Evidence map›Paper›PMID 41477212›Full record

ArticleFrontiers in microbiology2025

Molecular epidemiology of HIV-1 in Hungary: an evolving contact zone of colliding virus subtypes.

Levente Zsichla, Lilla Adravecz, Dalma Müller, Philippe Lemey, Áron Lakatos, Eszter Ari, Katharina Kusejko, Roger Kouyos, János Szlávik, Botond Lakatos and 2 more

Abstract read
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Article in Frontiers in microbiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Levente ZsichlaInstitute of Biology, ELTE Eötvös Loránd University, Budapest, Hungary.
Lilla AdraveczNational Laboratory for Health Security, ELTE Eötvös Loránd University, Budapest, Hungary.
Dalma MüllerInstitute of Biology, ELTE Eötvös Loránd University, Budapest, Hungary.
Philippe LemeyDepartment of Microbiology, Immunology and Transplantation, Rega Institute, KU Leuven, Leuven, Belgium.
Áron LakatosNational Laboratory for Health Security, ELTE Eötvös Loránd University, Budapest, Hungary.
Eszter AriDepartment of Genetics, ELTE Eötvös Loránd University, Budapest, Hungary.
Katharina KusejkoDepartment of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Roger KouyosDepartment of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
János SzlávikDepartment of Infectology, Central Hospital of Southern Pest, National Institute of Hematology and Infectious Diseases, National Center of HIV, Budapest, Hungary.
Botond LakatosDepartment of Infectology, Central Hospital of Southern Pest, National Institute of Hematology and Infectious Diseases, National Center of HIV, Budapest, Hungary.
Éva ÁyNational Laboratory for Health Security, ELTE Eötvös Loránd University, Budapest, Hungary.
Viktor MüllerInstitute of Biology, ELTE Eötvös Loránd University, Budapest, Hungary.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Although antiretroviral therapy can suppress the transmission of HIV-1, the pandemic persists and continues to evolve. Monitoring virus transmission patterns and evolving variants is therefore essential for improving prevention strategies. To address this need, we present the first comprehensive molecular epidemiological analysis of the HIV-1 epidemic in Hungary-a country in the contact zone of major HIV-1 subtypes A, B, and F. Methods: We analyzed partial Results: Most sequences (814/1,120) belonged to subtype B; however, the frequency of non-B subtypes (mainly A, F, and several recombinant forms) has increased steadily since 2014, reaching 41.3% in 2024. Phylogenetic analyses identified 136 domestic clusters and a large transmitted drug resistance clade persisting over two decades. Remarkably, one in six recent diagnoses mapped to a single cluster, and approximately a third of all new diagnoses to the five most active clusters. Individuals in larger clusters were more often young, men who have sex with men (MSM), and had higher CD4+ counts. While the most affected risk group is still MSM, suspected heterosexual cases have increased recently, with a clear separation between sub-epidemics. Incorporation of international sequences revealed 149 mixed clusters, 56 mixed monophyletic pairs, and at least 122 independent introductions, linking the Hungarian epidemic predominantly to other European countries (Germany, UK, Poland, Spain, Italy, and Croatia for subtype B; Russia and Poland for subtype A; Romania for subtype F, Italy for CRF18_cpx), and to more distant sources for CRF01_AE (Thailand, China), CRF02_AG (Spain, Cameroon) and CRF56_cpx (Turkey). Discussion: In summary, recent HIV infections in Hungary stem mainly from domestic transmission among MSM, with a few highly active transmission clusters underscoring the need for targeted interventions. The epidemic is most strongly linked to Western and Central Europe, with increasing introductions and spread of non-B subtypes from Eastern Europe and beyond.

Indexed as

HIVmolecular epidemiologyphylogeneticsphylogeographytransmission cluster analysis

Identifiers

PMID41477212
PMCPMC12748157

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