Evidence map›Paper›PMID 28532434›Full record

ArticleBMC genomics2017

Hierarchical genomic analysis of carried and invasive serogroup A Neisseria meningitidis during the 2011 epidemic in Chad.

Kanny Diallo, Kadija Gamougam, Doumagoum M Daugla, Odile B Harrison, James E Bray, Dominique A Caugant, Jay Lucidarme, Caroline L Trotter, Musa Hassan-King, James M Stuart and 3 more

Abstract read
In one paragraph

Article in BMC genomics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Kanny DialloCentre pour les Vaccins en Développement, Bamako, Mali. kanny.diallo@zoo.ox.ac.uk.ORCID 0000-0002-0905-3980
Kadija GamougamCentre de Support en Santé International, N'Djamena, Chad.
Doumagoum M DauglaCentre de Support en Santé International, N'Djamena, Chad.
Odile B HarrisonDepartment of Zoology, University of Oxford, Peter Medawar Building for Pathogen Research, South Parks Road, OX1 3SY, Oxford, UK.
James E BrayDepartment of Zoology, University of Oxford, Peter Medawar Building for Pathogen Research, South Parks Road, OX1 3SY, Oxford, UK.
Dominique A CaugantNorwegian Institute of Public Health, Oslo, Norway.
Jay LucidarmeVaccine Evaluation Unit, Public Health England, Manchester, UK.
Caroline L TrotterDepartment of Veterinary Medicine, University of Cambridge, Cambridge, UK.
Musa Hassan-KingLondon School of Hygiene & Tropical Medicine, London, UK.
James M StuartLondon School of Hygiene & Tropical Medicine, London, UK.
Olivier ManigartLondon School of Hygiene & Tropical Medicine, London, UK.
Brian M GreenwoodLondon School of Hygiene & Tropical Medicine, London, UK.
Martin C J MaidenDepartment of Zoology, University of Oxford, Peter Medawar Building for Pathogen Research, South Parks Road, OX1 3SY, Oxford, UK.

Funding

Wellcome TrustWellcome Trust 086546/Z/08/ZWellcome Trust 087622/Z/08/ZWellcome Trust 103957/Z/14/Z
6 · The paper itself

Abstract

backgroundSerogroup A Neisseria meningitidis (NmA) was the cause of the 2011 meningitis epidemics in Chad. This bacterium, often carried asymptomatically, is considered to be an "accidental pathogen"; however, the transition from carriage to disease phenotype remains poorly understood. This study examined the role genetic diversity might play in this transition by comparing genomes from geographically and temporally matched invasive and carried NmA isolates.

resultsAll 23 NmA isolates belonged to the ST-5 clonal complex (cc5). Ribosomal MLST comparison with other publically available NmA:cc5 showed that isolates were closely related, although those from Chad formed two distinct branches and did not cluster with other NmA, based on their MLST profile, geographical and temporal location. Whole genome MLST (wgMLST) comparison identified 242 variable genes among all Chadian isolates and clustered them into three distinct phylogenetic groups (Clusters 1, 2, and 3): no systematic clustering by disease or carriage source was observed. There was a significant difference (p = 0.0070) between the mean age of the individuals from which isolates from Cluster 1 and Cluster 2 were obtained, irrespective of whether the person was a case or a carrier.

conclusionsWhole genome sequencing provided high-resolution characterization of the genetic diversity of these closely related NmA isolates. The invasive meningococcal isolates obtained during the epidemic were not homogeneous; rather, a variety of closely related but distinct clones were circulating in the human population with some clones preferentially colonizing specific age groups, reflecting a potential age-related niche adaptation. Systematic genetic differences were not identified between carriage and disease isolates consistent with invasive meningococcal disease being a multi-factorial event resulting from changes in host-pathogen interactions along with the bacterium.

Indexed as

EpidemicsGenomicsSerogroupAdolescentAdultAsymptomatic DiseasesChadChildChild, PreschoolCluster AnalysisFemaleHumansInfantMaleMeningitis, MeningococcalNeisseria meningitidisAfrican meningitis beltMeningitis epidemicPharyngeal carriageSerogroup A Neisseria meningitidisWhole genome sequencing

Identifiers

PMID28532434
PMCPMC5441073

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.