Transmission Clusters, Predominantly Associated With Men Who Have Sex With Men, Play a Main Role in the Propagation of HIV-1 in Northern Spain (2013-2018)

Viruses of HIV-1-infected individuals whose transmission is related group phylogenetically in transmission clusters (TCs). The study of the phylogenetic relations of these viruses and the factors associated with these individuals is essential to analyze the HIV-1 epidemic. In this study, we examine the role of TCs in the epidemiology of HIV-1 infection in Galicia and the Basque County, two regions of northern Spain. A total of 1,158 HIV-1-infected patients from both regions with new diagnoses (NDs) in 2013-2018 were included in the study. Partial HIV-1 pol sequences were analyzed phylogenetically by approximately maximum-likelihood with FastTree 2. In this analysis, 10,687 additional sequences from samples from HIV-1-infected individuals collected in Spain in 1999-2019 were also included to assign TC membership and to determine TCs' sizes. TCs were defined as those which included viruses from ≥4 individuals, at least 50% of them Spaniards, and with ≥0.95 Shimodaira-Hasegawa-like node support in the phylogenetic tree. Factors associated to TCs were evaluated using odds ratios (OR) and their 95% CI. Fifty-one percent of NDs grouped in 162 TCs. Male patients (OR: 2.6; 95% CI: 1.5-4.7) and men having sex with men (MSM; OR: 2.1; 95% CI: 1.4-3.2) had higher odds of belonging to a TC compared to female and heterosexual patients, respectively. Individuals from Latin America (OR: 0.3; 95% CI: 0.2-0.4), North Africa (OR: 0.4; 95% CI: 0.2-1.0), and especially Sub-Saharan Africa (OR: 0.02; 95% CI: 0.003-0.2) were inversely associated to belonging to TCs compared to native Spaniards. Our results show that TCs are important components of the HIV-1 epidemics in the two Spanish regions studied, where transmission between MSM is predominant. The majority of migrants were infected with viruses not belonging to TCs that expand in Spain. Molecular epidemiology is essential to identify local peculiarities of HIV-1 propagation. The early detection of TCs and prevention of their expansion, implementing effective control measures, could reduce HIV-1 infections.This work was funded through Acción Estratégica en Salud Intramural (AESI), Instituto de Salud Carlos III, Project “Estudios sobre vigilancia epidemiológica molecular del VIH-1 en España,” PI16CIII/00033 and Project “Epidemiología molecular del VIH-1 en España y su utilidad para investigaciones biológicas y en vacunas“PI19CIII/0042; Red de Investigación en SIDA (RIS), Instituto de Salud Carlos III, Subdirección General de Evaluación y Fondo Europeo de Desarrollo Regional (FEDER), Plan Nacional ICDCI, project RD16ISCIII/0002/0004; and scientific agreements with Consellería de Sanidade, Government of Galicia (MVI 1004/16), and Osakidetza-Servicio Vasco de Salud, Government of Basque Country (MVI 1001/16).S

Polymeric plasticizer extends the lifetime of PVC-membrane ion-selective electrodes

The nature of the plasticizer plays a pivotal role in the analytical performance of polymer membrane ion sensors. Conventional plasticizers suffer leaching or migration from the membrane and exudation, both of which could limit the lifetime of sensors based on plasticized membranes. Herein, we describe the use of polyester sebacate (PES), a model polymeric plasticizer, in the preparation of poly (vinyl chloride) (PVC) membrane ion-selective electrodes (ISEs) using valinomycin as ionophore. PVC membrane electrodes plasticized with polyester sebacate demonstrated potentiometric response characteristics that compared favorably to ones plasticized with the conventional and similarly structured plasticizer bis(2-ethylhexyl) sebacate (DOS). Increasing the content of polyester sebacate in the membrane enhanced the response and improved the selectivity of valinomycin-based ISEs toward potassium over sodium. Various methods, including electrochemical impedance spectroscopy, UV-vis spectroscopy, dark field optical microscopy, and potentiometry were employed to study the effect of plasticizer on the leaching of the membrane components and the lifetime of both DOS- and PES-plasticized membranes. PES-plasticized electrodes maintained Nernstian response and high selectivity for more than four months, an improvement over DOS-plasticized membrane electrodes. This was attributed to enhanced retention of the membrane components because of the high polymeric nature of the polyester sebacate. These characteristics suggest that polyester sebacate is a good candidate to replace the conventional plasticizers in preparing PVC membrane electrodes with longer lifetime