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Peer reviewedOpen accessAIDS

HIV-1 pretreatment drug resistance and genetic transmission network in the southwest border region of China

BMC Infectious Diseases·

Difei Li, Huichao Chen, Huilan Li, Yanling Ma, Lijuan Dong, Jie Dai, Xiaomei Jin, Min Yang, Zhijun Zeng, Pengyan Sun, Zhizhong Song, Min Chen

DOI
10.1186/s12879-022-07734-3
PMID
PMCID
OpenAlex
W4296251708
Study type
Cross-sectional study
Publisher
Springer Science and Business Media LLC
Article type
journal-article
Integrity
current

Why this research matters now

The authors frame pretreatment resistance, especially NNRTI resistance, as relevant to antiretroviral treatment planning and ongoing surveillance in this border prefecture. The article is also indexed under surveillance, transmission dynamics, and treatment topics, which supports its public-health and epidemiologic context.

01

Structured evidence summary

Research question

To assess pretreatment HIV-1 drug resistance and describe the associated genetic transmission network in Pu'er Prefecture, southwest Yunnan, China.

Study design

Cross-sectional survey using partial pol gene sequences collected in 2021, with drug-resistance analysis and molecular network construction.

Population and setting

HIV-1 sequences from Pu'er Prefecture in southwest Yunnan Province, China, a border region adjoining Myanmar, Laos, and Vietnam.

Main findings

Among 295 sequences, CRF08_BC was the most common subtype. Drug-resistance mutations were found in 42.4%, and pretreatment resistance to any antiretroviral class was 10.8%, with NNRTI resistance at 9.5%; resistance was reported as more likely in CRF01_AE. The network analysis identified transregional links, links associated with Lancang County, shared drug-resistance mutations in clusters, and some drug-resistance strains within the network.

Public-health relevance

The authors frame pretreatment resistance, especially NNRTI resistance, as relevant to antiretroviral treatment planning and ongoing surveillance in this border prefecture. The article is also indexed under surveillance, transmission dynamics, and treatment topics, which supports its public-health and epidemiologic context.

Important limitations

The abstract does not state explicit limitations. The evidence here is limited to a single cross-sectional study abstract and metadata, so interpretation requires the full paper for decision-grade detail; the design also does not support temporal inference.

GIDS interpretation

This article is discoverable as a peer-reviewed HIV-1 resistance study with surveillance and transmission-dynamics indexing in a border-region setting. That context supports topical relevance, but the supplied abstract alone does not establish any live surveillance signal.

02

Related GIDS surveillance

Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.

03

Evidence relationships

This article has 10 auditable classifier relationships to diseases, places, topics, and study design.

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