High Genetic Diversity of HIV-1 and Active Transmission Clusters among Male-to-Male Sexual Contacts (MMSCs) in Zhuhai, China

Monitoring genetic diversity and recent HIV infections (RHIs) is critical for understanding HIV epidemiology. Here, we report HIV-1 genetic diversity and RHIs in blood samples from 190 HIV-positive MMSCs in Zhuhai, China. MMSCs with newly reported HIV were enrolled from January 2020 to June 2022. A nested PCR was performed to amplify the HIV polymerase gene fragments at HXB2 positions 2604-3606. We constructed genetic transmission network at both 0.5% and 1.5% distance thresholds using the Tamura-Nei93 model. RHIs were identified using a recent infection testing algorithm (RITA) combining limiting antigen avidity enzyme immunoassay (LAg-EIA) assay with clinical data. The results revealed that 19.5% (37/190) were RHIs and 48.4% (92/190) were CRF07_BC. Two clusters were identified at a 0.5% distance threshold. Among them, one was infected with CRF07_BC for the long term, and the other was infected with CRF55_01B recently. We identified a total of 15 clusters at a 1.5% distance threshold. Among them, nine were infected with CRF07_BC subtype, and RHIs were found in 38.8% (19/49) distributed in eight genetic clusters. We identified a large active transmission cluster (n = 10) infected with a genetic variant, CRF79_0107. The multivariable logistic regression model showed that clusters were more likely to be RHIs (adjusted OR: 3.64, 95% CI: 1.51~9.01). The RHI algorithm can help to identify recent or ongoing transmission clusters where the prevention tools are mostly needed. Prompt public health measures are needed to contain the further spread of active transmission clusters.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:15

Enthalten in:

Viruses - 15(2023), 9 vom: 18. Sept.

Sprache:

Englisch

Beteiligte Personen:

Zhou, Yi [VerfasserIn]
Cui, Mingting [VerfasserIn]
Hong, Zhongsi [VerfasserIn]
Huang, Shaoli [VerfasserIn]
Zhou, Shuntai [VerfasserIn]
Lyu, Hang [VerfasserIn]
Li, Jiarun [VerfasserIn]
Lin, Yixiong [VerfasserIn]
Huang, Huitao [VerfasserIn]
Tang, Weiming [VerfasserIn]
Sun, Caijun [VerfasserIn]
Huang, Wenyan [VerfasserIn]

Links:

Volltext

Themen:

Human immunodeficiency virus
Journal Article
Phylogenetic analysis
Recent HIV infection
Recent infection testing algorithms
Research Support, Non-U.S. Gov't
Transmission network

Anmerkungen:

Date Completed 29.09.2023

Date Revised 04.10.2023

published: Electronic

Citation Status MEDLINE

doi:

10.3390/v15091947

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM362626197