PMID- 36403919 OWN - NLM STAT- MEDLINE DCOM- 20221216 LR - 20221221 IS - 1567-7257 (Electronic) IS - 1567-1348 (Linking) VI - 106 DP - 2022 Dec TI - Tracing the origin of an imported HIV-1 sub-subtype A6 strain first identified in Zhejiang Province, China. PG - 105388 LID - S1567-1348(22)00185-X [pii] LID - 10.1016/j.meegid.2022.105388 [doi] AB - Human migration and mobility have been identified as key drivers of HIV dissemination among nations, which increases the problem of genetic diversity. Here, we report the near full-length genome of HIV-1 A6 identified in a female patient in the remote mountain area of Lishui, Zhejiang Province, which is the first time A6 has been reported in China. The near full-length genome was amplified with two large amplicons of 5.5 kb and 3.7 kb, and then target PCR products were sequenced by Sanger sequencing. The A6 strain was confirmed by the Basic Local Alignment Search Tool (BLAST) and a maximum-likelihood (ML) phylogenetic tree. The time to the most recent common ancestor (tMRCA) was inferred to be 2004 (95% HPD interval: 2003-2006). The sequence harbored the L74I mutation, which is a key characteristic genetic marker of A6. Combining the above evidence with epidemiological investigations, this A6 strain was determined to be from Ukraine, which was supported by phylogenetic analysis. This study identified a foreign imported strain, indicating a trend of increasing complication in the HIV-1 epidemic in Zhejiang, China. CI - Copyright (c) 2022 The Authors. Published by Elsevier B.V. All rights reserved. FAU - Zhang, Jiafeng AU - Zhang J AD - Department of HIV/AIDS & STD Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China. FAU - Fan, Qin AU - Fan Q AD - Department of HIV/AIDS & STD Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China. FAU - Ye, Ling AU - Ye L AD - Lishui Prefectural Center for Disease Control and Prevention, Lishui, China. FAU - Liu, Jing AU - Liu J AD - School of Laboratory Medicine and Life Science, Wenzhou Medical University, Wenzhou, China. FAU - Chen, Xiaolei AU - Chen X AD - Lishui Prefectural Center for Disease Control and Prevention, Lishui, China. FAU - Li, Xingguang AU - Li X AD - Department of Technology R&D, Ningbo Institute of Life and Health Industry, University of Chinese Academy of Sciences, Ningbo, China; Hwa Mei Hospital, University of Chinese Academy of Sciences, Ningbo, China. FAU - Chai, Chengliang AU - Chai C AD - Department of HIV/AIDS & STD Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China. Electronic address: chlchai@cdc.zj.cn. LA - eng PT - Journal Article DEP - 20221117 PL - Netherlands TA - Infect Genet Evol JT - Infection, genetics and evolution : journal of molecular epidemiology and evolutionary genetics in infectious diseases JID - 101084138 SB - IM MH - Humans MH - *HIV-1/genetics MH - Phylogeny MH - China/epidemiology MH - Ukraine MH - *HIV Infections/epidemiology OTO - NOTNLM OT - A6 OT - HIV-1 OT - Near full-length genome COIS- Declaration of Competing Interest The authors declare that there are no conflicts of interest. EDAT- 2022/11/21 06:00 MHDA- 2022/12/15 06:00 CRDT- 2022/11/20 19:35 PHST- 2022/08/26 00:00 [received] PHST- 2022/11/14 00:00 [revised] PHST- 2022/11/16 00:00 [accepted] PHST- 2022/11/21 06:00 [pubmed] PHST- 2022/12/15 06:00 [medline] PHST- 2022/11/20 19:35 [entrez] AID - S1567-1348(22)00185-X [pii] AID - 10.1016/j.meegid.2022.105388 [doi] PST - ppublish SO - Infect Genet Evol. 2022 Dec;106:105388. doi: 10.1016/j.meegid.2022.105388. Epub 2022 Nov 17.