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Molecular epidemiology of HIV-1 strains in the south-east and east of Turkey

摘要To detect the subtype characterization and drug-resistant mutations in HIV-1 strains after the refugee movement from Syria to Turkey between 2011 and 2014 in south east border lines. Methods: A total of 65 patients were included in this study, of which 57 (88%) patients were antiretroviral therapy-naive patients. HIV-1 RNA was detected and quantified by real-time PCR assay. HIV-1 subtypes and circulating recombinant forms (CRFs) were identified by phylogenetic analysis (neighbor-joining method), and drug-resistant mutations were analyzed. Results: Three major HIV groups were indicated. Two of these groups were located in subtype B. The other group showed heterogeneity. Subtype B (48/65, 73.8%), followed by CRFs (12/65, 18.5%) was the most common strain. Subtype of CRFs consisted of CRF01_AE (9/65, 13.8%) and CRF02_AG (3/65, 4.6%). Subtype C (1/65, 1.5%), sub-subtypes A1 (2/65, 3.1%) and F1 (2/65, 3.1%) were also detected with low prevalence. The rate of overall primary antiretroviral resistance was 4.9% (3/61). Drug-resistant rate for non-nucleoside reverse transcriptase inhibitors was 4.9%. The thymidine analogue mutation rate was 13.1% (8/61). Conclusions: HIV molecular epidemiology studies are necessary to determine transmission patterns and spread. Subtype B and CRF01_AE, CRF02_AG are the most prevalent strains in the south-east of Turkey. However, subtype C, sub-subtypes A1 and F1 are of low prevalence but persist in the south-east of Turkey. In the near future, changing of HIV epidemiology will be possible in Turkey due to migration movement in border lines and resistance testing will play an important role in HIV management.

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作者单位 Dicle University, Diyarbak?r, Turkey [1] Clinical Laboratory, Kocaeli University, Kocaeli, Turkey;3Research Center of Experimental Health Sciences, Near East University, Nicosia, North Cyprus. [2] Yildirim Beyazit University, Ankara, Turkey [3] Harran University, Urfa, Turkey [4] Kiziltepe State Hospital, Mardin, Turkey [5] Dr. Abdurrahman Yurtaslan Ankara 0ncology Training and Research Hospital, Ankara, Turkey [6]
发布时间 2015-10-27(万方平台首次上网日期,不代表论文的发表时间)
基金项目
Dicle University Medical Faculty ((Grant 13-TF-91))
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