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Circulating recombinant form CRF02_AG in South America
G Carrion1, J Hierholzer, S Montano
1US Naval Medical Research Center Detachment, Lima, Peru.
AIDS Research and Human Retroviruses
|June 21, 2003
Summary
This study monitored HIV-1 subtypes in South America from 1995-2001. The most common were subtypes B and F, with the first detection of circulating recombinant form (CRF) 02_AG in Ecuador.
Area of Science:
- * Virology
- * Epidemiology
- * Public Health
Background:
- * Human Immunodeficiency Virus type 1 (HIV-1) exhibits significant genetic diversity, including various subtypes and circulating recombinant forms (CRFs).
- * Understanding the distribution of HIV-1 genetic variants is crucial for effective surveillance, treatment, and vaccine development.
- * Previous data on HIV-1 subtype distribution in South America was limited, necessitating comprehensive population-based studies.
Purpose of the Study:
- * To monitor the geographical distribution of HIV-1 subtypes and CRFs across seven South American countries.
- * To identify the predominant HIV-1 strains circulating in the region between 1995 and 2001.
- * To document the emergence of novel or previously uncharacterized HIV-1 genetic forms in South America.
Main Methods:
- * Population-based surveillance involving HIV-positive patients from Colombia, Ecuador, Peru, Bolivia, Chile, Argentina, and Uruguay.
- * Collection of diverse biological samples including peripheral blood mononuclear cells, filter paper, fresh blood, and cocultivation.
- * Determination of HIV envelope subtypes using heteroduplex mobility assay and DNA sequencing on 1289 HIV-positive samples.
Main Results:
- * Subtypes B and F were identified as the most prevalent HIV-1 strains across the studied South American countries.
- * Two instances of circulating recombinant form (CRF) 02_AG were detected in Ecuador.
- * This finding represents the first documented presence of CRF 02_AG in the South American continent.
Conclusions:
- * HIV-1 subtype B and F are the dominant strains in South America based on surveillance data from 1995-2001.
- * The detection of CRF 02_AG in Ecuador signifies a significant epidemiological event, highlighting the potential for introduction and spread of new HIV-1 variants.
- * Continued molecular surveillance is essential to track the evolving landscape of HIV-1 diversity in South America and inform public health strategies.

