Phylogeographic analyses suggest that the epidemic originated in Kinshasa in the 1920s and then spread to other regions of central Africa, perhaps along railway networks.
Previous work suggests that HIV-1 infection in humans began with cross-species transmission of simian immunodeficiency virus — a close relative — from chimpanzees in southern Cameroon. The earliest known infections with group M HIV-1, the cause of the current worldwide pandemic, occurred in Kinshasa in the Democratic Republic of the Congo (DRC). Now, investigators have analyzed HIV-1 sequences from archived samples collected in the DRC and neighboring countries and applied molecular clock techniques — estimates of the viral-mutation rate — to reconstruct how the virus spread.
The analysis suggests that group M HIV-1 emerged in Kinshasa around 1920, which is in line with previous work. From there, the virus spread to other population centers …
Reviewing Author
DisclosuresGrant/Research SupportNIH
Editorial BoardsUpToDate; ID Images (idimages.org); Infectious Diseases Society of America COVID-19 Treatment Guidelines; International Antiviral Society–USA (Guidelines Committee)
Leadership Positions in Professional SocietiesHIV Medicine Association; Infectious Diseases Society of America (Board of Directors)
DisclosuresGrant/Research SupportNIH
Editorial BoardsUpToDate; ID Images (idimages.org); Infectious Diseases Society of America COVID-19 Treatment Guidelines; International Antiviral Society–USA (Guidelines Committee)
Leadership Positions in Professional SocietiesHIV Medicine Association; Infectious Diseases Society of America (Board of Directors)