Transition and evolution of HIV-1 subtype among HIV-1 infections in Wuxi city, 2013-2016
10.3760/cma.j.issn.0254-6450.2020.02.019
- VernacularTitle:无锡市2013-2016年HIV-1亚型及进化分析
- Author:
Yueqi YIN
1
;
Jianshuang CHEN
;
Hao CHENG
;
Xuan ZHANG
;
Nannan WU
;
Lusi CHEN
;
Bei WANG
Author Information
1. 东南大学公共卫生学院流行病与卫生统计学系
- Keywords:
HIV-1;
Subtype;
Evolution
- From:
Chinese Journal of Epidemiology
2020;41(2):244-248
- CountryChina
- Language:Chinese
-
Abstract:
Objective To understand the distribution of HIV-1 subtype in Wuxi city,to predict the local HIV-1 epidemics.Methods Samples were collected from the'CD4+T lymphocyte monitoring cohort study'in Wuxi from April 2013 to July 2016.HIV-1 gene was amplified,sequenced and with HIV-1 sequence database constructed,using both the ChromasPro 1.6 and MEGA 7.0 softwares.Bayesian phylogenetic inference was used to rebuild the history of HIV-1 transmission,while BEAST 1.7.2 and FastTree 2.1.10 software were used for data analysis.Statistical analysis using SPSS 22.0 software.Results Among the 205 subjects of HIV-1 infection,32.68%(67/205) of them were over 50 years old.Seven subtypes (including CRF01_AE,CRF07_BC,CRF67_01B,B,CRF08_BC,CRF68_0B,CRF78_cpx) and one of the unique recombinant forms (URFs) were detected.The main subtypes were CRF01_ AE (51.67%,93/180) and CRF07_BC (17.22%,31/180).Differences between subtypes and ways of transmission were statistically significant (x2=16.99,P≤0.05).The proportion of CRF67_01B (12.78%,23/180) was higher than before.Results from Bayesian phylogenetic inference analysis showed that the evolution rate was 2.29 × 10-3 and Time to the Most Recent Common Ancestor (tMRCA) was 2 003.10.CRF67_01B was probably related to the reference strains from Jiangsu and Anhui provinces,and had been spreading in Wuxi since 2003.Conclusions HIV-1 subtypes seemed complex and diverse in Wuxi city in 2013-2016,with CRF67_01B being pervasive.Continuous molecular monitor program was still needed to provide reference for the prediction of epidemics,from the molecular perspective.