WEBVTT 00:18.850 --> 00:21.979 HIV infects our bodies by targeting one 00:21.979 --> 00:24.090 specific white blood cell type called 00:24.090 --> 00:26.930 the CD4 T cell , which is a cell that 00:26.930 --> 00:29.041 is part of our immune system to fight 00:29.041 --> 00:32.180 infections . The virus binds to a 00:32.180 --> 00:34.700 receptor on the surface of the CD4 00:34.700 --> 00:37.580 cells , allowing HIV to enter the cell 00:37.580 --> 00:41.130 and begin replicating itself . In this 00:41.130 --> 00:44.060 process , it also kills the CD4 T cell , 00:44.330 --> 00:46.330 depleting the number of these cells 00:46.330 --> 00:48.552 available to fight off new infections . 00:49.919 --> 00:51.919 Most HIV treatments work by 00:51.919 --> 00:54.479 neutralizing or attacking the virus 00:54.479 --> 00:57.400 itself . Doctor David Ho and his 00:57.400 --> 00:59.622 research team at the Aaron Diamond AIDS 00:59.622 --> 01:01.511 Research Center , now at Columbia 01:01.511 --> 01:03.720 University , asked , instead of 01:03.720 --> 01:05.839 attacking the virus , what if we lock 01:05.839 --> 01:09.419 the door ? They developed a monoclonal 01:09.419 --> 01:12.449 antibody that binds to CD4 cells , 01:12.779 --> 01:15.500 preventing HIV from attaching to these 01:15.500 --> 01:18.540 cells and entering it . This became the 01:18.540 --> 01:20.900 first monoclonal antibody approved for 01:20.900 --> 01:24.139 HIV treatment called ibilizumab or the 01:24.139 --> 01:27.650 brand name Trigazo . Building on this 01:27.650 --> 01:30.050 breakthrough , these scientists began 01:30.050 --> 01:32.559 advancing a new class of antibody 01:32.849 --> 01:36.050 called bi-specific antibodies . An 01:36.050 --> 01:38.690 antibody is a molecule shaped like the 01:38.690 --> 01:42.400 letter Y . With bi-specific antibodies , 01:42.650 --> 01:45.169 each upraised arm of the molecule has a 01:45.169 --> 01:48.889 different job . One side still binds to 01:48.889 --> 01:51.410 the human CD4 cells to block viral 01:51.410 --> 01:54.550 entry , and the other side attaches to 01:54.550 --> 01:56.970 the HIV virus to neutralize it . 01:58.650 --> 02:01.690 Typically , antibodies targeting HIV 02:01.690 --> 02:03.690 must circulate in the blood in high 02:03.690 --> 02:06.050 concentrations , relying on sheer 02:06.050 --> 02:08.610 numbers and random chance to find and 02:08.610 --> 02:12.410 bind free floating HIV . But with this 02:12.410 --> 02:15.529 strategy , you need a lot less because 02:15.529 --> 02:17.889 the by specific antibody is already at 02:17.889 --> 02:19.945 the place where the virus enters our 02:19.945 --> 02:23.789 cells . This bi-specific antibody 02:23.789 --> 02:27.389 called 0E8 IMA for short , is not only 02:27.389 --> 02:30.070 potent , but is also broad as it 02:30.070 --> 02:32.750 neutralizes many different subtypes of 02:32.750 --> 02:34.660 HIV from around the world . 02:36.550 --> 02:39.750 That's why we here at MHRP seek to 02:39.750 --> 02:41.630 refine and develop these unique 02:41.630 --> 02:43.750 antibodies which could provide a 02:43.750 --> 02:45.910 critical tool to both prevent HIV 02:45.910 --> 02:49.130 infection and treat and cure HIV . 02:50.779 --> 02:52.946 This could be of particular importance 02:52.946 --> 02:54.835 to the US military to improve the 02:54.835 --> 02:56.449 safety of the emergency blood supply .