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在澳大利亚流行的1型人类免疫缺陷病毒亚型的多样性不断增加。

Increasing diversity of Human Immunodeficiency Virus type 1 subtypes circulating in Australia.

作者信息

Chibo Doris, Birch Chris

机构信息

HIV Characterisation Laboratory, Victorian Infectious Diseases Reference Laboratory, North Melbourne, Victoria, Australia.

出版信息

AIDS Res Hum Retroviruses. 2012 Jun;28(6):578-83. doi: 10.1089/aid.2011.0200. Epub 2012 Jan 17.

Abstract

Characterization of HIV subtypes can provide a more comprehensive understanding of the epidemic within a distinct region, and when combined with notification data, may also be helpful in enhancing current HIV prevention strategies. In this study, we characterized 1056 HIV-positive individuals (948 males and 108 females) living in Victoria and whose infection was detected for the first time between 2005 and 2010 inclusive. HIV-1 strains were subtyped based on pol gene sequence. Phylogenetic analysis was performed on all non-B subtype sequences identified. Of the 1056 sequences analyzed, 825 were subtype B and 231 were non-B. Overall 6 HIV-1 subtypes, 6 circulating recombinant forms (CRFs), and 12 unique recombinant forms (URFs) were identified. Regardless of gender, the majority of individuals were infected with a subtype B virus (78%). Subtype B was dominant in males (n=806, 85%). In contrast, the majority of females were infected with non-B subtypes (n=89, 82%), in particular subtype C (n=48, 45%). Phylogenetic analysis of the non-B subtypes revealed that the majority of clustering, and thereby transmission, occurred with CRF01_AE strains. Despite the relatively high numbers identified in females there was very little clustering of subtype C viruses. Subtypes C and A1 both historically associated with heterosexual transmission, and CRF01_AE often associated with IVDU, were also associated with transmission within the MSM population, demonstrating the potential for non-B subtypes to expand into the MSM population. The observation of increasing numbers of females and heterosexual males infected with non-subtype B viruses, the majority imported through migration and travel to countries where there is a high prevalence of HIV, suggests a targeted public health message may be required to prevent further increases within these two groups.

摘要

对艾滋病毒亚型进行特征分析有助于更全面地了解特定区域内的疫情,若与疫情通报数据相结合,还可能有助于加强当前的艾滋病毒预防策略。在本研究中,我们对居住在维多利亚州、于2005年至2010年(含)期间首次被检测出感染艾滋病毒的1056名艾滋病毒阳性个体(948名男性和108名女性)进行了特征分析。根据pol基因序列对HIV-1毒株进行亚型分类。对所有鉴定出的非B亚型序列进行系统发育分析。在分析的1056个序列中,825个为B亚型,231个为非B亚型。总共鉴定出6种HIV-1亚型、6种循环重组型(CRF)和12种独特重组型(URF)。无论性别如何,大多数个体感染的是B亚型病毒(78%)。B亚型在男性中占主导地位(n = 806,85%)。相比之下,大多数女性感染的是非B亚型(n = 89,82%),尤其是C亚型(n = 4,8,45%)。对非B亚型的系统发育分析表明,大多数聚类以及由此产生的传播是由CRF01_AE毒株引起的。尽管在女性中鉴定出的数量相对较多,但C亚型病毒的聚类很少。历史上与异性传播相关的C亚型和A1亚型,以及通常与注射吸毒相关的CRF01_AE亚型,也与男男性行为人群中的传播有关,这表明非B亚型有可能在男男性行为人群中传播。观察到感染非B亚型病毒的女性和异性恋男性数量不断增加,其中大多数是通过移民和前往艾滋病毒高流行国家旅行而感染的,这表明可能需要有针对性的公共卫生信息,以防止这两组人群中的感染情况进一步增加。

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