Impact of Endemic Infections on HIV Susceptibility in Sub-Saharan Africa

Abstract Human immunodeficiency virus (HIV) remains a leading cause of global morbidity with the highest burden in Sub-Saharan Africa (SSA). For reasons that are incompletely understood, the likelihood of HIV transmission is several fold higher in SSA than in higher income countries, and most of the...

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Main Authors: Sergey Yegorov, Vineet Joag, Ronald M. Galiwango, Sara V. Good, Brenda Okech, Rupert Kaul
Format: Article
Language:English
Published: BMC 2019-11-01
Series:Tropical Diseases, Travel Medicine and Vaccines
Subjects:
Online Access:https://doi.org/10.1186/s40794-019-0097-5
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author Sergey Yegorov
Vineet Joag
Ronald M. Galiwango
Sara V. Good
Brenda Okech
Rupert Kaul
author_facet Sergey Yegorov
Vineet Joag
Ronald M. Galiwango
Sara V. Good
Brenda Okech
Rupert Kaul
author_sort Sergey Yegorov
collection DOAJ
description Abstract Human immunodeficiency virus (HIV) remains a leading cause of global morbidity with the highest burden in Sub-Saharan Africa (SSA). For reasons that are incompletely understood, the likelihood of HIV transmission is several fold higher in SSA than in higher income countries, and most of these infections are acquired by young women. Residents of SSA are also exposed to a variety of endemic infections, such as malaria and various helminthiases that could influence mucosal and systemic immunology. Since these immune parameters are important determinants of HIV acquisition and progression, this review explores the possible effects of endemic infections on HIV susceptibility and summarizes current knowledge of the epidemiology and underlying immunological mechanisms by which endemic infections could impact HIV acquisition. A better understanding of the interaction between endemic infections and HIV may enhance HIV prevention programs in SSA.
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spelling doaj.art-ea39e2b7ba0e4c7285447cec25c7e9102022-12-21T19:04:12ZengBMCTropical Diseases, Travel Medicine and Vaccines2055-09362019-11-015111810.1186/s40794-019-0097-5Impact of Endemic Infections on HIV Susceptibility in Sub-Saharan AfricaSergey Yegorov0Vineet Joag1Ronald M. Galiwango2Sara V. Good3Brenda Okech4Rupert Kaul5Departments of Immunology and Medicine, University of TorontoDepartment of Microbiology and Immunology, University of MinnesotaDepartments of Immunology and Medicine, University of TorontoGenetics & Genome Biology, The Hospital for Sick Children, Peter Gilgan Centre for Research and LearningUVRI-IAVI HIV Vaccine ProgramDepartments of Immunology and Medicine, University of TorontoAbstract Human immunodeficiency virus (HIV) remains a leading cause of global morbidity with the highest burden in Sub-Saharan Africa (SSA). For reasons that are incompletely understood, the likelihood of HIV transmission is several fold higher in SSA than in higher income countries, and most of these infections are acquired by young women. Residents of SSA are also exposed to a variety of endemic infections, such as malaria and various helminthiases that could influence mucosal and systemic immunology. Since these immune parameters are important determinants of HIV acquisition and progression, this review explores the possible effects of endemic infections on HIV susceptibility and summarizes current knowledge of the epidemiology and underlying immunological mechanisms by which endemic infections could impact HIV acquisition. A better understanding of the interaction between endemic infections and HIV may enhance HIV prevention programs in SSA.https://doi.org/10.1186/s40794-019-0097-5HIV susceptibilityHIV risk factorsSub-Saharan Africaparasitic infectionsmalariahelminthiases
spellingShingle Sergey Yegorov
Vineet Joag
Ronald M. Galiwango
Sara V. Good
Brenda Okech
Rupert Kaul
Impact of Endemic Infections on HIV Susceptibility in Sub-Saharan Africa
Tropical Diseases, Travel Medicine and Vaccines
HIV susceptibility
HIV risk factors
Sub-Saharan Africa
parasitic infections
malaria
helminthiases
title Impact of Endemic Infections on HIV Susceptibility in Sub-Saharan Africa
title_full Impact of Endemic Infections on HIV Susceptibility in Sub-Saharan Africa
title_fullStr Impact of Endemic Infections on HIV Susceptibility in Sub-Saharan Africa
title_full_unstemmed Impact of Endemic Infections on HIV Susceptibility in Sub-Saharan Africa
title_short Impact of Endemic Infections on HIV Susceptibility in Sub-Saharan Africa
title_sort impact of endemic infections on hiv susceptibility in sub saharan africa
topic HIV susceptibility
HIV risk factors
Sub-Saharan Africa
parasitic infections
malaria
helminthiases
url https://doi.org/10.1186/s40794-019-0097-5
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AT saravgood impactofendemicinfectionsonhivsusceptibilityinsubsaharanafrica
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