Detection of Immunoglobulin G and/or IgM antibodies specific for Lassa virus among HIV patients in the Northwestern region of Cameroon

Abstract Background Persons with HIV are prone to other infections. Lassa virus (LASV)coinfection with HIV is a public health concern. Viral hemorrhagic fever caused by LASV has been endemic in parts of West Africa. Clinical diagnosis has been a major challenge for effective management and control b...

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Main Authors: Lem Edith Abongwa, Kelvin Njefi, Ntonifor Helen Ngum, Teboh Rogeson, Muhammad Ahmed, Oluremi Israel Ajayi, Gerades Dely Djoufack, Philomena Eromon, Chinedu Ugwu, Onikepe Folarin, Christian Happi
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Language:English
Published: BMC 2025-04-01
Series:Virology Journal
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Online Access:https://doi.org/10.1186/s12985-025-02732-8
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author Lem Edith Abongwa
Kelvin Njefi
Ntonifor Helen Ngum
Teboh Rogeson
Muhammad Ahmed
Oluremi Israel Ajayi
Gerades Dely Djoufack
Philomena Eromon
Chinedu Ugwu
Onikepe Folarin
Christian Happi
author_facet Lem Edith Abongwa
Kelvin Njefi
Ntonifor Helen Ngum
Teboh Rogeson
Muhammad Ahmed
Oluremi Israel Ajayi
Gerades Dely Djoufack
Philomena Eromon
Chinedu Ugwu
Onikepe Folarin
Christian Happi
author_sort Lem Edith Abongwa
collection DOAJ
description Abstract Background Persons with HIV are prone to other infections. Lassa virus (LASV)coinfection with HIV is a public health concern. Viral hemorrhagic fever caused by LASV has been endemic in parts of West Africa. Clinical diagnosis has been a major challenge for effective management and control because the majority of patients are asymptomatic. As such, rapid diagnosis is desirable for prompt therapeutic intervention and the implementation of control measures. The high prevalence of LASV recorded in Nigeria, a neighboring country, places Cameroon at risk. However, the detection of LASV infection among HIV patients, which we investigated in this study, has not been carried out in Cameroon. Methods Plasma samples were obtained between December 2021 and April 2022 from 330 HIV-positive patients who provided consent. They were tested for LASV IgG and/or IgM antibodies specific for LASV nucleoprotein and/or prefusion envelope glycoproteins via the ReLASV® Pan-Lassa Combo NP/Prefusion GP IgG/IgM ELISA Test Kit according to the manufacturer’s instructions. The data were analysed via SPSS and GraphPad. Results Analysis of these samples revealed that IgG and both IgG and IgM antibodies were detected in 2.4% (8/330) and 1.8% (6/330) of the samples, respectively. Our data revealed that both IgG and IgM antibodies do not depend (p > 0.05) on age, sex, or duration of antiretroviral therapy (ART), although the prevalence was high in individuals < 25 years of age, males, and those who had taken ART for < 5 years. The mean ODs of both IgG (0.6 0vs 0.03) and IgM (0.88 vs. 0.04) were significantly greater (p < 0.05) between LAVS-positive and LAVS-negative patients. Conclusions The finding of this study shows co-infection of HIV and Lassa Virus. The presence of LASV-specific antibodies suggests exposure to LASV. These findings have direct implications for understanding the transmission risk, mitigation, and prevention and control of LASVs in Cameroon. Our results indicate the urgent need to extend LASV surveillance if there is recurrent LASV infection in any country.
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spelling doaj-art-1ebb69b4c41b4c839097abbea81dba862025-08-20T02:55:25ZengBMCVirology Journal1743-422X2025-04-012211810.1186/s12985-025-02732-8Detection of Immunoglobulin G and/or IgM antibodies specific for Lassa virus among HIV patients in the Northwestern region of CameroonLem Edith Abongwa0Kelvin Njefi1Ntonifor Helen Ngum2Teboh Rogeson3Muhammad Ahmed4Oluremi Israel Ajayi5Gerades Dely Djoufack6Philomena Eromon7Chinedu Ugwu8Onikepe Folarin9Christian Happi10Institute of Genomics and Global Health (IGH), Redeemer’s University, NigeriaHIV Day Hospital, Regional Hospital BamendaInstitute of Genomics and Global Health (IGH), Redeemer’s University, NigeriaInstitute of Genomics and Global Health (IGH), Redeemer’s University, NigeriaInstitute of Genomics and Global Health (IGH), Redeemer’s University, NigeriaInstitute of Genomics and Global Health (IGH), Redeemer’s University, NigeriaInstitute of Genomics and Global Health (IGH), Redeemer’s University, NigeriaInstitute of Genomics and Global Health (IGH), Redeemer’s University, NigeriaInstitute of Genomics and Global Health (IGH), Redeemer’s University, NigeriaInstitute of Genomics and Global Health (IGH), Redeemer’s University, NigeriaInstitute of Genomics and Global Health (IGH), Redeemer’s University, NigeriaAbstract Background Persons with HIV are prone to other infections. Lassa virus (LASV)coinfection with HIV is a public health concern. Viral hemorrhagic fever caused by LASV has been endemic in parts of West Africa. Clinical diagnosis has been a major challenge for effective management and control because the majority of patients are asymptomatic. As such, rapid diagnosis is desirable for prompt therapeutic intervention and the implementation of control measures. The high prevalence of LASV recorded in Nigeria, a neighboring country, places Cameroon at risk. However, the detection of LASV infection among HIV patients, which we investigated in this study, has not been carried out in Cameroon. Methods Plasma samples were obtained between December 2021 and April 2022 from 330 HIV-positive patients who provided consent. They were tested for LASV IgG and/or IgM antibodies specific for LASV nucleoprotein and/or prefusion envelope glycoproteins via the ReLASV® Pan-Lassa Combo NP/Prefusion GP IgG/IgM ELISA Test Kit according to the manufacturer’s instructions. The data were analysed via SPSS and GraphPad. Results Analysis of these samples revealed that IgG and both IgG and IgM antibodies were detected in 2.4% (8/330) and 1.8% (6/330) of the samples, respectively. Our data revealed that both IgG and IgM antibodies do not depend (p > 0.05) on age, sex, or duration of antiretroviral therapy (ART), although the prevalence was high in individuals < 25 years of age, males, and those who had taken ART for < 5 years. The mean ODs of both IgG (0.6 0vs 0.03) and IgM (0.88 vs. 0.04) were significantly greater (p < 0.05) between LAVS-positive and LAVS-negative patients. Conclusions The finding of this study shows co-infection of HIV and Lassa Virus. The presence of LASV-specific antibodies suggests exposure to LASV. These findings have direct implications for understanding the transmission risk, mitigation, and prevention and control of LASVs in Cameroon. Our results indicate the urgent need to extend LASV surveillance if there is recurrent LASV infection in any country.https://doi.org/10.1186/s12985-025-02732-8Lassa virusIgGIgMHIVCameroon
spellingShingle Lem Edith Abongwa
Kelvin Njefi
Ntonifor Helen Ngum
Teboh Rogeson
Muhammad Ahmed
Oluremi Israel Ajayi
Gerades Dely Djoufack
Philomena Eromon
Chinedu Ugwu
Onikepe Folarin
Christian Happi
Detection of Immunoglobulin G and/or IgM antibodies specific for Lassa virus among HIV patients in the Northwestern region of Cameroon
Virology Journal
Lassa virus
IgG
IgM
HIV
Cameroon
title Detection of Immunoglobulin G and/or IgM antibodies specific for Lassa virus among HIV patients in the Northwestern region of Cameroon
title_full Detection of Immunoglobulin G and/or IgM antibodies specific for Lassa virus among HIV patients in the Northwestern region of Cameroon
title_fullStr Detection of Immunoglobulin G and/or IgM antibodies specific for Lassa virus among HIV patients in the Northwestern region of Cameroon
title_full_unstemmed Detection of Immunoglobulin G and/or IgM antibodies specific for Lassa virus among HIV patients in the Northwestern region of Cameroon
title_short Detection of Immunoglobulin G and/or IgM antibodies specific for Lassa virus among HIV patients in the Northwestern region of Cameroon
title_sort detection of immunoglobulin g and or igm antibodies specific for lassa virus among hiv patients in the northwestern region of cameroon
topic Lassa virus
IgG
IgM
HIV
Cameroon
url https://doi.org/10.1186/s12985-025-02732-8
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