Subject: AIDS From: "" <rossip> Date: 09-Dec-97 Name: T10350_8a002Xi Database: Medline <1981 to 1986> Set Search Results --------------------------------------------------------------------------001 exp hiv/ 340 002 exp acquired immunodeficiency syndrome/ 5950 003 1 and 2 213 004 from 3 keep 3-4,7,14,28,50,64-65,94,103,109,127,156,169,176, 18 <1> Unique Identifier 87156949 Authors Volsky DJ. Sakai K. Stevenson M. Dewhurst S. Title Retroviral etiology of the acquired immune deficiency syndrome (AIDS). [Review] [78 refs] Source AIDS Research. 2 Suppl 1:S35-48, 1986 Dec. MeSH Subject Headings *Acquired Immunodeficiency Syndrome/et [Etiology] Acquired Immunodeficiency Syndrome/mi [Microbiology] DNA, Viral/an [Analysis] Genes, Viral Human HIV/cl [Classification] HIV/ge [Genetics] HIV/ip [Isolation & Purification] *HIV/py [Pathogenicity] *HTLV-BLV Viruses/cl [Classification] HTLV-BLV Viruses/ge [Genetics] Polymorphism, Restriction Fragment Length Support, U.S. Gov't, P.H.S. Variation (Genetics) Abstract The acquired immune deficiency syndrome (AIDS) is characterized by severe immunological defects resulting in opportunistic infections and malignancies. A novel human retrovirus, known under the terms of LAV, HTLV-III, ARV or as a human immunodeficiency virus (HIV), has been defined as the infectious agent responsible for the induction of the immunologic disorders in AIDS. However, two recent lines of evidence, reviewed in this article, complicate the etiological picture of AIDS: the HIV family appears to consist of a great number of diverse, and perhaps diversifying in vivo, members that exhibit different molecular and biological properties; the human retrovirus family may contain yet another distinct class of member viruses that resemble HIV morphologically and structurally but may differ in their pathogenicity. Our understanding of the retroviral etiology of AIDS may be far from complete. [References: 78] Registry Numbers 0 (DNA, Viral). <2> Unique Identifier 87156930 Authors Purtilo DT. Title Lymphotropic viruses, Epstein-Barr virus (EBV) and human T-cell lymphotropic virus-I (HTLV-I)/adult T-cell leukemia virus (ATLV), and HTLV-III/human immune deficiency virus (HIV) as etiological agents of malignant lymphoma and immune deficiency. [Review] [39 refs] Source AIDS Research. 2 Suppl 1:S1-6, 1986 Dec. MeSH Subject Headings *Acquired Immunodeficiency Syndrome/et [Etiology] B-Lymphocytes/im [Immunology] B-Lymphocytes/mi [Microbiology] Comparative Study *Herpesvirus 4, Human/py [Pathogenicity] Human HIV/py [Pathogenicity] *HTLV-BLV Infections/co [Complications] HTLV-BLV Infections/im [Immunology] *HTLV-BLV Viruses/py [Pathogenicity] Immune Tolerance Immunologic Surveillance *Lymphoma/et [Etiology] T-Lymphocytes/im [Immunology] T-Lymphocytes/mi [Microbiology] *Tumor Virus Infections/co [Complications] Tumor Virus Infections/im [Immunology] Abstract The ubiquitous, DNA herpesvirus, EBV, has B cell tropism and the geographically restricted RNA retrovirus, ATLV/HTLV-I has T cell tropism. Clinical descriptions by Burkitt and Takatsuki led to discovery of these viruses which infect silently early in life; however, ATLV is also transmitted to a spouse or by blood transfusion. In normal seropositive persons both viruses infect only 1 in about 10,000 B or T cells, respectively. EBV is associated with Burkitt's lymphoma, nasopharyngeal carcinoma, and infectious mononucleosis. ATLV is associated with adult T cell leukemia/lymphoma and smoldering T cell lymphoma. EBV infects polyclonally and is controlled by multiple cellular and humoral control mechanisms. Escape from immune surveillance as in immune deficient African children with malaria, males with x-linked lymphoproliferative syndrome, organ transplant recipients, and AIDS patients permits conversion from polyclonal to oligoclonal and finally, monoclonal malignancy. T cell immune defects permit proliferation of cells which undergo molecular and/or cytogenetic alterations. In contrast to EBV, which is integrated and nonintegrated in B cells, ATLV is monoclonally integrated. Viral transforming proteins and immune suppressive substances are produced. Immune deficiency in silent carriers of ATLV and in those with smoldering ATL suggest that immune surveillance deters emergence of ATL. Prevention of primary infection by vaccination against these lymphotropic viruses, and use of immunotherapy and antiviral drugs may potentially retard conversion of infected B or T cells to monoclonal malignancy. [References: 39] <3> Unique Identifier 87062962 Authors Allain JP. Laurian Y. Paul DA. Senn D. Title Serological markers in early stages of human immunodeficiency virus infection in haemophiliacs. Source Lancet. 2(8518):1233-6, 1986 Nov 29. MeSH Subject Headings *Acquired Immunodeficiency Syndrome/di [Diagnosis] Adolescence Adult Antibodies, Viral/an [Analysis] Antigens, Viral/an [Analysis] Child Comparative Study Enzyme-Linked Immunosorbent Assay *Hemophilia/co [Complications] Human HIV/im [Immunology] Immunoenzyme Techniques Support, Non-U.S. Gov't Time Factors Viral Core Proteins/im [Immunology] Viral Envelope Proteins/im [Immunology] Abstract Immunoassays for human immunodeficiency virus antigen (HIV Ag) and for antibody to HIV core and envelope (CIA-RA) were done on serial specimens from 40 haemophiliacs who had become seropositive on screening by enzyme-linked immunosorbent assay (ELISA). HIV Ag was detectable in 9 subjects and antibodies to envelope in 11 subjects before ELISA seroconversion. The apparent sequence of markers is HIV Ag, antibody to envelope, then antibody to core. Antigenaemia could be detected as soon as 2 weeks after infection and lasted 3-5 months. 82% agreement was seen between CIA-RA and western blot; CIA was more sensitive to envelope antibody and western blot was more sensitive to core antibody. Registry Numbers 0 (Antibodies, Viral). 0 (Antigens, Viral). 0 (Viral Core Proteins). 0 (Viral Envelope Proteins). <4> Unique Identifier 87013527 Authors Mann JM. Bila K. Colebunders RL. Kalemba K. Khonde N. Bosenge N. Nzilambi N. Malonga M. Jansegers L. Francis H. et al. Title Natural history of human immunodeficiency virus infection in Zaire. Source Lancet. 2(8509):707-9, 1986 Sep 27. MeSH Subject Headings Acquired Immunodeficiency Syndrome/im [Immunology] *Acquired Immunodeficiency Syndrome/pp [Physiopathology] Antibodies, Viral/an [Analysis] Female Follow-Up Studies Human HIV/im [Immunology] Male Zaire Abstract The natural history of human immunodeficiency virus (HIV) infection in Zaire was determined by identifying in October, 1984, 125 seropositive hospital personnel without signs or symptoms and 145 age and sex matched seronegative controls from the same population. Between July, 1985, and February, 1986, 67 seropositives, including 38 men and 29 women, and 113 seronegatives were interviewed and examined by an observer who did not know their serological status. The acquired immunodeficiency syndrome (AIDS) had developed in 1 seropositive and no seronegatives (rate difference, 1.3/100 person-years [py]; 95% confidence interval 0-3.3/100 py); AIDS-related complex or generalised lymphadenopathy had developed in 8 seropositives (12%) and 1 seronegative (1%) (rate ratio, 13.2; 95% confidence interval 1.3-134.6); and minimal lymphadenopathy had developed in 19 seropositives (28%) and 8 seronegatives (7%) (rate ratio, 3.9; 95% confidence interval 1.8-8.4). These data provide the first estimates for rates of progression to AIDS or AIDS-related conditions among healthy HIV seropositive heterosexual adults. Rates observed in this study are similar to those reported in US or European homosexual or bisexual men. Registry Numbers 0 (Antibodies, Viral). <5> Unique Identifier 87144860 Authors Blijham GH. Title The pathogenesis of the acquired immunodeficiency syndrome. [Review] [63 refs] Source Netherlands Journal of Medicine. 29(12):420-6, 1986. MeSH Subject Headings Acquired Immunodeficiency Syndrome/im [Immunology] *Acquired Immunodeficiency Syndrome/pp [Physiopathology] Human HIV/im [Immunology] T-Lymphocytes, Helper-Inducer/im [Immunology] <6> Unique Identifier 87101905 Authors Lange JM. Paul DA. Huisman HG. de Wolf F. van den Berg H. Coutinho RA. Danner SA. van der Noordaa J. Goudsmit J. Title Persistent HIV antigenaemia and decline of HIV core antibodies associated with transition to AIDS. Source British Medical Journal Clinical Research Ed.. 293(6560):1459-62, 1986 Dec 6. MeSH Subject Headings *Acquired Immunodeficiency Syndrome/im [Immunology] Adult *Antibodies, Viral/an [Analysis] *Antigens, Viral/an [Analysis] Blood Transfusion Child, Preschool Homosexuality Human *HIV/im [Immunology] IgG/an [Analysis] Infant Male Support, Non-U.S. Gov't Time Factors Viral Core Proteins/im [Immunology] Abstract Sequential serum samples from 13 homosexual men who seroconverted for antibodies to human immunodeficiency virus (HIV) were tested for HIV antigen. In one of these men, who developed the acquired immune deficiency syndrome (AIDS), HIV antigenaemia preceded the onset of AIDS by more than a year and persisted throughout the course of the disease. This antigenaemia was accompanied by the disappearance of IgG antibody reactivity to the major HIV core protein p24. In none of the 12 others, who all remained without serious disease, were serum concentrations of HIV antigen detected, except on one occasion in one man. All their serum samples showed strong IgG antibody reactivity to p24. Nine children who were infected with HIV in 1981 by plasma transfusion from a single donor were also followed up for HIV antigenaemia. HIV antigen was almost constantly present in the serum (26 of 28 samples) of five children who developed AIDS related complex or AIDS and less often in the serum (four of 10 samples) of four children who remained free of symptoms. The two children who developed AIDS showed a virtual absence of antibody reactivity to p24. These results indicate that increased HIV gene expression is a contributing factor to the development of AIDS and also provide evidence for a switch from latent to active HIV infection. Registry Numbers 0 (Antibodies, Viral). 0 (Antigens, Viral). 0 (HIV Antibodies). 0 (HIV Antigens). 0 (Viral Core Proteins). <7> Unique Identifier 87069956 Authors Walker CM. Moody DJ. Stites DP. Levy JA. Title CD8+ lymphocytes can control HIV infection in vitro by suppressing virus replication. Source Science. 234(4783):1563-6, 1986 Dec 19. MeSH Subject Headings *Acquired Immunodeficiency Syndrome/im [Immunology] Acquired Immunodeficiency Syndrome/th [Therapy] Antigens, Surface Cells, Cultured Human HIV/im [Immunology] *HIV/ph [Physiology] Male RNA-Directed DNA Polymerase/me [Metabolism] Support, Non-U.S. Gov't *T-Lymphocytes/im [Immunology] *Virus Replication Abstract Lymphocytes bearing the CD8 marker were shown to suppress replication of human immunodeficiency virus (HIV) in peripheral blood mononuclear cells. The effect was dose-dependent and most apparent with autologous lymphocytes; it did not appear to be mediated by a cytotoxic response. This suppression of HIV replication could be demonstrated by the addition of CD8+ cells at the initiation of virus production as well as after several weeks of virus replication by cultured cells. The observations suggest a potential approach to therapy in which autologous CD8 lymphocytes could be administered to individuals to inhibit HIV replication and perhaps progression of disease. Registry Numbers EC 2-7-7-49 (RNA-Directed DNA Polymerase). 0 (Antigens, Surface). <8> Unique Identifier 87065140 Authors Weiss RA. Clapham PR. Weber JN. Dalgleish AG. Lasky LA. Berman PW. Title Variable and conserved neutralization antigens of human immunodeficiency virus. Source Nature. 324(6097):572-5, 1986 Dec 11-17. MeSH Subject Headings Acquired Immunodeficiency Syndrome/im [Immunology] Animal Antibodies, Viral/im [Immunology] *Antigens, Viral/im [Immunology] Complement/im [Immunology] Cross Reactions Epitopes/im [Immunology] Guinea Pigs Human *HIV/im [Immunology] Neutralization Tests Rabbits Recombinant Proteins/im [Immunology] Support, Non-U.S. Gov't Viral Envelope Proteins/im [Immunology] Abstract Human immunodeficiency virus type 1 (HIV-1, HTLV-III/LAV), the retrovirus responsible for acquired immune deficiency syndrome (AIDS), shows a high degree of genetic polymorphism, particularly in the env gene. We have examined sera from rabbits and guinea pigs immunized with gp130, a recombinant env glycoprotein, and sera from HIV-1-infected subjects, to test their capacity to neutralize a panel of genetically divergent HIV-1 isolates. The sera raised against recombinant antigen specifically neutralized the virus strain from which the env gene was cloned (HTLV-IIIB), but not an independent isolate (HTLV-IIIRF). One rabbit serum tested on seven isolates cross-neutralized two at lower titres. In contrast, human sera from Britain and Uganda, chosen for ability to neutralize HTLV-IIIRF, cross-neutralized six other HIV-1 isolates. When serum and isolate were derived from the same subject, the serum was in some cases effective at slightly lower concentrations (higher titres). Human complement did not affect neutralization titres. These findings indicate that genetically diverse HIV-1 isolates carry both variable and widely conserved antigenic epitopes for neutralizing antibodies. The identification of shared epitopes may help the development of protective vaccines. Registry Numbers 0 (Antibodies, Viral). 0 (Antigens, Viral). 0 (Epitopes). 0 (HIV Antibodies). 0 (HIV Antigens). 0 (Recombinant Proteins). 0 (Viral Envelope Proteins). 9007-36-7 (Complement). <9> Unique Identifier 87184320 Authors Tindall B. Cooper DA. Burcham J. Gold J. Penny R. Title Clinical and immunologic sequelae of AIDS retrovirus infection. Source Australian & New Zealand Journal of Medicine. 16(6):749-56, 1986 Dec. MeSH Subject Headings Acquired Immunodeficiency Syndrome/co [Complications] *Acquired Immunodeficiency Syndrome/im [Immunology] Antibodies, Viral/an [Analysis] Australia Homosexuality Human HIV/im [Immunology] Male Prospective Studies Support, Non-U.S. Gov't T-Lymphocytes/im [Immunology] Abstract The Sydney AIDS Project is a prospective immunoepidemiological study of 911 homosexual and bisexual men enrolled between February 1984 and January 1985. Clinical, immunological, and serological studies are performed on these subjects every six months. At enrollment, 39.9% of subjects were seropositive for antibodies to AIDS retrovirus (ARV). Of these 352 seropositive subjects, 28.1% were symptomless with normal immune profiles, 23.6% were symptomless with an immunodeficiency, 18.8% had a clinical illness but normal immune profile, and 29.6% had a clinical illness and immunodeficiency. Of the symptomless subjects, 27.8% were seropositive for antibodies to ARV. Clinically, seropositivity was significantly associated with enlargement of three or more non-inguinal lymph node groups, splenomegaly, and hepatomegaly. Immunologically, seropositivity was significantly associated with lower absolute numbers of lymphocytes and T4+ lymphocytes and a lower T4+ : T8+ ratio, compared with seronegative subjects. Seropositive subjects with a clinical illness had a significantly lower percentage of T4+ lymphocytes and lower T4+ : T8+ ratio than did those who were symptomless. However, the absolute number of T4+ cells was not significantly different between subjects with a clinical illness and those who were symptomless. Subjects whose sera were positive by immunofluorescence and enzyme-linked immunosorbent assay but were negative by radioimmune precipitation assay had a lower number and percentage of T4+ lymphocytes than subjects who were positive by all three tests. These results demonstrate a wide variety of clinical and immunological responses to ARV infection. Prospective study of these subjects will enable us to define further the natural history of ARV infection and factors associated with progression. Registry Numbers 0 (Antibodies, Viral). 0 (HIV Antibodies). <10> Unique Identifier 87075776 Authors Streilein JW. Parks WP. Title On the pathogenesis of immune incompetence in the acquired immune deficiency syndrome. Source Bioessays. 4(6):286-91, 1986 Jun. MeSH Subject Headings Acquired Immunodeficiency Syndrome/et [Etiology] *Acquired Immunodeficiency Syndrome/im [Immunology] B-Lymphocytes/im [Immunology] Human HIV/im [Immunology] T-Lymphocytes/im [Immunology] <11> Unique Identifier 87009907 Authors Shearer GM. Bernstein DC. Tung KS. Via CS. Redfield R. Salahuddin SZ. Gallo RC. Title A model for the selective loss of major histocompatibility complex self-restricted T cell immune responses during the development of acquired immune deficiency syndrome (AIDS). Source Journal of Immunology. 137(8):2514-21, 1986 Oct 15. MeSH Subject Headings *Acquired Immunodeficiency Syndrome/im [Immunology] Antibodies, Viral/an [Analysis] AIDS-Related Complex/im [Immunology] Human HIV/im [Immunology] HLA Antigens/an [Analysis] Isoantigens/an [Analysis] Lymphocyte Transformation *Major Histocompatibility Complex T-Lymphocytes/cl [Classification] *T-Lymphocytes/im [Immunology] T-Lymphocytes, Cytotoxic/im [Immunology] Abstract Functional analyses of peripheral blood leukocytes (PBL) from high risk HTLV-III antibody-negative and antibody-positive donors, as well as from patients with acquired immune deficiency syndrome (AIDS), lymphadenopathy syndrome (LAS), and AIDS-related complex (ARC) were performed by the in vitro generation of cytotoxic T lymphocyte (CTL) and proliferative responses to the HLA self-restricted antigens of influenza virus (S + X) and to nonself restricted HLA alloantigens (ALLO). All 40 antibody-negative donors tested responded to both S + X and ALLO in the CTL response, whereas six of 14 antibody-positive, two of three LAS, four of five ARC, and seven of 17 AIDS patients exhibited a selective absence of CTL to S + X, but generated normal or elevated CTL responses to ALLO. Of the remaining 10 AIDS patients, nine did not respond to either S + X or ALLO, and one responded to both S + X and ALLO. A similar selective loss of the proliferative response to S + X was found. We also observed antibody-positive donors who initially generated CTL responses to S + X and ALLO, but lost the S + X response as a function of time. We were able to restore the selective loss of S + X CTL activity in vitro by the addition of IL 2 and, to some extent, by co-stimulation with S + X plus ALLO. Depletion of CD4+ T helper cells and removal of autologous antigen-presenting cells from the PBL of healthy antibody-negative donors indicated that distinct T helper cell subsets exist in human PBL, and that S + X responses must use a CD4+ T helper population, whereas ALLO responses can utilize an alternate CD4- T helper pathway. A model is presented indicating the selective depletion of CD4+ T helper function in the developmental stages of AIDS. The functional test for T helper activity to self restricted antigens may be the earliest indicator of immune functional loss in the development of AIDS, and may precede a reduction in the absolute number of CD4+ cells. Registry Numbers 0 (Antibodies, Viral). 0 (HIV Antibodies). 0 (HLA Antigens). 0 (Isoantigens). <12> Unique Identifier 87078258 Authors Rial WY. Title Acquired immune deficiency syndrome. Source Clinical Therapeutics. 8(6):590-3, 1986. MeSH Subject Headings Acquired Immunodeficiency Syndrome/di [Diagnosis] Acquired Immunodeficiency Syndrome/pc [Prevention & Control] *Acquired Immunodeficiency Syndrome Antibodies, Viral/an [Analysis] Diagnosis, Differential Ethics, Medical Health Priorities Human HIV/im [Immunology] United States Registry Numbers 0 (Antibodies, Viral). 0 (HIV Antibodies). <13> Unique Identifier 87128385 Authors Lepe-Zuniga JL. Mansell PW. Title AIDS: from immunity to infection to autoimmunity. A comprehensive hypothesis of the pathogenesis of the disease. Source AIDS Research. 2(4):363-8, 1986 Fall. MeSH Subject Headings *Acquired Immunodeficiency Syndrome/et [Etiology] Acquired Immunodeficiency Syndrome/im [Immunology] Autoantibodies/bi [Biosynthesis] Human HIV/py [Pathogenicity] Immunity Registry Numbers 0 (Autoantibodies). <14> Unique Identifier 87094337 Authors Gras C. Renoux E. Title [AIDS]. [French] Original Title Le SIDA. Source Soins. (487-488):4-8, 1986 Oct. MeSH Subject Headings Acquired Immunodeficiency Syndrome/im [Immunology] *Acquired Immunodeficiency Syndrome/pa [Pathology] Acquired Immunodeficiency Syndrome/tm [Transmission] Human HIV/im [Immunology] Opportunistic Infections/et [Etiology] Sarcoma, Kaposi's/et [Etiology] <15> Unique Identifier 87079467 Authors Galbraith NS. McEvoy M. Sibellas M. Title The acquired immune deficiency syndrome--1985. Source Community Medicine. 8(4):329-36, 1986 Nov. MeSH Subject Headings *Acquired Immunodeficiency Syndrome/ep [Epidemiology] Acquired Immunodeficiency Syndrome/pc [Prevention & Control] Acquired Immunodeficiency Syndrome/tm [Transmission] Female Great Britain Homosexuality Human HIV/im [Immunology] Male Pregnancy <16> Unique Identifier 87051399 Authors Reitz MS. Gallo RC. Title Retroviruses of human T cells: their role in the aetiology of adult T-cell leukaemia/lymphoma and the acquired immune deficiency syndrome. Source Cancer Surveys. 4(2):313-29, 1985. MeSH Subject Headings *Acquired Immunodeficiency Syndrome/mi [Microbiology] Genes, Viral Human HIV/ge [Genetics] *HIV/py [Pathogenicity] *HTLV-BLV Infections/mi [Microbiology] HTLV-BLV Viruses/ge [Genetics] *HTLV-BLV Viruses/py [Pathogenicity] *Lymphoma/mi [Microbiology] Transcription, Genetic <17> Unique Identifier 87030776 Authors Goedert JJ. Gallo RC. Title Epidemiological evidence that HTLV-III is the AIDS agent. Source European Journal of Epidemiology. 1(3):155-9, 1985 Sep. MeSH Subject Headings Acquired Immunodeficiency Syndrome/ep [Epidemiology] *Acquired Immunodeficiency Syndrome/mi [Microbiology] Acquired Immunodeficiency Syndrome/tm [Transmission] Antibodies, Viral/an [Analysis] AIDS-Related Complex/ep [Epidemiology] AIDS-Related Complex/mi [Microbiology] AIDS-Related Complex/tm [Transmission] Blood Transfusion/ae [Adverse Effects] Female Hemophilia/mi [Microbiology] Hemophilia/th [Therapy] Homosexuality Human HIV/ge [Genetics] HIV/im [Immunology] *HIV/ip [Isolation & Purification] Male Risk T-Lymphocytes, Helper-Inducer/im [Immunology] United States Abstract Human T-lymphotropic virus type III (HTLV-III) is a recently discovered retrovirus with tropism and cytotoxicity for the OKT4+ lymphocytes that are depleted in the acquired immune deficiency syndrome (AIDS). In addition to the frequent detection of HTLV-III in patients with AIDS and related syndromes, seroepidemiological studies have shown that HTLV-III can be transmitted by sexual contact and blood transfusion in a manner identical to the putative AIDS agent. Analyses of stored sera have revealed that HTLV-III antibodies appeared in high-risk groups some two years before the disease outbreak, which corresponds to the apparent incubation period in patients with transfusion-associated AIDS. The risk of developing AIDS is clearly associated with HTLV-III seropositivity and may be as high as 20% within three years. Strong evidence that HTLV-III is the AIDS agent mandates aggressive efforts to minimize further sexual, maternal-fetal, and blood-borne transmission of this virus while pursuing vaccine development and antiretroviral therapies. Registry Numbers 0 (Antibodies, Viral). 0 (HIV Antibodies). <18> Unique Identifier 91026543 Authors Gallo RC. Reitz MS Jr. Institution Laboratory of Tumor Cell Biology, National Cancer Institute, Bethesda, Maryland 20205. Title The first human retroviruses: are there others?. [Review] [66 refs] Source Microbiological Sciences. 2(4):97-8, 101-4, 1985. MeSH Subject Headings *Acquired Immunodeficiency Syndrome/mi [Microbiology] Human *HIV *HTLV-I *HTLV-II *Leukemia-Lymphoma, T-Cell, Acute, HTLV-I-Associated/mi [Microbiology] Abstract Three related, but very different, retroviruses have recently been identified in man. Human T-cell leukaemia virus (HTLV) type I apparently causes adult T-cell leukaemia. HTLV type II has been isolated only rarely and has not been identified with a disease. HTLV type III is very likely the causative agent in acquired immunodeficiency syndrome. [References: 66]