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2017, Number 2-3

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MEDICC Review 2017; 19 (2-3)

Origin and evolutionary history of HIV-1 subtype B in Cuba

Machado-Zaldívar LY, Díaz-Torres HM, Blanco-de Armas M, Romay-Franchy D, Dubed-Echevarría M
Full text How to cite this article

Language: English
References: 46
Page: 40-44
PDF size: 169.16 Kb.


Key words:

HIV-1, subtype B, HAART, molecular epidemiology, molecular evolution, phylodynamics, Cuba.

ABSTRACT

Introduction Cuba’s HIV epidemic is characterized by high genetic diversity, with circulation of several subtypes and recombinant forms. Earlier studies described a predominance of subtype B in the HIV-positive population, but these studies did not take into account patients’ epidemiologic history.
Objective Clarify the origin and phylodynamics of HIV-1 subtype B in the Cuban epidemic.
Methods We analysed phylogenetic relationships among 120 sequences (from different geographic origins) of the pol gene in HIV-1 subtype B isolates from Cuban patients diagnosed from 1987 through 2012. Time of HIV-1 subtype B introduction and viral evolutionary rate were determined using a Bayesian coalescent method.
Results Based on phylogenetic relationships, subtype B was introduced into Cuba multiple times. Subtype B spread in Cuba through dissemination of strains that probably came from the USA, Canada and Europe. The time of the most recent common ancestor of Cuban subtype B was close to 1977 (95% CI 1974–1982), and the evolutionary rate was 2.7 x 10-3 nucleotide substitutions per site per year.
Conclusions Our results suggest multiple introductions of HIV-1B into Cuba in the late 1970s, predominantly strains from North America and Europe. The results reflect the importance of maintaining, reviewing and updating molecular epidemiology of HIV-1 in Cuba, due to its rapid evolution and possible implications for the National STI/HIV/AIDS Program of Cuba’s Ministry of Public Health.


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