2017, Number 2-3
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MEDICC Review 2017; 19 (2-3)
Origin and evolutionary history of HIV-1 subtype B in Cuba
Machado-Zaldívar LY, Díaz-Torres HM, Blanco-de Armas M, Romay-Franchy D, Dubed-Echevarría M
Language: English
References: 46
Page: 40-44
PDF size: 169.16 Kb.
ABSTRACT
Introduction Cuba’s HIV epidemic is characterized by high genetic diversity, with circulation of several subtypes and recombinant forms. Earlier studies described a predominance of subtype B in the HIV-positive population, but these studies did not take into account patients’ epidemiologic history.
Objective Clarify the origin and phylodynamics of HIV-1 subtype B in the Cuban epidemic.
Methods We analysed phylogenetic relationships among 120 sequences (from different geographic origins) of the pol gene in HIV-1 subtype B isolates from Cuban patients diagnosed from 1987 through 2012. Time of HIV-1 subtype B introduction and viral evolutionary rate were determined using a Bayesian coalescent method.
Results Based on phylogenetic relationships, subtype B was introduced into Cuba multiple times. Subtype B spread in Cuba through dissemination of strains that probably came from the USA, Canada and Europe. The time of the most recent common ancestor of Cuban subtype B was close to 1977 (95% CI 1974–1982), and the evolutionary rate was 2.7 x 10-3 nucleotide substitutions per site per year.
Conclusions Our results suggest multiple introductions of HIV-1B into Cuba in the late 1970s, predominantly strains from North America and Europe. The results reflect the importance of maintaining, reviewing and updating molecular epidemiology of HIV-1 in Cuba, due to its rapid evolution and possible implications for the National STI/HIV/AIDS Program of Cuba’s Ministry of Public Health.
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