Sequence Type 4821 Clonal Complex Serogroup B Neisseria meningitidis in China, 1978-2013

Insights

Serogroup C Neisseria meningitidis CC4821 likely originated the hyperinvasive serogroup B strains. Genomic analysis revealed shared genotypes and close evolutionary relationships between serogroup B and C strains.

Area of Science:

  • Microbiology
  • Genomics
  • Epidemiology

Background:

  • The hyperinvasive Neisseria meningitidis sequence type 4821 clonal complex (CC4821) was initially identified in serogroup C strains.
  • Increasing isolation of serogroup B CC4821 strains in China necessitates understanding their origin.

Observation:

  • Outer membrane protein genes (PorA, PorB, FetA) were characterized in 48 serogroup B and 214 serogroup C CC4821 strains.
  • Genomic sequencing of 22 CC4821 strains revealed close clustering of serogroup B and C strains within two phylogenetic groups.

Findings:

  • Four serogroup B strains exhibited identical PorA, PorB, and FetA genotypes to serogroup C strains.
  • Serogroup B strains displayed variability at the capsule locus, indicating recombination events.

Implications:

  • The findings suggest a serogroup C Neisseria meningitidis CC4821 origin for the emerging pathogenic serogroup B strains.
  • Understanding the genetic exchange and evolution of meningococcal CC4821 is crucial for public health surveillance and vaccine development.

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