%0 Journal Article %A Kostaki, Evangelia-Georgia %A Flampouris, Andreas %A Karamitros, Timokratis %A Chueca, Natalia %A Alvarez, Marta %A Casas, Paz %A Alejos, Belen %A Hatzakis, Angelos %A Garcia, Federico %A Paraskevis, Dimitrios %A CoRIS %T Spatiotemporal Characteristics of the Largest HIV-1 CRF02_AG Outbreak in Spain: Evidence for Onward Transmissions. %D 2019 %@ 1664-302X %U https://hdl.handle.net/10668/26236 %X Background and Aim: The circulating recombinant form 02_AG (CRF02_AG) is the predominant clade among the human immunodeficiency virus type-1 (HIV-1) non-Bs with a prevalence of 5.97% (95% Confidence Interval-CI: 5.41-6.57%) across Spain. Our aim was to estimate the levels of regional clustering for CRF02_AG and the spatiotemporal characteristics of the largest CRF02_AG subepidemic in Spain. Methods: We studied 396 CRF02_AG sequences obtained from HIV-1 diagnosed patients during 2000-2014 from 10 autonomous communities of Spain. Phylogenetic analysis was performed on the 391 CRF02_AG sequences along with all globally sampled CRF02_AG sequences (N = 3,302) as references. Phylodynamic and phylogeographic analysis was performed to the largest CRF02_AG monophyletic cluster by a Bayesian method in BEAST v1.8.0 and by reconstructing ancestral states using the criterion of parsimony in Mesquite v3.4, respectively. Results: The HIV-1 CRF02_AG prevalence differed across Spanish autonomous communities we sampled from (p %K CRF02_AG %K HIV-1 %K Spain %K regional dispersal %K spatiotemporal characteristics %~