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New Microbe May Hinder AIDS Research

The Associated Press; Friday, 8 May 1987


BOSTON - A lethal relative of the AIDS virus could spread from Africa to the rest of the world and seriously complicate the already difficult job of finding an AIDS vaccine, researchers said Thursday.

The microbe, HIV-2, also could raise questions about the accuracy of AIDS tests.

HIV-2, discovered in 1984, genetically resembles HIV-1, the virus that causes AIDS found in the United States, and SIV, the virus that causes an AIDS-like disease in monkeys.

In Thursday's New England Journal of Medicine, doctors from the Pasteur Institute in Paris reported that HIV-2 can cause acquired immune deficiency syndrome indistinguishable from that triggered by HIV-1.

Although it seems to be localized in West Africa, Dr. Francois Clavel said that "there is no reason why this epidemic would not spread over Africa or Europe or other countries like HIV-1 did, unless we are very vigilant and can detect carriers."

Earlier, Pasteur researchers reported finding HIV-2 in two AIDS patients. Clavel said the latest study, documenting HIV-2 infection in 30 people, provides strong evidence that the virus actually causes the disease.

The two viruses appear to attack the body in similar ways. Clavel said that, while some parts of HIV-1 and HIV-2 are genetically alike, others are different, and the overall genetic similarity is about 40 percent.

What this means for finding an AIDS vaccine is unclear. Clavel said drug manufacturers may be able to base a vaccine on parts of the two viruses that are identical, so one vaccine would block both AIDS viruses. But Dr. Norman Letvin of the New England Regional Primate Research Center, an expert on the monkey AIDS virus, said he fears that people vaccinated against HIV-1 will remain susceptible to HIV-2.

The French researchers wrote that "it appears clear the HIV-2, a virus related to but distinct from HIV-1, is the cause of AIDS in some West Africans and that a new AIDS epidemic is possible (but not yet documented) in West Africa."

Clavel said the standard screening test used to check blood for AIDS often will miss the HIV-2 virus, so the tests, at least when used in Africa, should be modified.

Clavel is temporarily working at the National Institutes of Health in Bethesda, Md., on a fellowship.


Keywords: REPORT; AIDS; AFRICA

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