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首次对 HIV-1 亚型间超级感染进行全基因组描述,随着时间的推移,五种接受者传播了多种重组病毒。

First complete-genome documentation of HIV-1 intersubtype superinfection with transmissions of diverse recombinants over time to five recipients.

机构信息

NHC Key Laboratory of AIDS Immunology (China Medical University), National Clinical Research Center for Laboratory Medicine, The First Affiliated Hospital of China Medical University, Shenyang, China.

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

出版信息

PLoS Pathog. 2021 Feb 12;17(2):e1009258. doi: 10.1371/journal.ppat.1009258. eCollection 2021 Feb.

Abstract

Human immunodeficiency virus type 1 (HIV-1) recombinants in the world are believed to be generated through recombination between distinct HIV-1 strains among coinfection or superinfection cases. However, direct evidence to support transmission of HIV-1 recombinants from a coinfected/superinfected donor to putative recipient is lacking. Here, we report on the origin and evolutionary relationship between a set of recombinants from a CRF01_AE/CRF07_BC superinfected putative donor and diverse CRF01_AE/CRF07_BC recombinants from five putative recipients. Interviews on sociodemographic characteristics and sexual behaviors for these six HIV-1-infected men who have sex with men showed that they had similar ways of partner seeking: online dating sites and social circles. Phylogenetic and recombination analyses demonstrated that the near-full-length genome sequences from six patients formed a monophyletic cluster different from known HIV-1 genotypes in maximum likelihood phylogenetic trees, were all composed of CRF01_AE and CRF07_BC fragments with two common breakpoints on env, and shared 4-7 breakpoints with each other. Moreover, 3' half-genomes of recombinant strains from five recipients had identical/similar recombinant structures with strains at longitudinal samples from the superinfected donor. Recombinants from the donor were paraphyletic, whereas five recipients were monophyletic or polyphyletic in the maximum clade credibility tree. Bayesian analyses confirmed that the estimated time to the most recent common ancestor (tMRCA) of CRF01_AE and CRF07_BC strains of the donor was 2009.2 and 2010.7, respectively, and all were earlier than the emergence of recombinants from five recipients. Our results demonstrated that the closely related unique recombinant forms of HIV-1 might be the descendent of a series of recombinants generated gradually in a superinfected patient. This finding highlights the importance of early initiation of antiretroviral therapy as well as tracing and testing of partners in patients with multiple HIV-1 infection.

摘要

人类免疫缺陷病毒 1 型(HIV-1)重组体在世界范围内被认为是通过合并感染或重叠感染病例中不同 HIV-1 株之间的重组产生的。然而,缺乏直接证据支持从合并感染/重叠感染供体传播 HIV-1 重组体给假定的受者。在这里,我们报告了一组来自 CRF01_AE/CRF07_BC 重叠感染假定供体的重组体以及来自五个假定受者的不同 CRF01_AE/CRF07_BC 重组体的起源和进化关系。对这六名男男性行为 HIV-1 感染者的社会人口学特征和性行为进行访谈表明,他们的伴侣寻找方式相似:在线约会网站和社交圈。对这六名男男性行为 HIV-1 感染者的社会人口学特征和性行为进行访谈表明,他们的伴侣寻找方式相似:在线约会网站和社交圈。系统发育和重组分析表明,六位患者的近全长基因组序列在最大似然系统发育树中形成了一个与已知 HIV-1 基因型不同的单系群,均由 CRF01_AE 和 CRF07_BC 片段组成,env 上有两个共同的断点,彼此之间有 4-7 个断点共享。此外,五位受者重组株的 3' 半基因组与重叠感染供者纵向样本中的株具有相同/相似的重组结构。供者的重组株呈并系,而五位受者在最大枝可信树上呈单系或多系。贝叶斯分析证实,供者 CRF01_AE 和 CRF07_BC 株的最近共同祖先(tMRCA)估计时间分别为 2009.2 和 2010.7,均早于五位受者重组株的出现。我们的研究结果表明,HIV-1 的密切相关的独特重组形式可能是在重叠感染患者中逐渐产生的一系列重组体的后代。这一发现强调了在多重 HIV-1 感染患者中早期启动抗逆转录病毒治疗以及跟踪和检测伴侣的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4547/7906459/5ad9cc292ec4/ppat.1009258.g001.jpg

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