“…Molecular epidemiologic studies have defined approximately nine genetically distinct subtypes of HIV-1 (33). In some geographic regions (e.g., sub-Saharan Africa) multiple subtypes (e.g., A, C, D, G, and O) of HIV-1 are in circulation (32,36), whereas in other geographic regions (e.g., United States, western Europe, Thailand) the representation of genetic subtypes is more restricted, with the majority of infections limited to a single subtype (e.g., B or E) (19,22,33,40). Because amino acid sequence variation in the envelope glycoproteins varies from 25 to 30% between subtypes, it has been speculated that multivalent vaccines, containing viral antigens from several genetically distinct viruses, will be required for vaccines to provide protective immunity against all of the genetic subtypes circulating in human populations.…”