Abstract

Human immunodeficiency virus type 1 (HIV-1) remains a serious health threat in Indonesia. In particular, the CRF01_AE viruses were the predominant HIV-1 strains in various cities in Indonesia. However, information on the dynamic transmission characteristics and spatial–temporal transmission of HIV-1 CRF01_AE in Indonesia is limited. Therefore, the present study examined the spatial–temporal transmission networks and evolutionary characteristics of HIV-1 CRF01_AE in Indonesia. To clarify the epidemiological connection between CRF01_AE outbreaks in Indonesia and the rest of the world, we performed phylogenetic studies on nearly full genomes of CRF01_AE viruses isolated in Indonesia. Our results showed that five epidemic clades, namely, IDN clades 1–5, of CRF01_AE were found in Indonesia. To determine the potential source and mode of transmission of CRF01_AE, we performed Bayesian analysis and built maximum clade credibility trees for each clade. Our study revealed that CRF01_AE viruses were commonly introduced into Indonesia from Southeast Asia, particularly Thailand. The CRF01_AE viruses might have spread through major pandemics in Asian countries, such as China, Vietnam, and Laos, rather than being introduced directly from Africa in the early 1980s. This study has major implications for public health practice and policy development in Indonesia. The contributions of this study include understanding the dynamics of HIV-1 transmission that is important for the implementation of HIV disease control and prevention strategies in Indonesia.

Details

Title
Spatial–temporal transmission dynamics of HIV-1 CRF01_AE in Indonesia
Author
Khairunisa, Siti Qamariyah 1 ; Indriati, Dwi Wahyu 2 ; Megasari, Ni Luh Ayu 3 ; Ueda, Shuhei 4 ; Kotaki, Tomohiro 5 ; Fahmi, Muhamad 6 ; Ito, Masahiro 7 ; Rachman, Brian Eka 1 ; Hidayati, Afif Nurul 1 ; Nasronudin 1 ; Kameoka, Masanori 8 

 Universitas Airlangga, Faculty of Medicine, Surabaya, Indonesia (GRID:grid.440745.6) (ISNI:0000 0001 0152 762X); Universitas Airlangga, Indonesian-Japan Collaborative Research Center for Emerging and Re-Emerging Infectious Diseases, Institute of Tropical Disease, Surabaya, Indonesia (GRID:grid.440745.6) (ISNI:0000 0001 0152 762X) 
 Universitas Airlangga, Indonesian-Japan Collaborative Research Center for Emerging and Re-Emerging Infectious Diseases, Institute of Tropical Disease, Surabaya, Indonesia (GRID:grid.440745.6) (ISNI:0000 0001 0152 762X); Universitas Airlangga, Department of Health, Vocational Faculty, Surabaya, Indonesia (GRID:grid.440745.6) (ISNI:0000 0001 0152 762X) 
 Universitas Airlangga, Indonesian-Japan Collaborative Research Center for Emerging and Re-Emerging Infectious Diseases, Institute of Tropical Disease, Surabaya, Indonesia (GRID:grid.440745.6) (ISNI:0000 0001 0152 762X); Universitas Airlangga, Postgraduate School, Surabaya, Indonesia (GRID:grid.440745.6) (ISNI:0000 0001 0152 762X) 
 Universitas Airlangga, Indonesian-Japan Collaborative Research Center for Emerging and Re-Emerging Infectious Diseases, Institute of Tropical Disease, Surabaya, Indonesia (GRID:grid.440745.6) (ISNI:0000 0001 0152 762X); Kobe University Graduate School of Medicine, Center for Infectious Diseases, Hyogo, Japan (GRID:grid.31432.37) (ISNI:0000 0001 1092 3077); Kobe University Graduate School of Health Sciences, Department of Public Health, Kobe, Japan (GRID:grid.31432.37) (ISNI:0000 0001 1092 3077) 
 Universitas Airlangga, Indonesian-Japan Collaborative Research Center for Emerging and Re-Emerging Infectious Diseases, Institute of Tropical Disease, Surabaya, Indonesia (GRID:grid.440745.6) (ISNI:0000 0001 0152 762X); Kobe University Graduate School of Health Sciences, Department of Public Health, Kobe, Japan (GRID:grid.31432.37) (ISNI:0000 0001 1092 3077); Research Institute for Microbial Diseases, Osaka University, Department of Virology, Osaka, Japan (GRID:grid.136593.b) (ISNI:0000 0004 0373 3971) 
 Research Institute for Humanity and Nature, Research Department, Kyoto, Japan (GRID:grid.410846.f) (ISNI:0000 0000 9370 8809); Ritsumeikan University, Research Organization of Science and Technology, Kusatsu, Japan (GRID:grid.262576.2) (ISNI:0000 0000 8863 9909) 
 Ritsumeikan University, Department of Bioinformatics, College of Life Sciences, Kusatsu, Japan (GRID:grid.262576.2) (ISNI:0000 0000 8863 9909) 
 Universitas Airlangga, Indonesian-Japan Collaborative Research Center for Emerging and Re-Emerging Infectious Diseases, Institute of Tropical Disease, Surabaya, Indonesia (GRID:grid.440745.6) (ISNI:0000 0001 0152 762X); Kobe University Graduate School of Health Sciences, Department of Public Health, Kobe, Japan (GRID:grid.31432.37) (ISNI:0000 0001 1092 3077) 
Pages
9917
Publication year
2024
Publication date
2024
Publisher
Nature Publishing Group
e-ISSN
20452322
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
3053362049
Copyright
© The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.