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Focal segmental glomerulosclerosis in primates infected with a simian immunodeficiency virus

C E Alpers1, C C Tsai, K L Hudkins

  • 1Department of Pathology, School of Medicine, University of Washington, Seattle 98195, USA.

Insights

Simian immunodeficiency virus (SIV) infection in macaques can cause focal and segmental glomerulosclerosis (FSG), a key lesion in human HIV-associated nephropathy. This finding supports SIV-infected primates as a valuable model for studying HIV kidney disease.

Area of Science:

  • Nephrology
  • Virology
  • Pathology

Background:

  • Focal and segmental glomerulosclerosis (FSG) with endothelial tubuloreticular inclusions (TRIs) characterizes human HIV-associated glomerulopathy.
  • Simian immunodeficiency virus (SIV) and simian acquired immunodeficiency syndrome (SAIDS) retroviruses cause immunodeficiency in nonhuman primates.

Purpose of the Study:

  • To investigate the renal pathology in macaques experimentally infected with simian immunodeficiency virus (SIVMne).
  • To compare SIVMne-induced pathology with that caused by a type D simian retrovirus (SRV-2).
  • To evaluate the utility of SIV-infected primates as a model for human HIV-associated nephropathy.

Main Methods:

  • Autopsy and ultrastructural studies of macaques experimentally infected with SIVMne.
  • Autopsy studies of macaques infected with SRV-2.
  • Analysis of viremia and antibody development post-infection.

Main Results:

  • FSG with endothelial TRIs was observed in 3 of 15 SIVMne-infected macaques.
  • Mesangial expansion and cell injury were common in SIVMne-infected animals.
  • No FSG was found in 40 SRV-2 infected macaques; one showed mild glomerulonephritis.
  • SIV-infected macaques exhibited viremia and developed antibodies to SIV.

Conclusions:

  • SIV-infected primates represent a relevant model for studying human HIV-associated nephropathy.
  • Distinct retroviruses in primates can lead to variable pathologies, including simian immunodeficiency states resembling human AIDS.

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