HTLV-II-specific antibodies, with patterns similar to those in the Ame
ricas, were present in sera collected about 1970 from Bambuti pygmies
in Zaire (14/102; 14%) and from pygmies in Cameroon (5/214; 2.3%), and
were more prevalent than HTLV-I. In the Central African Republic, 504
pygmies were HTLV negative. After finding of 4 HTLV-II seropositives
among 12 Bambuti pygmies sampled in 1991, this establishes that HTLV-I
I or a related retrovirus is present as an ancient endemic in some, bu
t not all, insulated groups of African pygmies, similar to the HTLV-II
distribution in Amerindian populations. The endemic among the oldest
inhabitants of central Africa, and the occasional and scattered occurr
ence of apparent HTLV-II among predominant HTLV-I in other Africans, f
it well with an ancient African virus and not with importation from th
e New World. Theories on the origin and evolution of the primate T-lym
photropic viruses (PTLVs) should take into account the longstanding pr
esence of HTLV-II-type viruses in both the Old and New World. Present
serology suggests identity of the African viruses with HTLV-II, but th
eir assignment to a new HTLV type is open should genetic analysis show
strong divergence from American HTLV-II. Clinical expression, if any,
remains to be studied.