匈牙利的HIV-1分子流行病学:病毒亚型碰撞的不断变化的接触区
Levente Zsichla1,2, Lilla Adravecz2,3, Dalma Müller1,2,4
1Institute of Biology, ELTE Eötvös Loránd University, Budapest, Hungary.
Frontiers in microbiology
|January 1, 2026
概括
匈牙利最近的HIV-1感染主要是由与男性发生性关系的男性 (MSM) 之间的国内传播驱动的,其中一些关键集群需要有针对性的干预. 疫情显示出与欧洲的密切联系,东欧的非B亚型正在上升.
科学领域:
- 病毒学 病毒学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 抗逆转录病毒疗法 (ART) 抑制了HIV-1的传播,但并没有消除大流行.
- 监测HIV-1传播模式和遗传变异对于有效的预防策略至关重要.
研究的目的:
- 对匈牙利的HIV-1流行病进行第一个全面的分子流行病学分析.
- 确定传播模式,遗传多样性以及HIV-1进入匈牙利的来源.
主要方法:
- 分析了来自1,120名匈牙利患者 (2008-2024) 和2,202名国际患者的部分pol序列.
- 利用亚型化,药物耐药性测试,遗传学推断,聚类和遗传地理分析.
主要成果:
- B亚型占主导地位 (814/1,120),但非B亚型 (A,F,复合物) 到2024年增加至41.3%.
- 确定了136个国内集群,包括一个长期存在的传染性耐药性关节;最近6例诊断中的1例属于单个集群.
- 流行病主要与欧洲国家有关,来自东欧及其他地区的非B亚型引入越来越多.
结论:
- 匈牙利最近的HIV-1感染主要来自MSM之间的国内传播,一些高度活跃的群体需要有针对性的干预.
- 匈牙利的HIV-1流行病与西欧/中欧密切相关,东欧和其他地区对非B亚型的影响越来越大.
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