Skip to main content
Top
Published in: Infection 4/2020

01-08-2020 | Human Immunodeficiency Virus | Original Paper

HIV-1 recombinant forms in immigrants regularly residing in Milan, northern Italy

Authors: Sabrina Bagaglio, Caterina Uberti-Foppa, Caterina Sagnelli, Alessia Lai, Hamid Hasson, Stefania Salpietro, Emanuela Messina, Giulia Morsica, Chiara Zaffina, Antonello Sica, Adriano Lazzarin, Silvia Angeletti, Evangelista Sagnelli, Brian Foley, Massimo Ciccozzi

Published in: Infection | Issue 4/2020

Login to get access

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.
Literature
3.
go back to reference 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.PubMed 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.PubMed
4.
go back to reference 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.CrossRef 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.CrossRef
5.
go back to reference 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.CrossRef 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.CrossRef
7.
go back to reference 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.CrossRef 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.CrossRef
8.
go back to reference 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.CrossRef 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.CrossRef
9.
go back to reference 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. 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.
10.
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
11.
go back to reference 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.CrossRef 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.CrossRef
12.
go back to reference 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.CrossRef 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.CrossRef
13.
go back to reference 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.CrossRef 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.CrossRef
14.
go back to reference 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.CrossRef 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.CrossRef
15.
go back to reference 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.CrossRef 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.CrossRef
16.
go back to reference 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.CrossRef 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.CrossRef
17.
go back to reference 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.CrossRef 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.CrossRef
18.
go back to reference 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.CrossRef 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.CrossRef
19.
go back to reference 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.CrossRef 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.CrossRef
20.
go back to reference 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.CrossRef 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.CrossRef
23.
go back to reference 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. 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.
Metadata
Title
HIV-1 recombinant forms in immigrants regularly residing in Milan, northern Italy
Authors
Sabrina Bagaglio
Caterina Uberti-Foppa
Caterina Sagnelli
Alessia Lai
Hamid Hasson
Stefania Salpietro
Emanuela Messina
Giulia Morsica
Chiara Zaffina
Antonello Sica
Adriano Lazzarin
Silvia Angeletti
Evangelista Sagnelli
Brian Foley
Massimo Ciccozzi
Publication date
01-08-2020
Publisher
Springer Berlin Heidelberg
Published in
Infection / Issue 4/2020
Print ISSN: 0300-8126
Electronic ISSN: 1439-0973
DOI
https://doi.org/10.1007/s15010-020-01434-3

Other articles of this Issue 4/2020

Infection 4/2020 Go to the issue