1 - Lehmann, Clara A1 - Pfeifer, Nico A1 - Georgiou, George A1 - Klein, Florian T1 - Dynamics and durability of HIV-1 neutralization are determined by viral replication JF - Nature Medicine N2 - Human immunodeficiency virus type 1 (HIV-1)-neutralizing antibodies (nAbs) that prevent infection are the main goal of HIV vaccine discovery. But as no nAb-eliciting vaccines are yet available, only data from HIV-1 neutralizers-persons with HIV-1 who naturally develop broad and potent nAbs-can inform about the dynamics and durability of nAb responses in humans, knowledge which is crucial for the design of future HIV-1 vaccine regimens. To address this, we assessed HIV-1-neutralizing immunoglobulin G (IgG) from 2,354 persons with HIV-1 on or off antiretroviral therapy (ART). Infection with non-clade B viruses, CD4+ T cell counts <200 µl-1, being off ART and a longer time off ART were independent predictors of a more potent and broad neutralization. In longitudinal analyses, we found nAb half-lives of 9.3 and 16.9 years in individuals with no- or low-level viremia, respectively, and 4.0 years in persons who newly initiated ART. Finally, in a potent HIV-1 neutralizer, we identified lower fractions of serum nAbs and of nAb-encoding memory B cells after ART initiation, suggesting that a decreasing neutralizing serum activity after antigen withdrawal is due to lower levels of nAbs. These results collectively show that HIV-1-neutralizing responses can persist for several years, even at low antigen levels, suggesting that an HIV-1 vaccine may elicit a durable nAb response. KW - Antibodies, Neutralizing KW - HIV Infections KW - HIV-1 KW - Virus Replication KW - HIV Antibodies KW - Humans KW - AIDS Vaccines Y1 - 2023 SN - 1078-8956 SS - 1078-8956 U6 - https://doi.org/10.1038/s41591-023-02582-3 DO - https://doi.org/10.1038/s41591-023-02582-3 PM - 37957379 VL - 29 IS - 11 SP - 2763 EP - 2774 S1 - 12 PB - Springer Nature ER -