RT Journal Article SR Electronic T1 Accurate Prediction of Antibody Resistance in Clinical HIV-1 Isolates JF bioRxiv FD Cold Spring Harbor Laboratory SP 364828 DO 10.1101/364828 A1 Reda Rawi A1 Raghvendra Mall A1 Chen-Hsiang Shen A1 Nicole A. Doria-Rose A1 S. Katie Farney A1 Andrea Shiakolas A1 Jing Zhou A1 Tae-Wook Chun A1 Rebecca M. Lynch A1 John R. Mascola A1 Peter D. Kwong A1 Gwo-Yu Chuang YR 2018 UL http://biorxiv.org/content/early/2018/07/08/364828.abstract AB Broadly neutralizing antibodies (bNAbs) targeting the HIV-1 envelope glycoprotein (Env) have promising utility in prevention and treatment of HIV-1 infection with several undergoing clinical trials. Due to high sequence diversity and mutation rate of HIV-1, viral isolates are often resistant to particular bNAbs. Resistant strains are commonly identified by time-consuming and expensive in vitro neutralization experiments. Here, we developed machine learning-based classifiers that accurately predict resistance of HIV-1 strains to 33 neutralizing antibodies. Notably, our classifiers achieved an overall prediction accuracy of 96% for 212 clinical isolates from patients enrolled in four different clinical trials. Moreover, use of the tree-based machine learning method gradient boosting machine enabled us to identify critical epitope features that distinguish between antibody resistance and sensitivity. The availability of an in silico antibody resistance predictor will facilitate informed decisions of antibody usage in clinical settings.