Molecular surveillance of Neisseria meningitidis capsular switching in Portugal, 2002-2006

Epidemiol Infect. 2009 Feb;137(2):161-5. doi: 10.1017/S0950268808001106. Epub 2008 Jul 31.

Abstract

Neisseria meningitidis capsular switching has been reported in several countries. In order to establish the genetic relationship within group B and C strains expressing subtypes 2a or 2b, and to evaluate whether C to B capsular switching occurred in Portugal, 64 meningococci (56 serogroup C and 8 serogroup B) isolated from invasive meningococcal disease were typed using molecular methods. The studied phenotypes, 2b:P1.5,2 and 2a:P1.5-1,10-8, were the most frequent among serogroup C, but were uncommon among serogroup B strains. The multi-locus sequence typing (MLST) allelic profile and the pulsed-field gel electrophoresis (PFGE) fingerprints showed that seven serogroup B strains were genotypically identical to C strains, suggesting that capsular switching occurred. Active laboratory surveillance to find evidence of capsule switching is a now priority as MenC was introduced in the Portuguese vaccination schedule in January 2006.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antigenic Variation*
  • Bacterial Capsules / genetics*
  • Bacterial Typing Techniques
  • Cluster Analysis
  • DNA Fingerprinting
  • DNA, Bacterial / genetics
  • Electrophoresis, Gel, Pulsed-Field
  • Genotype
  • Humans
  • Meningococcal Infections / epidemiology*
  • Meningococcal Infections / microbiology*
  • Neisseria meningitidis / classification
  • Neisseria meningitidis / genetics*
  • Neisseria meningitidis / isolation & purification*
  • Portugal / epidemiology
  • Sequence Analysis, DNA
  • Serotyping

Substances

  • DNA, Bacterial