PMID- 21732793 OWN - NLM STAT- MEDLINE DCOM- 20120223 LR - 20211020 IS - 1931-8405 (Electronic) IS - 0889-2229 (Print) IS - 0889-2229 (Linking) VI - 27 IP - 12 DP - 2011 Dec TI - Molecular characteristics of HIV type 1 infection among prisoners from Central Western Brazil. PG - 1349-53 LID - 10.1089/aid.2011.0153 [doi] AB - Abstract This study among antiretroviral-experienced prisoners from central western Brazil investigated mutations associated with secondary resistance to nucleoside/nonnucleoside reverse transcriptase inhibitors (NRTI/NNRTI), protease inhibitors (Stanford HIV-1 Resistance/International Aids Society Databases), and HIV-1 subtypes (REGA/phylogenetic analyses/SimPlot). Twenty-seven prisoners from three prisons (16 males and four females from Mato Grosso do Sul State and seven males from Goias State) had HIV-1 protease and reverse transcriptase fragments sequenced after nested PCR. Median age was 35 years. Seven males and two females were intravenous drug users, three males referred homosexual practice. Resistance mutations were present in 37% (10/27): NRTI+NNRTI mutations (n=5), NRTI mutations (n=3), multidrug-resistant mutations (n=2). Subtype B (48%), subtype C (11%), B/F1, B/C, and F1/B/C recombinants (40.7%) were detected. Possible intraprison transmissions were identified: two intravenous drug user females (subtype C); two clusters among homosexual males (subtype B and B/F1). High resistance rate and possible intraprison transmission highlight the need for improved prevention, counseling, and treatment strategies for prisoners. FAU - Cardoso, Ludimila Paula Vaz AU - Cardoso LP AD - Tropical Pathology and Public Health Institute, Federal University of Goias, Brazil. FAU - da Silveira, Alexsander Augusto AU - da Silveira AA FAU - Francisco, Roberta Barbosa Lopes AU - Francisco RB FAU - da Guarda Reis, Monica Nogueira AU - da Guarda Reis MN FAU - Stefani, Mariane Martins de Araujo AU - Stefani MM LA - eng SI - GENBANK/HQ831450 SI - GENBANK/HQ831476 PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110706 PL - United States TA - AIDS Res Hum Retroviruses JT - AIDS research and human retroviruses JID - 8709376 SB - IM MH - Acquired Immunodeficiency Syndrome/*virology MH - Adult MH - Base Sequence MH - Brazil MH - Drug Resistance, Multiple, Viral/genetics MH - Female MH - HIV Infections/*virology MH - HIV-1/classification/*genetics MH - Humans MH - Male MH - Middle Aged MH - Molecular Sequence Data MH - Phylogeny MH - *Prisoners PMC - PMC3227242 EDAT- 2011/07/08 06:00 MHDA- 2012/02/24 06:00 PMCR- 2012/12/01 CRDT- 2011/07/08 06:00 PHST- 2011/07/08 06:00 [entrez] PHST- 2011/07/08 06:00 [pubmed] PHST- 2012/02/24 06:00 [medline] PHST- 2012/12/01 00:00 [pmc-release] AID - 10.1089/aid.2011.0153 [pii] AID - 10.1089/aid.2011.0153 [doi] PST - ppublish SO - AIDS Res Hum Retroviruses. 2011 Dec;27(12):1349-53. doi: 10.1089/aid.2011.0153. Epub 2011 Jul 6.