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Published on: July 14, 2020
Neisseria meningitidis W-135 in the Basque Country, northern Spain
D Vicente1, O Esnal, J M Marimon
1Hospital Donostia, Servicio de Microbiolgiá, San Sebastián, Spain.
Abstract:
Neisseria meningitidis W-135 accounted for nine (1.6%) of 562 cases of invasive meningococcal disease and 17 (3.9%) of 430 meningococcal isolates from healthy carriers. There was no mortality associated with the invasive nine isolates, which belonged to subtype P1.6 and geno-subtype P1.18-1. All invasive isolates and 15 of the 17 isolates from healthy carriers belonged to sequence type 22 by multilocus sequence typing, and showed a similarity of > 85% by pulsed-field gel electrophoresis following digestion with NheI. These results demonstrate that W-135 isolates in the Basque region of northern Spain have a high degree of similarity and are almost clonal.
Insights
Neisseria meningitidis W-135 caused invasive meningococcal disease and was found in healthy carriers. Isolates were highly similar, indicating a clonal W-135 population in the Basque region.
Area of Science:
- Microbiology
- Epidemiology
- Genetics
Background:
- Neisseria meningitidis is a leading cause of bacterial meningitis.
- Serogroup W-135 strains have emerged as significant pathogens globally.
- Understanding the genetic relatedness of circulating strains is crucial for disease control.
Purpose of the Study:
- To characterize Neisseria meningitidis W-135 isolates from invasive disease and healthy carriers in the Basque region.
- To assess the genetic similarity and clonal nature of these W-135 isolates.
Main Methods:
- Isolates were identified from cases of invasive meningococcal disease and healthy carriers.
- Multilocus sequence typing (MLST) was used to determine sequence types.
- Pulsed-field gel electrophoresis (PFGE) with NheI digestion was performed to assess genetic similarity.
Main Results:
- Neisseria meningitidis W-135 accounted for 1.6% of invasive cases and 3.9% of carrier isolates.
- All invasive isolates and most carrier isolates belonged to sequence type 22 (ST-22).
- PFGE showed >85% similarity among invasive and carrier isolates, indicating a clonal population.
Conclusions:
- Neisseria meningitidis W-135 isolates in the Basque region exhibit a high degree of genetic similarity.
- The W-135 population in this region is nearly clonal, primarily belonging to ST-22.
- This clonal nature has implications for disease surveillance and vaccine strategies.
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