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Abstract
Essence
Intravaginal mRNA delivery of engineered bnAb combinations may improve local SHIV/HIV neutralization breadth and potency.
Evidence
This preclinical platform study tested single-chain mRNA-encoded in vitro and in rhesus macaque vaginal explants, where co-expressed PGT121 and VRC07 IgM-like multimers restored neutralization of several strains at < 100 ng/mL and protected explants against multiple ex vivo SHIV challenges.
Caveat
Protection was shown in vitro and in ex vivo macaque vaginal explants, not in live-animal or human HIV acquisition studies.
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