PMID- 20043524 OWN - NLM STAT- MEDLINE DCOM- 20100218 LR - 20100101 IS - 0043-3144 (Print) IS - 0043-3144 (Linking) VI - 58 IP - 3 DP - 2009 Jun TI - High genetic diversity in human immunodeficiency virus-type 1 in Jamaica. PG - 195-200 AB - The subtypes of the human immunodeficiency virus - type 1 (HIV-1) strains from 54 HIV-1 - infected persons including 44 strains which were typed previously by heteroduplex mobility assay (HMA) were determined by DNA sequencing and phylogenetic analysis. Of 54 HIV- infected persons, 92.5% were infected with HIV-1 subtype B and 7.5% with other HIV-1 subtypes including subtypes D (3.7%), A (1.9%) and J (1.9%). In the phylogenetic analysis, the subtype A virus found in the sample clustered with subtype A reference strains and a circulating recombinant form (CRF) reference strain which originates in Central Africa and is circulating in Cuba indicating a close relationship between these viruses. There was 86% concordance between HMA and DNA sequencing in assigning subtype B viruses. For the non-B subtype viruses, there was less concordance between the two methods (67%). The results confirm the predominance of HIV-1 subtype B strains and the high genetic diversity of HIV-1 strains in circulation in Jamaica. The efficacies and some limitations of the HMA as a method of HIV-1 subtyping also were noted. It is important that the HIV/AIDS epidemic in Jamaica be monitored meticulously for possible expansions in non-B subtypes and the emergence of inter-subtype recombinant forms. We recommend that the more expensive DNA sequencing and phylogenetic analysis, including HIV-1 genotyping for antiretroviral drug resistance testing, be used as an adjunct to the more cost-effective HMA to track the HIV/AIDS epidemic in Jamaica. FAU - Heslop, O D AU - Heslop OD AD - Department of Microbiology, The University of the West Indies, Kingston 7, Jamaica, West Indies. glenheslop@yahoo.com FAU - Smikle, M F AU - Smikle MF FAU - Vickers, I E AU - Vickers IE FAU - Christian, N A AU - Christian NA FAU - Harvey, K M AU - Harvey KM FAU - Figueroa, J P AU - Figueroa JP FAU - Brown, S E AU - Brown SE FAU - Christie, C D C AU - Christie CD FAU - Bain, B AU - Bain B FAU - Barton, E N AU - Barton EN LA - eng PT - Journal Article PL - Jamaica TA - West Indian Med J JT - The West Indian medical journal JID - 0417410 RN - 0 (DNA, Viral) RN - 0 (env Gene Products, Human Immunodeficiency Virus) RN - 0 (gag Gene Products, Human Immunodeficiency Virus) SB - IM MH - DNA, Viral/*chemistry MH - *Genetic Variation MH - HIV Infections/*virology MH - HIV-1/classification/*genetics MH - Heteroduplex Analysis MH - Humans MH - Jamaica MH - Phylogeny MH - Reproducibility of Results MH - Sequence Analysis, DNA MH - env Gene Products, Human Immunodeficiency Virus/genetics MH - gag Gene Products, Human Immunodeficiency Virus/genetics EDAT- 2010/01/02 06:00 MHDA- 2010/02/19 06:00 CRDT- 2010/01/02 06:00 PHST- 2010/01/02 06:00 [entrez] PHST- 2010/01/02 06:00 [pubmed] PHST- 2010/02/19 06:00 [medline] AID - 1041 [pii] PST - ppublish SO - West Indian Med J. 2009 Jun;58(3):195-200.