Seroprevalence and characterisation of herpes simplex virus from human immunodeficiency virus in samples collected from two provinces in South Africa: a retrospective study

F1000Res. 2021 Feb 11:10:105. doi: 10.12688/f1000research.28105.4. eCollection 2021.

Abstract

Background: Herpes simplex virus (HSV) is a widely distributed human pathogen that is known for its ulcerative lesions at the infection site. HSV can cause persistent infection in the host that is often followed by a period of latency within the neurons. Considering the high rate of HIV infection in South Africa, it is important to assess the seroprevalence of HSV with a focus to determine the epidemiological association between HSV-DNA and HIV-1 in the population. Methods: A total of 44 sera samples were screened for HSV and HIV-1 using the highly sensitive enzyme-linked immunosorbent assay (ELISA). The ELISA positive samples were characterized using polymerase chain reaction (PCR) to confirm the positivity of both viruses and to further differentiate HSV into HSV-1 and -2. Thereafter, the samples were analysed for relatedness using phylogenetic analysis. Results: Of the 44 samples, 36 (81.8%) were positive for HIV-1, while 35 (79.5%) were positive for HSV when screened with ELISA kits. The PCR results, with the use of type specific primers, showed that 4/35 (11.4%) samples were specific for HSV-1 while 30/35 (85.7%) were specific for HSV-2. Statistical analysis performed using the chi-squared goodness-of-fit test showed that there is a significant relationship between HSV-2 and HIV-1 transmission. Conclusions: There is a significant positive association between HSV-2 and HIV-1 in the study population. Our study shows that some of the HSV-2 isolates are not related to the clinical isolate SD90e from South Africa, suggesting diversity in HSV-2 viral transmission.

Keywords: Co-infection; Enzyme Linked Immunosorbent Assay; Herpes Simplex Virus; Human Immunodeficiency Virus; Polymerase Chain Reaction..

MeSH terms

  • HIV Infections* / epidemiology
  • HIV-1*
  • Herpes Genitalis*
  • Herpesvirus 2, Human
  • Humans
  • Persistent Infection
  • Phylogeny
  • Retrospective Studies
  • Seroepidemiologic Studies
  • South Africa / epidemiology

Associated data

  • Dryad/10.5061/dryad.zs7h44j7g

Grants and funding

The author(s) declared that no grants were involved in supporting this work.