Many but small HIV-1 non-B transmission chains in the Netherlands
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Supporting information
Published version
Author(s)
Type
Journal Article
Abstract
Objective To investigate introductions and spread of different HIV-1 subtypes in the Netherlands. Design We identified distinct HIV-1 transmission chains in the Netherlands within the global epidemic context through viral phylogenetic analysis of partial HIV-1 polymerase sequences from individuals enrolled in the ATHENA national HIV cohort of all persons in care since 1996, and publicly available international background sequences. Methods Viral lineages circulating in the Netherlands were identified through maximum parsimony phylogeographic analysis. The proportion of HIV-1 infections acquired in-country among heterosexuals and men having sex with men (MSM) was estimated from phylogenetically observed, national transmission chains using a branching process model that accounts for incomplete sampling. Results As of January 1st 2019, 2,589 (24%) of 10,971 (41%) HIV-1 sequenced individuals in ATHENA had non-B subtypes (A1, C, D, F, G) or circulating recombinant forms (CRF01AE, CRF02AG, CRF06-cpx). The 1,588 heterosexuals were in 1,224, and 536 MSM in 270 phylogenetically observed transmission chains. After adjustments for incomplete sampling, most heterosexual (75%) and MSM (76%) transmission chains were estimated to include only the individual introducing the virus (size=1). Onward transmission occurred mostly in chains size 2-5 amongst heterosexuals (62%) and in chains size ≥10 amongst MSM (64%). Considering some chains originated in-country from other risk-groups, 40% (95%CI: 36-44%) of non-B-infected heterosexuals and 62% (95%CI: 49%-73%) of MSM acquired infection in-country. Conclusions Whilst most HIV-1 non-B introductions showed no or very little onward transmission, a considerable proportion of non-B infections amongst both heterosexuals and MSM in the Netherlands have been acquired in-country.
Date Issued
2021-10-05
Date Acceptance
2021-09-15
Citation
AIDS, 2021, 36 (1), pp.83-94
ISSN
0269-9370
Publisher
Lippincott, Williams & Wilkins
Start Page
83
End Page
94
Journal / Book Title
AIDS
Volume
36
Issue
1
Copyright Statement
Q 2021 The Author(s). Published by Wolters Kluwer Health, Inc. This is an open access article distributed under the
Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the
original work is properly cited.
Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the
original work is properly cited.
License URL
Sponsor
Stichting Aidsfonds
Identifier
https://journals.lww.com/aidsonline/Fulltext/2022/01010/Many_but_small_HIV_1_non_B_transmission_chains_in.10.aspx
Grant Number
TBC
Subjects
06 Biological Sciences
11 Medical and Health Sciences
17 Psychology and Cognitive Sciences
Virology
Publication Status
Published online
Date Publish Online
2021-10-05