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Thrombocytopenia is strongly associated with simian AIDS in pigtail macaques
Sheilajen Alcantara1, Jeanette Reece, Thakshila Amarasena
1Department of Microbiology and Immunology, University of Melbourne, Melbourne, Australia.
Abstract:
Simian AIDS has a variable time course and presentation making it difficult to define disease effects of progressive simian immunodeficiency virus (SIV) infection. We commonly observed thrombocytopenia (TCP) associated with progressive SIV infection of pigtail macaques (Macaca nemestrina). We therefore analyzed the relationship between platelet counts, viral load (VL), and CD4 T-cell levels in 44 unselected macaques with chronic SIV infection. Persistent TCP was observed in 70% of pigtail macaques infected with SIVmac251 for up to 77 weeks in the absence of clinically significant bleeding. The presence of TCP correlated with higher SIV plasma VLs and depressed total and memory CD4 T cells. TCP was more common in macaques requiring euthanasia for incipient AIDS than macaques that survived to the end of the studies, although VL and CD4 T-cell decline were stronger independent predictors of AIDS-free survival. There was however no clear correlation between the development of TCP and immune activation as measured by plasma soluble CD14. We conclude that TCP is a useful end point to analyze SIV studies in pigtail macaques.
Insights
Thrombocytopenia (TCP), or low platelet count, is common in simian immunodeficiency virus (SIV) infection in macaques. This finding suggests TCP can serve as a useful marker in SIV research.
Area of Science:
- Veterinary Medicine
- Immunology
- Virology
Background:
- Simian immunodeficiency virus (SIV) infection in macaques presents a variable disease course, complicating the assessment of progressive infection.
- Thrombocytopenia (TCP) is frequently observed during progressive SIV infection in pigtail macaques (Macaca nemestrina).
Purpose of the Study:
- To analyze the relationship between platelet counts, viral load (VL), and CD4 T-cell levels in chronically SIV-infected pigtail macaques.
- To evaluate the utility of TCP as an endpoint in simian AIDS research.
Main Methods:
- Analysis of platelet counts, plasma viral load (VL), and CD4 T-cell levels in 44 unselected pigtail macaques with chronic SIV infection.
- Correlation analysis between TCP, VL, CD4 T-cell counts, and clinical outcomes.
Main Results:
- Persistent TCP was observed in 70% of macaques infected with SIVmac251 for up to 77 weeks without significant bleeding.
- TCP correlated with higher SIV plasma VLs and reduced CD4 T-cell counts (total and memory).
- TCP was more prevalent in macaques euthanized due to incipient AIDS compared to survivors, though VL and CD4 T-cell decline were stronger predictors of AIDS-free survival.
Conclusions:
- Thrombocytopenia is a common finding in SIV-infected pigtail macaques and correlates with disease progression markers.
- TCP is a potentially useful endpoint for evaluating SIV studies in pigtail macaques.
- Immune activation, measured by soluble CD14, did not clearly correlate with TCP development.
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