Human immunodeficiency virus type-2-A milder, kinder virus: an update

Indian J Med Microbiol. 2012 Jan-Mar;30(1):6-15. doi: 10.4103/0255-0857.93014.

Abstract

Human immunodeficiency virus type-2 (HIV-2) belongs to the family retroviridae which is phylogenetically clusters with SIV SM from sooty mangabeys. This virus is morphologically similar to human immunodeficiency virus type-1 (HIV-1) but has got only a 40% homology at the nucleotide level. There is a distinct geographical distribution of HIV-2 unlike HIV-1. There are currently eight subtypes/groups identified with subtype/group A responsible for the majority of infections. HIV-2 shows a considerable difference in the course of the disease. Clinical, haematological and immunological evaluation of individuals infected with HIV-2 has shown the virus to be less pathogenic than HIV-1 although the exact mechanism underlying this difference is not well defined. Similar to HIV-1, the HIV-2 isolates also showed distinct replicative and cytopathic characteristics. The transmission rate for HIV-2 compared to HIV-1 is very low both by heterosexual route and mother to child transmission. The clinical signs and symptoms of immunodeficiency associated with HIV-2 are similar to the ones seen among the HIV-1-infected individuals and they can also progress to AIDS. It is naturally resistant to NNRTI and hence the diagnosis become important as it affects the treatment strategy. Similar to HIV-1, HIV-2 strains of infected individuals also show mutations that can cause drug resistance. The current evidence suggests that there is no protective effective for HIV-2 against HIV-1.

Publication types

  • Review

MeSH terms

  • Anti-HIV Agents / pharmacology
  • Anti-HIV Agents / therapeutic use
  • Disease Transmission, Infectious
  • Drug Resistance, Viral
  • HIV Infections / epidemiology
  • HIV Infections / pathology*
  • HIV Infections / transmission
  • HIV Infections / virology*
  • HIV-2 / classification
  • HIV-2 / genetics
  • HIV-2 / isolation & purification*
  • HIV-2 / pathogenicity*
  • Humans
  • Phylogeography

Substances

  • Anti-HIV Agents