Characterization of Unusual Serogroups of <i>Neisseria meningitidis</i>

Most cases of invasive meningococcal disease (IMD) in Europe are caused by isolates of the <i>Neisseria meningitidis</i> serogroups B, C, W, and Y. We aimed to explore cases caused by other unusual serogroups. We retrospectively screened IMD cases in the databases of the National Referen...

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Main Authors: Samy Taha, Giulia Fantoni, Eva Hong, Aude Terrade, Oumar Doucoure, Ala-Eddine Deghmane, Muhamed-Kheir Taha
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Microorganisms
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Online Access:https://www.mdpi.com/2076-2607/12/12/2528
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author Samy Taha
Giulia Fantoni
Eva Hong
Aude Terrade
Oumar Doucoure
Ala-Eddine Deghmane
Muhamed-Kheir Taha
author_facet Samy Taha
Giulia Fantoni
Eva Hong
Aude Terrade
Oumar Doucoure
Ala-Eddine Deghmane
Muhamed-Kheir Taha
author_sort Samy Taha
collection DOAJ
description Most cases of invasive meningococcal disease (IMD) in Europe are caused by isolates of the <i>Neisseria meningitidis</i> serogroups B, C, W, and Y. We aimed to explore cases caused by other unusual serogroups. We retrospectively screened IMD cases in the databases of the National Reference Center for Meningococci and <i>Haemophilus influnezae</i> in France between 2014 and 2023. Age, sex, serogroups, and genetic lineage distributions were analyzed. We also measured complement deposition on the bacterial surface and tested coverage by vaccines against serogroup B. Cases due to isolates of serogroups other than B, C, W, and Y represented 1.6% of all 3610 IMD cases during the study period with 59 cases and a median age of 21.5 years of age. The corresponding isolates were non-groupable (26 cases), serogroup X (21 cases), serogroup E (11 cases), and one isolate belonged to serogroup Z. Only a low proportion (7.4%) belonged to the hyperinvasive genetic lineages. Isolates of serogroup E bound a significantly higher amount of complement on their surface and were mainly detected in patients with terminal complement pathway deficiencies. Isolates of these unusual serogroups were shown to be covered by vaccines licensed against meningococci B. Surveillance of these isolates needs to be enhanced.
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spelling doaj-art-18fe959e9d4e4734a8be770b603008ff2025-08-20T02:43:43ZengMDPI AGMicroorganisms2076-26072024-12-011212252810.3390/microorganisms12122528Characterization of Unusual Serogroups of <i>Neisseria meningitidis</i>Samy Taha0Giulia Fantoni1Eva Hong2Aude Terrade3Oumar Doucoure4Ala-Eddine Deghmane5Muhamed-Kheir Taha6Institut Pasteur, Invasive Bacterial Infections, Université Paris Cité, 75015 Paris, FranceInstitut Pasteur, Invasive Bacterial Infections, Université Paris Cité, 75015 Paris, FranceInstitut Pasteur, Invasive Bacterial Infections, Université Paris Cité, 75015 Paris, FranceInstitut Pasteur, Invasive Bacterial Infections, Université Paris Cité, 75015 Paris, FranceInstitut Pasteur, Invasive Bacterial Infections, Université Paris Cité, 75015 Paris, FranceInstitut Pasteur, Invasive Bacterial Infections, Université Paris Cité, 75015 Paris, FranceInstitut Pasteur, Invasive Bacterial Infections, Université Paris Cité, 75015 Paris, FranceMost cases of invasive meningococcal disease (IMD) in Europe are caused by isolates of the <i>Neisseria meningitidis</i> serogroups B, C, W, and Y. We aimed to explore cases caused by other unusual serogroups. We retrospectively screened IMD cases in the databases of the National Reference Center for Meningococci and <i>Haemophilus influnezae</i> in France between 2014 and 2023. Age, sex, serogroups, and genetic lineage distributions were analyzed. We also measured complement deposition on the bacterial surface and tested coverage by vaccines against serogroup B. Cases due to isolates of serogroups other than B, C, W, and Y represented 1.6% of all 3610 IMD cases during the study period with 59 cases and a median age of 21.5 years of age. The corresponding isolates were non-groupable (26 cases), serogroup X (21 cases), serogroup E (11 cases), and one isolate belonged to serogroup Z. Only a low proportion (7.4%) belonged to the hyperinvasive genetic lineages. Isolates of serogroup E bound a significantly higher amount of complement on their surface and were mainly detected in patients with terminal complement pathway deficiencies. Isolates of these unusual serogroups were shown to be covered by vaccines licensed against meningococci B. Surveillance of these isolates needs to be enhanced.https://www.mdpi.com/2076-2607/12/12/2528<i>Neisseria meningitidis</i>serogroupscomplementvaccine coverage
spellingShingle Samy Taha
Giulia Fantoni
Eva Hong
Aude Terrade
Oumar Doucoure
Ala-Eddine Deghmane
Muhamed-Kheir Taha
Characterization of Unusual Serogroups of <i>Neisseria meningitidis</i>
Microorganisms
<i>Neisseria meningitidis</i>
serogroups
complement
vaccine coverage
title Characterization of Unusual Serogroups of <i>Neisseria meningitidis</i>
title_full Characterization of Unusual Serogroups of <i>Neisseria meningitidis</i>
title_fullStr Characterization of Unusual Serogroups of <i>Neisseria meningitidis</i>
title_full_unstemmed Characterization of Unusual Serogroups of <i>Neisseria meningitidis</i>
title_short Characterization of Unusual Serogroups of <i>Neisseria meningitidis</i>
title_sort characterization of unusual serogroups of i neisseria meningitidis i
topic <i>Neisseria meningitidis</i>
serogroups
complement
vaccine coverage
url https://www.mdpi.com/2076-2607/12/12/2528
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