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François-Xavier Mbopi-Kéou, Gérard Grésenguet, Philippe Mayaud, Helen A. Weiss, Robin Gopal, Mathieu Matta, Jean-Louis Paul, David W. G. Brown, Richard J. Hayes, David C. W. Mabey, Laurent Bélec, Interactions between Herpes Simplex Virus Type 2 and Human Immunodeficiency Virus Type 1 Infection in African Women: Opportunities for Intervention, The Journal of Infectious Diseases, Volume 182, Issue 4, October 2000, Pages 1090–1096, https://doi.org/10.1086/315836
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Abstract
Sexually transmitted diseases (STDs) are cofactors for human immunodeficiency virus (HIV) transmission, but the specific role of herpes simplex virus type 2 (HSV-2) is unclear. This study aimed to examine the in vivo relationships between HSV-2 and HIV-1 in 300 women in Bangui, Central African Republic. Sera were tested for syphilis, HIV-1, HSV-2 antibody, and levels of vitamins A and E. Genital specimens were tested for other STDs. HSV-2 DNA and HIV-1 RNA were quantified in cervicovaginal lavage. The prevalences of HSV-2 antibody (91% vs. 78%, P = .02), HSV-2 shedding (43% vs. 22%, P = .003), and levels of HSV-2 DNA (P = .01) were all significantly higher among HIV-1—seropositive than among HIV-1—seronegative women. There was a significant correlation between genital HIV-1 RNA and HSV-2 DNA levels (P = .02) among the 23 women who were shedding HSV-2 DNA. If confirmed, such associations highlight the urgent need for HSV-2 control measures in populations at high risk of both infections.