title: Identification of non-B human immunodeficiency virus type 1 subtypes in rural Georgia.
abstract: As part of an ongoing molecular epidemiological investigation of human immunodeficiency virus type 1 (HIV-1) in rural Georgia, the 5' half of reverse transcriptase (RT) genotypes from 30 patients was sequenced and phylogenetically analyzed. Two patients, GA132 and GA169, were infected with pol sequences of non-B subtype origin that were found to cluster phylogenetically with subtype A-E of Thai origin. Sliding window bootstrap analysis of GA169 showed clear evidence of A/B recombination within the pol gene segment, whereas in the other patient, GA132, no break point within RT could be identified. Interestingly, pairwise comparisons between these 2 patients' C2-V3 env region revealed a 13.5% divergence. However, similar comparisons within the non-B pol segments yielded a 1.23% nucleotide divergence, which suggests a complex phylogenetic and epidemiological history of the subtype A pol genotype in this region. These data demonstrate an increasing diversity of HIV-1 subtypes and the potential emergence of previously unidentified HIV-1 A-E/B recombinants in the rural United States.
authors: Laboratory of Immunoregulation, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892-1576, USA. cwomack@niaid.nih.gov
authors: C
authors: C
authors: Womack
authors: W
authors: W
authors: Roth
authors: C
authors: C
authors: Newman
authors: J P
authors: JP
authors: Rissing
authors: R
authors: R
authors: Lovell
authors: D
authors: D
authors: Haburchak
authors: M
authors: M
authors: Essex
authors: V C
authors: VC
authors: Bond
mesh_terms: D000328:Adult; D015751:Genes, pol; D005838:Genotype; D015658:HIV Infections / Q000453:epidemiology / Q000821:virology*; D015497:HIV-1 / Q000145:classification / Q000235:genetics*; D006801:Humans; D017720:Molecular Epidemiology; D008969:Molecular Sequence Data; D010802:Phylogeny; D012367:RNA, Viral / Q000235:genetics; D014481:United States / Q000453:epidemiology
chemical_list: D012367:RNA, Viral