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Published on: November 5, 2019
Hyperinvasive genotypes of Neisseria meningitidis in France
M L Zarantonelli1, M Lancellotti, A E Deghmane
1Neisseria Unit, National Reference Centre for Meningococci, Institut Pasteur, Paris, France.
Abstract:
Clinical isolates of Neisseria meningitidis from cases of meningococcal disease, collected between January 2000 and December 2004, were identified and typed at the French National Reference Centre. A representative subset of 546 isolates from among 2882 isolates was further genotyped by multilocus sequence typing to determine their genetic lineages (clonal complexes) and the degree of diversification among different clonal complexes. Representative isolates of the main clonal complexes were tested for their virulence in mice and for proapoptotic effects on human epithelial cells. High genetic diversity in some genetic lineages (ST-32 and ST-41/44) was correlated with heterogeneity in virulence in mice and proapoptotic effects on human epithelial cells. In contrast, the homogeneous genetic structure of isolates of the ST-11 clonal complex, regardless of their serogroup, correlated positively with a fatal outcome of the infection, increased virulence in mice and increased proapoptotic effects on human epithelial cells.
Insights
Genetic diversity in Neisseria meningitidis lineages correlates with varied virulence. Homogeneous ST-11 clonal complex isolates showed increased virulence and fatal outcomes in meningococcal disease.
Area of Science:
- Microbiology
- Genetics
- Epidemiology
Background:
- Neisseria meningitidis causes meningococcal disease.
- Understanding genetic diversity is crucial for predicting virulence.
Purpose of the Study:
- To investigate the relationship between genetic lineages of Neisseria meningitidis and their virulence.
- To assess the impact of genetic diversity on disease outcomes.
Main Methods:
- Multilocus sequence typing (MLST) of 546 clinical isolates.
- Virulence testing in a mouse model.
- Evaluation of proapoptotic effects on human epithelial cells.
Main Results:
- High genetic diversity in ST-32 and ST-41/44 lineages correlated with heterogeneous virulence and cell effects.
- Homogeneous ST-11 clonal complex isolates exhibited increased virulence, proapoptotic effects, and fatal outcomes, irrespective of serogroup.
Conclusions:
- Genetic structure of Neisseria meningitidis influences virulence and disease severity.
- Specific genetic lineages, like ST-11, pose a higher risk due to enhanced pathogenic potential.
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