Pervasive HIV recombination limits the utility of circulating recombinant form nomenclature

Heather E Grant1, Abayomi S Olabode2, Dorothea Seiler Vellame3

  • 1Institute of Ecology and Evolution, University of Edinburgh, Edinburgh, United Kingdom.

Plos Pathogens
|July 13, 2026
PubMed

Insights

The current naming of HIV-1 circulating recombinant forms (CRFs) is biologically unjustified. Prioritizing taxonomically meaningful clades with significant epidemiological spread is crucial for understanding HIV-1 diversity.

Area of Science:

  • Virology
  • Epidemiology
  • Genetics

Background:

  • Human Immunodeficiency Virus type 1 (HIV-1) diversity is tracked using designations like subtypes, groups, and circulating recombinant forms (CRFs).
  • CRFs are descendent viruses from intersubtype recombination events.

Purpose of the Study:

  • To argue against designating all detected CRFs as distinct entities due to limited biological and epidemiological significance.
  • To propose a shift towards prioritizing taxonomically meaningful clades based on biological significance.

Main Methods:

  • The study critically evaluates the current methodology for naming HIV-1 CRFs.
  • It examines the mechanistic underpinnings of HIV-1 recombination and its implications for classification.

Main Results:

  • Many designated CRFs represent recombinants with limited epidemiological significance.
  • The majority of incidentally named recombinants are rarely detected again, highlighting the arbitrary nature of current naming conventions.

Conclusions:

  • Continuing to designate all detected CRFs as distinct entities is biologically unjustified.
  • Prioritizing clades with demonstrable biological significance (e.g., epidemiological spread, phenotypic properties, transmission advantage) is essential for meaningful HIV-1 diversity tracking.

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