Significant contribution of subtype G to HIV-1 genetic complexity in Nigeria identified by a newly developed subtyping assay specific for subtype G and CRF02_AG

被引:14
作者
Heipertz, Richard A., Jr. [1 ]
Ayemoba, Ojor [2 ]
Sanders-Buell, Eric [1 ,3 ]
Poltavee, Kultida [1 ,3 ]
Pham, Phuc [1 ,3 ]
Kijak, Gustavo H. [1 ,3 ]
Lei, Esther [1 ,3 ]
Bose, Meera [1 ,3 ]
Howell, Shana [1 ,3 ]
O'Sullivan, Anne Marie [1 ,3 ]
Bates, Adam [1 ,3 ]
Cervenka, Taylor [1 ,3 ]
Kuroiwa, Janelle [1 ,3 ]
Akintunde, Akindiran [4 ]
Ibezim, Onyekachukwu [2 ]
Alabi, Abraham [4 ,5 ]
Okoye, Obumneke [2 ]
Manak, Mark [1 ,3 ]
Malia, Jennifer [1 ,6 ]
Peel, Sheila [1 ]
Maisaka, Mohammed [7 ]
Singer, Darrell [6 ,8 ]
O'Connell, Robert J. [1 ]
Robb, Merlin L. [1 ,3 ]
Kim, Jerome H. [1 ]
Michael, Nelson L. [1 ]
Njoku, Ogbonnaya [4 ]
Tovanabutra, Sodsai [1 ,3 ]
机构
[1] Walter Reed Army Inst Res, US Mil HIV Res Program, Silver Spring, MD 20910 USA
[2] Nigerian Minist Def, Emergency Plan Implementat Comm, Abuja, Nigeria
[3] Henry M Jackson Fdn Adv Mil Med Inc, Bethesda, MD USA
[4] HJF MRI, US Mil HIV Res Program, Abuja, Nigeria
[5] Hop Albert Schweitzer Lambarene, Fdn Int, Ctr Rech Med Lambarene CERMEL, Lambarene, Gabon
[6] US PHS, Rockville, MD USA
[7] 45 Nigerian Air Force Hosp, Makurdi, Nigeria
[8] Dept Def HIV Program, Abuja, Nigeria
关键词
IMMUNODEFICIENCY-VIRUS TYPE-1; DRUG-RESISTANCE; DOUBLE-BLIND; MOLECULAR EPIDEMIOLOGY; ANTIRETROVIRAL THERAPY; REVERSE-TRANSCRIPTASE; GENOTYPING ASSAY; HIGH-THROUGHPUT; OYO-STATE; VACCINE;
D O I
10.1097/MD.0000000000004346
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
While abundant sequence information is available from human immunodeficiency virus type 1 (HIV-1) subtypes A, B, C and CRF01_AE for HIV-1 vaccine design, sequences from West Africa are less represented. We sought to augment our understanding of HIV-1 variants circulating in 6 Nigerian cities as a step to subsequent HIV-1 vaccine development. The G/CRF02_AG multi-region hybridization assay (MHA) was developed to differentiate subtype G, CRF02_AG and their recombinants from other subtypes based on 7 HIV-1 segments. Plasma from 224 HIV-1 infected volunteers enrolled in a cohort examining HIV-1 prevalence, risk factor, and subtype from Makurdi (30), Abuja (18), Enugu (11), Kaduna (12), Tafa (95), and Ojo/Lagos (58) was analyzed using MHA. HIV-1 genomes from 42 samples were sequenced to validate the MHA and fully explore the recombinant structure of G and CRF02_AG variants. The sensitivity and specificity of MHA varied between 73-100% and 90-100%, respectively. The subtype distribution as identified by MHA among 224 samples revealed 38% CRF02_AG, 28% G, and 26% G/CRF02_AG recombinants while 8% remained nontypeable strains. In envelope (env) gp120, 38.84% of the samples reacted to a G probe while 31.25% reacted to a CRF02 (subtype A) probe. Full genome characterization of 42 sequences revealed the complexity of Nigerian HIV-1 variants. CRF02_AG, subtype G, and their recombinants were the major circulating HIV-1 variants in 6 Nigerian cities. High proportions of samples reacted to a G probe in env gp120 confirms that subtype G infections are abundant and should be considered in strategies for global HIV-1 vaccine development.
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页数:9
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