Human immunodeficiency virus type 1 infection in twin pairs infected at birth

Robert J. Biggar, Michelle Janes, Richard Pilon, Reena Roy, Robin Broadhead, Newton Kumwenda, Taha E.T. Taha, Sharon Cassol

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Host genetic factors may influence the course of human immunodeficiency virus (HIV) infection. In Blantyre, Malawi, polymerase chain reaction was used to identify twin pairs who were concordantly HIV-1-infected in utero or perinatally and then to examine strain divergence or virus levels in identical and fraternal twin pairs. Among 315 twin pairs, both infants in 14 fraternal and 5 identical pairs were found to be infected at the same visit. Among 10 pairs, HIV-1 sequences were determined for both infants at ≥1 time point. HIV levels had a common profile in both fraternal and identical twin pairs. Identical twins were not always infected by the same quasi species, indicating that their mothers had multiple quasi species capable of infecting their infants. Subsequent viral divergence appears to depend on quasi-species stability rather than on genetically controlled host immune responses. Thus, given infection, factors intrinsic to HIV-1 are more important than host genetics in viral evolution.

Original languageEnglish (US)
Pages (from-to)281-285
Number of pages5
JournalJournal of Infectious Diseases
Issue number2
StatePublished - Jul 15 2002

All Science Journal Classification (ASJC) codes

  • Immunology and Allergy
  • Infectious Diseases


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