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Torque Teno virus control by the classical pathway of complement activation -- a retrospective analysis from a first-in-human trial utilizing sutimlimab
  • +7
  • Sebastian Kapps,
  • Jakob Mühlbacher,
  • Dorian KULIFAJ,
  • Sophie Courjal,
  • Farsad Eskandary,
  • Martin Schiemann,
  • Bernd Jilma,
  • Georg A. Böhmig,
  • Gregor Bond,
  • Markus Wahrmann
Sebastian Kapps
Medical University of Vienna
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Jakob Mühlbacher
Medical University of Vienna
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Dorian KULIFAJ
Parc Technologique Delta Sud
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Sophie Courjal
Parc Technologique Delta Sud
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Farsad Eskandary
Medical University of Vienna
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Martin Schiemann
Medical University of Vienna
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Bernd Jilma
Medical University of Vienna
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Georg A. Böhmig
Medical University of Vienna
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Gregor Bond
Medical University of Vienna

Corresponding Author:[email protected]

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Markus Wahrmann
Medical University of Vienna
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Abstract

Torque Teno virus (TTV) load is linked with the functionality of its host’s immune system and has been proposed as a potential monitoring tool for immune-modulating therapy. However, the immunological mechanisms of TTV control are incompletely understood. To assess the effect of the classical complement pathway on TTV, 64 healthy volunteers and 10 kidney transplant recipients treated with the anti-C1s antibody sutimlimab were analyzed for serum TTV copy numbers (c/mL) by qPCR. Overall, a correlation was observed between the decrease in complement activity caused by sutimlimab and the TTV load increase (ρ = −0.367, p < 0.001). Subgroup analysis indicated a trend toward TTV load increase in healthy volunteers following the highest sutimlimab dose compared to baseline (100 mg/kg body weight; median 3.5 log 10 c/mL, interquartile range [IQR] 2.8–4.4 versus 2.9 log 10 c/mL, 0.8–3.5; p = 0.063). Administering multiple lower doses (30 mg/kg) also showed a trend toward TTV load increase in healthy volunteers (1.8 log 10 c/mL, 0–2.3 versus 1.9, 1.3–2.8; p = 0.054) and a significant increase in transplant recipients (3.5 log 10 c/mL, 3.0–6.1 versus 4.1, 3.5–6.4; p = 0.004). This report suggests a role for the classical complement pathway in controlling TTV load.
07 Aug 2024Submitted to Journal of Medical Virology
08 Aug 2024Submission Checks Completed
08 Aug 2024Assigned to Editor
08 Aug 2024Review(s) Completed, Editorial Evaluation Pending
09 Aug 2024Reviewer(s) Assigned
29 Aug 2024Editorial Decision: Revise Major
20 Sep 20241st Revision Received
25 Sep 2024Assigned to Editor
25 Sep 2024Submission Checks Completed
25 Sep 2024Review(s) Completed, Editorial Evaluation Pending
25 Sep 2024Reviewer(s) Assigned
04 Oct 2024Editorial Decision: Revise Minor
16 Oct 20242nd Revision Received
17 Oct 2024Assigned to Editor
17 Oct 2024Submission Checks Completed
17 Oct 2024Review(s) Completed, Editorial Evaluation Pending
18 Oct 2024Editorial Decision: Accept