Hazel M. McClure, Mary Salas, Martine Peeters, Sunita S. Balla-Jhagjhoorsingh, David Davis, K E Cobb, Erik Rutjens, Henk Niphuis, Luc Kestens, Scott Rouse, Guido van der Groen, Jonathan L. Heeney, Willy M. J. M. Bogers, Peter ten Haaft, Ernst J. Verschoor, Valérie Courgnaud, and Krishna K. Murthy
Chimpanzees (Pan troglodytes troglodytes and Pan troglodytes schweinfurthii) harbor various genetically different strains of simian immunodeficiency virus (SIV) SIVcpz (20, 30, 34). These variants exhibit molecular similarity to human immunodeficiency virus type 1 (HIV-1) isolates belonging to clades M, N, and O, suggesting that at least three multiple cross-species transmission events have occurred in the past (11, 13, 31). Evidence that SIVs can cause AIDS following cross-species transmission has been most clearly illustrated by SIV transmission from asymptomatic African sooty mangabeys (SIVsm) to Asian macaques (6, 18, 22). Furthermore, there is a convincing body of data showing that SIVsm is the nonhuman primate lentivirus ancestor of HIV-2 (16, 21). More than 35 African nonhuman primate species have been reported to carry a variety of different lentiviruses (29). The majority of SIVs infect monkeys, and to date, only SIVcpz of chimpanzees is known among the great apes. Genetic analysis of diverse SIVcpz isolates from two subspecies of chimpanzees indicates that the ancestor of SIVcpz is most probably a recombinant chimeric virus derived from viruses found in monkey species known to be preyed upon by chimpanzees (1, 35). The SIVcpz gag-pol region shows high sequence similarity with SIVrcm of the red-capped mangabey (Cercocebus torquatus), whereas env is related to the sequence of the SIVs found in the greater spot-nosed monkey (Cercopithecus nictitans) lineage (1). The most plausible explanation for the occurrence of this recombinant virus is that at least one chimpanzee became infected with one of these two viruses and subsequently became superinfected or coinfected with a second monkey lentivirus. It is likely that in the absence of persistent monkey lentiviral infections in chimpanzees, the recombinant ancestors of SIVcpz now circulating in today's populations of chimpanzees acquired the ability to both persist and sustain sufficient plasma virus loads in vivo to be effectively transmitted between individuals of this species. Thus, the sustained dual infection of chimpanzees by one or more distinct monkey SIVs must have been a necessary prerequisite for the recombinatory events which provided the chimeric origin of SIVcpz. In this paper, we present novel data on potential routes of transmission and the acute infection period of SIVcpz, providing fundamental and important insights into the natural history of the ancestor of HIV-1 in the common chimpanzee. Furthermore, we provide direct evidence that secondary lentivirus coinfections can be readily acquired by chimpanzees. To date, only a limited number of chimpanzees living in captivity have been identified with naturally occurring SIVcpz infections (24). One such chimpanzee was rescued following illegal export from Africa. This animal, ch-No, provided a unique opportunity for virological and immunological follow-up of a natural SIV infection (28, 30, 32). The apparent low prevalence of SIVcpz infection is due to SIVcpz's focal epidemiology, which is relatively high in specific regions and communities of wild chimpanzee populations compared to others (24, 34). The reasons for this are unclear, but it may be due to the dynamics of transmission and social interactions among individual chimpanzees in their communities. Indeed, the modes of SIVcpz transmission in chimpanzees are unknown, and the patterns of transmission may be different than that of HIV-1 in humans. To address the question of SIVcpz transmission, a series of studies were undertaken in a naive chimpanzee from the host subspecies, P. t. schweinfurthii, and in a cohort of captive bred chimpanzees previously designated for the study of HIV-1 infection and pathogenesis. These studies revealed that SIVcpz infection could be readily established with either plasma or peripheral blood mononuclear cells (PBMCs) by several different routes independently of the presence of concurrent HIV-1 infection. We show that the early kinetics of SIVcpz infection are similar to those of HIV-1 infection in humans with respect to seroconversion, high levels and persistence of plasma viremia, the development of neutralizing antibody responses, and the evolution of individual sequence variants in plasma. In contrast to humans, the infection in chimpanzees differed in the absence of immune activation, the lack of progressive CD4 T-cell loss, and the development of AIDS despite coinfection with HIV-1.