HIV-2 Infection

HIV-2 infection is a distinct form of human immunodeficiency virus infection primarily found in West Africa, caused by a virus with a longer incubation period than HIV-1 and associated with AIDS. It originated from zoonotic transmission of simian immunodeficiency virus from sooty mangabeys, resulting in eight viral groups, only A and B of which have sustained human-to-human spread. HIV-2 infection is characterized by robust cellular immune responses targeting conserved Gag epitopes, early differentiation of highly polyfunctional CD8+ T cells with high functional avidity, and support from polyfunctional CD4+ T cells, all occurring amid significantly lower immune activation compared to HIV-1. Notably, HIV-2 exhibits slower viral evolution and reduced adaptive immune escape in asymptomatic individuals, distinguishing it from HIV-1.