Implications of HIV diversity for the HIV-1 pandemic

Summary HIV-1 genetic variability within individuals and populations plays a central role in the HIV pandemic. Multiple zoonotic transmissions of SIV to humans have resulted in distinct HIV lineages in humans which have further diversified within the population over time. High rates of mutation and...

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Veröffentlicht in:The Journal of infection 2013-05, Vol.66 (5), p.391-400
1. Verfasser: Hemelaar, Joris
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description Summary HIV-1 genetic variability within individuals and populations plays a central role in the HIV pandemic. Multiple zoonotic transmissions of SIV to humans have resulted in distinct HIV lineages in humans which have further diversified within the population over time. High rates of mutation and recombination during HIV reverse transcription create a genetic diversity in the host which is subject to selection pressures by the immune response and antiretroviral treatment. The global distribution of HIV genetic variants and the impact of HIV diversity on pathogenesis, transmission and clinical management are reviewed. Finally, the key role of escape mutations in the immune response to HIV is discussed as well as the major challenge which HIV-1 diversity poses to HIV vaccine development.
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Immunoglobulinopathies</subject><subject>Immunopathology</subject><subject>Infectious Disease</subject><subject>Infectious diseases</subject><subject>Medical sciences</subject><subject>Pandemics</subject><subject>Recombinant</subject><subject>Simian immunodeficiency virus</subject><subject>Subtype</subject><subject>Vaccine</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. 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source MEDLINE; ScienceDirect Journals (5 years ago - present)
subjects Biological and medical sciences
CRF
Diversity
General aspects
Genetic Variation
HIV
HIV Infections - epidemiology
HIV Infections - transmission
HIV Infections - virology
HIV-1 - classification
HIV-1 - genetics
HIV-1 - pathogenicity
HIV-1 - physiology
Human immunodeficiency virus 1
Human viral diseases
Humans
Immunodeficiencies
Immunodeficiencies. Immunoglobulinopathies
Immunopathology
Infectious Disease
Infectious diseases
Medical sciences
Pandemics
Recombinant
Simian immunodeficiency virus
Subtype
Vaccine
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
title Implications of HIV diversity for the HIV-1 pandemic
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