Definition
Cytomegalovirus (CMV) is a herpesvirus that infects most individuals worldwide. It establishes latency and persists for the life of the individual usually only producing overt disease in individuals with immature immune systems (e.g., fetuses following stem cell transplant) or the immunocompromised (solid organ transplant, AIDS). Detection of active CMV infection in a patient is thus an indicator of functional suppression of cell-mediated immunity (CMI) as well as a harbinger of serious end-organ disease.
Introduction
CMV is first acquired in developing countries early in childhood where seroprevalence in adults may be over 90%. In developed countries, primary infection is delayed into adulthood in many people (adult seroprevalence rates are 50–60% although seroprevalence is higher in those at risk of HIV infection including MSMs and intravenous drug users.) Infection is spread within families through contact with saliva and urine of young children, particularly as viral...
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Deayton JR, Prof Sabin CA, Johnson MA, Emery VC, Wilson P, Griffiths PD. Importance of cytomegalovirus viraemia in risk of disease progression and death in HIV-infected patients receiving highly active antiretroviral therapy. Lancet. 2004;363(9427):2116–21.
Gkrania-Klotsas E, Langenberg C, Sharp SJ, Luben R, Khaw KT, Wareham NJ. Seropositivity and higher immunoglobulin g antibody levels against cytomegalovirus are associated with mortality in the population-based European prospective investigation of Cancer-Norfolk cohort. Clin Infect Dis. 2013;56(10):1421–7.
Griffiths PD. Studies of viral co-factors for human immunodeficiency virus in vitro and in vivo. J Gen Virol. 1998;79(Pt 2):213–20.
Griffiths PD. Burden of disease associated with human cytomegalovirus and prospects for elimination by universal immunisation. Lancet Infect Dis. 2012;12(10):790–8.
Griffiths PD, Stanton A, McCarrell E, Smith C, Osman M, Harber M, et al. Cytomegalovirus glycoprotein-B vaccine with MF59 adjuvant in transplant recipients: a phase 2 randomised placebo-controlled trial. Lancet. 2011;377(9773):1256–63.
Hunt PW, Martin JN, Sinclair E, Epling L, Teague J, Jacobson MA, et al. Valganciclovir reduces T cell activation in HIV-infected individuals with incomplete CD4+ T cell recovery on antiretroviral therapy. J Infect Dis. 2011;203(10):1474–83.
Kempen JH, Jabs DA, Wilson LA, Dunn JP, West SK, Tonascia J. Mortality risk for patients with cytomegalovirus retinitis and acquired immune deficiency syndrome. Clin Infect Dis. 2003;37(10):1365–73.
Kharfan-Dabaja MA, Boeckh M, Wilck MB, Langston AA, Chu AH, Wloch MK, et al. A novel therapeutic cytomegalovirus DNA vaccine in allogeneic haemopoietic stem-cell transplantation: a randomised, double-blind, placebo-controlled, phase 2 trial. Lancet Infect Dis. 2012;12(4):290–9.
Kovacs A, Schluchter M, Easley K, Demmler G, Shearer W, La Russa P. Cytomegalovirus infection and HIV-1 disease progression in infants born to HIV-1-infected women. Pediatric Pulmonary and Cardiovascular Complications of Vertically Transmitted HIV Infection Study Group. N Engl J Med. 1999;341(2):77–84.
Martin DF, Sierra-Madero J, Walmsley S, Wolitz RA, Macey K, Georgiou P, Robinson CA, Stempien MJ, Valganciclovir Study Group. A controlled trial of valganciclovir as induction therapy for cytomegalovirus retinitis. N Engl J Med. 2002;346(15):1119–26.
Pass RF, Zhang C, Evans A, Simpson T, Andrews W, Huang M, et al. Vaccine prevention of maternal cytomegalovirus infection. N Engl J Med. 2009;360(12):1191–9.
Simanek AM, Dowd JB, Pawelec G, Melzer D, Dutta A, Aiello AE. Seropositivity to cytomegalovirus, inflammation, all-cause and cardiovascular disease-related mortality in the United States. PLoS One. 2011;6(2):e16103.
Staras SA, Flanders WD, Dollard SC, Pass RF, McGowan Jr JE, Cannon MJ. Influence of sexual activity on cytomegalovirus seroprevalence in the United States, 1988–1994. Sex Transm Dis. 2008;35(5):472–9. https://doi.org/10.1097/OLQ.0b013e3181644b70.
Thorne JE, Van Natta ML, Jabs DA, Duncan JL, Srivastava SK. Studies of Ocular Complications of AIDS Research Group. Visual field loss in patients with cytomegalovirus retinitis. Ophthalmology. 2011;118(5):895–901.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer Science+Business Media LLC
About this entry
Cite this entry
Griffiths, P., Ramsay, I. (2018). Cytomegalovirus Infection and HIV. In: Hope, T.J., Richman, D.D., Stevenson, M. (eds) Encyclopedia of AIDS. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-7101-5_420
Download citation
DOI: https://doi.org/10.1007/978-1-4939-7101-5_420
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4939-7100-8
Online ISBN: 978-1-4939-7101-5
eBook Packages: MedicineReference Module Medicine