Abstract
To assess the HIV -1subtypes distribution in HIV-1 positive migrants living in Milan we studied 77 HIV-1 patients followed at the San Raffaele Hospital of Milan. Twenty subjects were born in Europe, 43 in the Americas, 10 in Africa and 4 in Asia. Unsafe heterosexual activity prevailed in migrants born in Africa and male homosexuality in those born in European, American and Asian countries (p = 0.05). The phylogeny showed that 38/77 (49.3%) subjects carried HIV-B subtype while the remaining strains were classified as not pure HIV-1 B subtypes 13/77 (16.9%) or recombinant forms 26/77 (33.8%). Female gender more frequently showed HIV-1 non-B strains and rarely HIV-1 B subtypes (12/39, 30.8% vs. 3/38, 7.9%, p = 0.02). Transmitted drug resistance was identified in 10/77 (13%) patients predominately with B subtype. Our data underscore a large heterogeneity in HIV-1 subtypes and a large proportion of recombinant forms.
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https://www.caritas.it/caritasitaliana/allegati/7824/Sintesi%20per%20giornalisti.pdf. Accessed 8 May 2020.
http://old.iss.it/ccoa/?lang=1&id=72&tipo=11. Accessed 8 May 2020.
Ciccozzi M, Santoro MM, Giovanetti M, Andrissi L, Bertoli A, Ciotti M. HIV-1 non-B subtypes in Italy: a growing trend. New Microbiol. 2012;35:377–86.
Mazzuti L, Melengu T, Falasca F, Calabretto M, Cella E, Ciccozzi M, Mezzaroma I, Iaiani G, Spaziante M, d’Ettorre G, Fimiani C, Vullo V, Antonelli G, Turriziani O. Transmitted drug resistance mutations and trends of HIV-1 subtypes in treatment-naïve patients: a single-centre experience. J Glob Antimicrob Resist. 2020;20:298–303.
Ciccozzi M, Madeddu G, Lo Presti A, Cella E, Giovanetti M, Budroni C, Babudieri S, Mura MS, Zehender G, Salemi M. HIV type 1 origin and transmission dynamics among different risk groups in sardinia: molecular epidemiology within the close boundaries of an Italian island. AIDS Res Hum Retroviruses. 2013;29:404–10.
Sagnelli C, Uberti-Foppa C, Bagaglio S, Cella E, Scolamacchia V, Hasson H, Salpietro S, Messina E, Morsica G, Angeletti S, Ciccozzi M, Lazzarin A, Sagnelli E. Molecular epidemiology of HIV-1 infection in immigrant population in northern Italy. Epidemiol Infect. 2020;148:e19. https://doi.org/10.1017/S0950268819002012.
Lai A, Riva C, Marconi A, Balestrieri M, Razzolini F, Meini G, Vicenti I, Rosi A, Saladini F, Caramma I, Franzetti M, Rossini V, Galli A, Galli M, Violin M, Zazzi M, Balotta C. Changing patterns in HIV-1 non-B clade prevalence and diversity in Italy over three decades. HIV Med. 2010;11:593–602.
Rossetti B, Di Giambenedetto S, Torti C, Postorino MC, Punzi G, Saladini F, Gennari W, Borghi V, Monno L, Pignataro AR, Polilli E, Colafigli M, Poggi A, Tini S, Zazzi M, De Luca A, Antiviral Response Cohort Analysis (ARCA) Collaborative Group. Evolution of transmitted HIV-1 drug resistance and viral subtypes circulation in Italy from 2006 to 2016. HIV Med. 2018;19:619–28.
Navarra A, Orchi N, Palummieri A, et al. Increasing trend in non-B subtypes among Italians newly diagnosed with HIV in Rome, 2004–2009. In: Proceedings of the European Scientific Conference on Applied Infectious Disease Epidemiology (ESCAIDE’11); November 2011; Stockholm, Sweden.
Fabeni L, Alteri C, Berno G, Scutari R, Orchi N, De Carli G, Bertoli A, Carioti L, Gori C, Forbici F, Salpini R, Vergori A, Gagliardini R, Cicalini S, Mondi A, Pinnetti C, Mazzuti L, Turriziani O, Colafigli M, Borghi V, Montella F, Pennica A, Lichtner M, Girardi E, Andreoni M, Mussini C, Antinori A, Ceccherini-Silberstein F, Perno CF, Santoro MM, SENDIH Study group. Characterisation of HIV-1 molecular transmission clusters among newly diagnosed individuals infected with non-B subtypes in Italy. Sex Transm Infect. 2019;95:619–25. https://doi.org/10.1136/sextrans-2019-054017.
Buonaguro L, Tagliamonte M, Tornesello ML, Buonaguro FM. Genetic and phylogenetic evolution of HIV-1 in a low subtype heterogeneity epidemic: the Italian example. Retrovirology. 2007;4:34.
Simonetti FR, Lai A, Monno L, Binda F, Brindicci G, Punzi G, Bozzi G, Violin M, Galli M, Zazzi M, Angarano G, Balotta C. Identification of a new HIV-1 BC circulating recombinant form (CRF60_BC) in Italian young men having sex with men. Infect Genet Evol. 2014;23:176–81.
Lai A, Simonetti FR, Brindicci G, Bergna A, Di Giambenedetto S, Sterrantino G, Mussini C, Menzo S, Bagnarelli P, Zazzi M, Angarano G, Galli M, Monno L, Balotta C. Local epidemics gone viral: evolution and diffusion of the Italian HIV-1 recombinant form CRF60_BC. Front Microbiol. 2019;10:769.
Lai A, Bozzi G, Franzetti M, Binda F, Simonetti FR, Micheli V, Meraviglia P, Corsi P, Bagnarelli P, De Luca A, Ciccozzi M, Zehender G, Zazzi M, Balotta C. Phylogenetic analysis provides evidence of interactions between Italian heterosexual and South American homosexual males as the main source of national HIV-1 subtype C epidemics. J Med Virol. 2014;86:729–36.
Lai A, Ciccozzi M, Franzetti M, Simonetti FR, Bozzi G, Binda F, Rosi A, Bonora S, De Luca A, Balotta C, Zehender G. Local and global spatio-temporal dynamics of HIV-1 subtype F1. J Med Virol. 2014;86:186–92.
Lai A, Bozzi G, Franzetti M, Binda F, Simonetti FR, De Luca A, Micheli V, Meraviglia P, Bagnarelli P, Di Biagio A, Monno L, Saladini F, Zazzi M, Zehender G, Ciccozzi M, Balotta C. HIV-1 A1 subtype epidemic in Italy originated from Africa and Eastern Europe and shows a high frequency of transmission chains involving intravenous drug users. PLoS ONE. 2016;11:e0146097.
Paraskevis D, Kostaki E, Nikolopoulos GK, Sypsa V, Psichogiou M, Del Amo J, Hodges-Mameletzis I, Paraskeva D, Skoutelis A, Malliori M, Williams L, Friedman SR, Daikos GL, Hatzakis A. Molecular tracing of the geographical origin of human immunodeficiency virus type 1 infection and patterns of epidemic spread among migrants who inject drugs in Athens. Clin Infect Dis. 2017;65:2078–84.
Sagnelli C, Merli M, Uberti-Foppa C, Hasson H, Cirillo G, Grandone A, Salpietro S, Minichini C, Del Giudice EM, Lazzarin A, Sagnelli E, Coppola N. Impact of PNPLA3 variants on liver histology of 168 patients with HIV infection and chronic hepatitis C. Clin Microbiol Infect. 2016;22:372–8.
Sagnelli C, Merli M, Uberti-Foppa C, Hasson H, Grandone A, Cirillo G, Salpietro S, Minichini C, Starace M, Messina E, Morelli P, Miraglia Del Giudice E, Lazzarin A, Coppola N, Sagnelli E. The TM6SF2 E167K variant predicts severe liver fibrosis for HIV/HCV coinfected patients, and severe steatosis only for a non-3 HCV genotype. World J Gastroenterol. 2016;22:8509–18.
Sagnelli C, Uberti-Foppa C, Hasson H, Bellini G, Minichini C, Salpietro S, Messina E, Barbanotti D, Merli M, Punzo F, Coppola N, Lazzarin A, Sagnelli E, Rossi F. Cannabinoid receptor 2–63 RR variant is independently associated with severe necroinflammation in HIV/HCV coinfected patients. PLoS ONE. 2017;12:e0181890.
https://www.hiv.lanl.gov/content/index. Accessed 8 May 2020.
https://mafft.cbrc.jp/alignment/server/. Accessed 8 May 2020.
Hall TA. BioEdit: a user-friendly biologicalsequence alignment editor and analysis program for Windows 95/98/NT. Nucl Acids Symp Ser. 1999;41:95–8.
https://www.megasoftware.net/. Accessed 8 May 2020.
http://www.splitstree.org/. Accessed 8 May 2020.
https://hivdb.stanford.edu/cgi-bin/AgMutPrev.cgi. Accessed 8 May 2020.
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Bagaglio, S., Uberti-Foppa, C., Sagnelli, C. et al. HIV-1 recombinant forms in immigrants regularly residing in Milan, northern Italy. Infection 48, 553–558 (2020). https://doi.org/10.1007/s15010-020-01434-3
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DOI: https://doi.org/10.1007/s15010-020-01434-3