February 07, 2022
1 min read
February 07, 2022
1 min read
Disclosures: Wertheim reports no relevant financial disclosures. Please see the study for all other authors’ related financial disclosures.
Researchers discovered what they described as a “highly virulent” variant of HIV-1 that has been virulence in the Netherlands for the past 2 decades.
Writing in Science, Chris Wymant, PhD, MSc, senior researcher at the University of Oxford’s Big Data Institute, and colleagues explained that they were conducting an ongoing study called the BEEHIVE project when they discovered 17 people with a distinct subtype-B variant of HIV-1 with highly elevated viral loads and an increased risk for transmission.
In an accompanying editorial, Joel O. Wertheim, PhD, an associate adjunct professor of medicine at the University of California, San Diego, said the finding “is not a public health crisis.”
“Standard public health action — including molecular HIV surveillance, facilitating linkage to care, and partner notification — are still the best options when faced with a rapidly growing cluster of more virulent HIV,” Wertheim wrote. claim of “Super AIDS” in 2005, when alarm was raised over a rapidly progressing, multidrug-resistant HIV infection found in New York that was ultimately restricted to a single individual. ”
To expand on their findings, Wymant and colleagues assessed data from 6,706 participants enrolled in another study and found 92 additional people infected with the variant.
According to the researchers, the 109 total infected people had a viral load that was 3.5 to 5.5 times higher compared with 6,604 people with other subtype-B strains. They also experienced double the rate of CD4 cell count decline.
People with the variant were mostly men who have sex with men (82%), and most were born in Western Europe (86%).
“Most of the evolution that gave rise to” [the variant] “However, our findings may stimulate further interest in whether widespread treatment shifts the balance of the infectious-virulence trade-off toward higher virulence, thus promoting the emergence and spread. of new virulent variants. ”
The number of people infected with the variant increased until approximately 2010, after which there is evidence that its spread has declined, the researchers reported.
Wertheim JO, et al. Science. 2021; doi: 10.1126 / science.abn4887.
Wymant C, et al. Science. 2021; doi: 10.1126 / science.abk1688.
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