Engineering Cellular Resistance to HIV-1 Infection In Vivo Using a Dual Therapeutic Lentiviral Vector

Bryan P Burke1, Bernard R Levin2, Jane Zhang1

  • 1Calimmune, Inc., Los Angeles, California, USA.

Insights

A novel lentiviral vector (LVsh5/C46) engineered cellular resistance to HIV-1 in humanized mice. This dual-action gene therapy protected CD4+ T-cells and reduced viral load, showing promise for HIV-1 inhibition.

Area of Science:

  • Gene Therapy
  • Virology
  • Immunology

Background:

  • Human immunodeficiency virus type 1 (HIV-1) remains a global health challenge.
  • Existing therapies face challenges with drug resistance and lifelong adherence.
  • Novel strategies are needed to engineer cellular resistance to HIV-1 infection.

Purpose of the Study:

  • To evaluate the in vivo efficacy of a dual-combination anti-HIV-1 lentiviral vector (LVsh5/C46) in a humanized bone marrow, liver, thymus (BLT) mouse model.
  • To assess the vector's ability to confer resistance to both R5- and X4-tropic HIV-1 strains.
  • To determine the long-term stability of gene marking and transgene expression.

Main Methods:

  • Human CD34+ hematopoietic stem/progenitor cells (HSPC) were transduced with the LVsh5/C46 vector.
  • Transduced and non-modified HSPC were transplanted into immunodeficient mice to create control and treatment groups.
  • Animals were challenged with R5-tropic HIV-1, and immune cell populations, viral load, and gene expression were monitored.

Main Results:

  • Successful engraftment and multilineage hematopoietic differentiation, including CD4+ T-cell development, were observed in both groups.
  • Splenocytes from the treatment group exhibited resistance to both R5- and X4-tropic HIV-1 ex vivo.
  • Treatment group animals showed significant protection of CD4+ T-cells and reduced viral load up to 14 weeks post-infection.
  • Gene marking and transgene expression remained stable at 26 weeks post-transplantation.

Conclusions:

  • The LVsh5/C46 lentiviral vector effectively engineers cellular resistance to HIV-1 in vivo.
  • This combinatorial gene therapy approach demonstrates significant protection against HIV-1 pathogenesis in a humanized mouse model.
  • LVsh5/C46 holds strong potential for gene and cell therapeutic applications aimed at inhibiting HIV-1 infection.