Definition
Dual HIV-1 and HIV-2 infection is the coexistence of the two viruses in an individual. It is most frequent in West Africa where HIV-2 is endemic. Dual HIV infection can be proven only by the presence of both HIV-1 and HIV-2 DNA or RNA using type-specific PCR for the isolation of both viruses from the same individual. However, HIV-2 RNA may not be detectable and therefore cannot be used as a diagnostic test. In addition, diagnosis based on rapid HIV testing, often used in West Africa, is often unreliable.
Introduction
Although human immunodeficiency virus type 1 (HIV-1) infection is responsible for most of the global AIDS pandemic, HIV type 2 (HIV-2) is an important cause of disease in a number of regions of the world. However, based on this origin (Kanki et al. 1987), HIV-2 epidemic has remained essentially confined to West Africa with a limited spread to other regions (Kanki et al. 1987). In West Africa, 9–16 % of HIV-infected patients are estimated to be dually infected...
References
Benard A, van Sighem A, Taieb A, Valadas E, Ruelle J, Soriano V, et al. Immunovirological response to triple nucleotide reverse-transcriptase inhibitors and ritonavir-boosted protease inhibitors in treatment-naive HIV-2-infected patients: the ACHIEV2E Collaboration Study Group. Clin Infect Dis. 2011;52(10):1257–66.
Chang LW, Osei-Kwasi M, Boakye D, Aidoo S, Hagy A, Curran JW, et al. HIV-1 and HIV-2 seroprevalence and risk factors among hospital outpatients in the Eastern Region of Ghana, West Africa. J Acquir Immune Defic Syndr. 2002;29(5):511–6.
Chang M, Gottlieb GS, Dragavon JA, Cherne SL, Kenney DL, Hawes SE, et al. Validation for clinical use of a novel HIV-2 plasma RNA viral load assay using the Abbott m2000 platform. J Clin Virol. 2012;55(2):128–33.
da Silva ZJ, Oliveira I, Andersen A, Dias F, Rodrigues A, Holmgren B, et al. Changes in prevalence and incidence of HIV-1, HIV-2 and dual infections in urban areas of Bissau, Guinea-Bissau: is HIV-2 disappearing? AIDS. 2008;22(10):1195–202.
Damond F, Loussert-Ajaka I, Apetrei C, Descamps D, Souquiere S, Lepretre A, et al. Highly sensitive method for amplification of human immunodeficiency virus type 2 DNA. J Clin Microbiol. 1998;36(3):809–11.
Drylewicz J, Matheron S, Lazaro E, Damond F, Bonnet F, Simon F, et al. Comparison of viro-immunological marker changes between HIV-1 and HIV-2-infected patients in France. AIDS. 2008;22(4):457–68.
Drylewicz J, Eholie S, Maiga M, Zannou DM, Sow PS, Ekouevi DK, et al. First-year lymphocyte T CD4+ response to antiretroviral therapy according to the HIV type in the IeDEA West Africa collaboration. AIDS. 2010;24(7):1043–50.
Esbjornsson J, Mansson F, Kvist A, Isberg PE, Nowroozalizadeh S, Biague AJ, et al. Inhibition of HIV-1 disease progression by contemporaneous HIV-2 infection. N Engl J Med. 2012;367(3):224–32.
Gottlieb GS, Hawes SE, Wong KG, Raugi DN, Agne HD, Critchlow CW, et al. HIV type 2 protease, reverse transcriptase, and envelope viral variation in the PBMC and genital tract of ARV-naive women in Senegal. AIDS Res Hum Retroviruses. 2008a;24(6):857–64.
Gottlieb GS, Eholie SP, Nkengasong JN, Jallow S, Rowland-Jones S, Whittle HC, et al. A call for randomized controlled trials of antiretroviral therapy for HIV-2 infection in West Africa. AIDS. 2008b;22(16):2069–72; discussion 73–4.
Gunthard HF, Huber M, Kuster H, Shah C, Schupbach J, Trkola A, et al. HIV-1 superinfection in an HIV-2-infected woman with subsequent control of HIV-1 plasma viremia. Clin Infect Dis. 2009;48(11):e117–20.
Holmgren B, da Silva Z, Larsen O, Vastrup P, Andersson S, Aaby P. Dual infections with HIV-1, HIV-2 and HTLV-I are more common in older women than in men in Guinea-Bissau. AIDS. 2003;17(2):241–53.
Jallow S, Alabi A, Sarge-Njie R, Peterson K, Whittle H, Corrah T, et al. Virological response to highly active antiretroviral therapy in patients infected with human immunodeficiency virus type 2 (HIV-2) and in patients dually infected with HIV-1 and HIV-2 in the Gambia and emergence of drug-resistant variants. J Clin Microbiol. 2009;47(7):2200–8.
Kanki PJ, Hopper JR, Essex M. The origins of HIV-1 and HTLV-4/HIV-2. Ann N Y Acad Sci. 1987;511:370–5.
Kanki PJ, Travers KU, MBoup S, Hsieh CC, Marlink RG, Gueye NA, et al. Slower heterosexual spread of HIV-2 than HIV-1. Lancet. 1994;343(8903):943–6.
Koblavi-Deme S, Kestens L, Hanson D, Otten RA, Borget MY, Bile C, et al. Differences in HIV-2 plasma viral load and immune activation in HIV-1 and HIV-2 dually infected persons and those infected with HIV-2 only in Abidjan, Cote D’Ivoire. AIDS. 2004;18(3):413–9.
Landman R, Damond F, Gerbe J, Brun-Vezinet F, Yeni P, Matheron S. Immunovirological and therapeutic follow-up of HIV-1/HIV-2-dually seropositive patients. AIDS. 2009;23(3):426–8.
Otten RA, Adams DR, Kim CN, Pullium JK, Sawyer T, Jackson E, et al. Chronic HIV-2 infection protects against total CD4+ cell depletion and rapid disease progression induced by SHIV89.6p challenge. AIDS. 2004;18(8):1127–35.
Peeters M, Gershy-Damet GM, Fransen K, Koffi K, Coulibaly M, Delaporte E, et al. Virological and polymerase chain reaction studies of HIV-1/HIV-2 dual infection in Cote d’Ivoire. Lancet. 1992;340(8815):339–40.
RESAPSI, IMEA. Workshop on cohort studies of HIV-2 infected and of HIV-1 + 2 dually infected individuals. Praia, Cape Verde, 14–16 Mar 2011. Final report.
RESAPSI, IMEA. Fourth workshop on strategies in antiretroviral therapy on the theme “Diagnosis, Treatment and Monitoring of HIV-2 Infection and of HIV-1/HIV-2 Dual Infection”. Bassam, Ivory Coast, 13–15 May 2009. Final report.
Roquebert B, Blum L, Collin G, Damond F, Peytavin G, Leleu J, et al. Selection of the Q148R integrase inhibitor resistance mutation in a failing raltegravir containing regimen. AIDS. 2008;22(15):2045–6.
Rouet F, Ekouevi DK, Inwoley A, Chaix ML, Burgard M, Bequet L, et al. Field evaluation of a rapid human immunodeficiency virus (HIV) serial serologic testing algorithm for diagnosis and differentiation of HIV type 1 (HIV-1), HIV-2, and dual HIV-1-HIV-2 infections in West African pregnant women. J Clin Microbiol. 2004;42(9):4147–53.
Schim van der Loeff MF, Aaby P, Aryioshi K, Vincent T, Awasana AA, Da Costa C, et al. HIV-2 does not protect against HIV-1 infection in a rural community in Guinea-Bissau. AIDS. 2001;15(17):2303–10.
Schim van der Loeff MF, Jaffar S, Aveika AA, Sabally S, Corrah T, Harding E, et al. Mortality of HIV-1, HIV-2 and HIV-1/HIV-2 dually infected patients in a clinic-based cohort in The Gambia. AIDS. 2002;16(13):1775–83.
Tchounga BK, Inwoley A, Coffie PA, Minta D, Messou E, Bado G, Minga A, Hawerlander D, Kane C, Eholie SP, Dabis F, Ekouevi DK; WADA Collaboration. Re-testing and misclassification of HIV-2 and HIV-1&2 dually reactive patients among the HIV-2 cohort of the West African Database to evaluate AIDS collaboration. J Int AIDS Soc. 2014;17:19064. doi: 10.7448/IAS.17.1.19064. eCollection 2014. PubMed PMID: 25128907; PubMed Central PMCID: PMC4134669.
Travers K, Mboup S, Marlink R, Gueye-Nidaye A, Siby T, Thior I, et al. Natural protection against HIV-1 infection provided by HIV-2. Science. 1995;268(5217):1612–5.
van der Loeff MF, Awasana AA, Sarge-Njie R, van der Sande M, Jaye A, Sabally S, et al. Sixteen years of HIV surveillance in a West African research clinic reveals divergent epidemic trends of HIV-1 and HIV-2. Int J Epidemiol. 2006;35(5):1322–8.
van Tienen C, Schim van der Loeff M, Peterson I, Cotten M, Andersson S, Holmgren B, et al. HTLV-1 and HIV-2 infection are associated with increased mortality in a rural West African community. PLoS One. 2011;6(12):e29026.
Walther-Jallow L, Andersson S, da Silva Z, Biberfeld G. High concordance between polymerase chain reaction and antibody testing of specimens from individuals dually infected with HIV types 1 and 2 in Guinea-Bissau, West Africa. AIDS Res Hum Retroviruses. 1999;15(11):957–62.
Whittle H, Egboga A, Todd J, Corrah T, Wilkins A, Demba E, et al. Clinical and laboratory predictors of survival in Gambian patients with symptomatic HIV-1 or HIV-2 infection. AIDS. 1992;6(7):685–9.
WHO. Antiretroviral therapy for HIV infection in adults and adolescents. Recommendations for a public health approach: 2010 revision 2010. Available from: http://www.who.int/hiv/pub/arv/adult2010/en/index.html. Accessed 29 Oct 2012.
Wiktor SZ, Nkengasong JN, Ekpini ER, Adjorlolo-Johnson GT, Ghys PD, Brattegaard K, et al. Lack of protection against HIV-1 infection among women with HIV-2 infection. AIDS. 1999;13(6):695–9.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer Science+Business Media New York
About this entry
Cite this entry
Ekouevi, D.K., Eholie, S.P. (2013). Update on HIV-1 and HIV-2 Dual Infection. In: Hope, T., Stevenson, M., Richman, D. (eds) Encyclopedia of AIDS. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9610-6_49-1
Download citation
DOI: https://doi.org/10.1007/978-1-4614-9610-6_49-1
Received:
Accepted:
Published:
Publisher Name: Springer, New York, NY
Online ISBN: 978-1-4614-9610-6
eBook Packages: Springer Reference MedicineReference Module Medicine