Abstract
邵祝军,任红宇,徐丽,刁保卫,李伟,阚飙,李马超,高源,崔志刚,徐建国,梁晓峰,李艺星,刘丹青,杨梦,张铁钢,李漫时.中国C群脑膜炎奈瑟菌脉冲场凝胶电泳分析[J].Chinese journal of Epidemiology,2007,28(8):756-760
中国C群脑膜炎奈瑟菌脉冲场凝胶电泳分析
Molecular typing of Neisseria meningitidis serogroup C strains with pulsed field gel electrophoresis in China
Received:April 10, 2007  Revised:August 10, 2007
DOI:
KeyWord: 脑膜炎奈瑟菌  C群菌株  脉冲场凝胶电泳  分子分型
English Key Word: Neisseria meningitidis  Serogroup C  Pulsed field gel electrophoresis  Molecular typing
FundProject:国家"十五"科技攻关计划资助项目(2005BA711A09)
Author NameAffiliationE-mail
SHAO Zhu-jun National Institute of Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China  
REN Hong-yu National Institute of Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China  
XU Li National Institute of Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China  
DIAO Bao-wei National Institute of Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China  
LI Wei National Institute of Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China  
KAN Biao National Institute of Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China  
LI Ma-chao National Institute of Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China  
GAO Yuan National Institute of Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China  
CUI Zhi-gang National Institute of Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China  
LIANG Xiao-feng National Institute of Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China xujg@public.bta.net.cn 
LI Yi-xing 中国疾病预防控制中心免疫规划中心  
LIU Dan-qing 中国疾病预防控制中心免疫规划中心  
YANG Meng 安徽省疾病预防控制中心  
ZHANG Tie-gang 江西省疾病预防控制中心  
LI Man-shi 北京市疾病预防控制中心  
XU Jian-guo 山东省疾病预防控制中心  
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Abstract:
      目的对中国C群脑膜炎奈瑟菌分离株进行脉冲场凝胶电泳(PFGE)分析,了解安徽省C群流行性脑脊髓膜炎(流脑)暴发菌株及国内C群脑膜炎奈瑟菌菌株的分子流行病学特征.方法 212株C群脑膜炎奈瑟菌菌株分离自流脑患者、密切接触者和健康人群鼻咽部,包括安徽省C群流脑菌株48株,其中38株与C群流脑暴发相关.脉冲场凝胶电泳选用NheⅠ限制性内切酶,聚类分析选用BioNumerics软件.结果 212株C群脑膜炎奈瑟菌菌株共分为43个PFGE带型,命名为AH1~AH43,AH1是中国C群脑膜炎奈瑟菌主要的带型,占69.3%(n=147),分布于11个省市.安徽省48株C群菌株共分为3个PFGE型别(AH1、AH2、AH3),45株(93.8%)为AH1型.安徽省38株与C群流脑暴发相关的菌株中,37株(97.4%)为AH1型.全国53株流脑患者分离菌株中,AH1型菌株占67.9%(36/53);121株流脑病例密切接触者分离菌株中,AH1型占71.9%(87/121),38株健康人群鼻咽部分离菌株中,AH1型占63.2%(24/38).结论 AH1型C群脑膜炎奈瑟菌是中国目前C群流脑流行的主要克隆群,安徽省C群流脑暴发是由AH1型C群脑膜炎奈瑟菌引起的,已在全国呈扩散流行的趋势.
English Abstract:
      Objective To study the characteristics of epidemiology and molecular typing on Neisseria meningitidis serogroup C strains associated with outbreaks of Anhui province and sporadic cases in China,using pulsed field gel electrophoresis(PFGE).Methods 212 Neisseria meningitidis serogroup C strains were isolated from invasive meningococcal cases,close contacts and healthy carriers,including 48 strains from Anhui province with 38 strains associated with serogroup C outbreaks.PFGE were performed by genomic DNA digestion with NheⅠrestriction enzyme.The results of PFGE were analyzed by BioNumerics software(Version 4.0,Applied Maths BVBA,Belgium).Results A total number of 212 Neisseria meningitidis serogroup C isolates were typed by 43 patterns,named AH1 to AH43.In China, AH1 pattern was the major PFGE pattern with 69.3%(n=147)of all strains,distributed in 11 provinces.Three types of PFGE patterns(AH1 to AH3)were found in 48 strains from Anhui province,in which,93.8%(n=45)belonged to AH1.97.4%(n=37)of 38 strains associated with serogroup C outbreaks in Anhui province showed AH1 pattern.A total of 53 serogroup C strains were isolated from invasive meningococcal cases with 67.9%(36/53)of AH pattern.71.9%(87/121)of serogroup C strains isolated from contacts of invasive meningococcal cases was AH1 pattern and 63.2%(24/38)of the strains from healthy carriers showed AH1 pattern.Conclusion By PFGE typing and analysis,AH1 pattern of Neisseria meningitidis serogroup C strains was proved to be the main clone which causing the outbreaks in Anhui province and might be responsible for the sporadic serogroup C meningococcal disease epidemics else where in the country.
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