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Basic Characteristics of Mutations
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Mutation Site
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E138E |
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Mutation Site Sentence
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In linked pairs at the 1.5% genetic distance, the major NNRTI DRMs were V179D/E (5/13, 38.5%) and E138A/E/G (8/13, 61.5%), and these were found in four MSM, six HET, and two PWID. |
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Mutation Level
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Amino acid level |
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Mutation Type
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Synonymous substitution |
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Gene/Protein/Region
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RT |
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Standardized Encoding Gene
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gag-pol:155348
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Genotype/Subtype
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HIV-1 |
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Viral Reference
|
-
|
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Functional Impact and Mechanisms
|
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Disease
|
HIV Infections
Acquired Immunodeficiency Syndrome
|
|
Immune
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- |
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Target Gene
|
-
|
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Clinical and Epidemiological Correlations
|
|
Clinical Information
|
Y |
|
Treatment
|
NNRTIs |
|
Location
|
Bulgaria |
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Literature Information
|
|
PMID
|
32295123
|
|
Title
|
Molecular Epidemiology of the HIV-1 Subtype B Sub-Epidemic in Bulgaria
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Author
|
Alexiev I,M Campbell E,Knyazev S,Pan Y,Grigorova L,Dimitrova R,Partsuneva A,Gancheva A,Kostadinova A,Seguin-Devaux C,M Switzer W
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Journal
|
Viruses
|
|
Journal Info
|
2020 Apr 14;12(4):441
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Abstract
|
HIV-1 subtype B is the predominant strain in Bulgaria, yet little is known about the molecular epidemiology of these infections, including its origin and transmissibility. We used a phylodynamics approach by combining and analyzing 663 HIV-1 polymerase (pol) sequences collected from persons diagnosed with HIV/AIDS between 1988-2018 and associated epidemiologic data to better understand this sub-epidemic in Bulgaria. Using network analyses at a 1.5% genetic distance threshold (d) we found several large phylogenetic clusters composed mostly of men who have sex with men (MSM) and male heterosexuals (HET). However, at d = 0.5%, used to identify more recent transmission, the largest clusters dissociated to become smaller in size. The majority of female HET and persons with other transmission risks were singletons or pairs in the network. Phylogenetic analysis of the Bulgarian pol sequences with publicly available global sequences showed that subtype B was likely introduced into Bulgaria from multiple countries, including Israel and several European countries. Our findings indicate that subtype B was introduced into Bulgaria multiple times since 1988 and then infections rapidly spread among MSM and non-disclosed MSM. These high-risk behaviors continue to spread subtype B infection in Bulgaria as evidenced by the large clusters at d = 0.5%. Relatively low levels of antiretroviral drug resistance were observed in our study. Prevention strategies should continue to include increased testing and linkage to care and treatment, as well as expanded outreach to the MSM communities.
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Sequence Data
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Supplementary Table S2. 663 Bulgarian HIV-1 polymerase (pol) sequence GenBank accession numbers
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