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High HIV-1 diversity in immigrants resident in Italy (2008-2017).


ABSTRACT: The proportion of new diagnoses of HIV infection in immigrants residing in Italy raised from 11% in 1992 to 29.7% in 2018. To investigate the HIV clades circulating in this community a retrospective study was performed in 557 HIV-infected immigrants living in 12 Italian cities. Immigrants originated from East-Europe and Central-Asia (11.7%), North Africa and Middle East (7.3%), South and South-East Asia (7.2%), Latin America and the Caribbean (14.4%), and sub-Saharan Africa (59.4%). More than 87% of immigrants were on antiretroviral therapy (ART), although 26.6% of them were viremic. A 22.0% of immigrants had hepatitis (HBV and/or HCV) and/or tuberculosis. HIV phylogenetic analysis on sequences from 192 immigrants showed the presence of clades B (23.4%), G (16.1%), C (10.4%), A1 (9.4%), F1 (5.2%), D (1.6%) and Circulating Recombinant Forms (CRFs) (33.9%). CRF02_AG represented 72.3% of the total CRFs. Clusters between immigrants and Italian natives were also present. Drug resistance mutations to NRTI, NNRTI, and PI drug classes occurred in 29.1% of ART-treated and in 12.9% of ART-naïve individuals. These data highlight the need for tailored public health interventions in immigrants to avoid spreading in Italy of HIV genetic forms and ART-resistant variants, as well as HIV co-morbidities.

SUBMITTER: Maggiorella MT 

PROVIDER: S-EPMC7039940 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature

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High HIV-1 diversity in immigrants resident in Italy (2008-2017).

Maggiorella Maria Teresa MT   Sanarico Nunzia N   Brindicci Gaetano G   Monno Laura L   Santoro Carmen Rita CR   Coppola Nicola N   Cuomo Nunzia N   Azzurri Annalisa A   Cesario Francesco F   Luciani Filippo F   El-Hamad Issa I   D'Ettorre Gabriella G   Turriziani Ombretta O   Mazzuti Laura L   Poggi Alessandra A   Vichi Francesca F   Mariabelli Elisa E   Surace Lorenzo L   Berardelli Giuseppina G   Picconi Orietta O   Cenci Alessandra A   Sernicola Leonardo L   Rovetto Claudia C   Fulgenzi Domenico D   Belli Roberto R   Salvi Emanuela E   Zeo Patrizia Di PD   Borsetti Alessandra A   Ridolfi Barbara B   Losappio Ruggero R   Zoboli Fabio F   Schietroma Ivan I   Cella Eleonora E   Angeletti Silvia S   Ciccozzi Massimo M   D'Amato Stefania S   Ensoli Barbara B   Buttò Stefano S  

Scientific reports 20200224 1


The proportion of new diagnoses of HIV infection in immigrants residing in Italy raised from 11% in 1992 to 29.7% in 2018. To investigate the HIV clades circulating in this community a retrospective study was performed in 557 HIV-infected immigrants living in 12 Italian cities. Immigrants originated from East-Europe and Central-Asia (11.7%), North Africa and Middle East (7.3%), South and South-East Asia (7.2%), Latin America and the Caribbean (14.4%), and sub-Saharan Africa (59.4%). More than 87  ...[more]

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