The origin and molecular epidemiology of HIV

Expert Rev Anti Infect Ther. 2013 Sep;11(9):885-96. doi: 10.1586/14787210.2013.825443. Epub 2013 Sep 9.

Abstract

HIV-1 in humans resulted from at least four cross-species transmissions of simian immunodeficiency viruses (SIVs) from chimpanzees and gorillas in West Central Africa, while HIV-2 viruses resulted from at least eight independent transmissions of SIVs infecting sooty mangabeys in West Africa only, where one of these transmissions (HIV-1 group M) is responsible for the global epidemic. HIV-1 M is subdivided into nine subtypes and a wide diversity of circulating recombinant forms (CRFs) and unique recombinant forms. The heterogenic HIV-1 M subtype/CRF distribution is the result of founder effects. The genetic diversity of HIV-1 continues to increase overtime due to demographic factors such as travel and migration and frequent co/superinfections. In addition, the expanded access to antiretrovirals leads to an increasing number of drug-resistant strains, especially in resource limited countries.

Publication types

  • Review

MeSH terms

  • Africa / epidemiology
  • Animals
  • Cercocebus atys / virology
  • Drug Resistance, Viral
  • Genetic Variation
  • Gorilla gorilla / virology
  • HIV Infections / epidemiology*
  • HIV Infections / transmission
  • HIV Infections / virology
  • HIV-1 / classification*
  • HIV-1 / genetics
  • HIV-2 / classification*
  • HIV-2 / genetics
  • Humans
  • Molecular Epidemiology*
  • Pan troglodytes / virology
  • Phylogeny
  • Reassortant Viruses / classification*
  • Reassortant Viruses / genetics
  • Simian Immunodeficiency Virus / classification*
  • Simian Immunodeficiency Virus / genetics