Serogroups and Neisseria meningitidis PORA, FETA and FHBP gene distribution in Vietnam from 2014 to 2024
Author affiliations
DOI:
https://doi.org/10.15625/vjbt-22546Keywords:
Factor H binding protein, genosubtype, invasive meningococcal disease, outer membrane protein porin A, serogroup.Abstract
Invasive meningococcal disease (IMD), caused by Neisseria meningitidis, is a continued public health concern. Invasive meningococcal disease, caused by Neisseria meningitidis, is a continued public health concern. Of the 12 N. meningitidis serogroups, the majority of invasive disease is caused by serogroups A, B, C, Y and W. This study aimed to investigate the serogroups, subgenotype, and fHbp antigenic profiles of N. meningitidis strains isolated in Vietnam from 2014 to 2023. Serogrouping of N. meningitidis by multiplex PCR assay and the genetic profiles including the porA, fHbp genes were analyzed using Sanger sequencing and bioinformatic methods. Of the 186 strain isolates, the most common serogroups were B (161 isolates, 86.6%), following serogroup B (5, 2.7%) and the remaining rates belongs to the other serogroups except serogroups A, B, C, W135, and Y. A total of 32 different combinations of VR1/VR2 PorA were identified in this study including 13 VR1 families and 21 VR2. The most common VR1 families were P1.22-25 (n = 36; 23.2%) followed by P1.7-2 (n= 31; 20.0%), P1.22 (n = 24; 15.5%), P1.22-11 (n = 19; 12.3%). As for VR2, the most frequent variants were 14 (n = 60, %), 15-25 (n = 20; 21.67%). The three most common profiles of porA gene were P1.22-25,14,36 (n = 24), P1.22,14,36 (n = 22), and P1.22-11,15-25,36 (n = 19). FHbp variant group 2 was most common (n = 142; 97.3%), followed by group 1 (n = 4; 2.7%), meaning a similar number of subfamily A (n = 142, being variant group 2) and B (n = 4, being variant group 1). 5 variants of subfamily A were found. The A22 variant was the most frequent (n = 52; 19.7%). On the basis of genotypic data showed poor matching the PorA and subfamily B FHbp component of the multicomponent 4CMenB Novartis meningococcal B vaccine.
Downloads
References
Asturias E. J., Bai X., Bettinger J. A., Borrow R., Castillo D. N., Caugant D. A., et al. (2022). Meningococcal disease in North America: Updates from the global Meningococcal initiative. Journal of Infection, 85(6), 611-622. http://doi.org/10.1016/j.jinf.2022.10.022
Batista R. S., Gomes A. P., Dutra Gazineo J. L., Balbino Miguel P. S., Santana L. A., Oliveira L., et al. (2017). Meningococcal disease, a clinical and epidemiological review. Asian Pacific Journal of Tropical Medicine, 10(11), 1019-1029. http://doi.org/10.1016/j.apjtm.2017.10.004
Boan P., Metasan N., Tempone S., Harnett G., Speers D. J., and Keil A. D. (2014). Neisseria meningitidis porA, fetA and fHbp gene distribution in Western Australia 2000 to 2011. BMC Infectious Diseases, 14, 686. https://doi.org/10.1186/s12879-014-0686-x
Castillo D., Harcourt B., Hatcher C., Jackson M., Katz L., Mair, R., et al. (2011). Laboratory methods for the diagnosis of meningitis caused by Neisseria meningitidis, Streptococcus pneumoniae, and Haemophilus influenza (2nd Ed). WHO manual
de Lemos A. P. S., Sacchi C. T., Goncalves C. R., Camargo C. H., and Andrade A. L. (2020). Genomic surveillance of Neisseria meningitidis serogroup B invasive strains: Diversity of vaccine antigen types, Brazil, 2016-2018. PLoS One, 15(12), e0243375. https://doi.org/10.1371/journal.pone.0243375
European Centre for Disease Prevention and Control. (2013). External quality assurance scheme for Neisseria meningitidis - 2012. Stockholm: ECDC. https://doi.org/10.2900/90285
Finne J., Leinonen M., and Mäkelä P. H. (1983). Antigenic similarities between brain components and bacteria causing meningitis: implications for vaccine development and pathogenesis. Lancet, 322(8346), 355-357. https://doi.org/10.1016/s0140-6736(83)90340-9
Hoan P. T., Vo D. T. T., Phan T. V., Ninh U. N. D., and Nguyen H. T. K. (2014). Serogroups and antibiotic resistant Neisseria meningitidis in newly-arrived recruits in military camps in Southern Vietnam, 2012-2014. Vietnam Journal of Preventive Medicine, 23, 58-62.
Holst J., Martin D., Arnold R., Huergo C. C., Oster P., O'Hallahan J., et al. (2009). Properties and clinical performance of vaccines containing outer membrane vesicles from Neisseria meningitidis. Vaccine, 27 (2), B3-12. https://doi.org/10.1016/j.vaccine.2009.04.071
Jelfs J., Munro R., Wedege E., and Caugant D. A. (2000). Sequence variation in the porA gene of a clone of Neisseria meningitidis during epidemic spread. Clinical and Vaccine Immunology, 7(3), 390-395. https://doi.org/10.1128/CDLI.7.3.390-395.2000
Lahra M. M., George C. R. R., van Hal S., and Hogan T. R. (2024). Australian meningococcal surveillance programme annual report, 2023. Communicable Diseases Intelligence (2018), 48. https://doi.org/10.33321/cdi.2024.48.52
Marshall H. S. (2021). Meningococcal surveillance in Southeast Asia and the Pacific. Microbiology Australia, 42(4), 178-181. https://doi.org/10.1071/MA21050.
McCarthy P. C., Sharyan A., and Sheikhi Moghaddam L. (2018). Meningococcal vaccines: Current status and emerging strategies. Vaccines (Basel), 6(1). https://doi.org/10.3390/vaccines6010012
McNeil L. K., Zagursky R. J., Lin S. L., Murphy E., Zlotnick G. W., Hoiseth S. K., et al. (2013). Role of factor H binding protein in Neisseria meningitidis virulence and its potential as a vaccine candidate to broadly protect against meningococcal disease. Microbiology and Molecular Biology Reviews, 77(2), 234-252. https://doi.org/10.1128/MMBR.00056-12
Nadel S., and Ninis N. (2018). Invasive meningococcal disease in the vaccine era. Frontiers Pediatrics, 6, 321. https://doi.org/10.3389/fped.2018.00321.
Parikh S. R., Campbell H., Bettinger J. A., Harrison L. H., Marshall H. S., Martinon-Torres F., et al. (2020). The everchanging epidemiology of meningococcal disease worldwide and the potential for prevention through vaccination. Journal of Infection, 81(4), 483-498. https://doi.org/10.1016/j.jinf.2020.05.079
Petousis-Harris, H. (2018). Impact of meningococcal group B OMV vaccines, beyond their brief. Human Vaccines & Immunotherapeutics, 14(5), 1058-1063. https://doi.org/10.1080/21645515.2017.1381810
Phan T., Ho N., Vo D., Pham H., Ho T., Nguyen H., et al. (2020). Characterization of Neisseria meningitidis in Vietnam from 1980s–2019. International Journal of Infectious Diseases, 101(S1), 147. http://doi.org/10.1016/j.ijid.2020.09.399
Phan T. V., Vo D. T. T., Nguyen H. T. K., Ho T. N. L., Pham Q. D., Luong Q. C., et al. (2024). Characterizing Neisseria meningitidis in Southern Vietnam between 2012 and 2021: A predominance of the chloramphenicol-resistant ST-1576 lineage. IJID Regions, 10, 52-59. https://doi.org/10.1016/j.ijregi.2023.11.013
Purmohamad A., Abasi E., AzimiT., Hosseini S., Safari H., Nasiri M. J., et al. (2019). Global estimate of Neisseria meningitidis serogroups proportion in invasive meningococcal disease: A systematic review and meta-analysis. Microbial Pathogenesis, 134, 103571. https://doi.org/10.1016/j.micpath.2019.103571
Razki A., Hong E., Zerouali K., Belabbes H., Aitmouss K., Terrade A., et al. (2018). Molecular characterization of invasive isolates of Neisseria meningitidis in Casablanca, Morocco. Journal of Clinical Microbiology, 56(7). https://doi.org/10.1128/JCM.00445-18
Read R. C. (2019). Neisseria meningitidis and meningococcal disease: recent discoveries and innovations. Current Opinion in Infectious Diseases, 32(6), 601-608. https://doi.org/10.1097/QCO.0000000000000606
Sereikaite E., Plepyte R., Petrutiene A., Stravinskiene D., Kucinskaite-Kodze I., Gegzna V., et al. (2023). Molecular characterization of invasive Neisseria meningitidis isolates collected in Lithuania (2009-2019) and estimation of serogroup B meningococcal vaccine 4CMenB and MenB-Fhbp coverage. Frontiers in Cellular and Infection Microbiology, 13, 1136211. https://doi.org/10.3389/fcimb.2023.1136211
Taha M. K. (2000). Simultaneous approach for nonculture PCR-based identification and serogroup prediction of Neisseria meningitidis. Journal of Clinical Microbiology, 38(2), 855-857. https://doi.org/10.1128/JCM.38.2.855-857.2000
Toneatto D., Pizza M., Masignani V., and Rappuoli R. (2017). Emerging experience with meningococcal serogroup B protein vaccines. Expert Review of Vaccines, 16(5), 433-451. https://doi.org/10.1080/14760584.2017.1308828
Van C. P., Nguyen T. T., Bui S. T., Nguyen T. V., Tran H. T. T., Pham D. T., et al. (2021). Invasive meningococcal disease remains a health threat in Vietnam people's army. Infection and Drug Resistance, 14, 5261-5269. https://doi.org/10.2147/IDR.S339110
Downloads
Published
How to Cite
Issue
Section
Funding data
-
Ministry of Science and Technology
Grant numbers NVQG-2019/ĐT.02.
