TY - JOUR
T1 - Characterization of fHbp, nhba (gna2132), nadA, porA, Sequence Type (ST), and genomic presence of IS1301 in group B meningococcal ST269 clonal complex isolates from England and Wales
AU - Lucidarme, Jay
AU - Comanducci, Maurizio
AU - Findlow, Jamie
AU - Gray, Stephen J.
AU - Kaczmarski, Edward B.
AU - Guiver, Malcolm
AU - Kugelberg, Elisabeth
AU - Vallely, Pamela J.
AU - Oster, Philipp
AU - Pizza, Mariagrazia
AU - Bambini, Stefania
AU - Muzzi, Alessandro
AU - Tang, Christoph M.
AU - Borrow, Ray
PY - 2009/11
Y1 - 2009/11
N2 - Highly effective glycoconjugate vaccines exist against four of the five major pathogenic groups of meningococci: A, C, W-135, and Y. An equivalent vaccine against group B meningococci (menB) has remained elusive due to the poorly immunogenic capsular polysaccharide. A promising alternative, the investigational recombinant menB (rMenB)- outer membrane vesicle (OMV) vaccine, contains fHBP, NHBA (previously GNA2132), NadA, and outer membrane vesicles (OMVs) from the New Zealand MeNZB vaccine. MenB currently accounts for 90% of meningococcal disease in England and Wales, where the multilocus sequence type (ST) 269 (ST269) clonal complex (cc269) has recently expanded to account for a third of menB cases. To assess the potential cc269 coverage of the rMenB-OMV vaccine, English and Welsh cc269 isolates from the past decade were genetically characterized with respect to fHBP, NHBA, and NadA. All of the isolates harbored fHbp and nhba alleles, while 98% of the cc269 isolates were devoid of nadA. Subvariant profiling of fHbp, nhba, and porA against STs revealed the presence of two broadly distinct and well-defined clusters of isolates, centered around ST269 and ST275, respectively. An additional molecular marker, insertion sequence IS1301, was found to be present in 100% and
AB - Highly effective glycoconjugate vaccines exist against four of the five major pathogenic groups of meningococci: A, C, W-135, and Y. An equivalent vaccine against group B meningococci (menB) has remained elusive due to the poorly immunogenic capsular polysaccharide. A promising alternative, the investigational recombinant menB (rMenB)- outer membrane vesicle (OMV) vaccine, contains fHBP, NHBA (previously GNA2132), NadA, and outer membrane vesicles (OMVs) from the New Zealand MeNZB vaccine. MenB currently accounts for 90% of meningococcal disease in England and Wales, where the multilocus sequence type (ST) 269 (ST269) clonal complex (cc269) has recently expanded to account for a third of menB cases. To assess the potential cc269 coverage of the rMenB-OMV vaccine, English and Welsh cc269 isolates from the past decade were genetically characterized with respect to fHBP, NHBA, and NadA. All of the isolates harbored fHbp and nhba alleles, while 98% of the cc269 isolates were devoid of nadA. Subvariant profiling of fHbp, nhba, and porA against STs revealed the presence of two broadly distinct and well-defined clusters of isolates, centered around ST269 and ST275, respectively. An additional molecular marker, insertion sequence IS1301, was found to be present in 100% and
U2 - 10.1128/JCM.00936-09
DO - 10.1128/JCM.00936-09
M3 - Article
C2 - 19759227
SN - 0095-1137
VL - 47
SP - 3577
EP - 3585
JO - Journal of clinical microbiology
JF - Journal of clinical microbiology
IS - 11
ER -