In this study we describe the histopathologic findings from nine macaq
ues in a simian immunodeficiency virus (SIV) DNA vaccine trial evaluat
ing the ability of a 5-plasmid DNA vaccine to protect against an unclo
ned SIVmac251 challenge (Lu et al., J. Virol. 1996, 70, 3978-3991). Th
ree vaccinated and one control macaque developed disease and were euth
anized in the first year following challenge. The other four vaccinate
d and one control macaque remained clinically normal and were euthaniz
ed at the end of the trial (60 weeks post-challenge). The necropsy dat
a revealed that both diseased and clinically normal macaques had devel
oped typical SIV-related lymphoid changes, inflammatory disorders and
opportunistic infections. All animals had variable degrees of follicul
ar and/or paracortical lymphoid hyperplasia suggesting immune activati
on. All but one vaccinated macaque and both control macaques had SIV-a
ssociated opportunistic infections. Within the small groups of animals
, the ability to contain opportunistic infections was superior, and th
e overall lymphoid changes less severe, in the macaques that had recei
ved vaccine DNAs by three routes of inoculation (intravenous, intramus
cular and gene gun) than in those that had received control DNAs or va
ccine DNAs by gene gun only. In the future it will be important to fur
ther test how the route and method of DNA inoculation impact the effic
acy of immunodeficiency virus vaccines. (C) 1997 Elsevier Science Ltd.