A sudden epidemic of HIV type 1 among injecting drug users in the former Soviet Union: identification of subtype A, subtype B, and novel gagA/envB recombinants

AIDS Res Hum Retroviruses. 1998 May 20;14(8):669-76. doi: 10.1089/aid.1998.14.669.

Abstract

The former Soviet Union republics have experienced an explosive human immunodeficiency virus type 1 (HIV-1) epidemic among injecting drug users (IDUs), consisting mainly of subtype A viruses originated from a point source (Bobkov et al.: AIDS Res Hum Retroviruses 1997;13:1195-1201). To determine whether new HIV-1 subtypes have entered the IDU population, 46 samples derived from IDUs in Russia (n = 39) and the Ukraine (n = 7) were genotyped by heteroduplex mobility assay (HMA). It was shown that 83% of IDU HIV-1 strains found in both countries belong to genetic subtype A. However, env subtype B was also found in 17% of cases. The sequence data showed a marked intrasubtype homogeneity of HIV-1 (the average means of interpatient genetic distance were 1.1 and 1.7% [in the gag gene] or 1.8 and 2.3% [in the env gene] for subtype A and subtype B, respectively), confirming the hypothesis of a point source of virus for each subtype variant. Moreover, recombinant gagA/envB variants originating from those two strains were also found in two samples collected in the Kaliningrad region of Russia. In conclusion, our results suggest that two strains of HIV-1 belonging to different genetic subtypes, A and B, as well as gagA/envB recombinants between genomes of these strains, are now circulating simultaneously among IDUs in the former Soviet Union.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Amino Acid Sequence
  • Base Sequence
  • Cloning, Molecular
  • DNA, Viral / blood*
  • Disease Outbreaks
  • Female
  • Genes, env / genetics
  • Genes, gag / genetics
  • Genotype
  • HIV Infections / epidemiology
  • HIV Infections / virology*
  • HIV-1 / genetics*
  • Humans
  • Male
  • Molecular Sequence Data
  • Nucleic Acid Heteroduplexes
  • Phylogeny
  • Polymerase Chain Reaction / methods
  • Recombination, Genetic / genetics*
  • Russia / epidemiology
  • Sequence Alignment
  • Sequence Analysis, DNA
  • Substance Abuse, Intravenous*
  • Ukraine / epidemiology

Substances

  • DNA, Viral
  • Nucleic Acid Heteroduplexes