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Epidemic disease caused by Neisseria meningitidis, the meningococcus, has been recognized for two centuries, but remains incompletely controlled and understood. There have been dramatic reductions in serogroup A and C meningococcal disease following the introduction of protein-polysaccharide conjugate vaccines, but there is currently no comprehensive vaccine against serogroup B meningococci. Genetic analyses of meningococcal populations have provided many insights into the biology, evolution and pathogenesis of this important pathogen. The meningococcus, and its close relative the gonococcus, are the only pathogenic members of the genus Neisseria, and the invasive propensity of meningococci varies widely, with approximately a dozen 'hyperinvasive lineages' responsible for most disease. Despite this, attempts to identify a 'pathogenome', a subset of genes associated with the invasive phenotypes, have failed; however, genome-wide studies of representative meningococcal isolates using high-throughput sequencing are beginning to provide details on the relationship of invasive phenotype and genotype in this fascinating organism and how this relationship has evolved.

Original publication

DOI

10.2217/fmb.12.62

Type

Journal article

Journal

Future Microbiol

Publication Date

07/2012

Volume

7

Pages

873 - 885

Keywords

Databases, Genetic, Evolution, Molecular, Genotype, Humans, Meningococcal Infections, Meningococcal Vaccines, Metagenomics, Molecular Epidemiology, Neisseria meningitidis, Neisseria meningitidis, Serogroup B, Phenotype