Despite many theoretical incompatibilities between mouse and human cells, mice with reconstituted human immune system components contain nearly all human leukocyte populations. Accordingly, several human-tropic pathogens have been investigated in these in vivo models of the human immune system, including viruses such as human immunodeficiency virus (HIV) and Epstein-Barr virus (EBV), as well as bacteria such as Mycobacterium tuberculosis and Salmonella enterica Typhi. While these studies initially aimed to establish similarities in the pathogenesis of infections between these models and the pathobiology in patients, recent investigations have provided new and interesting functional insights into the protective value of certain immune compartments and altered pathology upon mutant pathogen infections. As more tools and methodologies are developed to make these models more versatile to study human immune responses in vivo, such improvements build toward small animal models with human immune components, which could predict immune responses to therapies and vaccination in human patients.
Keywords:Dengue virus r EBV r HIV r Mycobacterium tuberculosis r Salmonella enterica typhi
IntroductionThe complexity of infections and the corresponding elicited immune responses are best investigated in animal models that allow the manipulation of the timing and dose of infection, as well as of the responding immune compartments. Small animal models, such as the mouse, are preferred for these types of investigations due to low costs and ease of handling. However, divergent evolution between these small mammals and humans in the past 65 million years has rendered the immune system the third most different organ system between the two species, after olfaction and reproduction [1]. Many of these differences are found in the innate immune system, which ensures the initial survival of the infected host and also recognizes pathogens by their molecular patterns [2]. This divergence probably results from the different Correspondence: Prof. Christian Münz e-mail: christian.muenz@uzh.ch infectious disease challenges associated with the respective ecological niches that these two species inhabit. Unfortunately, these differences between the mouse and human immune systems also result in dissimilar inflammatory responses to burns, trauma, and endotoxemia at the gene expression level, such as integrin, ICOS-ICOSL, CD28, and PKC signaling [3]. Therefore, alternatives to classical mouse models, which more closely model human immune system behavior during infection in vivo, would be of significant benefit for the development of immunomodulatory treatments.The category of new models, which comes closest to achieving this goal, is mice with reconstituted human immune system components. These mice are mainly generated by neonatal injection of human hematopoietic progenitor cells in mice that lack murine innate and adaptive lymphocytes, namely NOD-scid γ c −/− (NSG), (Fig. 1). For some studies, a fetal organoid of liver and thymic tissue is implanted ...