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印度孟买高危人群中的HIV-1和HIV-2感染:HIV-2传播及一种不同HIV-1亚型存在的证据

HIV-1 and HIV-2 infections in a high-risk population in Bombay, India: evidence for the spread of HIV-2 and presence of a divergent HIV-1 subtype.

作者信息

Pfützner A, Dietrich U, von Eichel U, von Briesen H, Brede H D, Maniar J K, Rübsamen-Waigmann H

机构信息

Chemotherapeutisches Forschungsinstitut, Georg-Speyer-Haus (GSH), Frankfurt, Germany.

出版信息

J Acquir Immune Defic Syndr (1988). 1992 Oct;5(10):972-7.

PMID:1453326
Abstract

A high-risk population (patients of a sexually transmitted disease clinic and the GT hospital in Bombay) was tested for antibodies against HIV-1 and HIV-2. Among 405 serum samples, 226 had previously been classified HIV-positive in India using different locally available enzyme-linked immunosorbent assay (ELISA) tests. The serology of 179 samples was unknown. All 405 samples were tested at the Georg-Speyer-Haus (GSH) with the Pasteur HIV-1/2-Combi-ELISA. Positive samples were further analyzed with HIV-1 and HIV-2 Western blot kits from Dupont and Pasteur, respectively. A very high seroprevalence of HIV was found in this population. Among the 179 unscreened samples, 69 (38.5%) were positive in the ELISAs as well as the Western blots for HIV-1 or HIV-2. Among the prescreened samples, only 174 (77%) were confirmed HIV-positive. Altogether, 243 of 405 sera were HIV-positive. Of these, 184 (76%) were reactive with HIV-1, 10 (4%) were reactive with HIV-2, and 49 (20%) had dual reactivity to HIV-1 and HIV-2. Previous data from the Indian Council of Medical Research had already suggested a possible high prevalence of HIV-1 in India. Our results confirm this view. The finding of a substantial spread of HIV-2 infection was, however, totally unexpected in India, but confirms our previous study which had already demonstrated the existence of HIV-2 in this country. Asia can thus no longer be considered free of HIV-2, and testing for HIV-2 appears mandatory, at least in India.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

对高危人群(一家性传播疾病诊所的患者以及孟买 GT 医院的患者)进行了抗 HIV-1 和 HIV-2 抗体检测。在 405 份血清样本中,有 226 份此前在印度使用不同的本地可用酶联免疫吸附测定(ELISA)检测被分类为 HIV 阳性。179 份样本的血清学情况未知。所有 405 份样本均在格奥尔格 - 施派尔豪斯(GSH)使用巴斯德 HIV-1/2 联合 ELISA 进行检测。阳性样本分别使用杜邦和巴斯德的 HIV-1 和 HIV-2 免疫印迹试剂盒进一步分析。在该人群中发现 HIV 的血清阳性率非常高。在 179 份未筛查样本中,69 份(38.5%)在 ELISA 以及针对 HIV-1 或 HIV-2 的免疫印迹检测中呈阳性。在预先筛查的样本中,只有 174 份(77%)被确认为 HIV 阳性。405 份血清样本中共有 243 份为 HIV 阳性。其中有 184 份(76%)与 HIV-1 反应,10 份(4%)与 HIV-2 反应,49 份(20%)对 HIV-1 和 HIV-2 具有双重反应性。印度医学研究理事会之前的数据已经表明印度可能存在 HIV-1 的高流行率。我们的结果证实了这一观点。然而,HIV-2 感染大量传播这一发现,在印度完全出乎意料,但证实了我们之前的研究,该研究已证明该国存在 HIV-2。因此,亚洲不能再被认为没有 HIV-2,至少在印度,对 HIV-2 的检测似乎是必要的。(摘要截取自 250 字)

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