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Published on: April 1, 2014
Outbreak of meningococcal disease caused by PorA-deficient meningococci
A van der Ende1, C T P Hopman, W C M Keijzers
1Department of Medical Microbiology, Academic Medical Center, PO Box 22700, 1100 DE Amsterdam, The Netherlands. a.vanderende@amc.uva.nl
Abstract:
An outbreak of 7 cases of group C meningococcal disease occurred during the last week of July and the first week of August 2001 in the southwestern part of The Netherlands. Characterization of the 7 patients' isolates by various typing methods showed that the isolates were identical, except for the expression of PorA. Isolates from 5 patients were PorA deficient. These results show that transmission of PorA-deficient meningococci occurs and that PorA-deficient meningococci can cause invasive disease. PorA-based meningococcal vaccines may provide limited protection.
Insights
Transmission of PorA-deficient meningococci can cause invasive disease, as seen in a Dutch outbreak. This finding suggests that PorA-based vaccines may offer limited protection against meningococcal disease.
Area of Science:
- Microbiology
- Epidemiology
- Vaccinology
Background:
- Group C meningococcal disease outbreaks pose a significant public health risk.
- Neisseria meningitidis expresses PorA outer membrane proteins, a common target for vaccines.
- The role of PorA-deficient meningococci in disease transmission and severity is not fully understood.
Purpose of the Study:
- To investigate the characteristics of meningococcal isolates during an outbreak in The Netherlands.
- To determine if PorA-deficient meningococci can be transmitted and cause invasive disease.
- To assess the potential impact of PorA deficiency on the efficacy of PorA-based vaccines.
Main Methods:
- Epidemiological data collection from a 2001 outbreak in southwestern The Netherlands.
- Molecular characterization of seven group C Neisseria meningitidis isolates using various typing methods.
- Analysis of PorA expression in patient isolates.
Main Results:
- Seven identical group C meningococcal isolates were identified, differing only in PorA expression.
- Isolates from five out of seven patients were found to be PorA deficient.
- The study confirmed the transmission and invasive potential of PorA-deficient meningococci.
Conclusions:
- PorA-deficient Neisseria meningitidis can be transmitted between individuals.
- PorA-deficient meningococci are capable of causing invasive meningococcal disease.
- Current PorA-based meningococcal vaccines may have limited effectiveness against PorA-deficient strains, necessitating further vaccine development.
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