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A specific subtype C of human immunodeficiency virus type 1 circulates in Brazil

 

作者: Marcelo Soares,   Tulio de Oliveira,   Rodrigo Brindeiro,   Ricardo Diaz,   Ester Sabino,   Luís Brigido,   Ivone Pires,   Mariza Morgado,   Maria Dantas,   Draurio Barreira,   Paulo Teixeira,   Sharon Cassol,   Amilcar Tanuri,  

 

期刊: AIDS  (OVID Available online 2003)
卷期: Volume 17, issue 1  

页码: 11-21

 

ISSN:0269-9370

 

年代: 2003

 

出版商: OVID

 

关键词: subtype C;drug resistance mutations;subtype polymorphism;HIV in primary infection;signature sequence

 

数据来源: OVID

 

摘要:

Objective:To characterize the subtype C strains of HIV type 1 that circulate in Brazil, especially those originated from the southern part of the country.Design and methods:One hundred and twelve HIV-1-positive subjects had their plasma viral RNA extracted. Protease (PR) and reverse transcriptase (RT) genomic regions were polymerase chain reaction-amplified and sequenced for subtype determination. Subtype C strains were selected and compared to other strains of this subtype from the database, and specific amino acid signature patterns were searched.Results:Brazilian subtype C viruses form a very strong monophyletic group when compared to subtype C viruses from other countries and presented specific signature amino acids. Recombinants between subtype C and B viruses have been documented in areas of co-circulation. The incidence of primary PR and RT inhibitor resistance mutations in drug-naïve subjects was observed. An increasing number of secondary resistance mutations was also seen, some of which are characteristic of subtype C-related sequences.Conclusions:Introduction of subtype C of HIV-1 in Brazil was likely a single event of one or a mixture of similarly related strains. Recombination between subtype C and B viruses is an ongoing process in the country. Primary and secondary drug resistance mutations were observed, although some of the secondary mutations could be associated with subtype C molecular signatures. Subtype-specific polymorphisms of PR and RT sequences found in this subtype C Brazilian variant might influence this emergence and have an impact on HIV treatment and on vaccine development in the country.

 

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