江苏省2006年新发现感染者的HIV-1分子流行病学研究
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江苏省科技厅社会发展计划资助项目(BS2006078)


Molecular epidemiology of the human immunodeficiency virus-1 isolated from patients confirmed lately in Jiangsu province
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    目的:了解人类免疫缺陷病毒在江苏省的亚型分布特点,初步探讨传播途径与病毒亚型间的关系-方法:收集2006年新发现HIV-1者的流行病学资料;用EDTA-K3抗凝的全血,提取病毒RNA,用逆转录巢式PCR扩增env基因的C2-V3区和gag基因-先用ClustalX对所得序列和参考株序列进行比对,然后用MEGA3.1构建进化树和亚型分析-结果:江苏省共发现CRF01_AE-CRF07_BC-CRF08_BC-B-C-CRF02_AG-A1 7种亚型,其中主要流行的亚型是CRF01_AE,占31.6%(24/76);其次为CRF07_BC,占25%(19/76);B亚型占19.7%(15/76)-在异性性传播途径中,共发现CRF07_BC-B-CRF01_AE-C-CRF08_BC 5种亚型,其中CRF07_BC-B-CRF01_AE分别占32.6%-23.3%-20.9%-在同性性传播途径中,共存在CRF01_AE-CRF07_BC-B-CRF08_BC 4种亚型,主要流行株均为CRF01_AE,占63.6%-在静脉吸毒者中,共发现CRF07_BC-B-CRF01_AE-A1-CRF02_AG 5种亚型,CRF01_AE是该类人群的主要流行株,占58.4%-结论:流行于江苏省的HIV-1亚型种类较多;除CRF02_AG和A1亚型外,其余5种亚型均存在于性传播途径中;经性传播途径感染HIV-1可能是我省HIV-1亚型日趋复杂化的主要原因-

    Abstract:

    Objective:To analyze the subtypes distribution of Human Immunodeficiency Virus-1(HIV-1)in Jiangsu province,and the relationship between subtypes and transmission route. Methods:83 blood samples with EDTA-K3 were collected from population with HIV-1 confirmed lately using western blot test. Viral RNA was extracted from plasma and used by a RT-nest PCR to amplify the env and gag gene of HIV-1. The PCR amplimers were partially sequenced on ABI 3730. After sequences alignmented by ClustalX,phylogenetic analysis was performed using MEGA 3.1 software. Results:7 subtypes including CRF01_AE,CRF07_BC,CRF08_BC,B,C,CRF02_AG,A1 were found circulating in Jiangsu. 3 predominated clades were CRF 01_AE,CRF07_BC,and B,which accounted for 31.6%,25%,and 19.7%,respectively. 5 subtypes consisting of CRF07_BC,B,CRF01_AE,C,CRF08_BC,circulated in population via heterosexual contact,and CRF 07_BC accounted for 32.6%,B was 23.3%,and CRF 01_AE was 20.9%. CRF 01_AE,CRF 07_BC,B,CRF 08_BC circulated among men who sex with men having HIV-1,and CRF 01_AE was dominative. The circulated HIV-1 subtypes among IDUs included CRF 07_BC-B-CRF 01_AE-A1-CRF 02_AG,CRF 01_AE was the dominated,which accounted for 58.4%. Conclusion:There were more kinds of subtypes circulating in Jiangsu than other province. Of 7 subtypes,5 except CRF02_AG and A1 were found in population with HIV-1 via heterosexual contact. The increasing complex characteristic of HIV-1 sequences may be associated with acquiring HIV via sexual intercourse.

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羊海涛,徐晓琴,邱 涛,还锡萍,胡海洋,郭宏雄.江苏省2006年新发现感染者的HIV-1分子流行病学研究[J].南京医科大学学报(自然科学版),2009,29(7):976-980

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  • 收稿日期:2009-03-02
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