Abstract
Simian immunodeficiency virus (SIV) infection of pigtailed macaques is a highly representative and well-characterized animal model for HIV neuropathogenesis studies that provides an excellent opportunity to study and develop prognostic markers of HIV-associated neurocognitive disorders (HAND) for HIV-infected individuals. SIV studies can be performed in a controlled setting that enhances reproducibility and offers high-translational value. Similar to observations in HIV-infected patients receiving antiretroviral therapy (ART), ongoing neurodegeneration and inflammation are present in SIV-infected pigtailed macaques treated with suppressive ART. By developing quantitative viral outgrowth assays that measure both CD4+ T cells and macrophages harboring replication competent SIV as well as a highly sensitive mouse-based viral outgrowth assay, we have positioned the SIV/pigtailed macaque model to advance our understanding of latent cellular reservoirs, including potential CNS reservoirs, to promote HIV cure. In addition to contributing to our understanding of the pathogenesis of HAND, the SIV/pigtailed macaque model also provides an excellent opportunity to test innovative approaches to eliminate the latent HIV reservoir in the brain.
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References
Akay C, Cooper M, Odeleye A, Jensen BK, White MG, Vassoler F et al (2014) Antiretroviral drugs induce oxidative stress and neuronal damage in the central nervous system. J Neurovirol 20(1):39–53
Antinori A, Arendt G, Becker JT, Brew BJ, Byrd DA, Cherner M et al (2007) Updated research nosology for HIV-associated neurocognitive disorders. Neurology 69(18):1789–1799
Avalos CR, Price SL, Forsyth ER, Pin JN, Shirk EN, Bullock BT et al (2016) Quantitation of productively infected monocytes and macrophages of simian immunodeficiency virus-infected macaques. J Virol 90(12):5643–5656
Beck SE, Kelly KM, Queen SE, Adams RJ, Zink MC, Tarwater PM et al (2015a) Macaque species susceptibility to simian immunodeficiency virus: increased incidence of SIV central nervous system disease in pigtailed macaques versus rhesus macaques. J Neurovirol 21(2):148–158
Beck SE, Queen SE, Witwer KW, Metcalf Pate KA, Mangus LM, Gama L et al (2015b) Paving the path to HIV neurotherapy: predicting SIV CNS disease. Eur J Pharmacol 759:303–312
Beck SE, Queen SE, Viscidi R, Johnson D, Kent SJ, Adams RJ et al (2016) Central nervous system-specific consequences of simian immunodeficiency virus gag escape from major histocompatibility complex class I-mediated control. J Neurovirol 22(4):498–507
Brew BJ, Pemberton L, Cunningham P, Law MG (1997) Levels of human immunodeficiency virus type 1 RNA in cerebrospinal fluid correlate with AIDS dementia stage. J Infect Dis 175(4):963–966
Charlins P, Schmitt K, Remling-Mulder L, Hogan LE, Hanhauser E, Hobbs KS et al (2017) A humanized mouse-based HIV-1 viral outgrowth assay with higher sensitivity than in vitro qVOA in detecting latently infected cells from individuals on ART with undetectable viral loads. Virology 507:135–139
Dinoso JB, Rabi SA, Blankson JN, Gama L, Mankowski JL, Siliciano RF et al (2009) A simian immunodeficiency virus-infected macaque model to study viral reservoirs that persist during highly active antiretroviral therapy. J Virol 83(18):9247–9257
Dorsey JL, Mangus LM, Oakley JD, Beck SE, Kelly KM, Queen SE et al (2014) Loss of corneal sensory nerve fibers in SIV-infected macaques: an alternate approach to investigate HIV-induced PNS damage. Am J Pathol 184(6):1652–1659
Dorsey JL, Mangus LM, Hauer P, Ebenezer GJ, Queen SE, Laast VA, Adams RJ, Mankoski JL (2015) Persistent peripheral nervous system damage in simian immunodeficiency virus-infected macaques receiving antiretroviral therapy. J Neuropathology 74(11)
Ellis RJ, Hsia K, Spector SA, Nelson JA, Heaton RK, Wallace MR et al (1997) Cerebrospinal fluid human immunodeficiency virus type 1 RNA levels are elevated in neurocognitively impaired individuals with acquired immunodeficiency syndrome. HIV neurobehavioral research center group. Ann Neurol 42(5):679–688
Folks TM, Justement J, Kinter A, Dinarello CA, Fauci AS (1987) Cytokine-induced expression of HIV-1 in a chronically infected promonocyte cell line. Science 238(4828):800–802
Gama L, Abreu CM, Shirk EN, Price SL, Li M, Laird GM et al (2017) Reactivation of simian immunodeficiency virus reservoirs in the brain of virally suppressed macaques. AIDS 31(1):5–14
Heaton RK, Clifford DB, Franklin DR Jr, Woods SP, Ake C, Vaida F et al (2010) HIV-associated neurocognitive disorders persist in the era of potent antiretroviral therapy: CHARTER study. Neurology 75(23):2087–2096
Helke KL, Queen SE, Mankowski JL (2013) 14-3-3 protein in CSF reflects SIV-mediated pre-synaptic damage. Curr HIV Res 11(4):281–287
Ho YC, Shan L, Hosmane NN, Wang J, Laskey SB, Rosenbloom DI et al (2013) Replication-competent noninduced proviruses in the latent reservoir increase barrier to HIV-1 cure. Cell 155(3):540–551
Kelly KM, Beck SE, Metcalf Pate KA, Queen SE, Dorsey JL, Adams RJ et al (2013) Neuroprotective maraviroc monotherapy in simian immunodeficiency virus-infected macaques: reduced replicating and latent SIV in the brain. AIDS 27(18):F21–F28
Kuller LH, Tracy R, Belloso W, De Wit S, Drummond F, Lane HC et al (2008) Inflammatory and coagulation biomarkers and mortality in patients with HIV infection. PLoS Med 5(10):e203
Laast VA, Pardo CA, Tarwater PM, Queen SE, Reinhart TA, Ghosh M et al (2007) Pathogenesis of simian immunodeficiency virus-induced alterations in macaque trigeminal ganglia. J Neuropathol Exp Neurol 66(1):26–34
Laast VA, Shim B, Johanek LM, Dorsey JL, Hauer PE, Tarwater PM et al (2011) Macrophage-mediated dorsal root ganglion damage precedes altered nerve conduction in SIV-infected macaques. Am J Pathol 179(5):2337–2345
Levine AJ, Service S, Miller EN, Reynolds SM, Singer EJ, Shapshak P et al (2012) Genome-wide association study of neurocognitive impairment and dementia in HIV-infected adults. Am J Med Genet B Neuropsychiatr Genet 159B(6):669–683
Mangus LM, Dorsey JL, Laast VA, Hauer P, Queen SE, Adams RJ et al (2015) Neuroinflammation and virus replication in the spinal cord of simian immunodeficiency virus-infected macaques. J Neuropathol Exp Neurol 74(1):38–47
Mankowski JL, Flaherty MT, Spelman JP, Hauer DA, Didier PJ, Amedee AM et al (1997) Pathogenesis of simian immunodeficiency virus encephalitis: viral determinants of neurovirulence. J Virol 71(8):6055–6060
Mankowski JL, Queen SE, Kirstein LM, Spelman JP, Laterra J, Simpson IA et al (1999) Alterations in blood-brain barrier glucose transport in SIV-infected macaques. J Neurovirol 5(6):695–702
Mankowski JL, Clements JE, Zink MC (2002a) Searching for clues: tracking the pathogenesis of human immunodeficiency virus central nervous system disease by use of an accelerated, consistent simian immunodeficiency virus macaque model. J Infect Dis 186(Suppl 2):S199–S208
Mankowski JL, Queen SE, Tarwater PM, Fox KJ, Perry VH (2002b) Accumulation of beta-amyloid precursor protein in axons correlates with CNS expression of SIV gp41. J Neuropathol Exp Neurol 61(1):85–90
Mankowski JL, Queen SE, Tarwater PJ, Adams RJ, Guilarte TR (2003) Elevated peripheral benzodiazepine receptor expression in simian immunodeficiency virus encephalitis. J Neurovirol 9(1):94–100
Mankowski JL, Queen SE, Clements JE, Zink MC (2004) Cerebrospinal fluid markers that predict SIV CNS disease. J Neuroimmunol 157(1–2):66–70
Mankowski JL, Queen SE, Fernandez CS, Tarwater PM, Karper JM, Adams RJ et al (2008) Natural host genetic resistance to lentiviral CNS disease: a neuroprotective MHC class I allele in SIV-infected macaques. PLoS One 3(11):e3603
McArthur JC, McClernon DR, Cronin MF, Nance-Sproson TE, Saah AJ, St Clair M et al (1997) Relationship between human immunodeficiency virus-associated dementia and viral load in cerebrospinal fluid and brain. Ann Neurol 42(5):689–698
McGovern N, Schlitzer A, Gunawan M, Jardine L, Shin A, Poyner E et al (2014) Human dermal CD14(+) cells are a transient population of monocyte-derived macrophages. Immunity 41(3):465–477
Metcalf Pate KA, Lyons CE, Dorsey JL, Shirk EN, Queen SE, Adams RJ et al (2013) Platelet activation and platelet-monocyte aggregate formation contribute to decreased platelet count during acute simian immunodeficiency virus infection in pig-tailed macaques. J Infect Dis 208(6):874–883
Metcalf Pate KA, Pohlmeyer CW, Walker-Sperling VE, Foote JB, Najarro KM, Cryer CG et al (2015) A murine viral outgrowth assay to detect residual HIV type 1 in patients with undetectable viral loads. J Infect Dis 212(9):1387–1396
Meulendyke KA, Queen SE, Engle EL, Shirk EN, Liu J, Steiner JP et al (2014) Combination fluconazole/paroxetine treatment is neuroprotective despite ongoing neuroinflammation and viral replication in an SIV model of HIV neurological disease. J Neurovirol 20(6):591–602
Mothobi NZ, Brew BJ (2012) Neurocognitive dysfunction in the highly active antiretroviral therapy era. Curr Opin Infect Dis 25(1):4–9
Mudd JC, Panigrahi S, Kyi B, Moon SH, Manion MM, Younes SA et al (2016) Inflammatory function of CX3CR1+ CD8+ T cells in treated HIV infection is modulated by platelet interactions. J Infect Dis 214(12):1808–1816
Queen SE, Mears BM, Kelly KM, Dorsey JL, Liao Z, Dinoso JB et al (2011) Replication-competent simian immunodeficiency virus (SIV) gag escape mutations archived in latent reservoirs during antiretroviral treatment of SIV-infected macaques. J Virol 85(17):9167–9175
Ratai EM, Pilkenton S, He J, Fell R, Bombardier JP, Joo CG et al (2011) CD8+ lymphocyte depletion without SIV infection does not produce metabolic changes or pathological abnormalities in the rhesus macaque brain. J Med Primatol 40(5):300–309
Ravimohan S, Gama L, Engle EL, Zink MC, Clements JE (2012) Early emergence and selection of a SIV-LTR C/EBP site variant in SIV-infected macaques that increases virus infectivity. PLoS One 7(8):e42801
Saylor D, Dickens AM, Sacktor N, Haughey N, Slusher B, Pletnikov M et al (2016) HIV-associated neurocognitive disorder—pathogenesis and prospects for treatment. Nat Rev Neurol 12(4):234–248
Schmitz JE, Kuroda MJ, Santra S, Sasseville VG, Simon MA, Lifton MA et al (1999) Control of viremia in simian immunodeficiency virus infection by CD8+ lymphocytes. Science 283(5403):857–860
Shen A, Zink MC, Mankowski JL, Chadwick K, Margolick JB, Carruth LM et al (2003) Resting CD4+ T lymphocytes but not thymocytes provide a latent viral reservoir in a simian immunodeficiency virus-Macaca nemestrina model of human immunodeficiency virus type 1-infected patients on highly active antiretroviral therapy. J Virol 77(8):4938–4949
Shen A, Yang HC, Zhou Y, Chase AJ, Boyer JD, Zhang H et al (2007) Novel pathway for induction of latent virus from resting CD4(+) T cells in the simian immunodeficiency virus/macaque model of human immunodeficiency virus type 1 latency. J Virol 81(4):1660–1670
Singh MV, Davidson DC, Jackson JW, Singh VB, Silva J, Ramirez SH et al (2014) Characterization of platelet-monocyte complexes in HIV-1-infected individuals: possible role in HIV-associated neuroinflammation. J Immunol 192(10):4674–4684
Smith MZ, Dale CJ, De Rose R, Stratov I, Fernandez CS, Brooks AG et al (2005a) Analysis of pigtail macaque major histocompatibility complex class I molecules presenting immunodominant simian immunodeficiency virus epitopes. J Virol 79(2):684–695
Smith MZ, Fernandez CS, Chung A, Dale CJ, De Rose R, Lin J et al (2005b) The pigtail macaque MHC class I allele mane-a*10 presents an immundominant SIV gag epitope: identification, tetramer development and implications of immune escape and reversion. J Med Primatol 34(5–6):282–293
Swirski FK, Nahrendorf M, Etzrodt M, Wildgruber M, Cortez-Retamozo V, Panizzi P et al (2009) Identification of splenic reservoir monocytes and their deployment to inflammatory sites. Science 325(5940):612–616
Thompson KA, Kent SJ, Gahan ME, Purcell DF, McLean CA, Preiss S et al (2003) Decreased neurotropism of nef long terminal repeat (nef/LTR)-deleted simian immunodeficiency virus. J Neurovirol 9(4):442–451
van der Laan AM, Ter Horst EN, Delewi R, Begieneman MP, Krijnen PA, Hirsch A et al (2014) Monocyte subset accumulation in the human heart following acute myocardial infarction and the role of the spleen as monocyte reservoir. Eur Heart J 35(6):376–385
Wachtman LM, Tarwater PM, Queen SE, Adams RJ, Mankowski JL (2006) Platelet decline: an early predictive hematologic marker of simian immunodeficiency virus central nervous system disease. J Neurovirol 12(1):25–33
Wachtman LM, Skolasky RL, Tarwater PM, Esposito D, Schifitto G, Marder K et al (2007) Platelet decline: an avenue for investigation into the pathogenesis of human immunodeficiency virus-associated dementia. Arch Neurol 64(9):1264–1272
Weed MR, Hienz RD, Brady JV, Adams RJ, Mankowski JL, Clements JE et al (2003) Central nervous system correlates of behavioral deficits following simian immunodeficiency virus infection. J Neurovirol 9(4):452–464
Whitney JB, Hill AL, Sanisetty S, Penaloza-MacMaster P, Liu J, Shetty M et al (2014) Rapid seeding of the viral reservoir prior to SIV viraemia in rhesus monkeys. Nature 512(7512):74–77
Williams K, Burdo TH (2012) Monocyte mobilization, activation markers, and unique macrophage populations in the brain: observations from SIV infected monkeys are informative with regard to pathogenic mechanisms of HIV infection in humans. J Neuroimmune Pharmacol 7(2):363–371
Yuan Z, Kang G, Lu W, Li Q (2017) Reactivation of HIV-1 proviruses in immune-compromised mice engrafted with human VOA-negative CD4+ T cells. J Virus Erad 3(1):61–65
Zink MC, Suryanarayana K, Mankowski JL, Shen A, Piatak M Jr, Spelman JP et al (1999) High viral load in the cerebrospinal fluid and brain correlates with severity of simian immunodeficiency virus encephalitis. J Virol 73(12):10480–10488
Zink MC, Uhrlaub J, DeWitt J, Voelker T, Bullock B, Mankowski J et al (2005) Neuroprotective and anti-human immunodeficiency virus activity of minocycline. JAMA 293(16):2003–2011
Zink MC, Brice AK, Kelly KM, Queen SE, Gama L, Li M et al (2010) Simian immunodeficiency virus-infected macaques treated with highly active antiretroviral therapy have reduced central nervous system viral replication and inflammation but persistence of viral DNA. J Infect Dis 202(1):161–170
Acknowledgements
These studies were funded by NIH awards R01NS089482, R01 NS077869, P40OD0131117, R01NS055651, R56AI118753, R01AI127142, P01MH070306, and the Johns Hopkins University Center for AIDS Research P30AI094189.
Anti-retroviral compounds for these studies were kindly donated by Gilead, ViiV Healthcare, Bristol-Meyers Squibb, Merck, Abbvie, Janssen, and Roche. These studies were supported by the excellent technical staff in the Retrovirus Lab at Johns Hopkins.
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Beck, S.E., Queen, S.E., Metcalf Pate, K.A. et al. An SIV/macaque model targeted to study HIV-associated neurocognitive disorders. J. Neurovirol. 24, 204–212 (2018). https://doi.org/10.1007/s13365-017-0582-4
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DOI: https://doi.org/10.1007/s13365-017-0582-4