Caution is needed in interpreting HIV transmission chains by ultradeep sequencing - Sorbonne Université Accéder directement au contenu
Article Dans Une Revue AIDS. Official journal of the international AIDS Society Année : 2019

Caution is needed in interpreting HIV transmission chains by ultradeep sequencing

Résumé

Objectives: Molecular epidemiology is applied to various aspects of HIV transmission analyses. With ultradeep sequencing (UDS), in-depth characterization of transmission episodes involving minority variants is permitted. We explored HIV-1 epidemiological linkage and evaluated characteristics of transmission dynamics and transmitted drug resistance (TDR) detection through the added value of UDS. Design: HIV pol gene fragments were sequenced by UDS and Sanger sequencing on samples of 70 HIV-1-infected, treatment-naive recently diagnosed MSM. Methods: Pairwise genetic distances and maximum likelihood phylogenies were computed. Transmission events were identified as clades with branch support at least 70% and intraclade genetic difference less than 4.5%. TDR mutations were recognized from the TDR consensus list. Transmission directionality, directness and inoculum size were inferred from tree topologies. Results: Both datasets concurred in the identification of seven transmission pairs and one cluster of three patients. With UDS, direction of transmission was inferred in four out of eight chains. Evidence for multiple founder viruses was found in two out of eight chains. No transmission of minority-resistant variants was evidenced. TDR mutations prevalence in protease and reverse transcriptase fragments was 4.3% with Sanger sequencing and 18.6% with UDS. Conclusion: Although Sanger sequencing and UDS identified the same transmission chains, UDS provided additional information on founder viruses, direction of transmission and levels of TDR. Nevertheless, topology of clusters was not always consistent across gene fragments, calling for a cautious interpretation of the data. Moreover, unobserved intermediary links cannot be excluded. Phylogenetic analysis use as a forensic technique for HIV transmission investigations is risky.
Fichier principal
Vignette du fichier
Revised_Todesco_HIV_UDS_phylogeny.pdf (449.1 Ko) Télécharger le fichier
Origine : Fichiers produits par l'(les) auteur(s)
Loading...

Dates et versions

hal-02982404 , version 1 (28-10-2020)

Identifiants

Citer

Eve Todesco, Marc Wirden, Ruxandra Calin, Anne Simon, Sophie Sayon, et al.. Caution is needed in interpreting HIV transmission chains by ultradeep sequencing. AIDS. Official journal of the international AIDS Society, 2019, 33 (4), pp.691-699. ⟨10.1097/QAD.0000000000002105⟩. ⟨hal-02982404⟩
83 Consultations
60 Téléchargements

Altmetric

Partager

Gmail Facebook X LinkedIn More