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Molecular Epidemiology of Neisseria meningitidis Serogroup B in Brazil

Identifieur interne : 000479 ( Main/Exploration ); précédent : 000478; suivant : 000480

Molecular Epidemiology of Neisseria meningitidis Serogroup B in Brazil

Auteurs : Ivano De Filippis [Brésil, États-Unis] ; Ana Paula S. De Lemos [Brésil] ; Jessica B. Hostetler [États-Unis] ; Kurt Wollenberg [États-Unis] ; Claudio T. Sacchi [Brésil] ; Lee H. Harrison [États-Unis] ; Margaret C. Bash [États-Unis] ; D. Rebecca Prevots [États-Unis]

Source :

RBID : PMC:3303791

Abstract

Background

Neisseria meningitidis serogroup B has been predominant in Brazil, but no broadly effective vaccine is available to prevent endemic meningococcal disease. To understand genetic diversity among serogroup B strains in Brazil, we selected a nationally representative sample of clinical disease isolates from 2004, and a temporally representative sample for the state of São Paulo (1988–2006) for study (n = 372).

Methods

We performed multi-locus sequence typing (MLST) and sequence analysis of five outer membrane protein (OMP) genes, including novel vaccine targets fHbp and nadA.

Results

In 2004, strain B:4:P1.15,19 clonal complex ST-32/ET-5 (cc32) predominated throughout Brazil; regional variation in MLST sequence type (ST), fetA, and porB was significant but diversity was limited for nadA and fHbp. Between 1988 and 1996, the São Paulo isolates shifted from clonal complex ST-41/44/Lineage 3 (cc41/44) to cc32. OMP variation was associated with but not predicted by cc or ST. Overall, fHbp variant 1/subfamily B was present in 80% of isolates and showed little diversity. The majority of nadA were similar to reference allele 1.

Conclusions

A predominant serogroup B lineage has circulated in Brazil for over a decade with significant regional and temporal diversity in ST, fetA, and porB, but not in nadA and fHbp.


Url:
DOI: 10.1371/journal.pone.0033016
PubMed: 22431994
PubMed Central: 3303791


Affiliations:


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Le document en format XML

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Serogroup B in Brazil</title>
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<addr-line>Epidemiology Unit, Laboratory of Clinical Infectious Diseases, Division of Intramural Research, National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH), Bethesda, Maryland, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
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<region type="state">Maryland</region>
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<name sortKey="De Lemos, Ana Paula S" sort="De Lemos, Ana Paula S" uniqKey="De Lemos A" first="Ana Paula S." last="De Lemos">Ana Paula S. De Lemos</name>
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<nlm:aff id="aff4">
<addr-line>Department of Bacteriology, Instituto Adolfo Lutz (IAL), São Paolo, Brazil</addr-line>
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<name sortKey="Hostetler, Jessica B" sort="Hostetler, Jessica B" uniqKey="Hostetler J" first="Jessica B." last="Hostetler">Jessica B. Hostetler</name>
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<addr-line>J. Craig Venter Institute (JCVI), Rockville, Maryland, United States of America</addr-line>
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<name sortKey="Wollenberg, Kurt" sort="Wollenberg, Kurt" uniqKey="Wollenberg K" first="Kurt" last="Wollenberg">Kurt Wollenberg</name>
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<nlm:aff id="aff6">
<addr-line>Office of Cyberinfrastructure and Computational Biology (OCICB), National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH), Bethesda, Maryland, United States of America</addr-line>
</nlm:aff>
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<name sortKey="Sacchi, Claudio T" sort="Sacchi, Claudio T" uniqKey="Sacchi C" first="Claudio T." last="Sacchi">Claudio T. Sacchi</name>
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<name sortKey="Harrison, Lee H" sort="Harrison, Lee H" uniqKey="Harrison L" first="Lee H." last="Harrison">Lee H. Harrison</name>
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<name sortKey="Bash, Margaret C" sort="Bash, Margaret C" uniqKey="Bash M" first="Margaret C." last="Bash">Margaret C. Bash</name>
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<nlm:aff id="aff2">
<addr-line>Laboratory of Bacterial Polysaccharides, Center for Biologics Evaluation and Research (CBER), Food and Drug Administration (FDA), Bethesda, Maryland, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Laboratory of Bacterial Polysaccharides, Center for Biologics Evaluation and Research (CBER), Food and Drug Administration (FDA), Bethesda, Maryland</wicri:regionArea>
<placeName>
<region type="state">Maryland</region>
</placeName>
</affiliation>
</author>
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<name sortKey="Prevots, D Rebecca" sort="Prevots, D Rebecca" uniqKey="Prevots D" first="D. Rebecca" last="Prevots">D. Rebecca Prevots</name>
<affiliation wicri:level="2">
<nlm:aff id="aff3">
<addr-line>Epidemiology Unit, Laboratory of Clinical Infectious Diseases, Division of Intramural Research, National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH), Bethesda, Maryland, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Epidemiology Unit, Laboratory of Clinical Infectious Diseases, Division of Intramural Research, National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH), Bethesda, Maryland</wicri:regionArea>
<placeName>
<region type="state">Maryland</region>
</placeName>
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<title level="j">PLoS ONE</title>
<idno type="eISSN">1932-6203</idno>
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<sec>
<title>Background</title>
<p>
<italic>Neisseria meningitidis</italic>
serogroup B has been predominant in Brazil, but no broadly effective vaccine is available to prevent endemic meningococcal disease. To understand genetic diversity among serogroup B strains in Brazil, we selected a nationally representative sample of clinical disease isolates from 2004, and a temporally representative sample for the state of São Paulo (1988–2006) for study (n = 372).</p>
</sec>
<sec>
<title>Methods</title>
<p>We performed multi-locus sequence typing (MLST) and sequence analysis of five outer membrane protein (OMP) genes, including novel vaccine targets
<italic>fHbp</italic>
and
<italic>nadA</italic>
.</p>
</sec>
<sec>
<title>Results</title>
<p>In 2004, strain B:4:P1.15,19 clonal complex ST-32/ET-5 (cc32) predominated throughout Brazil; regional variation in MLST sequence type (ST),
<italic>fetA</italic>
, and
<italic>porB</italic>
was significant but diversity was limited for
<italic>nadA</italic>
and
<italic>fHbp</italic>
. Between 1988 and 1996, the São Paulo isolates shifted from clonal complex ST-41/44/Lineage 3 (cc41/44) to cc32. OMP variation was associated with but not predicted by cc or ST. Overall,
<italic>fHbp</italic>
variant 1/subfamily B was present in 80% of isolates and showed little diversity. The majority of
<italic>nadA</italic>
were similar to reference allele 1.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>A predominant serogroup B lineage has circulated in Brazil for over a decade with significant regional and temporal diversity in ST,
<italic>fetA</italic>
, and
<italic>porB</italic>
, but not in
<italic>nadA</italic>
and
<italic>fHbp</italic>
.</p>
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<li>Brésil</li>
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<li>État de Rio de Janeiro</li>
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<li>Pittsburgh</li>
<li>Rio de Janeiro</li>
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<name sortKey="Hostetler, Jessica B" sort="Hostetler, Jessica B" uniqKey="Hostetler J" first="Jessica B." last="Hostetler">Jessica B. Hostetler</name>
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