Skip to main content
Top
Published in: AIDS Research and Therapy 1/2012

Open Access 01-12-2012 | Research

HIV-1 Subtype distribution in morocco based on national sentinel surveillance data 2004-2005

Authors: Mohammed Akrim, Sanae Lemrabet, Elmir Elharti, Rebecca R Gray, Jean Claude Tardy, Robert L Cook, Marco Salemi, Patrice Andre, Taj Azarian, Rajae El Aouad

Published in: AIDS Research and Therapy | Issue 1/2012

Login to get access

Abstract

Background

Little is known about HIV-1 subtype distribution in Morocco. Some data suggest an emergence of new HIV subtypes. We conducted phylogenetic analysis on a nationally representative sample of 60 HIV-1 viral specimens collected during 2004-2005 through the Morocco national HIV sentinel surveillance survey.

Results

While subtype B is still the most prevalent, 23.3% of samples represented non-B subtypes, the majority of which were classified as CRF02_AG (15%). Molecular clock analysis confirmed that the initial introduction of HIV-1B in Morocco probably came from Europe in the early 1980s. In contrast, the CRF02_AG strain appeared to be introduced from sub-Saharan Africa in two separate events in the 1990s.

Conclusions

Subtype CRF02_AG has been emerging in Morocco since the 1990s. More information about the factors introducing HIV subtype-specific transmission will inform the prevention strategy in the region.
Appendix
Available only for authorised users
Literature
1.
go back to reference Leitner T, Korber B, Daniels M, Calef C, Foley B: HIV-1 subtype and circulating recombinant form (CRF) reference sequences. HIV sequence compendium. 2005: 41-48. Leitner T, Korber B, Daniels M, Calef C, Foley B: HIV-1 subtype and circulating recombinant form (CRF) reference sequences. HIV sequence compendium. 2005: 41-48.
3.
go back to reference Rambaut A, Posasa D, Crandall KA, Holmes EC: The causes and consequences of HIV evolution. Nature Reviews Genetics. 2004, 5: 52-61. 10.1038/nrg1246CrossRefPubMed Rambaut A, Posasa D, Crandall KA, Holmes EC: The causes and consequences of HIV evolution. Nature Reviews Genetics. 2004, 5: 52-61. 10.1038/nrg1246CrossRefPubMed
4.
go back to reference Salemi M: Toward a robust monitoring of HIV subtypes distribution worldwide. AIDS. 2011, 25: 713-714. 10.1097/QAD.0b013e32834543e7CrossRefPubMed Salemi M: Toward a robust monitoring of HIV subtypes distribution worldwide. AIDS. 2011, 25: 713-714. 10.1097/QAD.0b013e32834543e7CrossRefPubMed
5.
go back to reference Robertson DL, Anderson JP, Bradac JA, Carr JK, Foley B, Funkhouser RK, Gao F, Hahn BH, Kalish ML, Kuiken C, Learn GH, Leitner T, McCutchan F, Osmanov S, Peeters M, Pieniazek D, Salminen M, Sharp PM, Wolinsky S, Korber B: HIV-1 nomenclature proposal. Science. 2000, 288: 55-56.CrossRefPubMed Robertson DL, Anderson JP, Bradac JA, Carr JK, Foley B, Funkhouser RK, Gao F, Hahn BH, Kalish ML, Kuiken C, Learn GH, Leitner T, McCutchan F, Osmanov S, Peeters M, Pieniazek D, Salminen M, Sharp PM, Wolinsky S, Korber B: HIV-1 nomenclature proposal. Science. 2000, 288: 55-56.CrossRefPubMed
6.
go back to reference Robertson DL, Hahn BH, Sharp PM: Recombination in Aids viruses. J mol evolution. 1995, 11: 1423-1425. Robertson DL, Hahn BH, Sharp PM: Recombination in Aids viruses. J mol evolution. 1995, 11: 1423-1425.
7.
go back to reference Simon F, Mauclère P, Roques P, Loussert-Ajaka I, Müller-Trutwin MC, Saragosti S, Georges-Courbot MC, Barré-Sinoussi F, Brun-Vézinet F: Identification of a new human immunodeficiency virus type 1 distinct from group M and O. Nat Med. 1998, 4: 1032-1037. 10.1038/2017CrossRefPubMed Simon F, Mauclère P, Roques P, Loussert-Ajaka I, Müller-Trutwin MC, Saragosti S, Georges-Courbot MC, Barré-Sinoussi F, Brun-Vézinet F: Identification of a new human immunodeficiency virus type 1 distinct from group M and O. Nat Med. 1998, 4: 1032-1037. 10.1038/2017CrossRefPubMed
8.
go back to reference Thomson MM, Najera R: Travel and the introduction of human immunodeficiency virus type 1 non B subtypes genetic forms into Western countries. Clinical infectious Diseases. 2001, 32: 1732-1737. 10.1086/320764CrossRefPubMed Thomson MM, Najera R: Travel and the introduction of human immunodeficiency virus type 1 non B subtypes genetic forms into Western countries. Clinical infectious Diseases. 2001, 32: 1732-1737. 10.1086/320764CrossRefPubMed
9.
go back to reference Gray RR, Tatem AJ, Lamers S, Hou W, Laeyendecker O, Serwadda D, Sewankambo N, Gray RH, Wawer M, Quinn TC, Goodenow MM, Salemi M: Spatial phylodynamics of HIV-1 epidemic emergence in east Africa. AIDS. 2009, 23 (14): F9-F17. 10.1097/QAD.0b013e32832faf61PubMedCentralCrossRefPubMed Gray RR, Tatem AJ, Lamers S, Hou W, Laeyendecker O, Serwadda D, Sewankambo N, Gray RH, Wawer M, Quinn TC, Goodenow MM, Salemi M: Spatial phylodynamics of HIV-1 epidemic emergence in east Africa. AIDS. 2009, 23 (14): F9-F17. 10.1097/QAD.0b013e32832faf61PubMedCentralCrossRefPubMed
11.
go back to reference Elharti E, Alami M, Khattabi H, Bennani A, Zidouh A, Benjouad A, El Aouad R: Some characteristics of the HIV epidemic in Morocco. Eastern Mediterranean Health Journal. 2002, 8: 141-149.PubMed Elharti E, Alami M, Khattabi H, Bennani A, Zidouh A, Benjouad A, El Aouad R: Some characteristics of the HIV epidemic in Morocco. Eastern Mediterranean Health Journal. 2002, 8: 141-149.PubMed
12.
go back to reference Elharti E, Elaouad R, Amzazi S, Himmich H, Elhachimi Z, Apetrei C, Gluckman JC, Simon F, Benjouad A: HIV-1 diversity in Morocco. AIDS. 1997, 11 (14): 1781-1783.PubMed Elharti E, Elaouad R, Amzazi S, Himmich H, Elhachimi Z, Apetrei C, Gluckman JC, Simon F, Benjouad A: HIV-1 diversity in Morocco. AIDS. 1997, 11 (14): 1781-1783.PubMed
13.
go back to reference Bakhouch K, Oulad-Lahcen A, Bensghir R, Blaghen M, Elfilali KM, Ezzikouri S, Abidi O, Hassar M, Wakrim L: The prevalence of resistance-associated mutations to protease and reverse transcriptase inhibitors in treatment-naïve (HIV)-infected individuals in Casablanca, Morocco. J Infect Dev Ctries. 2009, 3 (5): 380-391.CrossRefPubMed Bakhouch K, Oulad-Lahcen A, Bensghir R, Blaghen M, Elfilali KM, Ezzikouri S, Abidi O, Hassar M, Wakrim L: The prevalence of resistance-associated mutations to protease and reverse transcriptase inhibitors in treatment-naïve (HIV)-infected individuals in Casablanca, Morocco. J Infect Dev Ctries. 2009, 3 (5): 380-391.CrossRefPubMed
14.
go back to reference Mumtaz G, Hilmi N, Akala FA, Semini I, Riedner G, Wilson D, Abu-Raddad LJ: HIV-1 molecular epidemiology evidence and transmission patterns in the Middle East and North Africa. Sex Transm Infect. 2011, 87: 101-106. 10.1136/sti.2010.043711CrossRefPubMed Mumtaz G, Hilmi N, Akala FA, Semini I, Riedner G, Wilson D, Abu-Raddad LJ: HIV-1 molecular epidemiology evidence and transmission patterns in the Middle East and North Africa. Sex Transm Infect. 2011, 87: 101-106. 10.1136/sti.2010.043711CrossRefPubMed
15.
go back to reference Descamps D, Delaugerre C, Masquelier B, Ruffault A, Marcelin AG, Izopet J, Chaix ML, Calvez V, Brun-Vézinet F, Costagliola D: Repeated HIV-1 resistance genotyping external quality assessments improve virology laboratory performance. J Med Virol. 2006, 78 (2): 153-60. 10.1002/jmv.20522CrossRefPubMed Descamps D, Delaugerre C, Masquelier B, Ruffault A, Marcelin AG, Izopet J, Chaix ML, Calvez V, Brun-Vézinet F, Costagliola D: Repeated HIV-1 resistance genotyping external quality assessments improve virology laboratory performance. J Med Virol. 2006, 78 (2): 153-60. 10.1002/jmv.20522CrossRefPubMed
16.
go back to reference Guindon S, Dufayard JF, Lefort V, Anisimova M, Hordijk W, Gascuel O: New algorithms and methods to estimate maximum-likelihood phylogenies: Assessing the performance of PhyML 3.0. Systematic Biology. 2010, 59 (3): 307-21. 10.1093/sysbio/syq010CrossRefPubMed Guindon S, Dufayard JF, Lefort V, Anisimova M, Hordijk W, Gascuel O: New algorithms and methods to estimate maximum-likelihood phylogenies: Assessing the performance of PhyML 3.0. Systematic Biology. 2010, 59 (3): 307-21. 10.1093/sysbio/syq010CrossRefPubMed
18.
go back to reference Drummond AJ, Ho SY, Phillips MJ, Rambaut A: Relaxed phylogenetics and dating with confidence. PLoS Biol. 2006, 4 (5): e88- 10.1371/journal.pbio.0040088PubMedCentralCrossRefPubMed Drummond AJ, Ho SY, Phillips MJ, Rambaut A: Relaxed phylogenetics and dating with confidence. PLoS Biol. 2006, 4 (5): e88- 10.1371/journal.pbio.0040088PubMedCentralCrossRefPubMed
19.
go back to reference Akrim M, Adnaoui M, Himmich H, Khattabi H, Cotte L, André L, El Aouad R: Dynamic of distribution of HIV-1 subtypes in Morocco. Presented at: XVI International AIDS Conference. 2006, Available at URL http://www.iasociety.org/Abstracts/A2197144.aspx, accessed January, 2012, Toronto, Available at URL , accessed January, 2012 Akrim M, Adnaoui M, Himmich H, Khattabi H, Cotte L, André L, El Aouad R: Dynamic of distribution of HIV-1 subtypes in Morocco. Presented at: XVI International AIDS Conference. 2006, Available at URL http://​www.​iasociety.​org/​Abstracts/​A2197144.​aspx, accessed January, 2012, Toronto, Available at URL , accessed January, 2012
20.
go back to reference Palma AC, Araújo F, Duque V, Borges F, Paixão MT, Camacho R, : Molecular epidemiology and prevalence of drug resistance-associated mutations in newly diagnosed HIV-1 patients in Portugal. Infection, Genetics and Evolution. 2007, 7: 391-398. 10.1016/j.meegid.2007.01.009CrossRefPubMed Palma AC, Araújo F, Duque V, Borges F, Paixão MT, Camacho R, : Molecular epidemiology and prevalence of drug resistance-associated mutations in newly diagnosed HIV-1 patients in Portugal. Infection, Genetics and Evolution. 2007, 7: 391-398. 10.1016/j.meegid.2007.01.009CrossRefPubMed
21.
go back to reference Perrin L, Kaiser L, Yerly S: Travel and spread of HIV-1 genetic variants. The lancet Infectious Diseases. 2003, 3: 22-27. 10.1016/S1473-3099(03)00484-5CrossRefPubMed Perrin L, Kaiser L, Yerly S: Travel and spread of HIV-1 genetic variants. The lancet Infectious Diseases. 2003, 3: 22-27. 10.1016/S1473-3099(03)00484-5CrossRefPubMed
23.
go back to reference Elharti E, Zidouh A, Mengad R, Bennani O, El Aouad R: Monitoring HIV through sentinel surveillance in Morocco. Eastern Mediterranean Health Journal. 2002, 8: 819-25.PubMed Elharti E, Zidouh A, Mengad R, Bennani O, El Aouad R: Monitoring HIV through sentinel surveillance in Morocco. Eastern Mediterranean Health Journal. 2002, 8: 819-25.PubMed
Metadata
Title
HIV-1 Subtype distribution in morocco based on national sentinel surveillance data 2004-2005
Authors
Mohammed Akrim
Sanae Lemrabet
Elmir Elharti
Rebecca R Gray
Jean Claude Tardy
Robert L Cook
Marco Salemi
Patrice Andre
Taj Azarian
Rajae El Aouad
Publication date
01-12-2012
Publisher
BioMed Central
Published in
AIDS Research and Therapy / Issue 1/2012
Electronic ISSN: 1742-6405
DOI
https://doi.org/10.1186/1742-6405-9-5

Other articles of this Issue 1/2012

AIDS Research and Therapy 1/2012 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.