Document 1052 DOCN M94A1052 TI The GPGQ structure in the V3 loop domain in a Japanese hemophiliac. DT 9412 AU Miura T; Meguro T; Yamada K; Watanabe K; Honda M; Department of Pediatrics, Haga Red Cross Hospital, Tochigi,; Japan. SO Int Conf AIDS. 1994 Aug 7-12;10(2):22 (abstract no. 381A). Unique Identifier : AIDSLINE ICA10/94371523 AB OBJECTIVE: HIV-1 isolates can be grouped into 6 clades (A-F), and they are divided into two major groups; the GPGR structure as North American/European type and the GPGQ structure as African/Thai type. Analysis of over 150 cases of Japanese hemophiliacs in NIH, Japan shows only clade B HIV, North American/European type but no African/Thai type. We report a case with the GPGQ structure in the V3 loop. CASE: A 16-year-old Japanese hemophiliac was admitted to our hospital because of convulsion. HIV was isolated and he was diagnosed to have HIV encephalopathy. RESULTS: The amino acid sequence of the V3 loop domain of the isolated virus revealed the GPGQ structure, but it was different from two genotypes in Thailand. Analysis of DNA homology and phylogenetic tree revealed that the virus belonged to the North American/European type. The anti-PND (principal neutralization domain) antibodies in this patient's serum had the highest reactions to MN type. DISCUSSION: The isolated virus has the GPGQ structure, but its codon usage was similar to that of clade B virus. Interestingly, the codon usage of the GPGQ core sequence was identical with that of clade E consensus virus, but not clade B virus. The investigation of tropism of the virus and the follow-up will be critical for clearing up the particular change of the virus. DE Adolescence Amino Acid Sequence Case Report Hemophilia/COMPLICATIONS Human HIV Antibodies/IMMUNOLOGY HIV Envelope Protein gp120/*GENETICS HIV Infections/COMPLICATIONS/MICROBIOLOGY HIV-1/CLASSIFICATION/*GENETICS/IMMUNOLOGY/ISOLATION & PURIF Japan Male Molecular Sequence Data Peptide Fragments/*GENETICS Phylogeny MEETING ABSTRACT SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).