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Updated: Jul 3, 2026

Prediction of HIV-1 Coreceptor Usage (Tropism) by Sequence Analysis using a Genotypic Approach
Published on: December 1, 2011
Seventeen-year-old mother-to-child HIV type 1 transmission identified by phylogeny and signature patterns
Terese L Katzenstein1, Ann Berith Petersen, Louise Bruun Jørgensen
1Department of Infectious Diseases, Rigshospitalet, Copenhagen, Denmark. terese.katzenstein@rh.regionh.dk
Insights
Phylogenetic analysis of pol, gag, and env sequences confirmed perinatal HIV transmission in a 17-year-old woman. This case highlights the utility of viral sequencing in diagnosing late-presenting HIV infections.
Area of Science:
- Virology
- Epidemiology
- Genetics
Background:
- Perinatal HIV transmission can lead to late diagnosis in adolescents.
- Routine human immunodeficiency virus (HIV) resistance testing provides valuable genetic data.
- Phylogenetic analysis is a powerful tool for tracing viral transmission pathways.
Observation:
- A 17-year-old woman presented with a clinical suspicion of perinatal HIV transmission.
- Sequences from routine HIV resistance testing (pol gene) were analyzed.
- Further genetic analysis included the gag and env genes of the HIV genome.
Findings:
- Phylogenetic analysis of the pol gene sequences supported the suspicion of perinatal HIV transmission.
- Subsequent analyses of gag and env gene sequences further substantiated the transmission findings.
- The genetic data provided strong evidence for the mother-to-child transmission of HIV.
Implications:
- This case underscores the importance of considering perinatal HIV transmission in adolescents with unexplained symptoms.
- Viral genetic sequencing, including resistance testing, can be crucial for diagnosing and confirming HIV transmission routes.
- Early diagnosis and intervention are vital for improving health outcomes in individuals with HIV.
Abstract:
A case, in which the clinical suspicion of perinatal HIV transmission of a newly diagnosed 17-year-old woman was supported by the phylogenetic analyses of pol sequences obtained for routine resistance testing and further substantiated by analyses of gag and env, is described.
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