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基于分子网络的干预措施使我们更接近终结 HIV 大流行。

Molecular network-based intervention brings us closer to ending the HIV pandemic.

机构信息

Key Laboratory of AIDS Immunology of National Health Commission, Department of Laboratory Medicine, The First Affiliated Hospital, China Medical University, Shenyang, 110001, China.

Key Laboratory of AIDS Immunology, Chinese Academy of Medical Sciences, Shenyang, 110001, China.

出版信息

Front Med. 2020 Apr;14(2):136-148. doi: 10.1007/s11684-020-0756-y. Epub 2020 Mar 23.

Abstract

Precise identification of HIV transmission among populations is a key step in public health responses. However, the HIV transmission network is usually difficult to determine. HIV molecular networks can be determined by phylogenetic approach, genetic distance-based approach, and a combination of both approaches. These approaches are increasingly used to identify transmission networks among populations, reconstruct the history of HIV spread, monitor the dynamics of HIV transmission, guide targeted intervention on key subpopulations, and assess the effects of interventions. Simulation and retrospective studies have demonstrated that these molecular network-based interventions are more cost-effective than random or traditional interventions. However, we still need to address several challenges to improve the practice of molecular network-guided targeting interventions to finally end the HIV epidemic. The data remain limited or difficult to obtain, and more automatic real-time tools are required. In addition, molecular and social networks must be combined, and technical parameters and ethnic issues warrant further studies.

摘要

准确识别人群中的 HIV 传播是公共卫生应对的关键步骤。然而,HIV 传播网络通常难以确定。HIV 分子网络可以通过系统发育方法、基于遗传距离的方法以及这两种方法的组合来确定。这些方法越来越多地用于确定人群中的传播网络,重建 HIV 传播的历史,监测 HIV 传播的动态,指导关键亚人群的有针对性的干预,并评估干预措施的效果。模拟和回顾性研究表明,这些基于分子网络的干预措施比随机或传统干预措施更具成本效益。然而,我们仍需要应对一些挑战,以改善基于分子网络指导的靶向干预措施的实践,最终终结 HIV 流行。数据仍然有限或难以获取,需要更多的自动实时工具。此外,还需要将分子网络和社会网络结合起来,并进一步研究技术参数和种族问题。

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