Analysis of HIV-1 subtypes and drug resistance mutations in people who inject drugs in Aizawl and nearby districts of Mizoram, India

Over the last decade, there has been a steady increase in HIV-1 prevalence in Mizoram, India. Importantly, this increase in HIV-1 prevalence is not only limited to the key population groups such as female sex workers (FSWs) or people who inject drugs (PWID), and has been witnessed in general populat...

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Main Authors: Komal Raskar, Lal Thlengliani, Andrew Lalbiaknunga, Dipali Kale, Ajit Patil, Pragati Chavan, Richard CLR Hluna, Samiran Panda, Swarali Kurle
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Virulence
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Online Access:https://www.tandfonline.com/doi/10.1080/21505594.2025.2478074
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author Komal Raskar
Lal Thlengliani
Andrew Lalbiaknunga
Dipali Kale
Ajit Patil
Pragati Chavan
Richard CLR Hluna
Samiran Panda
Swarali Kurle
author_facet Komal Raskar
Lal Thlengliani
Andrew Lalbiaknunga
Dipali Kale
Ajit Patil
Pragati Chavan
Richard CLR Hluna
Samiran Panda
Swarali Kurle
author_sort Komal Raskar
collection DOAJ
description Over the last decade, there has been a steady increase in HIV-1 prevalence in Mizoram, India. Importantly, this increase in HIV-1 prevalence is not only limited to the key population groups such as female sex workers (FSWs) or people who inject drugs (PWID), and has been witnessed in general population as well. Injecting drug use has long been one of the key drivers of HIV-1 epidemic across the north-eastern states of India. In this study, using HIV-1 pol gene region sequences from Aizawl and adjoining districts, we examined the HIV-1 subtypes, recombinant forms, drug resistance mutations and also the spatiotemporal dynamics of the potential unique recombinant forms. In our dataset, the dominant subtype was HIV-1 subtype C (94.91%). We could also identify the presence of CRF01_AE (1.69%) and BC recombinant forms (3.39%). Drug resistance mutation analysis revealed that resistance against non-nucleoside reverse transcriptase inhibitors was most common in the sequences having any resistance mutations. Evolutionary analysis of unique BC recombinants estimated the most recent common ancestor of these sequences around 2004–2005 and them having an ancestry of United States of America (USA) origin.
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spelling doaj-art-7eed75cb024c4116a6cde577261107eb2025-08-20T02:56:27ZengTaylor & Francis GroupVirulence2150-55942150-56082025-12-0116110.1080/21505594.2025.2478074Analysis of HIV-1 subtypes and drug resistance mutations in people who inject drugs in Aizawl and nearby districts of Mizoram, IndiaKomal Raskar0Lal Thlengliani1Andrew Lalbiaknunga2Dipali Kale3Ajit Patil4Pragati Chavan5Richard CLR Hluna6Samiran Panda7Swarali Kurle8HIV Drug Resistance Laboratory, ICMR - National Institute of Translational Virology and AIDS Research, Pune, IndiaMizoram State AIDS Control Society, Aizawl, IndiaMizoram State AIDS Control Society, Aizawl, IndiaHIV Drug Resistance Laboratory, ICMR - National Institute of Translational Virology and AIDS Research, Pune, IndiaHIV Drug Resistance Laboratory, ICMR - National Institute of Translational Virology and AIDS Research, Pune, IndiaHIV Drug Resistance Laboratory, ICMR - National Institute of Translational Virology and AIDS Research, Pune, IndiaMizoram State AIDS Control Society, Aizawl, IndiaIndian Council of Medical Research, New Delhi, IndiaHIV Drug Resistance Laboratory, ICMR - National Institute of Translational Virology and AIDS Research, Pune, IndiaOver the last decade, there has been a steady increase in HIV-1 prevalence in Mizoram, India. Importantly, this increase in HIV-1 prevalence is not only limited to the key population groups such as female sex workers (FSWs) or people who inject drugs (PWID), and has been witnessed in general population as well. Injecting drug use has long been one of the key drivers of HIV-1 epidemic across the north-eastern states of India. In this study, using HIV-1 pol gene region sequences from Aizawl and adjoining districts, we examined the HIV-1 subtypes, recombinant forms, drug resistance mutations and also the spatiotemporal dynamics of the potential unique recombinant forms. In our dataset, the dominant subtype was HIV-1 subtype C (94.91%). We could also identify the presence of CRF01_AE (1.69%) and BC recombinant forms (3.39%). Drug resistance mutation analysis revealed that resistance against non-nucleoside reverse transcriptase inhibitors was most common in the sequences having any resistance mutations. Evolutionary analysis of unique BC recombinants estimated the most recent common ancestor of these sequences around 2004–2005 and them having an ancestry of United States of America (USA) origin.https://www.tandfonline.com/doi/10.1080/21505594.2025.2478074MizoramPWIDHIV-1recombinantsDRM
spellingShingle Komal Raskar
Lal Thlengliani
Andrew Lalbiaknunga
Dipali Kale
Ajit Patil
Pragati Chavan
Richard CLR Hluna
Samiran Panda
Swarali Kurle
Analysis of HIV-1 subtypes and drug resistance mutations in people who inject drugs in Aizawl and nearby districts of Mizoram, India
Virulence
Mizoram
PWID
HIV-1
recombinants
DRM
title Analysis of HIV-1 subtypes and drug resistance mutations in people who inject drugs in Aizawl and nearby districts of Mizoram, India
title_full Analysis of HIV-1 subtypes and drug resistance mutations in people who inject drugs in Aizawl and nearby districts of Mizoram, India
title_fullStr Analysis of HIV-1 subtypes and drug resistance mutations in people who inject drugs in Aizawl and nearby districts of Mizoram, India
title_full_unstemmed Analysis of HIV-1 subtypes and drug resistance mutations in people who inject drugs in Aizawl and nearby districts of Mizoram, India
title_short Analysis of HIV-1 subtypes and drug resistance mutations in people who inject drugs in Aizawl and nearby districts of Mizoram, India
title_sort analysis of hiv 1 subtypes and drug resistance mutations in people who inject drugs in aizawl and nearby districts of mizoram india
topic Mizoram
PWID
HIV-1
recombinants
DRM
url https://www.tandfonline.com/doi/10.1080/21505594.2025.2478074
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