Segregation of human immunodeficiency virus type 1 subtypes by risk factor in Australia

J Clin Microbiol. 2003 Oct;41(10):4600-4. doi: 10.1128/JCM.41.10.4600-4604.2003.

Abstract

The aim of this study was to determine which human immunodeficiency virus type 1 (HIV-1) subtypes were circulating in Australia and to correlate the subtypes with risk factors associated with the acquisition of HIV-1 infection. DNA was extracted from peripheral blood mononuclear cells, and HIV-1 env genes were amplified and subtyped using heteroduplex mobility analysis, with selected samples sequenced and phylogenetic analysis performed. The HIV-1 env subtypes were determined for 141 samples, of which 40 were from female patients and 101 were from male patients; 13 samples were from children. Forty-seven patients were infected by homosexual or bisexual contact, 46 were infected through heterosexual contact, 21 were infected from injecting drug use (IDU), 13 were infected by vertical transmission, 8 were infected from nosocomial exposure, and 6 were infected by other modes of transmission, including exposure to blood products, ritualistic practices, and two cases of intrafamilial transmission. Five subtypes were detected; B (n = 104), A (n = 5), C (n = 17), E (CRF01_AE; n = 13), and G (n = 2). Subtype B predominated in HIV-1 acquired homosexually (94% of cases) and by IDU (100%), whereas non-subtype B infections were mostly seen in heterosexually (57%) or vertically (22%) acquired HIV-1 infections and were usually imported from Africa and Asia. Subtype B strains of group M viruses predominate in Australia in HIV-1 transmitted by homosexual or bisexual contact and IDU. However, non-B subtypes have been introduced, mostly acquired via heterosexual contact.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Australia / epidemiology
  • DNA, Viral / blood
  • Female
  • Gene Products, env / genetics
  • HIV Infections / epidemiology
  • HIV Infections / transmission
  • HIV Infections / virology*
  • HIV-1 / classification*
  • HIV-1 / genetics
  • Heteroduplex Analysis
  • Humans
  • Male
  • Molecular Sequence Data
  • Phylogeny
  • Risk Factors
  • Sequence Analysis, DNA

Substances

  • DNA, Viral
  • Gene Products, env

Associated data

  • GENBANK/AF081962
  • GENBANK/AF081963
  • GENBANK/AF081964
  • GENBANK/AF081965
  • GENBANK/AF081966
  • GENBANK/AF081967
  • GENBANK/AF081968
  • GENBANK/AF081969
  • GENBANK/AF081970
  • GENBANK/AF081971
  • GENBANK/AF081972
  • GENBANK/AF400076
  • GENBANK/AF400077
  • GENBANK/AF400078
  • GENBANK/AF400079
  • GENBANK/AF400080
  • GENBANK/AF400081
  • GENBANK/AF400082
  • GENBANK/AF400083
  • GENBANK/AF400084
  • GENBANK/AF400085
  • GENBANK/AF400086
  • GENBANK/AF400087
  • GENBANK/AF400088