Reactivation of latent tuberculosis: variations on the Cornell murine model

CA Scanga, VP Mohan, H Joseph, K Yu… - Infection and …, 1999 - Am Soc Microbiol
CA Scanga, VP Mohan, H Joseph, K Yu, J Chan, JAL Flynn
Infection and immunity, 1999Am Soc Microbiol
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 …
Abstract
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.
American Society for Microbiology