1998
DOI: 10.1086/517439
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Serogroup B, Electrophoretic Type 15Neisseria meningitidisin Canada

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Cited by 59 publications
(33 citation statements)
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“…The global spread of this ET-15 clone leading to outbreaks in multiple countries has been described (33). Although sporadic cases of ET-15 MenB have been observed in Canada (probably through capsule switching), such strains failed to establish sufficiently to cause any sustained disease in Canada (34). MenY ST-11 has not been observed in Canada (authors' unpublished observation).…”
Section: Discussionmentioning
confidence: 99%
“…The global spread of this ET-15 clone leading to outbreaks in multiple countries has been described (33). Although sporadic cases of ET-15 MenB have been observed in Canada (probably through capsule switching), such strains failed to establish sufficiently to cause any sustained disease in Canada (34). MenY ST-11 has not been observed in Canada (authors' unpublished observation).…”
Section: Discussionmentioning
confidence: 99%
“…Evidence of horizontal transfer of siaD genes encoding polysialyltransferases has been shown to result in capsular sero- group switching in vitro and in vivo (2,9,13,34). Capsular switching may occur naturally, and immunization with vaccines that target serogroup capsules could potentially favor the emergence of serogroup B ST-11 complex strains as reported in Canada and Spain, where serogroup B ST-11 complex strains have emerged since the introduction of serogroup C conjugate vaccines (1,24,33).…”
Section: Discussionmentioning
confidence: 99%
“…Capsule switching has already been reported in Canada and in Spain after mass vaccination campaigns (2,8,14) and in the Czech Republic during an epidemic situation (9). Since in Italy the incidence of invasive meningococcal disease is low and no mass vaccination has been introduced, the presence of capsuleswitched strains may be more easily attributable to a selection for competition between meningococcal genotypes in the nasopharynx than to vaccine-induced protective immunity.…”
mentioning
confidence: 99%
“…In Neisseria meningitidis, the horizontal transfer of siaD genes encoding polysialyltransferases has been shown to result in capsular serogroup switching in vitro and in vivo (2,4,8,15). Capsule switching may be an important virulence mechanism of meningococci and other encapsulated bacterial pathogens (7,15), with significant implications for the use of specific polysaccharide vaccines.…”
mentioning
confidence: 99%