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Aim. Epidemiologic examination of the case of group HIV-1 infection based on data obtained by general diagnostics methods for confirmation of the investigation hypothesis of deliberate HIV infection during heterosexual intercourse. Materials and methods. Sera samples from 8 HIV infected patients (5 female and 3 male) from Veliky Novgorod sent for epidemiologic investigation were used. Determination was carried out based on 1285 nt sequence analysis of polymerase gene segment (pol). Results. The study allowed to identify HIV in clinical samples sent to the expertise and establish phylogenetic connections between virus isolates obtained from both target and control group patients. Analysis of the results allowed to isolate samples grouped in a separate cluster that indicates tight cordial connections between the vims isolates from clinical material of these patients. Patients of the target group were infected with HIV-1 isolate ofthe circulating recombinant form CRF03_AB from the same origin that is confirmed by high homology ofthe nucleotide sequences. Conclusion. Epidemiologic investigation of a group case of HIV-1 infection has determined that the infection of the women of the target group occurred from the same source. Phylogenetic analysis results indicate the presence of an epidemiologic connection within the examined group that confirms the HIV infection transmission and conclusions ofthe investigation. Use of molecular-phylogenetic analysis of data obtained by laboratory diagnostics methods of HIV resistance to antiretroviral preparations allows with anamnestic and investigation information (in the context of available evidence) to investigate cases of HIV infection.

Aim. Study cases virologic failure ART HIV-1 in children.Materials and methods. The blood plasma samples of 6 patients with HIV infection were used, identified under 1 year of life, from the North-West Federal District of the Russian Federation, received in 2014–2016. Presented in a group of patients were aimed at identifying drug resistance in the virus and correction of ART due to virological failure. In the present study we used genotyping by direct sequencing of the site of the polymerase gene (pol) length of 1285 nt., The gene encoding the protease (PR) length of 465 nt. and a portion of the reverse transcriptase (RT) gene length of 820 nt.Results. In all cases, I was diagnosed with HIV-1 subtype A1, the so-called IDU-A, which is the most common form of HIV-1 in the Russian Federation. Among the obtained isolates of HIV have been identified typical drug resistance mutations to NRTI and NNRTI. Detected multiple natural polymorphic variants from the land of the nucleotide sequences. Thus, all samples show protease mutation M36I, R41K, H69K, and L89M, five samples E35D, four samples I13V. Only one among the surveyed our children with combined variant protease gene mutations L63T + V77I + I93L and reverse transcriptase gene V35I + K166R, despite ongoing therapy and absence of significant drug resistance mutations, according to Stanford University-based data showed high viral load – 2.03×107 copies/ml. The importance of the influence of natural polymorphisms in the drug resistance of the virus is discussed.Conclusion. The high frequency of natural polymorphic variants of the protease and reverse transcriptase genes of the virus in clinical samples submitted. The number of such mutations, apparently does not depend on the number of treatment regimens, but found some correlation with adherence to treatment.

Aim. Analysis of phylogenetic relationships of HIV isolates obtained from a child 8 years old and HIV-positive parents to search for a possible source of infection.Materials and methods. The blood plasma samples of 3 patients (father, mother and child) HIV from Veliky Novgorod were used. Presented in a group of patients were directed to conduct epidemiological investigation cases of HIV-1 infection a child from a dysfunctional family. In the present study we used genotyping by direct sequencing of the site of the polymerase gene (pol) length of 1285 nt., The gene encoding the protease (PR) length of 465 nt. and a portion of the reverse transcriptase (RT) gene length of 820 nt.Results. The study allowed the identification of the HIV virus in clinical samples. HIV-1 subtype A1 (IDU-A) was detected in all cases. Phylogenetic analysis of isolates, where the control samples using HIV-1 isolates obtained previously from Veliky Novgorod, possible to identify grouped in a separate cluster sample from the mother, father and child, which makes it possible to conclude about intrafamily HIV infected child by one of his parents. The nucleotide identity of the samples obtained from the mother and the child, showed a higher percentage of similarity – 98.4%, compared with the identity of the samples between the father and the mother and between father and child (96.2% and 94.2%, respectively). Differences natural polymorphisms in protease and reverse transcriptase genes of the parents and the child are discussed. Conclusion. The analysis of phylogenetic relationships of HIV isolates showed that the source of infection of the child 8 years old, born and living in socially disadvantaged families with HIV-positive parents, is his mother. Way parenteral transmission of infection by random simultaneous trauma in the mother and child.Molecular phylogenetic analysis using routine methods for determining the resistance of HIV to antiretroviral drugs allows to investigate cases of HIV infection, identifying the source of infection.