@article{HeydarianSchweinlinSchwarzetal.2021, author = {Heydarian, Motaharehsadat and Schweinlin, Matthias and Schwarz, Thomas and Rawal, Ravisha and Walles, Heike and Metzger, Marco and Rudel, Thomas and Kozjak-Pavlovic, Vera}, title = {Triple co-culture and perfusion bioreactor for studying the interaction between Neisseria gonorrhoeae and neutrophils: A novel 3D tissue model for bacterial infection and immunity}, series = {Journal of Tissue Engineering}, volume = {12}, journal = {Journal of Tissue Engineering}, doi = {10.1177/2041731420988802}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-259032}, pages = {2041731420988802}, year = {2021}, abstract = {Gonorrhea, a sexually transmitted disease caused by the bacteria Neisseria gonorrhoeae, is characterized by a large number of neutrophils recruited to the site of infection. Therefore, proper modeling of the N. gonorrhoeae interaction with neutrophils is very important for investigating and understanding the mechanisms that gonococci use to evade the immune response. We have used a combination of a unique human 3D tissue model together with a dynamic culture system to study neutrophil transmigration to the site of N. gonorrhoeae infection. The triple co-culture model consisted of epithelial cells (T84 human colorectal carcinoma cells), human primary dermal fibroblasts, and human umbilical vein endothelial cells on a biological scaffold (SIS). After the infection of the tissue model with N. gonorrhoeae, we introduced primary human neutrophils to the endothelial side of the model using a perfusion-based bioreactor system. By this approach, we were able to demonstrate the activation and transmigration of neutrophils across the 3D tissue model and their recruitment to the site of infection. In summary, the triple co-culture model supplemented by neutrophils represents a promising tool for investigating N. gonorrhoeae and other bacterial infections and interactions with the innate immunity cells under conditions closely resembling the native tissue environment.}, language = {en} } @article{RemmeleXianAlbrechtetal.2014, author = {Remmele, Christian W. and Xian, Yibo and Albrecht, Marco and Faulstich, Michaela and Fraunholz, Martin and Heinrichs, Elisabeth and Dittrich, Marcus T. and M{\"u}ller, Tobias and Reinhardt, Richard and Rudel, Thomas}, title = {Transcriptional landscape and essential genes of Neisseria gonorrhoeae}, doi = {10.1093/nar/gku762}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-113676}, year = {2014}, abstract = {The WHO has recently classified Neisseria gonorrhoeae as a super-bacterium due to the rapid spread of antibiotic resistant derivatives and an overall dramatic increase in infection incidences. Genome sequencing has identified potential genes, however, little is known about the transcriptional organization and the presence of non-coding RNAs in gonococci. We performed RNA sequencing to define the transcriptome and the transcriptional start sites of all gonococcal genes and operons. Numerous new transcripts including 253 potentially non-coding RNAs transcribed from intergenic regions or antisense to coding genes were identified. Strikingly, strong antisense transcription was detected for the phase-variable opa genes coding for a family of adhesins and invasins in pathogenic Neisseria, that may have regulatory functions. Based on the defined transcriptional start sites, promoter motifs were identified. We further generated and sequenced a high density Tn5 transposon library to predict a core of 827 gonococcal essential genes, 133 of which have no known function. Our combined RNA-Seq and Tn-Seq approach establishes a detailed map of gonococcal genes and defines the first core set of essential gonococcal genes.}, language = {en} } @article{HeydarianRuehlRawaletal.2022, author = {Heydarian, Motaharehsadat and R{\"u}hl, Eva and Rawal, Ravisha and Kozjak-Pavlovic, Vera}, title = {Tissue models for Neisseria gonorrhoeae research — from 2D to 3D}, series = {Frontiers in Cellular and Infection Microbiology}, volume = {12}, journal = {Frontiers in Cellular and Infection Microbiology}, issn = {2235-2988}, doi = {10.3389/fcimb.2022.840122}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-263046}, year = {2022}, abstract = {Neisseria gonorrhoeae is a human-specific pathogen that causes gonorrhea, the second most common sexually transmitted infection worldwide. Disease progression, drug discovery, and basic host-pathogen interactions are studied using different approaches, which rely on models ranging from 2D cell culture to complex 3D tissues and animals. In this review, we discuss the models used in N. gonorrhoeae research. We address both in vivo (animal) and in vitro cell culture models, discussing the pros and cons of each and outlining the recent advancements in the field of three-dimensional tissue models. From simple 2D monoculture to complex advanced 3D tissue models, we provide an overview of the relevant methodology and its application. Finally, we discuss future directions in the exciting field of 3D tissue models and how they can be applied for studying the interaction of N. gonorrhoeae with host cells under conditions closely resembling those found at the native sites of infection.}, language = {en} } @phdthesis{Reimer2017, author = {Reimer, Anastasija}, title = {Search for novel antimicrobials against \(Neisseria\) \(gonorrhoeae\) and \(Chlamydia\) \(trachomatis\)}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-143168}, school = {Universit{\"a}t W{\"u}rzburg}, year = {2017}, abstract = {The obligate human pathogen Neisseria gonorrhoeae is responsible for the widespread sexually transmitted disease gonorrhoea, which in rare cases also leads to the development of disseminated gonococcal infection (DGI). DGI is mediated by PorBIA-expressing bacteria that invade host cells under low phosphate condition by interaction with the scavenger receptor-1 (SREC-I) expressed on the surface of endothelial cells. The interaction of PorBIA and SREC-I was analysed using different in vitro approaches, including surface plasmon resonance experiments that revealed a direct phosphate-independent high affinity interaction of SREC-I to PorBIA. However, the same binding affinity was also found for the other allele PorBIB, which indicates unspecific binding and suggests that the applied methods were unsuitable for this interaction analysis. Since N. gonorrhoeae was recently classified as a "super-bug" due to a rising number of antibiotic-resistant strains, this study aimed to discover inhibitors against the PorBIA-mediated invasion of N. gonorrhoeae. Additionally, inhibitors were searched against the human pathogen Chlamydia trachomatis, which causes sexually transmitted infections as well as infections of the upper inner eyelid. 68 compounds, including plant-derived small molecules, extracts or pure compounds of marine sponges or sponge-associated bacteria and pipecolic acid derivatives, were screened using an automated microscopy based approach. No active substances against N. gonorrhoeae could be identified, while seven highly antichlamydial compounds were detected. The pipecolic acid derivatives were synthesized as potential inhibitors of the virulence-associated "macrophage infectivity potentiator" (MIP), which exhibits a peptidyl prolyl cis-trans isomerase (PPIase) enzyme activity. This study investigated the role of C. trachomatis and N. gonorrhoeae MIP during infection. The two inhibitors PipN3 and PipN4 decreased the PPIase activity of recombinant chlamydial and neisserial MIP in a dose-dependent manner. Both compounds affected the chlamydial growth and development in epithelial cells. Furthermore, this work demonstrated the contribution of MIP to a prolonged survival of N. gonorrhoeae in the presence of neutrophils, which was significantly reduced in the presence of PipN3 and PipN4. SF2446A2 was one of the compounds that had a severe effect on the growth and development of C. trachomatis. The analysis of the mode of action of SF2446A2 revealed an inhibitory effect of the compound on the mitochondrial respiration and mitochondrial ATP production of the host cell. However, the chlamydial development was independent of proper functional mitochondria, which excluded the connection of the antichlamydial properties of SF2446A2 with its inhibition of the respiratory chain. Only the depletion of cellular ATP by blocking glycolysis and mitochondrial respiratory chain inhibited the chlamydial growth. A direct effect of SF2446A2 on C. trachomatis was assumed, since the growth of the bacteria N. gonorrhoeae and Staphylococcus aureus was also affected by the compound. In summary, this study identified the severe antichlamydial activity of plant-derived naphthoquinones and the compounds derived from marine sponges or sponge-associated bacteria SF2446A2, ageloline A and gelliusterol E. Furthermore, the work points out the importance of the MIP proteins during infection and presents pipecolic acid derivatives as novel antimicrobials against N. gonorrhoeae and C. trachomatis.}, subject = {Neisseria gonorrhoeae}, language = {en} } @phdthesis{Deutschmann2023, author = {Deutschmann, Sally}, title = {Prävalenz und Epidemiologie von Infektionen mit \(Neisseria\) \(gonorrhoeae\) und deren Resistenzlage gegen{\"u}ber Cephalosporinen der dritten Generation bei tansanischen Patientinnen und Patienten mit bestehender HIV-Infektion eines Referenzkrankenhauses im Nordwesten Tansanias}, doi = {10.25972/OPUS-31773}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-317735}, school = {Universit{\"a}t W{\"u}rzburg}, year = {2023}, abstract = {Die Prävalenz von Infektionen mit Neisseria gonorrhoeae (NG) bei HIV-positiven Patientinnen und Patienten einer auf HIV-Infektionen spezialisierten Klinik in Mwanza im Nordwesten Tansani- as erwies sich mit 0,4\% bei Männern und 3,9\% bei Frauen als relativ niedrig. In dieser aktuellen Studie gab es unter Verwendung molekularer Antibiotikaresistenz(AMR)-Tests keine Hinweise auf eine Resistenz gegen Cephalosporine der dritten Generation. Weitere Kontrollen und Entwicklungen von NG- und AMR-Tests m{\"u}ssen implementiert werden. Molekulare Diagnoseverfahren auf der Basis von Urinproben als diagnostisches Material zum Nachweis von NG weisen wesentliche Vorteile f{\"u}r das Screening auf. Die Durchf{\"u}hrung eines Urinstreifentests hatte keinen positiven Vorhersagewert bez{\"u}glich einer Infektion mit NG oder einer AMR. K{\"u}nftige Untersuchungen sind anzuregen, um einerseits eine exaktere Angabe der Prävalenzraten und Risikofaktoren von Infektionen mit NG sowie deren Resistenzlage zu ermöglichen und andererseits eine effizientere Versorgung bzw. Behandlung der Gonorrhoe gewährleisten zu können.}, subject = {HIV}, language = {de} } @phdthesis{Kuespert2007, author = {K{\"u}spert, Katharina}, title = {Interaktion pathogener Neisserien mit zellul{\"a}ren Rezeptoren: Molekulare Untersuchungen zu neisseriellen Adh{\"a}sinen und ihrer Wechselwirkung mit humanen CEACAMs}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-25946}, school = {Universit{\"a}t W{\"u}rzburg}, year = {2007}, abstract = {Neisseria meningitidis und Neisseria gonorrhoeae sind humanpathogene Vertreter der Gattung Neisseria. Diese Erreger verf{\"u}gen {\"u}ber eine Reihe von Virulenzfaktoren, um erfolgreich den menschlichen K{\"o}rper zu besiedeln. Dabei spielen die neisseriellen OpaCEA-Proteine eine wichtige Rolle. Diese Adh{\"a}sine binden an bestimmte Rezeptoren der humanen CEACAM-Familie, die auf unterschiedlichen Zelltypen im menschlichen K{\"o}rper exprimiert werden. Die Interaktion der OpaCEA-Proteine mit der stark konservierten aminoterminalen Dom{\"a}ne von bestimmten CEACAMs f{\"u}hrt zu einer Aufnahme der Bakterien in die Zellen. Dort k{\"o}nnen sie, vor der humoralen Immunantwort gesch{\"u}tzt, persistieren oder sich durch Transzytose in tiefer gelegene Gewebe weiter ausbreiten und letztendlich eine disseminierte Krankheit ausl{\"o}sen. Da CEACAMs eine entscheidende Rolle bei der Infektion mit pathogenen Neisserien spielen, wurde in der vorliegenden Arbeit die Interaktion dieser zellul{\"a}ren Rezeptoren mit pathogenen Neisserien und die daraus resultierenden molekularen Ereignisse auf bakterieller bzw. zellul{\"a}rer Seite n{\"a}her untersucht. Zun{\"a}chst wurde eine neuartige Methode entwickelt, die im Gegensatz zu herk{\"o}mmlichen Strategien eine schnelle und quantitative Erfassung von Neisserien-CEACAM-Interaktionen erm{\"o}glicht. Bei dieser Methode wurden GFP-fusionierte, l{\"o}sliche aminoterminale CEACAM-Dom{\"a}nen eingesetzt, die spezifisch an OpaCEA-exprimierende Bakterien binden. Einzelne Bakterien einer Population, die mit den fluoreszierenden Rezeptordom{\"a}nen assoziierten, konnten aufgrund ihrer erh{\"o}hten Fluoreszenz im Durchflußzytometer sehr schnell und quantitativ bestimmt werden. Diese Rezeptordom{\"a}nen wurden außerdem als molekulares Werkzeug zur Erstellung eines OpaCEA-induzierten Transkriptionsprofils von Opa-positiven Meningokokken verwendet. Transkriptomanalysen mittels Mikroarrays zeigten, dass die Interaktion OpaCEA-exprimierender Meningokokken mit der l{\"o}slichen, aminoterminalen Dom{\"a}ne von CEACAM1 eine Herrunterregulation von 56 Genen sowie eine Hochregulation von sieben Genen in Neisseria meningitidis MC58 zur Folge hatte. Dabei konnte ein hochreguliertes Gen identifiziert werden, dessen Genprodukt aufgrund seiner Homologie zu einem bakteriellen \&\#61537;-H{\"a}molysin m{\"o}glicherweise virulenz-assoziiert ist. Die Erstellung dieses Transkriptionsprofils beruhte auf der Interaktion zwischen der aminoterminalen Dom{\"a}ne von CEACAM1 und seinen bis heute einzig bekannten neisseriellen Liganden, den OpaCEA-Proteinen. Bemerkenswerterweise konnte im Rahmen der vorliegenden Arbeit ein Opa-negativer Meningokokkenstamm isoliert werden, der ebenfalls an CEACAM1 bindet und von CEACAM1-exprimierenden Zellen internalisiert wird. Da dieser Meningokokkenstamm keine Opa-Proteine exprimierte, muß er {\"u}ber ein weiteres Adh{\"a}sin verf{\"u}gen, das mit CEACAM1 assoziiert. Interessanterweise konnte gezeigt werden, dass f{\"u}r die CEACAM1-vermittelte Aufnahme dieser Opa-negativen Meningokokken mehrere extrazellul{\"a}re Dom{\"a}nen des Rezeptors notwendig sind. Im Gegensatz zur Aufnahme OpaCEA-exprimierender Bakterien war die aminoterminale Dom{\"a}ne essentiell, aber nicht ausreichend f{\"u}r diesen phagozytischen Vorgang, der unabh{\"a}ngig vom Aktinzytoskelett erfolgte. Auch bei Bindungsstudien mit l{\"o}slichen CEACAM1 Konstrukten gab es Differenzen zwischen den opaquen und nicht-opaquen Bakterienst{\"a}mmen. So zeigte sich, dass im Gegensatz zu OpaCEA-exprimierenden Meningokokken, die mit monomeren Formen des l{\"o}slichen Rezeptors assoziieren konnten, Opa-negativen Meningokokken nur mit multimerisierten Formen des Rezeptors interagierten. CEACAM1 stellt den einzigen Rezeptor aus der CEACAM-Familie dar, mit dem Opa-negative Meningokokken interagieren k{\"o}nnen. Demgegen{\"u}ber assoziieren OpaCEA-exprimierende Neisserien mit mehreren Mitgliedern der CEACAM-Familie, unter anderem mit CEACAM3. In der vorliegenden Arbeit konnte gezeigt werden, dass die c-Jun N-terminale Kinase an Signaltransduktionswegen, die durch Interaktion von OpaCEA-exprimierenden Neisserien mit CEACAM3 ausgel{\"o}st wurden, beteiligt ist. Erstaunlicherweise konnte durch Inhibition der c-Jun N-terminalen Kinase CEACAM3-vermittelte Aufnahme der opaquen Bakterien in die Zelle reduziert werden. Da die Aktivierung der c-Jun N-terminalen Kinase unabh{\"a}ngig von der Phosphorylierung der ITAM-{\"a}hnlichen Sequenz erfolgte, scheint dieses Molek{\"u}l an einem neuartigen Signalweg beteiligt zu sein, der komplement{\"a}r zu bereits bekannten CEACAM3-vermittelten Signalprozessen abl{\"a}uft. Die in der vorliegenden Arbeit zusammengefassten Befunde liefern neue Einblicke in die Wechselwirkung zwischen pathogenen Neisserien und ihren Wirtszellen und k{\"o}nnen als Ausgangspunkt f{\"u}r interessante weiterf{\"u}hrende Analysen dienen.}, subject = {Neisseria gonorrhoeae}, language = {de} } @phdthesis{Xian2014, author = {Xian, Yibo}, title = {Identification of essential genes and novel virulence factors of Neisseria gonorrhoeae by transposon mutagenesis}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-102659}, school = {Universit{\"a}t W{\"u}rzburg}, year = {2014}, abstract = {Neisseria gonorrhoeae is a human-specific pathogen that causes gonorrhea. It is defined as a super bacterium by the WHO due to the emergence of gonococci that are resistant to a variety of antibiotics and a rapidly increasing infection incidence. Genome-wide investigation of neisserial gene essentiality and novel virulence factors is urgently required in order to identify new targets for anti-neisserial therapeutics. To identify essential genes and new virulence factors, a high-density mutant library in N. gonorrhoeae MS11 was generated by in vitro transposon mutagenesis. The transposon library harbors more than 100,000 individual mutants, a density that is unprecedented in gonococcal research. Essential genes in N. gonorrhoeae were determined by enumerating frequencies of transposon insertion sites (TIS) with Illumina deep sequencing (Tn-seq). Tn-seq indicated an average distance between adjacent TIS of 25 bp. Statistical analysis unequivocally demonstrated 781 genes that were significantly depleted in TIS and thus are essential for Neisseria survival. A subset of the genes was experimentally verified to comprise essential genes and thus support the outcome of the study. The hereby identified candidate essential genes thus may constitute excellent targets for the development of new antibiotics or vaccines. In a second study, the transposon mutant library was applied in a genome-scale "negative-selection strategy" to identify genes that are involved in low phosphate-dependent invasion (LPDI). LPDI is dependent on the Neisseria porin subtype PorBIA which acts as an epithelial cell invasin in absence of phosphate and is associated with severe pathogenicity in disseminated gonococcal infections (DGI). Tn-seq demonstrated 98 genes, which were involved in adherence to host cells and 43 genes involved in host cell invasion. E.g. the hypothetical protein NGFG_00506, an ABC transporter ATP-binding protein NGFG_01643, as well as NGFG_04218 encoding a homolog of mafI in N. gonorrhoeae FA1090 were experimentally verified as new invasive factors in LPDI. NGFG_01605, a predicted protease, was identified to be a common factor involved in PorBIA, Opa50 and Opa57-mediated neisserial engulfment by the epithelial cells. Thus, this first systematic Tn-seq application in N. gonorrhoeae identified a set of previously unknown N. gonorrhoeae invasive factors which demonstrate molecular mechanisms of DGI.}, subject = {Neisseria gonorrhoeae}, language = {en} } @phdthesis{Zachary2021, author = {Zachary, Marie}, title = {Functional characterization of small non-coding RNAs of \(Neisseria\) \(gonorrhoeae\)}, doi = {10.25972/OPUS-24582}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-245826}, school = {Universit{\"a}t W{\"u}rzburg}, year = {2021}, abstract = {During infection, bacteria need to adapt to a changing environment and have to endure various stress conditions. Small non-coding RNAs are considered as important regulators of bacterial gene expression and so allow quick adaptations by altering expression of specific target genes. Regulation of gene expression in the human-restricted pathogen Neisseria gonorrhoeae, the causative agent of the sexually transmitted disease gonorrhoea, is only poorly understood. The present study aims a better understanding of gene regulation in N. gonorrhoeae by studying small non-coding RNAs. The discovery of antisense RNAs for all opa genes led to the hypothesis of asRNA-mediated degradation of out-of-frame opa transcripts. Analysis of asRNA expression revealed a very low abundance of the transcripts and inclusion of another phase-variable gene in the study indicates that the asRNAs are not involved in degradation of out-of-frame transcripts. This doctoral thesis focuses on the analysis of trans-acting sRNAs. The sibling sRNAs NgncR_162 and NgncR_163 were discovered as post-transcriptional regulators altering expression of genes involved in metabolic processes, amino acid uptake and transcriptional regulation. A more detailed analysis by in silico and transcriptomic approaches showed that the sRNAs regulate a broad variety of genes coding for proteins of central metabolism, amino acid biosynthesis and degradation and several transport processes. Expression levels of the sibling sRNAs depend on the growth phase of the bacteria and on the growth medium. This indicates that NgncR_162 and NgncR_163 are involved in the adaptation of the gonococcal metabolism to specific growth conditions. This work further initiates characterisation of the sRNA NgncR_237. An in silico analysis showed details on sequence conservation and a possible secondary structure. A combination of in silico target prediction and differential RNA sequencing resulted in the identification of several target genes involved in type IV pilus biogenesis and DNA recombination. However, it was not successful to find induction conditions for sRNA expression. Interestingly, a possible sibling sRNA could be identified that shares the target interaction sequence with NgncR_237 and could therefore target the same mRNAs. In conclusion, this thesis provides further insights in gene regulation by non-coding RNAs in N. gonorrhoeae by analysing two pairs of sibling sRNAs modulating bacterial metabolism or possibly type IV pilus biogenesis.}, subject = {Neisseria gonorrhoeae}, language = {en} } @phdthesis{Schielke2010, author = {Schielke, Stephanie}, title = {Functional and molecular characterization of FarR - a transcriptional regulator of the MarR family in Neisseria meningitidis}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-48550}, school = {Universit{\"a}t W{\"u}rzburg}, year = {2010}, abstract = {Neisseria meningitidis is a facultatively pathogenic human commensal and strictly adapted to its niche within the human host, the nasopharynx. Not much is known about the regulatory processes required for adaptation to this environment. Therefore the role of the transcriptional regulator NMB1843, one of the two predicted regulators of the MarR family in the meningococcal genome, was investigated. As this gene displayed a high sequence homology to FarR, the Fatty acid resistance Regulator in N. gonorrhoeae, we designated the meningococcal protein FarR (NmFarR). Homology modeling of this protein revealed a dimeric structure with the characteristic winged helix-turn-helix DNA binding motif of the MarR family. NmFarR is highly conserved among meningococcal strains and expression of farR during exponential growth is controlled post-transcriptionally, being highest in the late exponential phase. By means of electrophoretic mobility shift assays (EMSAs) the direct and specific binding of FarR to the farAB promoter region was shown, comparable to its homologue in gonococci. As FarR is involved in fatty acid resistance in N. gonorrhoeae, susceptibility assays with the medium chain lauric acid (C12:0), the long chain saturated palmitic acid (C16:0) and the long chain unsaturated linoleic acid (C18:2) were performed, testing a wide variety of strains of both species. In contrast to the unusually susceptible gonococci, a high intrinsic fatty acid resistance was detected in almost all meningococcal isolates. The molecular basis for this intrinsic resistance in N. meningitidis was elucidated, showing that both a functional FarAB efflux pump system as well as an intact lipopolysaccharide (LPS) are responsible for palmitic acid resistance. However, even despite circumvention of the intrinsic resistance, FarR could not be connected with fatty acid resistance in meningococci. Instead, FarR was shown to directly and specifically repress expression of the Neisseria adhesin A (nadA), a promising vaccine candidate absent in N. gonorrhoeae. Microarray analyses verified these results and disclosed no further similarly regulated genes, rendering the FarR regulon the smallest regulon in meningococci reported until now. The exact FarR binding site within the nadA promoter region was identified as a 16 bp palindromic repeat and its influence on nadA transcription was proved by reporter gene fusion assays. This repression was also shown to be relevant for infection as farR deficient mutant strains displayed an increased attachment to epithelial cells. Furthermore, farR transcription was attested to be repressed upon contact with active complement components within human serum. Concluding, it is shown that FarR adopted a role in meningococcal host niche adaptation, holding the balance between immune evasion by repressing the highly antigenic nadA and host cell attachment via this same adhesin.}, subject = {Transkription }, language = {en} } @article{TahaClausLappannetal.2016, author = {Taha, Muhamed-Kheir and Claus, Heike and Lappann, Martin and Veyrier, Fr{\´e}d{\´e}ric J. and Otto, Andreas and Becher, D{\"o}rte and Deghmane, Ala-Eddine and Frosch, Matthias and Hellenbrand, Wiebke and Hong, Eva and du Ch{\^a}telet, Isabelle Parent and Prior, Karola and Harmsen, Dag and Vogel, Ulrich}, title = {Evolutionary Events Associated with an Outbreak of Meningococcal Disease in Men Who Have Sex with Men}, series = {PLoS ONE}, volume = {11}, journal = {PLoS ONE}, number = {5}, doi = {10.1371/journal.pone.0154047}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-179870}, year = {2016}, abstract = {Meningococci spread via respiratory droplets, whereas the closely related gonococci are transmitted sexually. Several outbreaks of invasive meningococcal disease have been reported in Europe and the United States among men who have sex with men (MSM). We recently identified an outbreak of serogroup C meningococcal disease among MSM in Germany and France. In this study, genomic and proteomic techniques were used to analyze the outbreak isolates. In addition, genetically identical urethritis isolates were recovered from France and Germany and included in the analysis. Genome sequencing revealed that the isolates from the outbreak among MSM and from urethritis cases belonged to a clade within clonal complex 11. Proteome analysis showed they expressed nitrite reductase, enabling anaerobic growth as previously described for gonococci. Invasive isolates from MSM, but not urethritis isolates, further expressed functional human factor H binding protein associated with enhanced survival in a newly developed transgenic mouse model expressing human factor H, a complement regulatory protein. In conclusion, our data suggest that urethritis and outbreak isolates followed a joint adaptation route including adaption to the urogenital tract.}, language = {en} }