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BackgroundThere are few data on African children infected with nonclade B HIV-1 in endemic settings, which limits generalizations about pathogenesis and progression. Genotypic and phenotypic variations in host immunogenetics and HIV-1 negative factor (nef) accessory protein may influence disease progression and have frequently been characterized in subjects infected with clade B HIV-1.MethodsIn this descriptive study, we report nef gene sequence variation and host genetic polymorphisms in 32 Kenyan children, including 12 slow progressors.ResultsPhylogenetic analysis identified HIV-1 clades A, C and D and a recombinant A/D subtype. Grossly defective nef genes or significant changes from relevant clade reference sequences were not identified in children with delayed disease progression.Conclusionsnef sequence variations may not be common in perinatally infected African children. Further studies are warranted in HIV-1-infected subjects in settings where infection is endemic.

Original publication

DOI

10.1111/j.1468-1293.2006.00341.x

Type

Journal article

Journal

HIV medicine

Publication Date

03/2006

Volume

7

Pages

75 - 84

Addresses

Nyumbani Children's Home, Nairobi, Kenya. ranachakraborty@hotmail.com

Keywords

Humans, HIV-1, HIV Infections, Disease Progression, CD4 Lymphocyte Count, Viral Load, Sequence Alignment, Sequence Analysis, DNA, Phylogeny, Genes, MHC Class I, Amino Acid Sequence, Polymorphism, Genetic, Genes, nef, Molecular Sequence Data, Adolescent, Child, Child, Preschool, Infant, HIV Long-Term Survivors, Female, Male