Phylogenetic analysis of the Belgian HIV-1 epidemic reveals that local transmission is almost exclusively driven by men having sex with men despite presence of large African migrant communities

To improve insight in the drivers of local HIV-1 transmission in Belgium, phylogenetic, demographic, epidemiological and laboratory data from patients newly diagnosed between 2013 and 2015 were combined and analyzed. Characteristics of clustered patients, paired patients and patients on isolated branches in the phylogenetic tree were compared. The results revealed an overall high level of clustering despite the short time frame of sampling, with 47.6% of all patients having at least one close genetic counterpart and 36.6% belonging to a cluster of 3 or more individuals. Compared to patients on... Mehr ...

Verfasser: Verhofstede, Chris
Dauwe, Kenny
Fransen, Katrien
Van Laethem, Kristel
Van den Wijngaert, Sigi
Ruelle, Jean
Delforge, Marie-Luce
Vancutsem, Ellen
Vaira, Dolores
Stoffels, Karolien
Garcia Ribas, Sergio
Dessilly, Geraldine
Debaisieux, Laurent
Pierard, Denis
Van Ranst, Marc
Hayette, Marie-Pierre
Deblonde, Jessica
Sasse, Andre
Van Beckhoven, Dominique
Mortier, Virginie
Dokumenttyp: journalarticle
Erscheinungsdatum: 2018
Schlagwörter: Medicine and Health Sciences / Biology and Life Sciences / NON-B SUBTYPES / NEWLY-DIAGNOSED PATIENTS / MOLECULAR EPIDEMIOLOGY / DRUG-RESISTANCE / SPATIOTEMPORAL DYNAMICS / ANTIRETROVIRAL THERAPY / EUROPEAN COUNTRIES / INFECTION / CLUSTERS / TYPE-1 / HIV-1 transmission / HIV-1 in Belgium / Men who have sex with men / Phylogenetic clustering / HIV-1 in Sub-Saharan African migrants
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-28879029
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://biblio.ugent.be/publication/8576522

To improve insight in the drivers of local HIV-1 transmission in Belgium, phylogenetic, demographic, epidemiological and laboratory data from patients newly diagnosed between 2013 and 2015 were combined and analyzed. Characteristics of clustered patients, paired patients and patients on isolated branches in the phylogenetic tree were compared. The results revealed an overall high level of clustering despite the short time frame of sampling, with 47.6% of all patients having at least one close genetic counterpart and 36.6% belonging to a cluster of 3 or more individuals. Compared to patients on isolated branches, patients in clusters more frequently reported being infected in Belgium (95.1% vs. 47.6%; p < 0.001), were more frequently men having sex with men (MSM) (77.9% vs. 42.8%; p < 0.001), of Belgian origin (68.2% vs. 32.9%; p < 0.001), male gender (92.6% vs. 65.8%; p < 0.001), infected with subtype B or F (87.8% vs. 43.4%; p < 0.001) and diagnosed early after infection (55.4% vs. 29.0%; p < 0.001). Strikingly, Sub-Saharan Africans (SSA), overall representing 27.1% of the population were significantly less frequently found in clusters than on individual branches (6.0% vs. 41.8%; p < 0.001). Of the SSA that participated in clustered transmission, 66.7% were MSM and this contrasts sharply with the overall 12.0% of SSA reporting MSM. Transmission clusters with SSA were more frequently non-B clusters than transmission clusters without SSA (44.4% versus 18.2%). MSM-driven clusters with patients of mixed origin may account, at least in part, for the increasing spread of non-B subtypes to the native MSM population, a cross-over that has been particularly successful for subtype F and CRF02-AG. The main conclusions from this study are that clustered transmission in Belgium remains almost exclusively MSM-driven with very limited contribution of SSA. There were no indications for local ongoing clustered transmission of HIV-1 among SSA.