Chlamydia trachomatis is a Gram-negative obligate intracellular bacterial pathogen. It is the leading cause of bacterial sexually transmitted disease in the world, with more than 100 million new cases of genital tract infections with C. trachomatis occurring each year. Animal models are indispensable for the study of C. trachomatis infections and the development and evaluation of candidate vaccines. In this paper, the most commonly used animal models to study female genital tract infections with C. trachomatis will be reviewed, namely, the mouse, guinea pig, and nonhuman primate models. Additionally, we will focus on the more recently developed pig model.
Chlamydia trachomatis, a Gram-negative obligate intracellular bacterium, is the leading cause of bacterial sexually transmitted disease. World Health Organization values for 2008 estimated an annual increase of over 100 million genital tract infections with C. trachomatis worldwide (1). The incidence of cases is increasing in many countries (1, 2). Genital tract infections with C. trachomatis can cause cervicitis in women and urethritis in men. However, these infections remain largely subclinical in approximately 70% of women and 50% of men and consequently are often not detected (3). Untreated infections may lead to pelvic inflammatory disease, tubal scarring, ectopic pregnancy, infertility, and chronic pelvic pain in women, epididymitis in men, and infant pneumonia in children (4-7). Uncomplicated chlamydial infections can be treated easily with antibiotics, but once infection and pathology are established, treatment may be less effective. Asymptomatic individuals can be identified through screening programs, but this approach is likely to be too costly for developing countries. A vaccination program would be much cheaper and have a greater impact in controlling C. trachomatis infections worldwide. Computer modeling suggests that even a partially efficacious chlamydial vaccination program would rapidly reduce the prevalence of genital infection (8). Animal models are indispensable for the study of C. trachomatis infections and the development and evaluation of candidate vaccines. Various animal models have been developed, including mouse (9, 10), guinea pig (11, 12), nonhuman primate (13,14), pig (15), rat (16), and rabbit (17) models. Here, the most commonly used animal models to study female genital tract infections with C. trachomatis will be reviewed, namely, the mouse, guinea pig, and nonhuman primate models. Additionally, we will focus on the more recently developed pig model.
MOUSE MODELSMice are the most commonly used animals to study genital chlamydial infections. The advantages of the mouse model are their small size, ease of handling, availability in sufficient amounts, and low cost. Moreover, there are many well-characterized inbred and knockout mouse strains available (18). The female mouse genital tract is susceptible to infection with both Chlamydia muridarum (9) and C. trachomatis (10), which has resulted in the establishment of two murine mod...