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.

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.

Related Concept Videos

Bacterial Meningitis01:24

Bacterial Meningitis

Bacterial meningitis is a severe infectious disease involving inflammation of the meninges, the protective membranes surrounding the brain and spinal cord. It occurs when pathogenic bacteria cross the blood–brain barrier and enter the cerebrospinal fluid. Common causative organisms include Neisseria meningitidis, Streptococcus pneumoniae, Haemophilus influenzae type b, Listeria monocytogenes, and Escherichia coli K1. The exact route of entry varies by pathogen and host condition.Routes of Entry...
Bacterial Meningitis II: Pathophysiology01:26

Bacterial Meningitis II: Pathophysiology

Bacterial meningitis typically begins when pathogens such as Neisseria meningitidis and Streptococcus pneumoniae colonize the nasopharynx and invade the bloodstream. This process is facilitated by bacterial virulence factors, such as polysaccharide capsules, which resist phagocytosis and complement-mediated killing. Less commonly, bacteria reach the central nervous system via contiguous spread from infections like otitis media or sinusitis, through congenital or acquired dural defects, or...
Bacterial Meningitis I: Introduction01:22

Bacterial Meningitis I: Introduction

Bacterial meningitis is a severe, life-threatening inflammation of the meninges, particularly the pia mater and arachnoid mater, affecting the subarachnoid space, ventricles, and cerebrospinal fluid (CSF). If untreated, it can lead to significant neurological complications or death.Causative AgentsCommon pathogens vary with age and immune status. In adults, major organisms include Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae. Streptococcus agalactiae (group B...
Mechanism of Antibiotic Resistance in MRSA01:25

Mechanism of Antibiotic Resistance in MRSA

Antibiotic resistance in bacteria arises when microorganisms evolve the ability to withstand drugs designed to kill them or inhibit their growth, rendering once-effective treatments useless. This phenomenon, driven by genetic change and selection under antibiotic exposure, poses a profound threat to modern medicine. Mechanisms include drug-inactivating enzymes (e.g., β-lactamases), efflux pumps that eject antibiotics, mutations altering antibiotic targets, decreased drug uptake, and acquisition...
Viral Meningitis01:18

Viral Meningitis

Viral meningitis is the most common form of meningitis and is often referred to as aseptic meningitis to indicate the absence of bacterial involvement. It is generally milder than bacterial meningitis, with symptoms including fever, headache, stiff neck, drowsiness, nausea, photophobia, and vomiting. Rarely, more severe manifestations or death may occur. Common causative agents include enteroviruses, particularly coxsackie A and B viruses and echoviruses, all members of the Enterovirus genus...
Cryptococcal Meningitis01:27

Cryptococcal Meningitis

Cryptococcal meningitis is a life-threatening opportunistic infection predominantly associated with HIV/AIDS, accounting for over 100,000 deaths annually worldwide. However, it also affects individuals with other forms of immunosuppression, including those undergoing immunosuppressive therapy, organ transplant recipients, patients with innate immunodeficiencies, and individuals with hematological disorders. The infection is caused mainly by Cryptococcus neoformans and Cryptococcus gattii,...