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Neisseria meningitidis

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Neisseria meningitidis, often called the meningococcus, is a Gram-negative bacterium.

Neisseria meningitidis Charles-Orszag 2018
Neisseria meningitidis Charles-Orszag 2018

This classification means it possesses both an inner and an outer membrane. The term "diplococcus" describes its physical shape as round cells that grow in pairs.

Neisseria meningitidis CSF Gram 1000
Neisseria meningitidis CSF Gram 1000

This pathogen is exclusively human, meaning it cannot survive in other animals. It lives in the nasopharynx, which is the part of the throat behind the nose. While 8% to 25% of adults carry these bacteria without getting sick, they can cause life-threatening diseases. These include meningitis, an infection of the membranes covering the brain, and septicaemia, a severe blood infection.

To cause disease, the bacteria must successfully invade a host. They use long, thin extensions called pili to attach to the epithelial cells in the throat.

Neisseria meningitidis Charles-Orszag 2018
Neisseria meningitidis Charles-Orszag 2018

Specialized surface proteins, known as Opa and Opc, also help the bacteria stick to host receptors. Once they enter the bloodstream, they must survive a very hostile environment. They use proteins like FetA and Hmbr to steal iron from human transferrin and lactoferrin. To avoid being killed by the immune system, they produce enzymes like catalase and superoxide dismutase. They also use a protein called fHbp to inhibit the complement pathway, which is a part of the body's natural defense system.

Scientists classify these bacteria into different subtypes based on their polysaccharide capsule. This capsule is a sugary coating that protects the bacteria from being eaten by immune cells.

Neisseria meningitidis Colonies growth on New York City Medium Agar
Neisseria meningitidis Colonies growth on New York City Medium Agar

There are 13 identified capsular types, but six main serogroups cause most global disease. These are known as A, B, C, W135, X, and Y. The distribution of these types changes depending on where you are in the world. For example, serogroup A is most prevalent in parts of Africa and Asia. In the United States, serogroup B is the most common cause of illness and death.

One of the most fascinating aspects of this bacterium is its ability to change its DNA. This process is called genetic transformation.

Neisseria meningitidis Colonies growth on New York City Medium Agar
Neisseria meningitidis Colonies growth on New York City Medium Agar

The bacteria can take up DNA from neighboring cells and integrate it into their own genome. They use specific sequences called DNA uptake sequences, or DUSs, to help identify this DNA. This allows them to repair damaged DNA caused by the body's oxidative stress. It also allows them to acquire new traits, such as a new capsule, to hide from the immune system. This high rate of genetic exchange makes it very difficult to create a single vaccine for all types.

Researchers have mapped the genomes of several strains to understand them better. The genome of the MC58 strain, which belongs to serogroup B, contains 2,272,351 base pairs.

Neisseria meningitidis Charles-Orszag 2018
Neisseria meningitidis Charles-Orszag 2018

This genome includes 2,158 open reading frames, which are the sections of DNA that provide instructions for proteins. Another strain, H44/76, has a genome size of 2.18 Mb. Both strains show a GC content of 51.5%, which refers to the percentage of nitrogenous bases in their DNA. These genetic studies help scientists track how the bacteria evolve and spread.

In 2013, a significant event occurred in Nigeria involving a hypervirulent strain. A common, non-pathogenic strain of serogroup C acquired new genetic material through gene transfer. It picked up an 8-kb prophage called the meningococcal disease-associated island, or MDAæ. It also acquired a full serogroup C capsule operon. This combination made the strain much more dangerous to humans. This event serves as a real-world example of how bacteria can rapidly become more harmful by swapping DNA.

Identifying the infection is a medical emergency because the disease moves very quickly. Symptoms often start with general issues like fever, headache, and fatigue.

Neisseria meningitidis CSF Gram 1000
Neisseria meningitidis CSF Gram 1000

However, it can rapidly progress to neck stiffness, coma, or death. Septicaemia can cause a specific type of rash called petechiae or purpura. A key sign of this rash is that it is "non-blanching," meaning it does not lose color when pressed with a glass slide. Doctors often perform a Gram stain on cerebrospinal fluid to look for the presence of Gram-negative diplococci. The gold standard for diagnosis is isolating the bacteria by growing it on a culture medium like chocolate agar.

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File:Neisseria meningitidis CSF Gram 1000.jpg
Neisseria meningitidis CSF Gram 1000.jpg
File:Neisseria meningitidis Colonies growth on New York City Medium Agar.jpg
Neisseria meningitidis Colonies growth on...
File:Neisseria meningitidis Charles-Orszag 2018.png
Neisseria meningitidis Charles-Orszag 2018.png
File:Issoria lathonia.jpg
Issoria lathonia.jpg
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