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恒河猴因感染猿猴免疫缺陷病毒而导致潜伏性结核复发。

Reactivation of latent tuberculosis in rhesus macaques by coinfection with simian immunodeficiency virus.

作者信息

Mehra Smriti, Golden Nadia A, Dutta Noton K, Midkiff Cecily C, Alvarez X, Doyle Lara A, Asher Majdouline, Russell-Lodrigue Kasi, Monjure Chris, Roy Chad J, Blanchard James L, Didier Peter J, Veazey Ronald S, Lackner Andrew A, Kaushal Deepak

机构信息

Divisions of Bacteriology & Parasitology, Tulane National Primate Research Center, Covington, LA 70433, USA.

出版信息

J Med Primatol. 2011 Aug;40(4):233-43. doi: 10.1111/j.1600-0684.2011.00485.x.

DOI:10.1111/j.1600-0684.2011.00485.x
PMID:21781131
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3227019/
Abstract

BACKGROUND

Tuberculosis (TB) and AIDS together present a devastating public health challenge. Over 3 million deaths every year are attributed to these twin epidemics. Annually, ∼11 million people are coinfected with HIV and Mycobacterium tuberculosis (Mtb). AIDS is thought to alter the spontaneous rate of latent TB reactivation.

METHODOLOGY

Macaques are excellent models of both TB and AIDS. Therefore, it is conceivable that they can also be used to model coinfection. Using clinical, pathological, and microbiological data, we addressed whether latent TB infection in rhesus macaques can be reactivated by infection with simian immunodeficiency virus (SIV).

RESULTS

A low-dose aerosol infection of rhesus macaques with Mtb caused latent, asymptomatic TB infection. Infection of macaques exhibiting latent TB with a rhesus-specific strain of SIV significantly reactivated TB.

CONCLUSIONS

Rhesus macaques are excellent model of TB/AIDS coinfection and can be used to study the phenomena of TB latency and reactivation.

摘要

背景

结核病(TB)和艾滋病共同构成了严峻的公共卫生挑战。每年有超过300万人死于这两种流行病。每年约有1100万人同时感染艾滋病毒和结核分枝杆菌(Mtb)。艾滋病被认为会改变潜伏性结核病再激活的自然发生率。

方法

猕猴是结核病和艾滋病的优秀模型。因此,可以想象它们也可用于模拟合并感染。利用临床、病理和微生物学数据,我们探讨了恒河猴的潜伏性结核感染是否会因感染猴免疫缺陷病毒(SIV)而被激活。

结果

用Mtb对恒河猴进行低剂量气溶胶感染导致潜伏性、无症状的结核感染。用恒河猴特异性SIV毒株感染表现出潜伏性结核的猕猴可显著激活结核病。

结论

恒河猴是结核病/艾滋病合并感染的优秀模型,可用于研究结核病潜伏和再激活现象。

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CD4(+) regulatory T cells in a cynomolgus macaque model of Mycobacterium tuberculosis infection.结核分枝杆菌感染食蟹猴模型中的 CD4(+) 调节性 T 细胞。
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Concurrent TB and HIV therapies effectively control clinical reactivation of TB during co-infection but fail to eliminate chronic immune activation.同时进行的结核病和艾滋病治疗能有效控制合并感染期间结核病的临床复发,但无法消除慢性免疫激活。
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Indoleamine-2,3-dioxygenase inhibition improves immunity and is safe for concurrent use with cART during Mtb/SIV coinfection.吲哚胺-2,3-双加氧酶抑制可增强免疫力,在结核分枝杆菌/猴免疫缺陷病毒合并感染期间与抗逆转录病毒治疗同时使用是安全的。
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