Li Zheng, Liao Lingjie, Feng Yi, Zhang Jing, Yan Jing, He Cui, Xu Wei, Ruan Yuhua, Xing Hui, Shao Yiming
State Key Laboratory of Infectious Disease Prevention and Control, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Beijing, China.
Sci Rep. 2015 Nov 18;5:16708. doi: 10.1038/srep16708.
To investigate the origins of HIV transmission and phylogenetic dynamics among men who have sex with men (MSM), a total of 1205 newly diagnosed HIV-infected 16-25 year-olds were recruited in 13 provinces across China between 2009 and 2014. Based on phylogenetic analyses of partial pol sequences, HIV-1 subtypes including CRF01_AE (45.3%), CRF07_BC (37.8%), subtype B (6.1%), and B' (3.7%), as well as some other recombinants (7.1%) were identified. In addition to two distinct CRF01_AE clusters [cluster 4 (33.7%, 406/1205) and cluster 5 (7.1%, 85/1205)], we identified a new CRF07_BC cluster (cluster 1) (36.0%, 434/1205), which entered Chinese MSMs in 2004, and had been rapidly spreading since about 2004, which indicating the third wave of the HIV epidemic among the population. Moreover, two new clusters of CRF_01B recombinants were found in this study. The complexities of HIV subtypes and recombinants strongly supports the necessity for a comprehensive study about risk behaviors and their relationship with increasing HIV epidemic subtypes among the MSM group. Implementation and evaluation of comprehensive harm reduction strategies in Chinese MSM are urgently needed.
为调查男男性行为者(MSM)中HIV传播的起源和系统发育动态,2009年至2014年间在中国13个省份共招募了1205名新诊断的16 - 25岁HIV感染者。基于部分pol序列的系统发育分析,鉴定出HIV - 1亚型,包括CRF01_AE(45.3%)、CRF07_BC(37.8%)、B亚型(6.1%)和B'(3.7%),以及一些其他重组体(7.1%)。除了两个不同的CRF01_AE簇[簇4(33.7%,406/1205)和簇5(7.1%,85/1205)],我们还鉴定出一个新的CRF07_BC簇(簇1)(36.0%,434/1205),该簇于2004年进入中国男男性行为者群体,并自2004年左右开始迅速传播,这表明该人群中HIV流行的第三波。此外,本研究中还发现了两个新的CRF_01B重组体簇。HIV亚型和重组体的复杂性有力地支持了对男男性行为者群体中风险行为及其与HIV流行亚型增加之间关系进行全面研究的必要性。迫切需要在中国男男性行为者中实施和评估全面的减少伤害策略。