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Published on: November 5, 2019
Neisseria meningitidis; clones, carriage, and disease
1Clinical and Experimental Sciences and NIHR Respiratory Biomedical Research Unit, Faculty of Medicine, University of Southampton, Southampton General Hospital, Southampton, UK.
Abstract:
Neisseria meningitidis, the cause of meningococcal disease, has been the subject of sophisticated molecular epidemiological investigation as a consequence of the significant public health threat posed by this organism. The use of multilocus sequence typing and whole genome sequencing classifies the organism into clonal complexes. Extensive phenotypic, genotypic and epidemiological information is available on the PubMLST website. The human nasopharynx is the sole ecological niche of this species, and carrier isolates show extensive genetic diversity as compared with hyperinvasive lineages. Horizontal gene exchange and recombinant events within the meningococcal genome during residence in the human nasopharynx result in antigenic diversity even within clonal complexes, so that individual clones may express, for example, more than one capsular polysaccharide (serogroup). Successful clones are capable of wide global dissemination, and may be associated with explosive epidemics of invasive disease.
Insights
Neisseria meningitidis causes meningococcal disease and is studied using molecular methods. Genetic diversity in the human nasopharynx drives antigenic variation and can lead to widespread epidemics.
Area of Science:
- Microbiology
- Epidemiology
- Genetics
Background:
- Neisseria meningitidis is a significant public health threat causing meningococcal disease.
- The organism's epidemiology is extensively studied using molecular techniques.
- The human nasopharynx is the primary ecological niche for N. meningitidis.
Purpose of the Study:
- To investigate the molecular epidemiology of Neisseria meningitidis.
- To understand the genetic diversity and evolution of meningococcal isolates.
- To correlate genetic characteristics with invasive potential and epidemic spread.
Main Methods:
- Multilocus sequence typing (MLST) for classifying N. meningitidis into clonal complexes.
- Whole genome sequencing (WGS) for detailed genomic analysis.
- Utilizing the PubMLST database for phenotypic, genotypic, and epidemiological data.
Main Results:
- Carrier isolates exhibit greater genetic diversity compared to hyperinvasive lineages.
- Horizontal gene exchange and recombination contribute to antigenic diversity within clonal complexes.
- Successful clones demonstrate global dissemination and association with epidemic invasive disease.
Conclusions:
- Molecular epidemiology, including MLST and WGS, is crucial for understanding Neisseria meningitidis.
- Genetic diversity and horizontal gene exchange in the nasopharynx are key drivers of meningococcal evolution and virulence.
- Understanding these mechanisms is vital for controlling meningococcal disease outbreaks.
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