Background: Prevention against human immunodeficiency virus (HIV) includes natural resistance in the population; mainly frequency of cysteine-cysteine chemokine receptor type-5 (CCR5-delta 32 mutation). By knowing the frequency of this resistance in the community, the proportion of the population susceptible to infection can be determined. This study aimed to detect for the first time the rate of CCR5-delta 32 mutation in Sudanese individuals with HIV and sex workers. Methods: Cross-sectional study was followed in the parade from 2019 through 2021, study groups were Sudanese with HIV and sex workers. Sero-negativity of sex workers was confirmed by a rapid immunochromatography test (ICT). A blood sample was targeted for DNA isolation. PCR amplification was accomplished for CCR5 wild type and CCR5-delta 32 mutation genes using specific primers. Result: Among HIV patients, males, basic education level and ages below 60 years were commonly recorded while ages below 40 years, secondary education level and single marital status were predominated in sex workers. All HIV patients were positive for CCR5 wild type and negative for CCR5-delta 32 genotype. The sex workers group showed a frequency of 3.5% (97/200) for homozygous CCR5-delta 32 mutation. Conclusion: The rating of homozygous CCR5-delta 32 genotype in studied Sudanese sex workers was relatively more than other results obtained from African countries, and the mutation was significantly detected among sex workers group (P value = 0.008) when compared to the studied HIV group.
KeywordsCCR5-Delta 32HIVSex WorkersRatingSudan
WHO (2021) HIV/AIDS. https://www.who.int/news-room/fact-sheets/detail/hiv-aids
Karamouzian, M., Madani, N., Doroudi, F. and Haghdoost, A.A. (2017) Improving the Quality and Quantity of HIV Data in the Middle East and North Africa: Key Challenges and Ways Forward. International Journal of Health Policy and Management, 6, 65-69. https://doi.org/10.15171/ijhpm.2016.112
WHO (2017) EMRO Regional Surveillance Data, HIV Test-Treatretain Cascade Analysis: Guide and Tools. 2nd Edition.
Toyoda, M., Ogata, Y., Mahiti, M., et al. (2015) Differential Ability of Primary HIV-1 Nef Isolates to Downregulate HIV-1 Entry Receptors. Journal of Virology, 89, 9639-9652. https://doi.org/10.1128/JVI.01548-15
Henrich, T.J., Hanhauser, E., Hu, Z., Stellbrink, H.J., Noah, C., Martin, J.N., Deeks, S.G., Kuritzkes, D.R. and Pereyra, F. (2015) Viremic Control and Viral Coreceptor Usage in Two HIV-1-Infected Persons Homozygous for CCR5 Δ32. AIDS, 29, 867-876. https://doi.org/10.1097/QAD.0000000000000629
Nascimento-Brito, S., Paulo Zukurov, J., Maricato, J.T., Volpini, A.C., Salim, A.C.M., Araújo, F.M.G., et al. (2015). HIV-1 Tropism Determines Different Mutation Profiles in Proviral DNA. PLoS ONE, 10, e0139037. https://doi.org/10.1371/journal.pone.0139037
Ronsard, L., Sood, V., Yousif, A.S., Ramesh, J., Shankar, V., Das, J., Sumi, N., Rai, T., Mohankumar, K., Sridharan, S., Dorschel, A., Ramachandran, V.G. and Banerjea, A.C. (2019) Genetic Polymorphisms in the Open Reading Frame of the CCR5 gene from HIV-1 Seronegative and Seropositive Individuals From National Capital Regions of India. Scientific Reports, 9, Article No. 7594. https://doi.org/10.1038/s41598-019-44136-z
O’Hayre, M., Salanga, C.L., Handel, T.M. and Hamel, D.J. (2010) Emerging Concepts and Approaches for Chemokine-Receptor Drug Discovery. Expert Opinion on Drug Discovery, 5, 1109-1122. https://doi.org/10.1517/17460441.2010.525633
Marmor, M., Sheppard, H.W., Donnell, D., Bozeman, S. and Celum, C. (2001) Homozygous and Heterozygous CCR5-Δ32 Genotypes Are Associated with Resistance to HIV Infection. JAIDS Journal of Acquired Immune Deficiency Syndromes, 27, 472-481. https://doi.org/10.1097/00126334-200108150-00009
Solloch, U.V., Lang, K., Lange, V., Böhme, I., Schmidt, A.H. and Sauter, J. (2017) Frequencies of Gene Variant CCR5-Δ32 in 87 Countries Based on Next-Generation Sequencing of 1.3 Million Individuals Sampled from 3 National DKMS Donor Centers. Human Immunology, 78, 710-717. https://doi.org/10.1016/j.humimm.2017.10.001
Wang, C., Wang, X., Wang, H., Pu, J., Li, Q., Li, J., Liu, Y., Lu, L. and Jiang, S. (2021) A “Two-Birds-One-Stone” Approach toward the Design of Bifunctional Human Immunodeficiency Virus Type 1 Entry Inhibitors Targeting the CCR5 Coreceptor and gp41 N-Terminal Heptad Repeat Region. Journal of Medicinal Chemistry, 64, 11460-11471. https://doi.org/10.1021/acs.jmedchem.1c00781
Ahlenstiel, G., Berg, T., Woitas, R.P., et al. (2003) Effects of the CCR5-Δ32 Mutation on Antiviral Treatment in Chronic Hepatitis C. Journal of Hepatology, 39, 245-252. https://doi.org/10.1016/S0168-8278(03)00193-4
Hamid, T.A.M., Hamza, B.O.E. and Gaufri, N.A.M. (2021). Frequency of CCR5-Δ32 Mutant Allele in Sudanese Patients with Sickle Cell Anemia. Asian Hematology Research Journal, 4, 29-34. https://www.journalahrj.com/index.php/AHRJ/article/view/30148
Marmor, M., Hertzmark, K., Thomas, S.M., Halkitis, P.N. and Vogler, M. (2006) Resistance to HIV Infection. Journal of Urban Health, 83, 5-17. https://doi.org/10.1007/s11524-005-9003-8
Novembre, J., Galvani, A.P. and Slatkin, M. (2005) The Geographic Spread of the CCR5Δ32 HIV-Resistance Allele. PLoS Biology, 3, e339. https://doi.org/10.1371/journal.pbio.0030339
Nasirian, M., Kianersi, S., Karamouzian, M., et al. (2020) HIV Modes of Transmission in Sudan in 2014. International Journal of Health Policy and Management, 9, 108-115. https://doi.org/10.15171/ijhpm.2019.91
Kayeyi, N., Sandøy, I.F. and Fylkesnes, K. (2009) Effects of Neighbourhood-Level Educational Attainment on HIV Prevalence among Young Women in Zambia. BMC Public Health 9, Article No. 310. https://doi.org/10.1186/1471-2458-9-310
Tajbakhsh, A., Fazeli, M., Rezaee, M., et al. (2019) Prevalence of CCR5delta32 in Northeastern Iran. BMC Medical Genetics, 20, Article No. 184. https://doi.org/10.1186/s12881-019-0913-9
Sabeti, P.C., Walsh, E., Schaffner, S.F., Varilly, P., Fry, B., Hutcheson, H.B., Cullen, M., Mikkelsen, S.T., Roy, J., Patterson, N., Cooper, R., Reich, D., Altshuler, D., O’Brien, S. and Lander, E.S. (2005) The Case for Selection at CCR5-Δ32. PLoS Biology, 3, e378. https://doi.org/10.1371/journal.pbio.0030378
Arendt, V., Amand, M., Iserentant, G., et al. (2019) Predominance of the Heterozygous CCR5 Delta-24 Deletion in African Individuals Resistant to HIV Infection Might Be Related to a Defect in CCR5 Addressing at the Cell Surface. Journal of the International AIDS Society, 22, e25384. https://doi.org/10.1002/jia2.25384
Sharkey, H.J. (2008) Arab Identity and Ideology in Sudan: The Politics of Language, Ethnicity, and Race. African Affairs, 107, 21-43. https://doi.org/10.1093/afraf/adm068
Ekere, E.F., Useh, M.F., Okoroiwu, H.U., et al. (2020) Cysteine-Cysteine Chemokine Receptor 5 (CCR5) Profile of HIV-Infected Subjects Attending University of Calabar Teaching Hospital, Calabar, Southern Nigeria. BMC Infectious Diseases, 20, Article No. 5. https://doi.org/10.1186/s12879-019-4737-1
Torimiro, J.N., Wolfe, N.D., Thomas, A., Martin, M.P., Mpoudi-Ngole, E., Tamoufe, U., Birx, D.L., Carrington, M., Burke, D.S. and Carr, J.K. (2007) Frequency of CCR5 Variants among Rural Populations with Low HIV-1 Prevalence in Cameroon. AIDS, 21, 527-528. https://doi.org/10.1097/QAD.0b013e328045c4bd