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Updated: Jul 14, 2026

Prediction of HIV-1 Coreceptor Usage (Tropism) by Sequence Analysis using a Genotypic Approach
Published on: December 1, 2011
[The molecular epidemiological aspects of hiv-infection spreading in Perm region]
Abstract:
Retrospective analysis of HIV-infection spreading in Perm region in conjunction with the genetic characterization of viral subtypes circulated on this territory from 1988 (when 1st case of infection was detected) until 2005 was performed. Analysis of epidemic process allowed to determine three periods of its development basing on both epidemic intensity and nature of circulating HIV-1 subtypes. During 1988 - 1996 (first period), when viral population was heterogenous (simultaneous circulation of three HIV-1 subtypes) with multiple routes of transmission, the epidemic process was characterized by low intensity. High incidence of HIV-infection among injection drug users and high homogeneity of circulated HIV-1 variants (98% of isolated variants belonged to HIV-1 subtype A with low level of genetic variability) were characteristics of the second period lasted from 1997 to 2001. Decrease in HIV-infection incidence in 2002-2005 was accompanied by the increase of HIV-1 transmission through heterosexual contacts and continuation of subtype A predominance between isolates. However increase in heterogeneity of viral population during this period, which manifested as increase of env and pol genes polymorphism, was detected.
Insights
The HIV epidemic in the Perm region evolved over three periods, marked by shifts in viral subtypes and transmission routes. Subtype A predominated, with increasing genetic diversity observed later in the study.
Area of Science:
- Epidemiology
- Virology
- Genetics
Context:
- The Perm region has documented Human Immunodeficiency Virus (HIV) infections since 1988.
- Understanding the dynamics of HIV spread and genetic characteristics is crucial for public health interventions.
Purpose:
- To analyze the epidemiological trends of HIV infection in the Perm region from 1988 to 2005.
- To genetically characterize the circulating Human Immunodeficiency Virus type 1 (HIV-1) subtypes during this period.
Summary:
- The study identified three distinct periods in the Perm region's HIV epidemic.
- Early stages (1988-1996) showed low intensity with diverse HIV-1 subtypes and multiple transmission routes.
- Later periods (1997-2005) were characterized by the predominance of HIV-1 subtype A, initially concentrated in injection drug users, with increasing heterosexual transmission and genetic variability in env and pol genes.
Impact:
- Reveals the evolving nature of HIV epidemics, influenced by viral genetics and transmission patterns.
- Provides insights into the long-term spread of specific HIV-1 subtypes.
- Informs targeted public health strategies for HIV prevention and control in the region.
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