Introduction of HIV-2 and multiple HIV-1 subtypes to Lebanon

D Pieniazek, J Baggs, DJ Hu, GM Matar, AM Abdelnoor, JE Mokhbat, M Uwaydah, AR Bizri, A Ramos, LM Janini, A Tanuri, C Fridlund, C Schable, L Heyndrickx, MA Rayfield, W Heneine

Research output: Contribution to journalA1: Web of Science-articlepeer-review

Abstract

HIV genetic variability, phylogenetic relationships, and transmission dynamics were analyzed in 26 HIV-infected patients from Lebanon. Twenty-five specimens were identified as HIV-1 and one as HIV-2 subtype B. The 25 strains were classified into six env-C2-V3 HIV-1 subtypes: B (n = 10), A (n = 11), C (n = 1), D (n = 1), G (n = 1), and unclassifiable. Potential recombinants combining parts of viral regions from different subtypes Aenv/Dpol/Agag, Genv/Apol and the unclassifiable-subtypeenv/ unclassifiable-subtypepol/Agag were found in three patients. Epidemiologic analysis of travel histories and behavioral risks indicated that HIV-1 and HIV-2 subtypes reflected HIV strains prevalent in countries visited by patients or their sex partners. Spread of complex HIV-subtype distribution patterns to regions where HIV is not endemic may be more common than previously thought. Blood screening for both HIV-1 and HIV-2 in Lebanon is recommended to protect the blood supply. HIV subtype data provide information for vaccine development.
Original languageEnglish
JournalEmerging Infectious Diseases
Volume4
Issue number4
Pages (from-to)649-656
Number of pages8
ISSN1080-6040
DOIs
Publication statusPublished - 1998

Keywords

  • B780-tropical-medicine
  • Virology
  • HIV-2
  • HIV-1
  • Subtypes
  • Viral diseases
  • Epidemiology
  • Lebanon
  • Middle East
  • Asia-West

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