Abstract
The extent of zoonotic infections in rural Sierra Leone, where both feral and pet sooty mangabeys harbor divergent members of the human immunodeficiency virus type 2 (HIV-2)-sooty mangabey simian immunodeficiency virus (SIVsm) family, was tested in blood samples collected from 9,309 human subjects in 1993. Using HIV-1- and HIV-2-specific enzyme immunoassays and confirmatory Western blot analysis to test for antibodies to SIVsm-related lentiviruses, we found only nine subjects (0.096%) who tested positive for HIV: seven tested positive for HIV-1 and two tested positive for HIV-2. Compared with other rural West African communities, Sierra Leone displayed the lowest seroprevalence (0.021%) of HIV-2 infection yet reported, much lower than the previously reported seroprevalence in SIVsm-infected feral and household pet sooty mangabeys. Heteroduplex analysis demonstrated that two of the newly found HIV-1 strains belonged to subtype A, the most common HIV-1 subtype in Africa, but this is the first report of subtype A in Sierra Leone. The two HIV-2-infected individuals harbored two distinct HIV-2 strains, designated 93SL1 and 93SL2. Phylogenetic analysis indicated that HIV-2 93SL1 is a member of HIV-2 subtype A, the first strain of this HIV-2 subtype found in Sierra Leone. In contrast, HIV-2 93SL2 belongs to none of the five previously characterized HIV-2 subtypes (A to E) but is a new subtype, herein designated F, having the most divergent transmembrane sequences yet reported for HIV-2. The fact that both of the two most divergent HIV-2 subtypes known, E and F, are rare and found as single occurrences in persons from Sierra Leone may be related to the fact that this small region of West Africa also contains free-living and household pet sooty mangabeys with highly divergent variants of SIVsm. This finding provides support for the hypotheses that new HIV-2 subtypes result from independent cross-species transmission of SIVsm to the human population and that these single-occurrence transmission events had not spread widely into the population by 1993.
Full Text
The Full Text of this article is available as a PDF (1.1 MB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Adjovi C., Josse R., Foundohou J., Helynck B., Davo N. HIV seroprevalence rates in Benin. AIDS. 1994 Jul;8(7):1021–1022. doi: 10.1097/00002030-199407000-00029. [DOI] [PubMed] [Google Scholar]
- Ancelle R., Bletry O., Baglin A. C., Brun-Vezinet F., Rey M. A., Godeau P. Long incubation period for HIV-2 infection. Lancet. 1987 Mar 21;1(8534):688–689. doi: 10.1016/s0140-6736(87)90454-5. [DOI] [PubMed] [Google Scholar]
- Bachmann M. H., Delwart E. L., Shpaer E. G., Lingenfelter P., Singal R., Mullins J. I. Rapid genetic characterization of HIV type 1 strains from four World Health Organization-sponsored vaccine evaluation sites using a heteroduplex mobility assay. WHO Network for HIV Isolation and Characterization. AIDS Res Hum Retroviruses. 1994 Nov;10(11):1345–1353. doi: 10.1089/aid.1994.10.1345. [DOI] [PubMed] [Google Scholar]
- Buonaguro L., Del Guadio E., Monaco M., Greco D., Corti P., Beth-Giraldo E., Buonaguro F. M., Giraldo G. Heteroduplex mobility assay and phylogenetic analysis of V3 region sequences of human immunodeficiency virus type 1 isolates from Gulu, northern Uganda. The Italian-Ugandan Cooperation AIDS Program. J Virol. 1995 Dec;69(12):7971–7981. doi: 10.1128/jvi.69.12.7971-7981.1995. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Chen Z., Telfer P., Reed P., Zhang L., Getti A., Ho D. D., Marx P. A. Isolation and characterization of the first simian immunodeficiency virus from a feral sooty mangabey (Cercocebus atys) in West Africa. J Med Primatol. 1995 May;24(3):108–115. doi: 10.1111/j.1600-0684.1995.tb00155.x. [DOI] [PubMed] [Google Scholar]
- Chen Z., Telfier P., Gettie A., Reed P., Zhang L., Ho D. D., Marx P. A. Genetic characterization of new West African simian immunodeficiency virus SIVsm: geographic clustering of household-derived SIV strains with human immunodeficiency virus type 2 subtypes and genetically diverse viruses from a single feral sooty mangabey troop. J Virol. 1996 Jun;70(6):3617–3627. doi: 10.1128/jvi.70.6.3617-3627.1996. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Clavel F., Guétard D., Brun-Vézinet F., Chamaret S., Rey M. A., Santos-Ferreira M. O., Laurent A. G., Dauguet C., Katlama C., Rouzioux C. Isolation of a new human retrovirus from West African patients with AIDS. Science. 1986 Jul 18;233(4761):343–346. doi: 10.1126/science.2425430. [DOI] [PubMed] [Google Scholar]
- De Cock K. M., Adjorlolo G., Ekpini E., Sibailly T., Kouadio J., Maran M., Brattegaard K., Vetter K. M., Doorly R., Gayle H. D. Epidemiology and transmission of HIV-2. Why there is no HIV-2 pandemic. JAMA. 1993 Nov 3;270(17):2083–2086. doi: 10.1001/jama.270.17.2083. [DOI] [PubMed] [Google Scholar]
- Delwart E. L., Herring B., Rodrigo A. G., Mullins J. I. Genetic subtyping of human immunodeficiency virus using a heteroduplex mobility assay. PCR Methods Appl. 1995 Apr;4(5):S202–S216. doi: 10.1101/gr.4.5.s202. [DOI] [PubMed] [Google Scholar]
- Delwart E. L., Shpaer E. G., Louwagie J., McCutchan F. E., Grez M., Rübsamen-Waigmann H., Mullins J. I. Genetic relationships determined by a DNA heteroduplex mobility assay: analysis of HIV-1 env genes. Science. 1993 Nov 19;262(5137):1257–1261. doi: 10.1126/science.8235655. [DOI] [PubMed] [Google Scholar]
- Gao F., Yue L., Robertson D. L., Hill S. C., Hui H., Biggar R. J., Neequaye A. E., Whelan T. M., Ho D. D., Shaw G. M. Genetic diversity of human immunodeficiency virus type 2: evidence for distinct sequence subtypes with differences in virus biology. J Virol. 1994 Nov;68(11):7433–7447. doi: 10.1128/jvi.68.11.7433-7447.1994. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gao F., Yue L., White A. T., Pappas P. G., Barchue J., Hanson A. P., Greene B. M., Sharp P. M., Shaw G. M., Hahn B. H. Human infection by genetically diverse SIVSM-related HIV-2 in west Africa. Nature. 1992 Aug 6;358(6386):495–499. doi: 10.1038/358495a0. [DOI] [PubMed] [Google Scholar]
- Gershy-Damet G. M., Koffi K., Soro B., Coulibaly A., Koffi D., Sangare V., Josseran R., Guelain J., Aoussi E., Odehouri K. Seroepidemiological survey of HIV-1 and HIV-2 infections in the five regions of Ivory Coast. AIDS. 1991 Apr;5(4):462–463. doi: 10.1097/00002030-199104000-00022. [DOI] [PubMed] [Google Scholar]
- Guyader M., Emerman M., Sonigo P., Clavel F., Montagnier L., Alizon M. Genome organization and transactivation of the human immunodeficiency virus type 2. Nature. 1987 Apr 16;326(6114):662–669. doi: 10.1038/326662a0. [DOI] [PubMed] [Google Scholar]
- Ho D. D., Lee S., Moudgil T., Kerndt P. R. HIV-2 in Los Angeles. AIDS. 1990 Dec;4(12):1301–1302. doi: 10.1097/00002030-199012000-00028. [DOI] [PubMed] [Google Scholar]
- Killewo J., Nyamuryekunge K., Sandström A., Bredberg-Rådén U., Wall S., Mhalu F., Biberfeld G. Prevalence of HIV-1 infection in the Kagera region of Tanzania: a population-based study. AIDS. 1990 Nov;4(11):1081–1085. doi: 10.1097/00002030-199011000-00005. [DOI] [PubMed] [Google Scholar]
- Levy J. A. Pathogenesis of human immunodeficiency virus infection. Microbiol Rev. 1993 Mar;57(1):183–289. doi: 10.1128/mr.57.1.183-289.1993. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Marlink R., Kanki P., Thior I., Travers K., Eisen G., Siby T., Traore I., Hsieh C. C., Dia M. C., Gueye E. H. Reduced rate of disease development after HIV-2 infection as compared to HIV-1. Science. 1994 Sep 9;265(5178):1587–1590. doi: 10.1126/science.7915856. [DOI] [PubMed] [Google Scholar]
- Marlink R. Lessons from the second AIDS virus, HIV-2. AIDS. 1996 Jun;10(7):689–699. doi: 10.1097/00002030-199606001-00002. [DOI] [PubMed] [Google Scholar]
- Marx P. A., Li Y., Lerche N. W., Sutjipto S., Gettie A., Yee J. A., Brotman B. H., Prince A. M., Hanson A., Webster R. G. Isolation of a simian immunodeficiency virus related to human immunodeficiency virus type 2 from a west African pet sooty mangabey. J Virol. 1991 Aug;65(8):4480–4485. doi: 10.1128/jvi.65.8.4480-4485.1991. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Mnyika K. S., Klepp K. I., Kvåle G., Nilssen S., Kissila P. E., Ole-King'ori N. Prevalence of HIV-1 infection in urban, semi-urban and rural areas in Arusha region, Tanzania. AIDS. 1994 Oct;8(10):1477–1481. doi: 10.1097/00002030-199410000-00016. [DOI] [PubMed] [Google Scholar]
- Mulder D. W., Nunn A. J., Wagner H. U., Kamali A., Kengeya-Kayondo J. F. HIV-1 incidence and HIV-1-associated mortality in a rural Ugandan population cohort. AIDS. 1994 Jan;8(1):87–92. doi: 10.1097/00002030-199401000-00013. [DOI] [PubMed] [Google Scholar]
- Myers G., MacInnes K., Korber B. The emergence of simian/human immunodeficiency viruses. AIDS Res Hum Retroviruses. 1992 Mar;8(3):373–386. doi: 10.1089/aid.1992.8.373. [DOI] [PubMed] [Google Scholar]
- Serwadda D., Wawer M. J., Musgrave S. D., Sewankambo N. K., Kaplan J. E., Gray R. H. HIV risk factors in three geographic strata of rural Rakai District, Uganda. AIDS. 1992 Sep;6(9):983–989. doi: 10.1097/00002030-199209000-00012. [DOI] [PubMed] [Google Scholar]
- Shao J., Brubaker G., Levin A., Kibauri A., Massesa E., Siso Z., Konings E., Clayton Y., Kumby D., Alexander S. Population-based study of HIV-1 infection in 4,086 subjects in northwest Tanzania. J Acquir Immune Defic Syndr. 1994 Apr;7(4):397–402. [PubMed] [Google Scholar]
- Ungphakorn J., Sittitrai W. The Thai response to the HIV/AIDS epidemic. AIDS. 1994;8 (Suppl 2):S155–S163. [PubMed] [Google Scholar]
- Wawer M. J., Sewankambo N. K., Berkley S., Serwadda D., Musgrave S. D., Gray R. H., Musagara M., Stallings R. Y., Konde-Lule J. K. Incidence of HIV-1 infection in a rural region of Uganda. BMJ. 1994 Jan 15;308(6922):171–173. doi: 10.1136/bmj.308.6922.171. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wilkins A., Ricard D., Todd J., Whittle H., Dias F., Paulo Da Silva A. The epidemiology of HIV infection in a rural area of Guinea-Bissau. AIDS. 1993 Aug;7(8):1119–1122. doi: 10.1097/00002030-199308000-00015. [DOI] [PubMed] [Google Scholar]
- Zhang L. Q., MacKenzie P., Cleland A., Holmes E. C., Brown A. J., Simmonds P. Selection for specific sequences in the external envelope protein of human immunodeficiency virus type 1 upon primary infection. J Virol. 1993 Jun;67(6):3345–3356. doi: 10.1128/jvi.67.6.3345-3356.1993. [DOI] [PMC free article] [PubMed] [Google Scholar]