Differential tumor necrosis factor alpha production in simian immunodeficiency virus-infected rhesus macaques coinfected with Mycobacterium avium

Mycobacterium avium infections are the third most common opportunistic infe ction in patients with AIDS. Simian immunodeficiency virus (SIV)-infected r hesus macaques naturally acquire M. avium infections from the environment, and their clinical symptoms are similar to those observed in AIDS patients. We characterized concurrent infection with SIV and M. avium in monkeys on the basis of the growth of the bacteria in macrophages (M phi s) from rhesu s macaques and the ability of M. avium to induce SIV replication and tumor necrosis factor alpha (TNF-alpha) production. The simian M. avium isolate g rew significantly better than did an isolate from an AIDS patient or a chic ken isolate (P = .001); it induced significantly more TNF-alpha production in M phi s from SIV-positive and SIV-negative monkeys than did the isolate from an AIDS patient (P = .013). No significant increase in SIV replication was seen in the M. avium isolates, and no correlation aas found between in creased SIV replication and increased TNF-alpha production. in addition, M phi s from monkeys infected with M. avium during late-stage SIV disease pro duced less TNF-alpha when stimulated with virulent M. avium.