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Dominance of HIV-1 subtype CRF01_AE in sexually acquired cases leads to a new epidemic in Yunnan province of China.

Dominance of HIV-1 subtype CRF01_AE in sexually acquired cases leads to a new epidemic in Yunnan province of China. Research Abstract Details 

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  • Dominance of HIV-1 subtype CRF01_AE in sexually acquired cases leads to a new epidemic in Yunnan province of China. Abstract Text:

    yong zhangYong Zhang,lin luLin Lu,lei baLei Ba,li liuLi Liu,li yangLi Yang,manhong jiaManhong Jia,haibo wangHaibo Wang,qing fangQing Fang,yuhua shiYuhua Shi,wenyun yanWenyun Yan,guangcai changGuangcai Chang,linqi zhangLinqi Zhang,david d hoDavid D Ho,zhiwei chenZhiwei Chen,

    BACKGROUND: Dating back to the first epidemic among injection drug users in 1989, the Yunnan province has had the highest number of human immunodeficiency virus type 1 (HIV-1) infections in China. However, the molecular epidemiology of HIV-1 in Yunnan has not been fully characterized. METHODS AND FINDINGS: Using immunoassays, we identified 103,015 accumulated cases of HIV-1 infections in Yunnan between 1989 and 2004. We studied 321 patients representing Yunnan's 16 prefectures from four risk groups, 11 ethnic populations, and ten occupations. We identified three major circulating subtypes: C/CRF07_BC/CRF08_BC (53%), CRF01_AE (40.5%), and B (6.5%) by analyzing the sequence of p17, which is part of the gag gene. For patients with known risk factors, 90.9% of injection drug users had C/CRF07_BC/CRF08_BC viruses, whereas 85.4% of CRF01_AE infections were acquired through sexual transmission. No distinct segregation of CRF01_AE viruses was found among the Dai ethnic group. Geographically, C/CRF07_BC/CRF08_BC was found throughout the province, while CRF01_AE was largely confined to the prefectures bordering Myanmar. Furthermore, C/CRF07_BC/CRF08_BC viruses were found to consist of a group of viruses, including C, CRF08_BC, CRF07_BC, and new BC recombinants, based on the characterization of their reverse transcriptase genes. CONCLUSIONS: This is the first report of a province-wide HIV-1 molecular epidemiological study in Yunnan. While C/CRF07_BC/CRF08_BC and CRF01_AE are codominant, the discovery of many sexually transmitted CRF01_AE cases is new and suggests that this subtype may lead to a new epidemic in the general Chinese population. We discuss implications of our results for understanding the evolution of the HIV-1 pandemic and for vaccine development.

    Dominance of HIV-1 subtype CRF01_AE in sexually acquired cases leads to a new epidemic in Yunnan province of China. Publishing Authors By Initials

    y zhangY Zhang,l luL Lu,l baL Ba,l liuL Liu,l yangL Yang,m jiaM Jia,h wangH Wang,q fangQ Fang,y shiY Shi,w yanW Yan,g changG Chang,l zhangL Zhang,dd hoDD Ho,z chenZ Chen,

    For similar disorders of environmental origin: substance-related disorders: substance abuse, intravenous research abstracts see: disorders of environmental origin: substance-related disorders: substance abuse, intravenous research

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    Dominance of HIV-1 subtype CRF01_AE in sexually acquired cases leads to a new epidemic in Yunnan province of China. Journal Published:

    PUBLICATION TYPE: Research Support, Non-U.S. Gov

    Journal: PLoS medicine

    VOLUME: 3

    Page Numbers: e443

    Journal Abbreviation: PLoS Med.

    ISSN: 1549-1676

    DAY: 3

    MONTH: Nov

    YEAR: 2006

    Dominance of HIV-1 subtype CRF01_AE in sexually acquired cases leads to a new epidemic in Yunnan province of China. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 101231360

    Dominance of HIV-1 subtype CRF01_AE in sexually acquired cases leads to a new epidemic in Yunnan province of China. Keywords Mesh Terms:

    KEYWORDS: Substance Abuse, Intravenous

    MESH TERMS: virology

    Chemical & Substance for Abstract: Dominance of HIV-1 subtype CRF01_AE in sexually acquired cases leads to a new epidemic in Yunnan province of China. Information

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    Grant and Affiliation Information for Dominance of HIV-1 subtype CRF01_AE in sexually acquired cases leads to a new epidemic in Yunnan province of China.

    AFFILIATION: Yunnan Center for Disease Control and Prevention, Kunming, Yunnan, People's Republic of China.

    Country: United States

    United States Research PublicationUnited States Research Publication

    AGENCY: United States NHLBI

    GRANT: R01HL080211

    ACRONYM: HL

    MEDLINETA: PLoS Med

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    Dominance of HIV-1 subtype CRF01_AE in sexually acquired cases leads to a new epidemic in Yunnan province of China Related Publications

     

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