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Cited by 642

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High Rates of Forward Transmission Events after Acute/Early HIV‐1 Infection

Brenner, Bluma G., Roger, Michel, Routy, Jean‐Pierre, Moisi, Daniela, Ntemgwa, Michel, Matte, Claudine, Baril, Jean‐Guy, Thomas, Réjean, Rouleau, Danielle, Bruneau, Julie, Leblanc, Roger, Legault, Mario, Tremblay, Cecile, Charest, Hugues, Wainberg, Mark A., Quebec Primary HIV Infection Study Group·2007·The Journal of Infectious Diseases

Abstract

BACKGROUND: A population-based phylogenetic approach was used to characterize human immunodeficiency virus (HIV)-transmission dynamics in Quebec. METHODS: HIV-1 pol sequences included primary HIV infections (PHIs; <6 months after seroconversion) from the Quebec PHI cohort (1998-2005; n=215) and the provincial genotyping program (2001-2005; n=481). Phylogenetic analysis determined sequence interrelationships among unique PHIs (n=593) and infections from untreated (n=135) and treated (n=660) chronically infected (CI) potential transmitter populations (2001-2005). Clinical features, risk factors, and drug resistance for clustered and nonclustered transmission events were ascertained. RESULTS: Viruses from 49.4% (293/593) of PHIs cosegregated into 75 transmission chains with 2-17 transmissions/cluster. Half of the clusters included 2.7+/-0.8 (mean+/-SD) transmissions, whereas the remainder had 8.8+/-3.5 transmissions. Maximum periods for onward transmission in clusters were 15.2+/-9.5 months. Coclustering of untreated and treated CIs with PHIs were infrequent (6.2% and 4.8%, respectively). The ages, viremia, and risk factors were similar for clustered and nonclustered transmission events. Low prevalence of drug resistance in PHI supported amplified transmissions at early stages. CONCLUSIONS: Early infection accounts for approximately half of onward transmissions in this urban North American study. Therapy at early stages of disease may prevent onward HIV transmission.

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Metadata

Authors
Brenner, B. G., Roger, M., Routy, J., Moisi, D., Ntemgwa, M., Matte, C., Baril, J., Thomas, R., Rouleau, D., Bruneau, J., Leblanc, R., Legault, M., Tremblay, C., Charest, H., Wainberg, M. A., & Quebec Primary HIV Infection Study Group
Venue
The Journal of Infectious Diseases
Published
2007-04
Volume
195
Issue
7
Pages
951-959
ISSN
  • 0022-1899 (ISSN-L)
  • 1537-6613
OpenAlex
W2147547300
Cited by
642
References
1
FWCI
29.97
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: High Rates of Forward Transmission Events after Acute/Early HIV‐1 Infection. https://app.cochat.ai/papers/10.1086/512088
The paper
Brenner, B. G., Roger, M., Routy, J., Moisi, D., Ntemgwa, M., Matte, C., Baril, J., Thomas, R., Rouleau, D., Bruneau, J., Leblanc, R., Legault, M., Tremblay, C., Charest, H., Wainberg, M. A., & Quebec Primary HIV Infection Study Group. (2007). High Rates of Forward Transmission Events after Acute/Early HIV‐1 Infection. The Journal of Infectious Diseases. https://doi.org/10.1086/512088

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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