title: The influence of the expanding HIV genetic diversity on molecular diagnosis in the Philippines.
abstract: Since the discovery in the Philippines of the first AIDS case in 1984, several subtypes of HIV-1 have been discovered. From the persons diagnosed in the early 1980s only subtype B was found and thereafter other subtypes, C, D, E, and F were also identified although HIV was not particularly prevalent at that time. In this paper, we determine whether the rapid expansion of genetic diversity will influence molecular diagnosis by polymerase chain reaction (PCR). First, we determine HIV-1 subtype on env (V3) and gag (p24) gene as a means of rapid genetic diversity. Secondly, we tried to analyse and identify homologous regions of gag (p24) gene of HIV genome for diagnostic purposes of designing primers. Out of 46 samples analysed, six subtypes were classified based on gag and env gene subtyping namely: 33 subtype B/B (71.2%), nine subtype A/E and one each subtype C/C, A/B and G/A (2.2% each). As a result, occurrence of non-subtype B and inter-subtype recombinant contributed to expanding genetic diversity. Based on inter- and intra-subtype gag alignment, oligonucleotides (>10 bases in length) could be easily selected as a universal primer to produce the PCR product composed of more than 100bp. This indicates that the PCR technology can be safely used with limited length of primers for the diagnosis of HIV infection in this country.
authors.affiliation: A JICA Project for Prevention and Control, San Lazaro Hospital, Quiricada St, Sta Cruz, 1003 Manila, MM, Philippines.
authors.forename: A
authors.initials: A
authors.lastname: Espantaleon
authors.forename: S
authors.initials: S
authors.lastname: Kageyama
authors.forename: M T
authors.initials: MT
authors.lastname: Bernardo
authors.forename: T
authors.initials: T
authors.lastname: Nakano
authors.forename: P S
authors.initials: PS
authors.lastname: Leaño
authors.forename: P
authors.initials: P
authors.lastname: Alban
authors.forename: R
authors.initials: R
authors.lastname: Abrenica
authors.forename: S
authors.initials: S
authors.lastname: Morimatsu
authors.forename: H
authors.initials: H
authors.lastname: Teraoka
authors.forename: D M
authors.initials: DM
authors.lastname: Agdamag
mesh_terms: D001483:Base Sequence; D017931:DNA Primers; D015752:Genes, env / Q000235:genetics; D015750:Genes, gag / Q000235:genetics; D014644:Genetic Variation; D016655:HIV Core Protein p24 / Q000235:genetics; D015699:HIV Envelope Protein gp120 / Q000235:genetics; D015658:HIV Infections / Q000175:diagnosis* / Q000453:epidemiology / Q000821:virology; D015497:HIV-1 / Q000145:classification* / Q000235:genetics; D006801:Humans; D008969:Molecular Sequence Data; D010446:Peptide Fragments / Q000235:genetics; D010679:Philippines / Q000453:epidemiology; D010802:Phylogeny; D016133:Polymerase Chain Reaction / Q000379:methods*; D011995:Recombination, Genetic; D017422:Sequence Analysis, DNA
chemical_list: D017931:DNA Primers; D016655:HIV Core Protein p24; D015699:HIV Envelope Protein gp120; C059762:HIV envelope protein gp120 (305-321); D010446:Peptide Fragments