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Infection and Immunity, September 1999, p. 4531-4538, Vol. 67, No. 9
0019-9567/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Reactivation of Latent Tuberculosis: Variations on
the Cornell Murine Model
Charles A.
Scanga,1
V. P.
Mohan,2
Heather
Joseph,1
Keming
Yu,2
John
Chan,2,3 and
JoAnne L.
Flynn1,*
Department of Molecular Genetics and
Biochemistry, University of Pittsburgh School of Medicine, Pittsburgh,
Pennsylvania 15261,1 and Departments of
Microbiology and Immunology2 and of
Medicine,3 Albert Einstein College
of Medicine, Bronx, New York 10467
Received 16 February 1999/Returned for modification 17 March
1999/Accepted 14 June 1999
Mycobacterium tuberculosis causes active tuberculosis
in only a small percentage of infected persons. In most cases, the
infection is clinically latent, although immunosuppression can cause
reactivation of a latent M. tuberculosis infection.
Surprisingly little is known about the biology of the bacterium or the
host during latency, and experimental studies on latent tuberculosis
suffer from a lack of appropriate animal models. The Cornell model is a
historical murine model of latent tuberculosis, in which mice infected
with M. tuberculosis are treated with antibiotics
(isoniazid and pyrazinamide), resulting in no detectable bacilli by
organ culture. Reactivation of infection during this culture-negative
state occurred spontaneously and following immunosuppression. In the
present study, three variants of the Cornell model were evaluated for
their utility in studies of latent and reactivated tuberculosis. The
antibiotic regimen, inoculating dose, and antibiotic-free rest period
prior to immunosuppression were varied. A variety of immunosuppressive
agents, based on immunologic factors known to be important to control
of acute infection, were used in attempts to reactivate the infection.
Although reactivation of latent infection was observed in all three
variants, these models were associated with characteristics that limit
their experimental utility, including spontaneous reactivation,
difficulties in inducing reactivation, and the generation of altered
bacilli. The results from these studies demonstrate that the outcome of
Cornell model-based studies depends critically upon the parameters used
to establish the model.
*
Corresponding author. Mailing address: Department of
Molecular Genetics and Biochemistry, University of Pittsburgh School of
Medicine, Pittsburgh, PA 15261. Phone: (412) 624-7743. Fax: (412)
624-1401. E-mail: joanne{at}pop.pitt.edu.
Infection and Immunity, September 1999, p. 4531-4538, Vol. 67, No. 9
0019-9567/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
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