陕西省HIV-I流行毒株亚型分析
Analysis on subtype of epidemic HIV-1 strains in Shanxi province
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摘要: 目的 了解陕西省近年来发现的人类免疫缺陷病毒(HIV)感染者所携带毒株的基因序列特征、亚型种类和毒株来源以及在各高危人群中的分布,推断其传播来源和流行趋势,为本省艾滋病防治工作提供技术资料。方法 对HIV感染者进行流行病学相关因素调查,无菌采集HIV感染者抗凝全血,提取前病毒DNA,应用套式聚合酶链式反应(nested-PCR)扩增其膜蛋白基因env,对其C2~V3区及邻区的核苷酸序列进行测定,用GCG软件(Wisconsin公司)进行亚型分析。结果 35份样本PCR扩增阳性并得到相应序列。经基因离散率计算和系统树分析,共发现4种HIV-1基因亚型和重组毒株,即HIV-1 B'、C、CRF01-AE和CRF-BC重组型。其中泰国B'亚型为主要流行株,占82.35%(28/34),主要来源于既往采供血者及其配偶;其次是CRF-BC重组型,占11.77%(4/34),主要来源于吸毒人群:CRF01-AE和C亚型各1份,分别占2.94%,均来自劳务输出的归国人员。该组样本B'亚型内的基因离散率为5.2%(n=23);而CRF-BC亚型内的基因离散率为0.9%(n=3),彼此间显示出较近的传播关系。结论 陕西省HIV-1流行株以泰国B'亚型为主,发生在与既往有偿采供血相关的地区和人群,已有6~7年的流行史;首次在当地吸毒人群中发现HIV-1 CRF-BC重组型,并且显示近期高度流行的趋势。加强对既往有偿献血人群和吸毒人群的行为干预,控制HIV病毒在家庭内和吸毒人群中的传播,将是今后本省艾滋病防治工作重点之一。Abstract: Objective To study HIV-1 gene sequence,subtype distribution and origin of vir uses from HIV/AIDS in Shaanxi province,analyze epidemic situation and trend,provide valuable information for the AIDS prevention and control.Methods Analy zing HIV-1 infected individual confirmed by ourlab with general epidemiology.Collecting EDTA anticoagulant whole blood 5~10 ml from HIV-1 infected patients,then got PBMC cell.Using nested PCR amplified specifically HIV-1 env C2-V3 region from the DNA extr action.Software GCG finished the sequence and subtype analysis of the sequences of the PCR products.Results 34 DNA fragments of HIV-1 envgene were amplified by nested PCR from anti-HIV-1 positive samples.4 subty pes were identified circulating in Shanxi:HIV-1 B',C,CRF01-AE and CRF-BC.28 of 34 belonged to subtype B.(82.35%),mainly relative with pasted paid blood donors.4 samples belonged to CRF-BC (11177%),coming from IDU people.Conclusion Subtype HIV-1B' is main epidemic strain in Shanxi province,mainly relatived with past paid blood donor.The subtype HIV-1CRF-BC combination strain is secondly,relative with injected druguser,should be done comprehensive action for IDU people,to control the HIV prevalence among them.