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丙型肝炎病毒1a和1b亚型在阿根廷中部地区的传播。

Spreading of hepatitis C virus subtypes 1a and 1b through the central region of Argentina.

作者信息

Culasso Andrés Carlos Alberto, Farías Adrián, Di Lello Federico Alejandro, Golemba Marcelo Darío, Ré Viviana, Barbini Luciana, Campos Rodolfo

机构信息

Cátedra de Virología, Facultad de Farmacia y Bioquímica, Universidad de Buenos Aires, Buenos Aires, Argentina.

Instituto de Virología Dr. José Maria Vanella, Universidad Nacional de Córdoba, Córdoba, Argentina.

出版信息

Infect Genet Evol. 2014 Aug;26:32-40. doi: 10.1016/j.meegid.2014.05.008. Epub 2014 May 10.

Abstract

The recent history of the hepatitis C virus (HCV) subtypes 1a and 1b in the central region of Argentina is hypothesized by phylogeographic reconstruction using coalescent based Bayesian analyses. Direct partial E2 sequences from HCV 1a and 1b infected patients attending different health-care centers of the country were analyzed. The inferred date of the most recent common ancestor (tMRCA) for HCV-1a was: 1962 (between 1943 and 1977) and for HCV-1b was earlier: 1929 (between 1895 and 1953). Diverse ancestral populations were inferred from both subtypes in Córdoba and in Buenos Aires cities and after that, HCV spread within and between larger cities and to other smaller cities. The analyses suggested that HCV-1b was dispersed first and it is currently in a stationary phase whereas HCV-1a was dispersed latter and it is still in a growth phase. Finally, as it was observed in the developed countries, while the transmission of HCV-1b appears to have been somehow prevented, the HCV-1a may still represent a concern in the public health. Further work should be carried out to address their current transmission rate (and its main transmission route) in the Argentinean population.

摘要

通过基于溯祖理论的贝叶斯分析进行系统发育地理学重建,推测了阿根廷中部地区丙型肝炎病毒(HCV)1a和1b亚型的近期历史。分析了来自该国不同医疗中心的HCV 1a和1b感染患者的直接E2部分序列。HCV-1a最近共同祖先(tMRCA)的推断日期为:1962年(1943年至1977年之间),HCV-1b的推断日期更早:1929年(1895年至1953年之间)。在科尔多瓦市和布宜诺斯艾利斯市,从这两种亚型中推断出了不同的祖先群体,此后,HCV在大城市内部和之间传播,并传播到其他较小的城市。分析表明,HCV-1b首先传播,目前处于稳定阶段,而HCV-1a传播较晚,仍处于增长阶段。最后,正如在发达国家所观察到的那样,虽然HCV-1b的传播似乎在某种程度上得到了预防,但HCV-1a可能仍然是公共卫生方面的一个问题。应该开展进一步的工作来研究它们在阿根廷人群中的当前传播率(及其主要传播途径)。

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