title: Mycobacterium avium complex in macaques with AIDS is associated with a specific strain of simian immunodeficiency virus and prolonged survival after primary infection.
abstract: Mycobacterium avium complex (MAC) in simian immunodeficiency virus (SIV)-infected macaques is a frequent opportunistic infection that shares many features with the condition in human AIDS patients. A retrospective analysis of necropsies on 135 macaques with SIV-induced simian AIDS that received neither antiretroviral nor antimicrobial therapy revealed that 17% (23/135) were infected with MAC. MAC developed in 31.3% (21/67) of the animals inoculated with uncloned SIVmac251 versus 1.9% (1/53) and 6.7% (1/15) of the animals inoculated with the molecular clones SIVmac239 and SIVmac239/316EM, respectively (P = .001). This is the first example in which the risk of infection with a specific opportunistic organism was affected by the infecting strain of immunodeficiency virus. In addition, animals with MAC had a longer mean survival after primary infection and lower CD4 cell counts at death than animals that did not develop this opportunistic infection. The SIV-inoculated macaque is a valuable model in which to study the pathogenesis of MAC in the immunocompromised host.
authors.affiliation: New England Regional Primate Research Center, Harvard Medical School, Southborough, Massachusetts 01772-9012, USA.
authors.forename: K G
authors.initials: KG
authors.lastname: Mansfield
authors.forename: D
authors.initials: D
authors.lastname: Pauley
authors.forename: H L
authors.initials: HL
authors.lastname: Young
authors.forename: A A
authors.initials: AA
authors.lastname: Lackner
mesh_terms: D000005:Abdomen / Q000473:pathology; D000367:Age Factors; D000818:Animals; D005260:Female; D008198:Lymph Nodes / Q000473:pathology; D008251:Macaca; D008297:Male; D009162:Mycobacterium avium; D009894:Opportunistic Infections / Q000209:etiology / Q000662:veterinary*; D012189:Retrospective Studies; D016097:Simian Acquired Immunodeficiency Syndrome / Q000150:complications / Q000821:virology*; D013045:Species Specificity; D016019:Survival Analysis; D014376:Tuberculosis / Q000209:etiology / Q000662:veterinary*