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.

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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