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Antimicrobial Agents and Chemotherapy, September 2000, p. 2399-2405, Vol. 44, No. 9
Department of Veterinary
Biosciences,1 The Center for Retrovirus
Research,2 and Comprehensive Cancer
Center,3 The Ohio State University,
Columbus, Ohio 43210
Received 18 January 2000/Returned for modification 13 March
2000/Accepted 20 June 2000
The thymus is a major target organ in human immunodeficiency virus
type 1 (HIV-1)-infected children and feline immunodeficiency virus
(FIV)-infected young cats (G. A. Dean and N. C. Pedersen, J. Virol. 72:9436-9440, 1998; J. L. Heeney, Immunol. Today
16:515-520, 1995; S. M. Schnittman et al., Proc. Natl. Acad. Sci.
USA 87:7727-7731, 1990; T. A. Seemayer et al., Hum. Pathol.
15:469-474, 1984; H.-J. Shuurn et al., Am. J. Pathol.
134:1329-1338, 1989; J. C. Woo et al., J. Virol.
71:8632-8641, 1997; J. C. Woo et al., AIDS Res. Hum. Retrovir.
15:1377-1388, 1999). It is likely that the accelerated disease process
in children and cats is due to infection of the thymus during the time
when generation of naive T lymphocytes is needed for development of the
mature immune system. Zidovudine (ZDV) monotherapy, which is used to
prevent and treat perinatal HIV-1 infection (R. Sperling, Infect. Dis.
Obstet. Gynecol. 6:197-203, 1998), previously had been shown to reduce
viral burden in FIV-infected young cats (K. A. Hayes et al., J. Acquir. Immune Defic. Syndr. 6:127-134, 1993). The purpose of this
study was to evaluate the effect of drug-induced reduction of viral
burden in the thymus on virus-mediated thymic involution and peripheral
blood CD4 decline using FIV-infected cats as a model for pediatric
HIV-1 infection. Eight-week-old cats were randomly assigned to
uninfected, saline-treated; uninfected, ZDV-treated; FIV-infected,
saline-treated; and FIV-infected, ZDV-treated groups. Parameters
measured included blood lymphocyte numbers, viral load in blood and
thymic tissue, and thymic histopathology. While the viral burden was
significantly reduced by ZDV monotherapy in peripheral blood
lymphocytes, plasma, and thymus, thymic lesions were similar for the
treated and untreated FIV-infected cats. Further, markedly lowering the
viral burden did not increase blood CD4 lymphocyte numbers or prevent
their decline. The data suggest that an inflammatory process continued
in spite of reduced virus replication. These observations imply that
reducing virus load and limiting thymic inflammation are separate
factors that must be addressed when considering therapeutic strategies
aimed at preserving thymic function.
0066-4804/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Antiviral Therapy Reduces Viral Burden but Does Not
Prevent Thymic Involution in Young Cats Infected with Feline
Immunodeficiency Virus
and
*
Corresponding author. Mailing address: The Ohio State
University, Center for Retrovirus Research, 1925 Coffey Rd., Columbus, OH 43210. Phone: (614) 292-5661. Fax: (614) 292-7599. E-mail: mathes.2{at}osu.edu.
Present address: Novartis Pharmaceuticals, East Hanover, NJ 07936.
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