Genetic analysis of meningococci carried by children and young adults
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Published on: November 5, 2019
Heike Claus1, Martin C J Maiden, Daniel J Wilson
1Institute for Hygiene and Microbiology, University of Würzburg, Würzburg, Germany.
Background:
Neisseria meningitidis is a diverse commensal bacterium that occasionally causes severe invasive disease. The relationship between meningococcal genotype and capsular polysaccharide, the principal virulence factor and vaccine component, was investigated in carried meningococci isolated from 8000 children and young adults in Bavaria, Germany.
Methods:
Of the 830 meningococci isolated (carriage rate, 10.4%) by microbiological techniques, 822 were characterized by serogrouping, multilocus sequence typing, and genetic analysis of the capsule region. Statistical and population genetic analyses were applied to these data.
Results:
The rapid increase in carriage rates with age of carrier, the low prevalence of hyperinvasive meningococci, and the relative prevalence of the 4 disease-associated serogroups were consistent with earlier observations. There was no genetic structuring of the meningococcal population by age of carrier or sampling location; however, there was significant geographic structuring of the meningococci isolated in civil, but not military, institutions. The rate of capsule gene expression did not vary with age of carrier or meningococcal genotype, except for serogroup C, for which increased expression was associated with ST-11 (formerly ET-37) complex meningococci.
Conclusions:
Serogroup C capsule expression during carriage may contribute to the invasive character of ST-11 complex meningococci and to the high efficacy of meningococcal serogroup C conjugate polysaccharide vaccine.
Insights
Meningococcal capsule gene expression, particularly for serogroup C, is linked to specific genotypes like ST-11. This finding helps explain the effectiveness of meningococcal serogroup C conjugate vaccines.
Area of Science:
- Microbiology
- Genetics
- Epidemiology
Background:
- Neisseria meningitidis is a common bacterium that can cause serious invasive diseases.
- Capsular polysaccharide is a key virulence factor and vaccine target in meningococci.
Purpose of the Study:
- To investigate the link between meningococcal genotype and capsular polysaccharide expression.
- To analyze carried meningococci from a large cohort in Bavaria, Germany.
Main Methods:
- Isolation and characterization of 830 meningococci from 8000 individuals.
- Serogrouping, multilocus sequence typing, and genetic analysis of capsule regions.
- Application of statistical and population genetic analyses.
Main Results:
- No genetic structuring by age or location, but geographic structuring in civil institutions.
- Capsule gene expression generally consistent across genotypes and age groups.
- Serogroup C showed increased expression associated with ST-11 (formerly ET-37) complex meningococci.
Conclusions:
- Serogroup C capsule expression in ST-11 complex meningococci may enhance invasiveness.
- This association could explain the high efficacy of meningococcal serogroup C conjugate vaccines.
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