Neisseria meningitidis serogroup W135 in Portugal: presence of the ST-11/ET-37 clonal complex

E Ferreira1, R Dias, D Giorgini

  • 1Antibiotic Resistance Unit, Centre of Bacteriology, National Institute of Health Dr. Ricardo Jorge, Avenida Padre Cruz, 1649-016, Lisbon, Portugal.

Pathologie-Biologie
|January 9, 2008
PubMed

Insights

Invasive Neisseria meningitidis serogroup W135 strains in Portugal showed "Hajj-2000" phenotypes and belonged to the ST-11/ET-37 clonal complex. Pulsed-field gel electrophoresis confirmed links to the "Hajj-2000" strain.

Area of Science:

  • Microbiology
  • Epidemiology
  • Infectious Diseases

Background:

  • Invasive meningococcal disease (IMD) is a significant public health concern.
  • Serogroup W135 Neisseria meningitidis has emerged as a cause of IMD outbreaks globally.
  • Understanding the genetic characteristics of circulating strains is crucial for disease control.

Purpose of the Study:

  • To characterize Neisseria meningitidis serogroup W135 isolates from Portugal between 1995 and 2002.
  • To investigate the clonal origins and potential epidemiological links of these invasive strains.

Main Methods:

  • Isolation and serogrouping of Neisseria meningitidis strains.
  • Phenotypic characterization, including "Hajj-2000"-associated markers.
  • Molecular typing using pulsed-field gel electrophoresis (PFGE).
  • MLST (Multilocus Sequence Typing) to determine sequence types (STs) and clonal complexes.

Main Results:

  • Twelve invasive serogroup W135 Neisseria meningitidis isolates were identified.
  • Nine of these isolates exhibited "Hajj-2000"-associated phenotypes.
  • All nine isolates belonged to the ST-11/ET-37 clonal complex.
  • PFGE analysis showed clustering of ST-11/ET-37 isolates with the "Hajj-2000" strain, though distinct profiles were observed.

Conclusions:

  • The ST-11/ET-37 clonal complex, associated with the "Hajj-2000" strain, was prevalent among invasive serogroup W135 Neisseria meningitidis isolates in Portugal during the study period.
  • These findings suggest the potential for international spread and local establishment of specific meningococcal clones.
  • Continued surveillance and molecular characterization are essential for tracking invasive meningococcal disease epidemiology.

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