Human T-cell lymphotropic virus type II (HTLV-II) primarily infects two dif
ferent populations in which the virus is transmitted in very diverse ways.
In endemically infected populations, the virus is propagated through sexual
contact, and by mother to child transmission via breast-feeding, among int
ravenous drug users (IDUs), spread is mainly due to blood-borne transmissio
n via needle sharing. The phylogeny of HTLV-II strains isolated from Americ
an Indian and Pygmy tribes and strains from IDUs, reveal that the virus ori
ginated on the African continent as a result of a simian to human transmiss
ion at least 400,000 years ago. HTLV-II was very likely introduced into the
American continent during one or more migrations of HTLV-II infected Asian
populations over the Bering land bridge, some 15,000-35,000 years ago. Dur
ing the last few decades, HTLV-II has been transmitted from native American
Indians to IDUs at least twice, followed by a rapid spread of the virus in
the drug users population world-wide due to the practice of needle sharing
. Molecular clock analysis showed that HTLV-II has two different evolutiona
ry rates, with the molecular clock for the virus in IDUs ticking 150-350 ti
mes faster than the one in endemically infected tribes: 2.7 x 10(-4) compar
ed to 1.7/7.3 x 10(-7) nucleotide substitutions per site per year in the LT
R region. Although many of the HTLV-II infected drug users are co-infected
with HIV, the dramatic acceleration of the evolutionary rate seems to be ma
inly related to the different modes of transmission in the two populations.
These contrasting evolutionary rates correlate with an endemic spread of H
TLV-II in infected tribes compared to an epidemic spread in IDUs. (C) 2000
Elsevier Science B.V. All rights reserved.