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AIDS Research and Human Retroviruses
Characterization of Complete HIV Type 1 Genomes from Non-B Subtype Infections in U.S. Military Personnel

To cite this article:
Sodsai Tovanabutra, Stephanie K. Brodine, John R. Mascola, Jean-Louis Sankale, Eric Sanders-Buell, Bohye Kim, Deborah L. Birx, Francine E. McCutchan. AIDS Research and Human Retroviruses. May 2005, 21(5): 424-429. doi:10.1089/aid.2005.21.424.

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Sodsai Tovanabutra
U.S. Military HIV Research Program, Henry M. Jackson Foundation, Rockville, Maryland 20850.
Stephanie K. Brodine
Graduate School of Public Health, San Diego State University, San Diego, California 92182-4162.
Naval Health Research Center, San Diego, California 92186.
John R. Mascola
U.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, Maryland 20910.
Vaccine Research Center, National Institutes of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland 20892.
Jean-Louis Sankale
Harvard School of Public Health and Harvard AIDS Institute, Boston, Massachusetts 02115.
Eric Sanders-Buell
U.S. Military HIV Research Program, Henry M. Jackson Foundation, Rockville, Maryland 20850.
Bohye Kim
U.S. Military HIV Research Program, Henry M. Jackson Foundation, Rockville, Maryland 20850.
Deborah L. Birx
U.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, Maryland 20910.
Francine E. McCutchan
U.S. Military HIV Research Program, Henry M. Jackson Foundation, Rockville, Maryland 20850.

Infections with non-B HIV-1 subtypes are rare in the United States, but comprise a significant percentage of infections among U.S. military personnel. Risk behavior while on overseas deployment correlates with non-B infection in this population. Extensive genetic characterization will be required to define HIV-1 diversity, and to effectively evaluate requirements for HIV-1 vaccines and other prevention strategies in this group. From 1997 to 2000, 520 recent seroconverters, identified through routine HIV-1 testing in the U.S. active military force, volunteered for a prospective study. V3 loop serology or partial genome sequencing identified 28 non- B subtype infections; 14 were studied by full genome sequencing and phylogenetic analysis. Five strains were CRF01_AE. Four of these clustered with CM240 from Thailand, and one clustered with African CRF01_AE. Four strains were CRF02_AG, prevalent in West and West Central Africa. Two strains were subtype C. One strain was a unique recombinant between CRF01_AE and subtype B, and another was a complex unique recombinant between subtype A and D. The final strain was a member of a complex circulating recombinant first identified in Senegal, CRF09_cpx, incorporating subtypes A, F, G, and an unclassified genome. This diversity of non-B subtype HIV-1 strains, encompassing three globally prevalent non-B strains and including rare or even possibly unique strains, illustrates the breadth of U.S. military exposure while deployed and sets the bar higher for breadth of cross-subtype protection to be afforded by an HIV-1 vaccine.

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