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ABSTRACT: Background
Since 2009, increases in the incidence of invasive meningococcal disease have occurred in the United Kingdom due to a sublineage of the Neisseria meningitidis serogroup W ST-11 clonal complex (hereafter, the "original UK strain"). In 2013, a descendent substrain (hereafter, the "2013 strain") became the dominant disease-causing variant. Multiple outer-membrane proteins of meningococci are subject to phase-variable switches in expression due to hypermutable simple-sequence repeats. We investigated whether alterations in phase-variable genes may have influenced the relative prevalence of the original UK and 2013 substrains, using multiple disease and carriage isolates.Methods
Repeat numbers were determined by either bioinformatics analysis of whole-genome sequencin
SUBMITTER: Green LR
PROVIDER: S-EPMC6735796 | biostudies-literature | 2019 Aug
REPOSITORIES: biostudies-literature