Ovine progressive pneumonia virus (OPPV) infects at least one sheep in 81% of U.S. sheep flocks, as determined by serology, and can cause viral mastitis, arthritis, dyspnea, and cachexia. Diagnostic tests that quantify OPPV proviral load in peripheral blood leukocytes (PBL) provide an additional method for identification of infected sheep and may help to further understanding of the pathogenesis of OPPV-induced disease. In this study, we compared a new OPPV real-time quantitative PCR (qPCR) assay specific for the transmembrane region of the envelope gene (tm) with a competitive inhibition enzyme-linked immunosorbent assay (cELISA) using 396 PBL samples and sera from Idaho sheep. The OPPV qPCR had a positive concordance of 96.2% ؎ 2.3% and a negative concordance of 97.7% ؎ 2.5% compared to the cELISA, with a kappa value of 0.93, indicating excellent agreement between the two tests. In addition, the presence of tm in the three OPPV qPCR-positive and cELISA-negative sheep and in 15 sheep with different OPPV proviral loads was confirmed by cloning and sequencing. These data indicate that the OPPV qPCR may be used as a supplemental diagnostic tool for OPPV infection and for measurement of viral load in PBLs of infected sheep.Ovine progressive pneumonia virus (OPPV) is also referred to as maedi-visna virus (MVV) or ovine lentivirus (OvLV) and is a member of the family Retroviridae. As with other lentiviruses, infection with OPPV is defined as successful integration of virus into the sheep genome, and this integrated virus is called provirus. OPPV provirus is found in cells of the macrophage and monocyte lineage without causing cellular ablation (13,14). Specifically, OPPV provirus has been detected in many cell types, including lung type I and II pneumocytes, interstitial and alveolar macrophages, endothelial cells, fibroblasts, colostrum cells, cumulus cells, peripheral blood mononuclear cells, and peripheral blood leukocytes (PBL) (2,4,6,8,11,17,18,27). Plasma viremias are thought to be low in OPPV-infected sheep (3); therefore, measuring OPPV provirus loads may be the best way to quantitate virus in vivo.Determination of the severity of OPPV-induced clinical disease has been primarily based upon postmortem pathological assessment of lung tissue, since sheep with lung lesions typically manifest one or more of various clinical signs, such as dyspnea, mastitis, arthritis, cachexia, and central nervous system disorders, prior to euthanasia (5). Subsequent reanalysis of the data from an earlier pathogenesis study showed that the presence of lung lesions (mild, moderate, or severe) correlates significantly with the presence of provirus in alveolar macrophages using PCR specific for ltr and pol (Fisher's exact test, two-sided P value ϭ 0.0003) (4). In addition, sheep with lung lesions had Ͼ10-fold more pol copies in their alveolar macrophages, determined by a quantitative PCR (qPCR), than sheep without lung lesions (27). Currently, it is unknown whether OPPV provirus load in PBL can be used as predictor of clinical diseas...