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Preprint . 2025
License: CC BY
Data sources: ZENODO
ZENODO
Preprint . 2025
License: CC BY
Data sources: Datacite
Open Science Framework
Preprint . 2025
License: CC BY
Data sources: Datacite
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Triplet Immunologic Modulation via CCR5, PD-L1, and Broadly Neutralizing Antibodies: A Synergistic Strategy Toward Functional HIV Eradication

Authors: Rizzo, Daniel;

Triplet Immunologic Modulation via CCR5, PD-L1, and Broadly Neutralizing Antibodies: A Synergistic Strategy Toward Functional HIV Eradication

Abstract

Despite major advances in antiretroviral therapy (ART), HIV remains incurable due to the persistence of latent viral reservoirs and immune evasion through immune checkpoint dysregulation. FireGate Bioscience LLC presents a novel Triplet Immunologic Modulation framework designed to achieve durable ART-free remission by simultaneously targeting three synergistic immunologic axes: CCR5 blockade, PD-L1 modulation, and broadly neutralizing antibody (bNAb)–mediated clearance. This triplet approach integrates receptor-level viral entry inhibition, restoration of exhausted T-cell function, and antibody-driven clearance of infected cells, forming a unified strategy that seeks to both suppress and reprogram HIV’s pathogenic reservoirs. Building on clinical precedents such as the Berlin and London patient cases, the FireGate framework applies non-gene-editing, pharmacologic, and immunotherapeutic principles to re-establish immune homeostasis and functional control. The concept outlines a scalable translational pathway leveraging in vitro, in silico, and ex vivo validation to model triplet synergy and durability. This platform aims to bridge immunology, virology, and oncology insights, positioning FireGate Bioscience’s pipeline as a next-generation therapeutic model for chronic viral infections and immune restoration.

Preclinical evaluation of the triplet framework will utilize a phased approach combining in vitro, in silico, and ex vivo analyses: In vitro assays to measure CCR5 blockade efficacy and PD-L1 expression modulation across immune cell subsets. Computational modeling (in silico) to predict triplet pharmacodynamics, receptor cross-talk, and immune tolerance thresholds. Ex vivo evaluation using PBMCs from HIV-positive donors to confirm immune reactivation, viral suppression, and checkpoint recovery. Data integration and pathway analysis performed through FireGate’s Lux Veritas™ AI engine to identify optimal synergy ratios and translational dosing models. This structured preclinical model allows empirical validation of FireGate’s triplet hypothesis and supports readiness for IND-enabling studies and regulatory engagement

Keywords

PD-L1, HIV cure, HIV Core Protein p24, Life Sciences, bNAbs, Archival Science, Social and Behavioral Sciences, Library and Information Science, CCR5, Immunology and Infectious Disease, HIV Core Protein p24/deficiency

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
Green