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Published on: November 5, 2019
Neisseria meningitidis: biology, microbiology, and epidemiology
Nadine G Rouphael1, David S Stephens
1Department of Medicine, Division of Infectious Diseases, Emory University School of Medicine, Atlanta, GA, USA.
Abstract:
Neisseria meningitidis (the meningococcus) causes significant morbidity and mortality in children and young adults worldwide through epidemic or sporadic meningitis and/or septicemia. In this review, we describe the biology, microbiology, and epidemiology of this exclusive human pathogen. N.meningitidis is a fastidious, encapsulated, aerobic gram-negative diplococcus. Colonies are positive by the oxidase test and most strains utilize maltose. The phenotypic classification of meningococci, based on structural differences in capsular polysaccharide, lipooligosaccharide (LOS) and outer membrane proteins, is now complemented by genome sequence typing (ST). The epidemiological profile of N. meningitidis is variable in different populations and over time and virulence of the meningococcus is based on a transformable/plastic genome and expression of certain capsular polysaccharides (serogroups A, B, C, W-135, Y and X) and non-capsular antigens. N. meningitidis colonizes mucosal surfaces using a multifactorial process involving pili, twitching motility, LOS, opacity associated, and other surface proteins. Certain clonal groups have an increased capacity to gain access to the blood, evade innate immune responses, multiply, and cause systemic disease. Although new vaccines hold great promise, meningococcal infection continues to be reported in both developed and developing countries, where universal vaccine coverage is absent and antibiotic resistance increasingly more common.
Insights
Neisseria meningitidis causes severe meningitis and septicemia globally. Understanding its biology, epidemiology, and virulence factors is crucial for developing effective vaccines and combating antibiotic resistance.
Area of Science:
- Microbiology
- Epidemiology
- Pathogen Biology
Background:
- Neisseria meningitidis (meningococcus) is a leading cause of bacterial meningitis and septicemia in children and young adults.
- It is an aerobic, Gram-negative diplococcus characterized by its capsule, lipooligosaccharide (LOS), and outer membrane proteins.
Purpose of the Study:
- To review the biology, microbiology, and epidemiology of Neisseria meningitidis.
- To highlight the factors contributing to its virulence and the challenges in disease control.
Main Methods:
- Review of existing literature on N. meningitidis.
- Analysis of phenotypic and genomic typing methods (e.g., genome sequence typing).
- Examination of colonization mechanisms and immune evasion strategies.
Main Results:
- N. meningitidis exhibits variable epidemiology and virulence, influenced by its plastic genome and expressed antigens (capsular serogroups A, B, C, W-135, Y, X).
- Colonization involves pili, motility, LOS, and outer membrane proteins; certain clones are more invasive.
- Despite vaccine advancements, meningococcal disease persists, exacerbated by low vaccine coverage and rising antibiotic resistance.
Conclusions:
- Neisseria meningitidis remains a significant global health threat requiring ongoing surveillance and intervention.
- Effective control strategies must address vaccine accessibility and the growing challenge of antibiotic resistance.
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