Laboratory of Molecular Virology, Division of Emerging and Transfusion Transmitted Diseases, Center for Biologics Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave, Silver Spring, MD 20993, USA.
Viruses. 2021 Jul 20;13(7):1417. doi: 10.3390/v13071417.
The continued diversification of HIV poses potentially significant challenges to HIV diagnostics and therapeutics. The dynamic evolution of emerging variants is highlighted in countries such as Cameroon in West Central Africa, where all known subtypes and circulating recombinant forms (CRFs) have been shown to be prevalent. We obtained several hundred HIV-positive plasma and viruses from this region for characterization and identification of highly divergent HIV strains. A total of 163 viral strains were cultured to high titers and high volumes using donor peripheral blood mononuclear cells (PBMCs). Initially, 101 viruses representing 59 strains were well characterized and categorized. Results showed that the viral load (VL) range was 0.36-398.9 × 10 copies/mL, p24 values was 0.2-1134 ng/mL. Phylogenetic analysis of thirty-six near full-length HIV-1 genomic sequences demonstrated that most recombinants were highly diverse CRF02 containing unique recombinant forms (URFs). There were seven viral isolates identified as pure subtype/sub-subtypes (F2, A1, G, and D), six as CRFs (CRF06, CRF18, and CRF22), and ten as URFs. These extensively characterized reagents reflect the current dynamic and complex HIV epidemic in Cameroon and provide valuable insights into the potential phylogenetic evolutionary trend of global HIV molecular epidemiology in the future. These materials may be useful for development of HIV validation and reference panels to evaluate the performance of serologic antigen and nucleic acid assays for their ability to detect and quantitate highly divergent HIV strains.
HIV 的持续多样化给 HIV 诊断和治疗带来了潜在的重大挑战。在中非西部的喀麦隆等国家,新兴变体的动态演变尤为突出,所有已知的亚型和循环重组形式 (CRF) 都已被证明流行。我们从该地区获得了数百份 HIV 阳性血浆和病毒,用于对高度分化的 HIV 株进行特征描述和鉴定。使用供体外周血单核细胞 (PBMC) 将总共 163 株病毒培养至高滴度和高体积。最初,对 101 种代表 59 种株的病毒进行了很好的特征描述和分类。结果表明,病毒载量 (VL) 范围为 0.36-398.9×10 拷贝/mL,p24 值为 0.2-1134ng/mL。对 36 个接近全长的 HIV-1 基因组序列的系统发育分析表明,大多数重组体是高度多样化的 CRF02 ,包含独特的重组形式 (URF)。有七个病毒分离株被鉴定为纯亚型/亚亚型 (F2、A1、G 和 D)、六个为 CRF (CRF06、CRF18 和 CRF22) 和十个为 URF。这些经过广泛特征描述的试剂反映了喀麦隆当前动态和复杂的 HIV 流行情况,并为未来全球 HIV 分子流行病学的潜在系统发育进化趋势提供了有价值的见解。这些材料可能有助于开发 HIV 验证和参考面板,以评估血清学抗原和核酸检测的性能,以检测和定量高度分化的 HIV 株。