Document 2385 DOCN M94A2385 TI Seroconversion to dual reactivity among HIV-1 and HIV-2 seropositive women in Abidjan, Cote d'Ivoire. DT 9412 AU Wiktor SZ; Ekpini E; Sibailly T; Diaby L; Teurquetil MJ; Tossou O; DeCock KM; Greenberg AE; Projet RETRO-CI, Abidjan, Cote d'Ivoire. SO Int Conf AIDS. 1994 Aug 7-12;10(1):316 (abstract no. PC0195). Unique Identifier : AIDSLINE ICA10/94370190 AB OBJECTIVE: To assess the rate of seroconversion from HIV-negative (HIV-N) to HIV-1 or HIV-2 seropositivity and from HIV-1 or HIV-2 seropositivity to dual reactivity (HIV-D) in a cohort of women enrolled in a study of perinatal HIV transmission in Abidjan, Cote d'Ivoire. METHODS: From September 1990 to August 1992, HIV-1, HIV-2, and HIV-N women were enrolled at delivery and followed until January 1994. Six-monthly blood samples were screened for HIV antibodies by EIA and confirmed by a synthetic peptide-based test (Peptilav) or Western blot. HIV serotype (HIV-1, HIV-2, or HIV-D) was determined by Peptilav, and seroconversion (SC) was defined as a change in Peptilav result. Lymphocyte subtyping was performed. TABULAR DATA, SEE ABSTRACT VOLUME. CONCLUSIONS: SC to dual reactivity occurs at similar rates in HIV-1 and HIV-2 women, occurs at higher rates than does SC from HIV-N to HIV-1 or HIV-2 seropositivity, and tends to be associated with more advanced immunosuppression. These data suggest that immunosuppressed HIV seropositive women may be more susceptible to HIV-1 or HIV-2 infection than are seronegative women and/or that dual reactivity may be a marker for immunosuppression. Virologic testing will help to investigate these two possibilities. DE Cohort Studies Female Human HIV Infections/IMMUNOLOGY *HIV Seropositivity HIV-1/*IMMUNOLOGY HIV-2/*IMMUNOLOGY MEETING ABSTRACT SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).