多种大型HIV-1非B亚型集群正在西班牙男男性行为者中传播。

Diverse Large HIV-1 Non-subtype B Clusters Are Spreading Among Men Who Have Sex With Men in Spain.

作者信息

Delgado Elena, Benito Sonia, Montero Vanessa, Cuevas María Teresa, Fernández-García Aurora, Sánchez-Martínez Mónica, García-Bodas Elena, Díez-Fuertes Francisco, Gil Horacio, Cañada Javier, Carrera Cristina, Martínez-López Jesús, Sintes Marcos, Pérez-Álvarez Lucía, Thomson Michael M

机构信息

HIV Biology and Variability Unit, Centro Nacional de Microbiología, Instituto de Salud Carlos III, Madrid, Spain.

CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.

出版信息

Front Microbiol. 2019 Apr 3;10:655. doi: 10.3389/fmicb.2019.00655. eCollection 2019.

Abstract

In Western Europe, the HIV-1 epidemic among men who have sex with men (MSM) is dominated by subtype B. However, recently, other genetic forms have been reported to circulate in this population, as evidenced by their grouping in clusters predominantly comprising European individuals. Here we describe four large HIV-1 non-subtype B clusters spreading among MSM in Spain. Samples were collected in 9 regions. A pol fragment was amplified from plasma RNA or blood-extracted DNA. Phylogenetic analyses were performed via maximum likelihood, including database sequences of the same genetic forms as the identified clusters. Times and locations of the most recent common ancestors (MRCA) of clusters were estimated with a Bayesian method. Five large non-subtype B clusters associated with MSM were identified. The largest one, of F1 subtype, was reported previously. The other four were of CRF02_AG (CRF02_1; = 115) and subtypes A1 (A1_1; = 66), F1 (F1_3; = 36), and C (C_7; = 17). Most individuals belonging to them had been diagnosed of HIV-1 infection in the last 10 years. Each cluster comprised viruses from 3 to 8 Spanish regions and also comprised or was related to viruses from other countries: CRF02_1 comprised a Japanese subcluster and viruses from 8 other countries from Western Europe, Asia, and South America; A1_1 comprised viruses from Portugal, United Kingom, and United States, and was related to the A1 strain circulating in Greece, Albania and Cyprus; F1_3 was related to viruses from Romania; and C_7 comprised viruses from Portugal and was related to a virus from Mozambique. A subcluster within CRF02_1 was associated with heterosexual transmission. Near full-length genomes of each cluster were of uniform genetic form. Times of MRCAs of CRF02_1, A1_1, F1_3, and C_7 were estimated around 1986, 1989, 2013, and 1983, respectively. MRCA locations for CRF02_1 and A1_1 were uncertain (however initial expansions in Spain in Madrid and Vigo, respectively, were estimated) and were most probable in Bilbao, Spain, for F1_3 and Portugal for C_7. These results show that the HIV-1 epidemic among MSM in Spain is becoming increasingly diverse through the expansion of diverse non-subtype B clusters, comprising or related to viruses circulating in other countries.

摘要

在西欧,男男性行为者(MSM)中的HIV-1流行以B亚型为主。然而,最近有报道称其他基因形式也在该人群中传播,这从主要由欧洲个体组成的聚类中得到了证实。在此,我们描述了在西班牙男男性行为者中传播的四个大型HIV-1非B亚型聚类。样本采集于9个地区。从血浆RNA或血液提取的DNA中扩增pol片段。通过最大似然法进行系统发育分析,包括与已识别聚类相同基因形式的数据库序列。用贝叶斯方法估计聚类最近共同祖先(MRCA)的时间和地点。识别出了五个与男男性行为者相关的大型非B亚型聚类。最大的一个是F1亚型,此前已有报道。另外四个是CRF02_AG(CRF02_1;n = 115)以及A1(A1_1;n = 66)、F1(F1_3;n = 36)和C(C_7;n = 17)亚型。属于这些聚类的大多数个体在过去10年中被诊断出感染了HIV-1。每个聚类包含来自西班牙3至8个地区的病毒,还包含来自其他国家的病毒或与之相关:CRF02_1包含一个日本子聚类以及来自西欧、亚洲和南美洲其他8个国家的病毒;A1_1包含来自葡萄牙、英国和美国的病毒,并与在希腊、阿尔巴尼亚和塞浦路斯流行的A1毒株相关;F1_3与来自罗马尼亚的病毒相关;C_7包含来自葡萄牙的病毒,并与来自莫桑比克的一种病毒相关。CRF02_1中的一个子聚类与异性传播有关。每个聚类的近全长基因组具有统一的基因形式。CRF02_1、A1_1、F1_3和C_7的MRCA时间分别估计在1986年、1989年、2013年和1983年左右。CRF02_1和A1_1的MRCA地点不确定(不过分别估计最初在西班牙马德里和维哥扩展),F1_3最可能在西班牙毕尔巴鄂,C_7最可能在葡萄牙。这些结果表明,通过多种非B亚型聚类的扩展,西班牙男男性行为者中的HIV-1流行正变得越来越多样化,这些聚类包含在其他国家流行的病毒或与之相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e2a/6457325/2c60f9887fc8/fmicb-10-00655-g001.jpg

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