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希腊人类免疫缺陷病毒1型垂直传播的分子流行病学:非B亚型的证据。

Molecular epidemiology of vertical human immunodeficiency virus type 1 transmission in Greece: evidence of non-B subtypes.

作者信息

Paraskevis D, Magiorkinis E, Theodoridou M, Mostrou G, Papaevangelou V, Kiosses V G, Hatzakis A, Matsaniotis N

机构信息

Department of Hygiene and Epidemiology, Athens University Medical School, Greece.

出版信息

J Hum Virol. 1999 Nov-Dec;2(6):339-43.

PMID:10774550
Abstract

OBJECTIVES

To investigate the subtype classification of the circulating virus strains among human immunodeficiency virus type 1 (HIV-1)-infected children in Greece.

STUDY DESIGN/METHODS: Since the beginning of the acquired immunodeficiency syndrome (AIDS) epidemic in Greece in 1982, 23 children have been reported to be vertically infected with HIV-1. Blood samples were available for 19 of these children, and the C2-C4 env region was successfully amplified by nested polymerase chain reaction (PCR) for 16 subjects. HIV-1 subtype was established by the heteroduplex mobility assay (HMA) in 16 subjects and confirmed by DNA sequencing and phylogenetic analysis in 8 subjects.

RESULTS

Most subjects (9; 56%) fell into subtype B. However, a substantial proportion (44%) were classified as subtypes A (3; 19%), C (1; 6%), D (1; 6%), and I (2; 12%). According to epidemiologic information, 5 of 7 children infected with non-B HIV-1 subtypes were born to Greek parents.

CONCLUSION

These findings clearly suggest that non-B strains have been introduced into Greece, providing evidence that HIV epidemic in this country will probably change profile over time. In addition, subtype I was identified in 2 HIV-1-infected children, both of whom were born to Greek parents.

摘要

目的

调查希腊人类免疫缺陷病毒1型(HIV-1)感染儿童中循环病毒株的亚型分类。

研究设计/方法:自1982年希腊艾滋病流行开始以来,已有23名儿童被报告为垂直感染HIV-1。其中19名儿童有血样可用,16名受试者通过巢式聚合酶链反应(PCR)成功扩增了C2-C4 env区域。16名受试者通过异源双链迁移率分析(HMA)确定了HIV-1亚型,8名受试者通过DNA测序和系统发育分析进行了确认。

结果

大多数受试者(9名;56%)属于B亚型。然而,相当一部分(44%)被分类为A(3名;19%)、C(1名;6%)、D(1名;6%)和I(2名;12%)亚型。根据流行病学信息,7名感染非B型HIV-1亚型的儿童中有5名的父母是希腊人。

结论

这些发现清楚地表明非B型毒株已传入希腊,这证明该国的HIV流行情况可能会随时间而改变。此外,在2名HIV-1感染儿童中鉴定出I亚型,这两名儿童的父母均为希腊人。

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