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evaluation of sexual history-based screening of anatomic sites for chlamydia trachomatis and neisseria gonorrhoeae infection in men having sex with men in routine practice.abstract: background: sexually transmitted disease (std) screening programmes are implemented in many countries to decrease burden of std and to improve sexual health. screening for chlamydia trachomatis and neisseria gonorrhoeae has a prominent role in these protocols. most of the screening programmes concerning men having sex with men (msm) are based on opportunistic urethral testing. in the netherlands, a history-based approach is used. the aim of this study is to evaluate the protocol of scr ...201121791061
effect of mesoporous silica under neisseria meningitidis transformation process: environmental effects under meningococci transformation.abstract: background: this study aimed the use of mesoporous silica under the naturally transformable neisseria meningitidis, an important pathogen implicated in the genetic horizontal transfer of dna causing a escape of the principal vaccination measures worldwide by the capsular switching process. this study verified the effects of mesoporous silica under n. meningitidis transformation specifically under the capsular replacement. methods: we used three different mesoporous silica particles to ...201121787408
comment on "a sulfonium cation intermediate in the mechanism of methionine sulfoxide reductase b: a dft study"recently, gauld and coworkers convincingly showed that the mechanism of methionine sulfoxide reductase b (msrb) passes through a sulfonium cation similarly to that shown for msra. in their dft study, three chemical models of the msrb were considered in order to provide insights into the role of various residues in the chemistry and substrate specificity. for most of them, their role had already been demonstrated by site-directed mutagenesis associated with kinetic studies. the small model presen ...201121786749
next-generation outer membrane vesicle vaccines against neisseria meningitidis based on nontoxic lps mutants.outer membrane vesicles (omvs) have been used extensively as experimental vaccines against neisseria meningitidis. classical meningococcal omv vaccines contain wildtype lipopolysaccharide (lps) with a hexa-acylated lipid a moiety, which is a very potent activator of the tlr4 receptor. while this may make the lps an effective "internal" adjuvant, it also contributes to vaccine reactogenicity. reduction of endotoxic activity has therefore been essential for the application of meningococcal omv vac ...201121785281
quorum sensing contributes to natural transformation of vibrio cholerae in a species-specific manner.although it is a human pathogen, vibrio cholerae is a regular member of aquatic habitats, such as coastal regions and estuaries. within these environments, v. cholerae often takes advantage of the abundance of zooplankton and their chitinous molts as a nutritious surface on which the bacteria can form biofilms. chitin also induces the developmental program of natural competence for transformation in several species of the genus vibrio. in this study, we show that v. cholerae does not distinguish ...201121784943
the soluble, periplasmic domain of ompa folds as an independent unit and displays chaperone activity by reducing the self-association propensity of the unfolded ompa transmembrane ß-barrel.ompa is one of only a few transmembrane proteins whose folding and stability have been investigated in detail. however, only half of the ompa mass encodes its transmembrane ß-barrel; the remaining sequence is a soluble domain that is localized to the periplasmic side of the outer membrane. to understand how the ompa periplasmic domain contributes to the stability and folding of the full-length ompa protein, we cloned, expressed, purified and studied the ompa periplasmic domain independently of t ...201121782315
bacterial carbonic anhydrases as drug targets: toward novel antibiotics?carbonic anhydrases (cas, ec 4.2.1.1) are metalloenzymes which catalyze the hydration of carbon dioxide to bicarbonate and protons. many pathogenic bacteria encode such enzymes belonging to the a-, ß-, and/or ?-ca families. in the last decade, the a-cas from neisseria spp. and helicobacter pylori as well as the ß-class enzymes from escherichia coli, h. pylori,mycobacterium tuberculosis, brucella spp., streptococcus pneumoniae, salmonella enterica, and haemophilus influenzae have been cloned and ...201121779249
endometrial leukocyte subpopulations associated with chlamydia trachomatis, neisseria gonorrhoeae, and trichomonas vaginalis genital tract infection.objective: the objective of the study was to characterize endometrial inflammation associated with common genital tract pathogens. study design: the design of the study was the immunohistochemical characterization of the endometrial leukocyte subpopulations from 37 controls and 45 women infected with chlamydia trachomatis, neisseria gonorrhoeae, or trichomonas vaginalis. results: compared with uninfected women, endocervical infection with c trachomatis, n gonorrhoeae, or t vaginalis was associat ...201121777898
glutamate utilization promotes meningococcal survival in vivo through avoidance of the neutrophil oxidative burst.polymorphonuclear neutrophil leucocytes (pmns) are a critical part of innate immune defence against bacterial pathogens, and only a limited subset of microbes can escape killing by these phagocytic cells. here we show that neisseria meningitidis, a leading cause of septicaemia and meningitis, can avoid killing by pmns and this is dependent on the ability of the bacterium to acquire l-glutamate through its gltt uptake system. we demonstrate that the uptake of available l-glutamate promotes n. men ...201121777301
waterhouse-friderichsen syndrome in an adult patient with meningococcal meningitis.waterhouse-friderichsen syndrome is one of the fatal complications of meningococcal infection. here we report a fatal case of this syndrome due to neisseria meningitidis in a 29-year-old male patient who was admitted with high-grade fever and chills and vomiting since 7 days, a skin rash over the abdomen and trunk, and altered sensorium since 2 days. on examination, the signs of meningitis were present along with the hemorrhagic rash. the diagnosis of adrenal hemorrhage was confirmed by computer ...201121772601
importance of antibodies to lipopolysaccharide in natural and vaccine-induced serum bactericidal activity against neisseria meningitidis group b.analysis of the specificity of bactericidal antibodies in normal, convalescent and post-vaccination human sera is important in understanding human immunity to meningococcal infections and can aid in the design of an effective group b vaccine. a collection of human sera including group c and group b convalescent sera, normal sera with naturally occurring cross reactive bactericidal activity, and some post vaccination sera were analyzed to determine the specificity of cross reactive bactericidal a ...201121768280
real-time pcr for detection of streptococcus suis serotype 2 in cerebrospinal fluid of human patients with meningitis.streptococcus suis serotype 2 is an emerging zoonotic pathogen and is the main cause of acute bacterial meningitis in adult patients in vietnam. we developed an internally controlled real-time pcr for detection of s. suis serotype 2 in cerebrospinal fluid (csf) samples targeted at the cps2j gene. sensitivity and specificity in culture-confirmed clinical samples were 100%. the pcr detected s. suis serotype 2 infection in 101 of 238 (42.4%) prospectively collected csf samples, of which 55 (23%) we ...201121767702
a two-site analytical evaluation of the bd viper system with xtr technology in nonextracted mode and extracted mode with seeded simulated specimens.the bd probetec ct q(x) amplified dna assay and the bd probetec gc q(x) amplified dna assay (both bd diagnostics, sparks, md) represent two new assays developed for use with the bd viper system with xtr technology (bd diagnostics). these assays were built on the foundation of the former bd probetec et assays (bd diagnostics) and its accompanying instrumentation. the study described below compared the new assay format, extracted mode, to the former assay format, nonextracted mode, with the primar ...201121764022
prevalence of trichomonas vaginalis infection in symptomatic adolescent females presenting to a pediatric emergency department.academic emergency medicine 2011; 18:763-766 © 2011 by the society for academic emergency medicine abstract: objectives: adolescent females are disproportionately affected by sexually transmitted infections (stis). although trichomonas vaginalis (tv) has been declared the most common nonviral sti, tv testing is not routinely conducted in the emergency department (ed), and when it is performed, insensitive testing methods are often used. therefore, this study sought to determine the prevalence o ...201121762238
[the beginning of the end for the african meningitis belt?]. 201121755648
rational design of a meningococcal antigen inducing broad protective immunity.the sequence variability of protective antigens is a major challenge to the development of vaccines. for neisseria meningitidis, the bacterial pathogen that causes meningitis, the amino acid sequence of the protective antigen factor h binding protein (fhbp) has more than 300 variations. these sequence differences can be classified into three distinct groups of antigenic variants that do not induce cross-protective immunity. our goal was to generate a single antigen that would induce immunity aga ...201121753121
vaccine design reaches the atomic level.the genetic diversity of pathogens presents a challenge to the development of broadly effective vaccines. in this issue, scarselli et al. combine atomic-level structural information with genomics and classical vaccinology to design a single immunogen that elicits protective immunity against more than 300 natural variants of the bacterial pathogen meningococcus b. this accomplishment provides a glimpse of the power of structure-based vaccine design to create immunogens capable of eliciting protec ...201121753119
meningococcal group c and w135 immunological hyporesponsiveness in african toddlers.a phase ii clinical study was conducted in african toddlers (aged 12-23 months) with subjects receiving either, investigational meningococcal group a conjugate (psa-tt), meningococcal acwy polysaccharide (psacwy) or hib-tt vaccine. ten months following vaccination, the 3 study groups were further randomized to receive either a dose of psa-tt, 1/5(th) psacwy or hib-tt vaccine. group a sba results have been reported previously with the psa-tt demonstrating superior immunogenicity vs. psacwy vaccin ...201121752951
antimicrobial susceptibility/resistance and molecular epidemiological characteristics of neisseria gonorrhoeae in 2009 in belarus.glazkova s, golparian d, titov l, pankratova n, suhabokava n, shimanskaya i, domeika m, unemo m. antimicrobial susceptibility/resistance and molecular epidemiological characteristics of neisseria gonorrhoeae in 2009 in belarus. apmis 2011; 119: 537-42. increased antimicrobial resistance (amr) in neisseria gonorrhoeae is a global concern, and ultimately gonorrhoea may become untreatable. nonetheless, amr data from east-europe are scarce beyond russia, and no amr data or other characteristics of g ...201121749454
nafa negatively controls neisseria meningitidis piliation.bacterial auto-aggregation is a critical step during adhesion of n. meningitidis to host cells. the precise mechanisms and functions of bacterial auto-aggregation still remain to be fully elucidated. in this work, we characterize the role of a meningococcal hypothetical protein, nmb0995/nmc0982, and show that this protein, here denoted nafa, acts as an anti-aggregation factor. nafa was confirmed to be surface exposed and was found to be induced at a late stage of bacterial adherence to epithelia ...201121747953
tonb-dependent transporters expressed by neisseria gonorrhoeae.neisseria gonorrhoeae causes the common sexually transmitted infection, gonorrhea. this microorganism is an obligate human pathogen, existing nowhere in nature except in association with humans. for growth and proliferation, n. gonorrhoeae requires iron and must acquire this nutrient from within its host. the gonococcus is well-adapted for growth in diverse niches within the human body because it expresses efficient transport systems enabling use of a diverse array of iron sources. iron transpor ...201121747812
estradiol-treated female mice as surrogate hosts for neisseria gonorrhoeae genital tract infections.historically, animal modeling of gonorrhea has been hampered by the exclusive adaptation of neisseria gonorrhoeae to humans. genital tract infection can be established in female mice that are treated with 17ß-estradiol, however, and many features of experimental murine infection mimic human infection. here we review the colonization kinetics and host response to experimental murine gonococcal infection, including mouse strain differences and evidence that il-17 responses, toll-like receptor 4, a ...201121747807
the pathobiology of neisseria gonorrhoeae lower female genital tract infection.infection and disease associated with neisseria gonorrhoeae, the gonococcus, continue to be a global health problem. asymptomatic and subclinical gonococcal infections occur at a high frequency in females; thus, the true incidence of n. gonorrhoeae infections are presumed to be severely underestimated. inherent to this asymptomatic/subclinical diseased state is the continued prevalence of this organism within the general population, as well as the medical, economic, and social burden equated wit ...201121747805
resistance of neisseria gonorrhoeae to neutrophils.infection with the human-specific bacterial pathogen neisseria gonorrhoeae triggers a potent, local inflammatory response driven by polymorphonuclear leukocytes (neutrophils or pmns). pmns are terminally differentiated phagocytic cells that are a vital component of the host innate immune response and are the first responders to bacterial and fungal infections. pmns possess a diverse arsenal of components to combat microorganisms, including the production of reactive oxygen species and release of ...201121747795
lipooligosaccharide structure is an important determinant in the resistance of neisseria gonorrhoeae to antimicrobial agents of innate host defense.the strict human pathogen neisseria gonorrhoeae has caused the sexually transmitted infection termed gonorrhea for thousands of years. over the millennia, the gonococcus has likely evolved mechanisms to evade host defense systems that operate on the genital mucosal surfaces in both males and females. past research has shown that the presence or modification of certain cell envelope structures can significantly impact levels of gonococcal susceptibility to host-derived antimicrobial compounds tha ...201121747781
combined haemophilus influenzae type b-neisseria meningitidis serogroup c vaccine is immunogenic and well tolerated in preterm infants when coadministered with other routinely recommended vaccines.background:: preterm infants are at greater risk of morbidity from vaccine-preventable diseases. therefore, their responses to vaccination are of particular interest. methods:: in this open, controlled, spanish multicenter study, we assessed immunogenicity and safety following primary vaccination of 163 preterm infants (n = 56, <31 weeks' gestation; n = 107, 31-36 weeks' gestation) and 150 full-term infants (>36 weeks' gestation), with haemophilus influenzae type b (hib)-menc-tt, dtap(diphtheria ...201121747321
increased gonorrhoea and chlamydia testing did not increase case detection in an hiv clinical cohort 1999-2007.objectives since 2003, us organisations have recommended universal screening, rather than targeted screening, of hiv-infected persons for gonorrhoea and chlamydia. the objective of this study was to determine whether wider testing resulting from these guidelines would produce an increase in gonorrhoea/chlamydia diagnoses. methods 3283 patients receiving hiv care in 1999-2007 in the johns hopkins hospital hiv clinic were studied. the two primary outcomes were the occurrence of any gonorrhoea/chla ...201121745834
active immunisation by intracutaneous injection of live gonococcus cultures as a therapeutic measure in chronic gonorrh+ôa of the cervix and adnexa in women: experience with over 10,000 injections. 193821773249
sexually transmitted infections and hepatitis in men with a history of incarceration.background:: men entering correctional facilities have high rates of human immunodeficiency virus, sexually transmitted infections (sti), and hepatitis. many prisons offer screening, treatment, and vaccination services; however, little is known about the rates of these infections in men after release to the community. methods:: young men were recruited from prisons in mississippi, rhode island, and wisconsin as part of a human immunodeficiency virus/sti/hepatitis intervention study. participants ...201121844713
surveillance of antibiotic resistance in neisseria gonorrhoeae in the who western pacific and south east asian regions, 2009.long-term surveillance of antimicrobial resistance in neisseria gonorrhoeae has been conducted in the world health organization (who) western pacific region (wpr) to optimise antibiotic treatment of gonococcal disease since 1992. from 2007, the gonococcal antimicrobial surveillance programme (gasp) has been enhanced by the inclusion of data from the south east asian region (sear) and recruitment of additional centres in the wpr. approximately 8,704 isolates of n. gonorrhoeae were examined for th ...201121698977
novel bacterial merr-like regulators their role in the response to carbonyl and nitrosative stress.recognition of the diversity of transcriptional regulators of the merr family has increased considerably over the last decade and it has been established that not all merr-like regulators are involved in metal ion recognition. a new type of merr-like regulator was identified in neisseria gonorrhoeae that is distinct from metal-binding merr proteins. this novel transcription factor, the neisseria merr-like regulator (nmlr) is related to a large and diverse group of merr-like regulators. a common ...201121722790
complement-mediated bactericidal activity of anti-factor h binding protein monoclonal antibodies against the meningococcus relies upon blocking factor h binding.binding of the complement-downregulating protein factor h (fh) to the surface of the meningococcus is important for survival of the organism in human serum. the meningococcal vaccine candidate factor h binding protein (fhbp) is an important ligand for human fh. while some fhbp-specific monoclonal antibodies (mabs) block binding of fh to fhbp, the stoichiometry of blocking in the presence of high serum concentrations of fh and its effect on complement-mediated bactericidal activity are unknown. t ...201121708990
pattern of sexually transmitted infections and performance of syndromic management against etiological diagnosis in patients attending the sexually transmitted infection clinic of a tertiary care hospital.the availability of baseline information on the epidemiology of sexually transmitted infections (stis) and other associated risk behaviors is essential for designing, implementing, and monitoring successful targeted interventions. also, continuous analysis of risk assessment and prevalence-based screening studies are necessary to evaluate and monitor the performance of syndromic management. the aim of the present study was to document the pattern of common stis and to evaluate the performance of ...201021716796
efflux pumps of the resistance-nodulation-division family: a perspective of their structure, function, and regulation in gram-negative bacteria. 201121692368
influence of medium components on the expression of recombinant lipoproteins in escherichia coli.bacterial lipoproteins are crucial antigens for protective immunity against bacterial pathogens. expression of exogenous lipoproteins in escherichia coli at high levels is thought to be an extremely difficult endeavor because it frequently results in incomplete or absent lipid modification. previously, we identified a fusion sequence (d1) from a neisseria meningitidis lipoprotein that induced a non-lipidated protein, e3 (the domain iii of the dengue virus envelope protein), to become lipidated. ...201121822641
septic arthritis: an extensive variety of pathology.septic arthritis typically presents as a hot, swollen joint. rapid recognition and treatment of this condition is essential to prevent permanent joint damage. however, septic arthritis does not always present in a textbook manner. the case presented here concerns septic arthritis affecting the right sternoclavicular joint. the patient did not have any risk factors for septic arthritis and presented with a swollen tender joint that was not hot. he was treated with penicillin and then amoxicillin ...200921754967
correlates of amphetamine-type stimulant use and associations with hiv-related risks among young women engaged in sex work in phnom penh, cambodia.background: amphetamine-type stimulant (ats) use has increased in cambodia and emerged as a significant problem among female sex workers (fsws), potentially contributing to increased risk of hiv. we examined the prevalence of ats use and its effect on sexual risk behaviors, and sexually transmitted infections (sti) among fsws in phnom penh, cambodia. methods: a one-year prospective study among young women engaged in sex work in brothels, entertainment establishments and on a freelance basis. soc ...201121820251
immunogenicity and safety of a meningococcal a conjugate vaccine in africans.group a meningococci are the source of major epidemics of meningitis in africa. an affordable, highly immunogenic meningococcal a conjugate vaccine is needed.201121675889
incorporation of real-time pcr into routine public health surveillance of culture negative bacterial meningitis in s+úo paulo, brazil.real-time (rt)-pcr increases diagnostic yield for bacterial meningitis and is ideal for incorporation into routine surveillance in a developing country. we validated a multiplex rt-pcr assay for streptococcus pneumoniae, neisseria meningitidis, and haemophilus influenzae in brazil. risk factors for being culture-negative, rt-pcr positive were determined. the sensitivity of rt-pcr in cerebrospinal fluid (csf) was 100% (95% confidence limits, 96.0%-100%) for n. meningitidis, 97.8% (85.5%-99.9%) fo ...201121731621
a tlr2 agonist is a more effective adjuvant for a chlamydia major outer membrane protein vaccine than ligands to other tlr and nod receptors.chlamydia trachomatis (ct) is the most common sexually transmitted bacterial pathogen in the world and there is an urgent need for a vaccine to prevent these infections. to determine what type of adjuvant can better enhance the immunogenicity of a chlamydia vaccine, we formulated the recombinant major outer membrane protein (ct-rmomp) with several ligands for toll-like receptors (tlr) and the nucleotide-binding oligomerization domain (nod) including pam(2)csk(4) (tlr2/tlr6), poly (i:c) (tlr3), m ...201121742006
the lptd chaperone lpte is not directly involved in lipopolysaccharide transport in neisseria meningitidis.the biosynthesis of lipopolysaccharide (lps) in gram-negative bacteria is well understood, in contrast to the transport to its destination, the outer leaflet of the outer membrane. in escherichia coli, synthesis and transport of lps are essential processes. neisseria meningitidis, conversely, can survive without lps and tolerates inactivation of genes involved in lps synthesis and transport. here, we analyzed whether the lpta, lptb, lptc, lpte, lptf, and lptg proteins, recently implicated in lps ...201121705335
[septic arthritis due to meningococcus. report an atypical case presentation].we have observed the case of a 73-years-old man with a septic monoarthritis affecting the left knee due to neisseria meningitidis serogroup b, without previous traumatism, fever, headache or meningeal symptoms. the patient didn¦üt present risk factors of meningococcal infection. the infection was resolved satisfactorily with parenteral ceftriaxone during 2 weeks and oral ciprofloxacin during 1 month.200821794512
therapeutic vaccination with an egf-based vaccine in lung cancer: a step in the transition to a chronic disease.the trend of increased survival in advanced tumors suggests the possibility of the transformation of cancer into a chronic disease. that goal will require therapeutic weapons with low toxicity that can be used chronically. here we summarize the development of a therapeutic vaccine consisting in recombinant egf chemically linked to a protein from neisseria meningitides. in mice, the vaccine elicited antibodies to self-egf and had anti-tumor activity. clinical trials have shown that the vaccine is ...201121702656
gonococcus and meningococcus: interchange of habitat. 194521773115
protecting the herd: the remarkable effectiveness of the bacterial meningitis polysaccharide-protein conjugate vaccines in altering transmission dynamics.interrupting human-to-human transmission of the agents (neisseria meningitidis, haemophilus influenzae, and streptococcus pneumoniae) of bacterial meningitis by new capsular polysaccharide-protein conjugate vaccines (ppcvs) has proven to be a remarkable (and unanticipated) contributor to vaccine effectiveness. herd immunity accounts for ôê+50% of the protection by meningococcal serogroup c ppcvs, pneumococcal ppcv7, and h. influenzae b ppcvs. nasopharyngeal carriage can be reduced ôëñ75% for vac ...201021686214
an experimental outer membrane vesicle vaccine from n. meningitidis serogroup b strains that induces serum bactericidal activity to multiple serogroups.a trivalent native outer membrane vesicle vaccine that has potential to provide broad based protection against neisseria meningitidis serogroup b strains has been developed. preliminary immunogenicity studies in mice showed that the vaccine was capable of inducing an effective broad based bactericidal antibody response against n. meningitidis serogroup b strains. these findings in mice have been repeated with a cgmp trivalent nomv vaccine and extended to show that the bactericidal antibody respo ...201121827811
prevalence of chlamydia trachomatis and neisseria gonorrhoeae among asymptomatic women attending the capital health region clinics in kuwait.: data on the prevalence of chlamydia trachomatis (ct) and neisseria gonorrhoeae (ng) infections are not available in kuwait. this study was conducted to determine the prevalence of ct and ng in asymptomatic women attending 4 primary health care clinics in the capital health region.201121844731
antimicrobial resistant gonorrhea in atlanta: 1988-2006.gonococcal isolates (n = 4336) were collected from men with urethritis at the fulton county std clinic between 1988 and 2006. antimicrobial susceptibility was performed by agar dilution. increasing numbers of isolates from men who have sex with men and with fluoroquinolone resistance were noted. new antimicrobials effective against gonorrhea are urgently needed.201121844728
population coverage analysis of t-cell epitopes of neisseria meningitidis serogroup b from iron acquisition proteins for vaccine design.although the concept of reverse vaccinology was first pioneered for sepsis and meningococcal meningitidis causing bacterium, neisseria meningitides, no broadly effective vaccine against serogroup b meningococcal disease is yet available. in the present investigation, hla distribution analysis was undertaken to select three most promiscuous t-cell epitopes out of ten computationally validated epitopes of iron acquisition proteins from neisseria mc58 by using the population coverage tool of immune ...201121738325
mechanisms of meningococcal colonisation.despite advances against infectious diseases over the past century, neisseria meningitidis remains a major causative agent of meningitis and septicaemia worldwide. its adaptation for survival in the human nasopharynx makes the meningococcus a highly successful commensal bacterium. recent progress has been made in understanding the mechanisms that enable neisserial colonisation, in terms of the role of type iv pili, the impact of other adhesins, biofilm formation, nutrient acquisition and resista ...201121816616
[in process citation]. 201121815540
hiv-1 rna rectal shedding is reduced in men with low plasma hiv-1 rna viral loads and is not enhanced by sexually transmitted bacterial infections of the rectum.background.ôçâamong human immunodeficiency virus (hiv)-infected men who have sex with men (msm) taking combination antiretroviral therapy (cart), the impact of rectal sexually transmitted infections (stis) on rectal hiv-1 shedding is unknown. methods.ôçâhuman immunodeficiency virus type 1 (hiv-1) rna was quantified from rectal swabs collected for neisseria gonorrhoeae (gc) and chlamydia trachomatis (ct) screening of hiv-1-infected msm. correlations of stis with rectal viral load were explored us ...201121844302
epidemiology, molecular characterization and antibiotic resistance of neisseria meningitidis from patients ôëñ15 years in manhi+ºa, rural mozambique.the epidemiology of meningococcal disease in mozambique and other african countries located outside the "meningitis belt" remains widely unknown. with the event of upcoming vaccines microbiological and epidemiological information is urgently needed.201121695194
vaccines for gonorrhea: can we rise to the challenge?immune responses to the gonococcus after natural infection ordinarily result in little immunity to reinfection, due to antigenic variation of the gonococcus, and redirection or suppression of immune responses. brinton and colleagues demonstrated that parenteral immunization of male human volunteers with a purified pilus vaccine gave partial protection against infection by the homologous strain. however, the vaccine failed in a clinical trial. recent vaccine development efforts have focused on th ...201121687431
an alternative renewable source of squalene for use in emulsion adjuvants.emulsions have been used to boost immunogenicity of antigens since the discovery of complete freunds adjuvant. optimization to reduce reactogenicity of emulsion adjuvants lead to the development of oil in water emulsions based on squalene. mf59 is an oil-in-water emulsion that is a component of an approved influenza product in europe. currently mf59 is manufactured from squalene derived from an animal source. recently a high purity plant-derived squalene source has become available at an appropr ...201121723355
acute conjunctivitis caused by a gram-negative diplococcus resembling the gonococcus. 193921773273
[detection of resistance phenotypes in gram-negative bacteria].detecting resistance in gram-negative microorganisms has a strong clinical and epidemiological impact, but there is still a great deal of debate about the most sensitive phenotypic method and whether in vitro susceptibility results should be interpreted. the present work reviews the phenotypes and mechanisms of resistance to beta-lactams, quinolones and aminoglycosides in gram-negative bacilli and also revises the different phenotypic methods used for their detection. a clinical interpretation o ...201121696863
the composition and metabolic phenotype of neisseria gonorrhoeae biofilms.neisseria gonorrhoeae has been shown to form biofilms during cervical infection. thus, biofilm formation may play an important role in the infection of women. the ability of n. gonorrhoeae to form membrane blebs is crucial to biofilm formation. blebs contain dna and outer membrane structures, which have been shown to be major constituents of the biofilm matrix. the organism expresses a dna thermonuclease that is involved in remodeling of the biofilm matrix. comparison of the transcriptional prof ...201121833322
neisseria meningitidis and escherichia coli are protected from leukocyte phagocytosis by binding to erythrocyte complement receptor 1 in human blood.the initial interaction of gram-negative bacteria with erythrocytes and its implications on leukocyte phagocytosis and oxidative burst in human whole blood were examined. alexa-labeled escherichia coli, wild-type h44/76 n. meningitidis and the h44/76lpxa lipopolysaccharide (lps)-deficient mutant were incubated with whole blood using lepirudin as anticoagulant which has no adverse effects on complement. bacteria free in plasma, bound to erythrocytes or phagocytized by granulocytes and monocytes w ...201121839519
flow cytometry: an alternative method for direct quantification of antigens adsorbed to aluminum hydroxide adjuvant.flow cytometry (fc) has been widely used in biological research; however, its use for vaccine characterization has been very limited. here we describe the development of an fc method for the direct quantification of two neisseria meningitidis vaccine antigens, in mono- and multivalent formulations, while still adsorbed on aluminum hydroxide (ah) suspension. the antibody-based method is specific and sensitive. because fc allows microscopic particle examination, the entire aluminum suspension carr ...201121820996
the gonococcal genetic island and type iv secretion in the pathogenic neisseria.eighty percent of neisseria gonorrhoeae strains and some neisseria meningitidis strains encode a 57-kb gonococcal genetic island (ggi). the ggi was horizontally acquired and is inserted in the chromosome at the replication terminus. the ggi is flanked by direct repeats, and site-specific recombination at these sites results in excision of the ggi and may be responsible for its original acquisition. although the role of the ggi in n. meningitidis is unclear, the ggi in n. gonorrhoeae encodes a ty ...201121833316
genetic characterisation of the emerging invasive neisseria meningitidis serogroup y in sweden, 2000 to 2010.neisseria meningitidis serogroups b and c have been responsible for the majority of invasive meningococcal disease in europe. recently, an increase of n. meningitidis disease due to serogroup y has been noted in sweden (in 2010, the proportion was 39%, with an incidence of 0.23 per 100,000 population), as well as in other northern european countries. we aimed to investigate the clonal pattern of the emerging serogroup y in sweden during 2000 to 2010. the serogroup y isolates identified during th ...201121679677
interactions with host cells causes neisseria meningitidis pili to become unglued. 201121833319
meningococcal disease: early recognition is vital to patient outcomes.since the development of vaccines to prevent haemophilus influenzae type b and streptococcus pneumoniae, neisseria meningitidis is the leading cause of bacterial meningitis in the united states. education of healthcare professionals to improve identification and provide immediate treatment of patients with symptoms consistent with meningococcal disease will result in improved outcomes.201121677593
screening of pregnant women attending the antenatal care clinic of a tertiary hospital in eastern saudi arabia for chlamydia trachomatis and neisseria gonorrhoeae infections.inroduction: of the "top ten" sexually transmitted infections, chlamydia trachomatis and neisseria gonorrhoeae are ranked second and fifth, respectively, worldwide.201021716786
antibiotics for preventing meningococcal infections.meningococcal disease is a contagious bacterial infection caused by neisseria meningitidis (n. meningitidis). household contacts have the highest risk of contracting the disease during the first week of a case being detected. prophylaxis is considered for close contacts of people with a meningococcal infection and populations with known high carriage rates.201121833949
general metabolism of laribacter hongkongensis: a genome-wide analysis. 201121711917
de-n-acetylated sialic acid is immunogenic and elicits antibodies that are protective against neisseria meningitidis.recently, we showed that monoclonal antibodies (mabs) that are reactive with derivatives of polysialic acid containing de-n-acetylated neuraminic acid (neu) residues are protective against n. meningitidis group b strains (moe et al. 2005, infect immun73: 2123; flitter et al., in preparation). in addition, we found that fully de-n-acetylated psa (i.e. poly alpha 2,8 neu) conjugated to tetanus toxoid (denac) elicits igm and igg antibodies of all subclasses in mice that bind to group b strains, act ...200921822362
screening of oropharynx and anorectum increases prevalence of chlamydia trachomatis and neisseria gonorrhoeae infection in female std clinic visitors.: the relevance of screening of oropharynx and anorectum in addition to endocervical tests for detection of chlamydia trachomatis and neisseria gonorrhoeae infection is unclear in women, while there is a documented benefit of this approach in men who have sex with men.201121844729
new concepts in immunity to neisseria gonorrhoeae: innate responses and suppression of adaptive immunity favor the pathogen, not the host.it is well-known that gonorrhea can be acquired repeatedly with no apparent development of protective immunity arising from previous episodes of infection. symptomatic infection is characterized by a purulent exudate, but the host response mechanisms are poorly understood. while the remarkable antigenic variability displayed by neisseria gonorrhoeae and its capacity to inhibit complement activation allow it to evade destruction by the host's immune defenses, we propose that it also has the capac ...201121833308
a novel epigenetic regulator associated with the hypervirulent neisseria meningitidis clonal complex 41/44.neisseria meningitidis is a major cause of septicemia and meningitis. the hypervirulent clonal complex 41/44 (cc41/44) has emerged as the predominant cause of serogroup b meningococcal disease, having been responsible for recent outbreaks and epidemics worldwide. however, the meningococcal factors that enable transition from asymptomatic carriage to rapidly progressing disease are poorly understood. here we describe a novel phase-variable dna methyltransferase, modd, which was identified in the ...201121680891
gonococcus ecto-antigen. 193321773520
adjuvanticity of the oil-in-water emulsion mf59 is independent of nlrp3 inflammasome but requires the adaptor protein myd88.oil-in-water emulsions have been successfully used to increase the efficacy, immunogenicity, and cross-protection of human vaccines; however, their mechanism of action is still largely unknown. nlrp3 inflammasome has been previously associated to the activity of alum, another adjuvant broadly used in human vaccines, and myd88 adaptor protein is required for the adjuvanticity of most toll-like receptor agonists. we compared the contribution of nlrp3 and myd88 to the adjuvanticity of alum, the oil ...201121690334
gonorrhea infection in women: prevalence, effects, screening, and management.gonorrhea is a set of clinical conditions resulting from infection with the sexually-acquired bacterial pathogen neisseria gonorrhoeae. acquisition may involve multiple mucosal sites in the lower female genital tract, including the urethra, cervix, bartholin's and skene's glands, as well as the anorectal canal, pharynx, and conjunctivae. it may spread to the upper genital tract, uterine tubes, abdominal cavity, and other systemic sites. gonorrhea is the second most commonly reported sexually-tra ...201121845064
the neisseria meningitidis macrophage infectivity potentiator protein induces cross-strain serum bactericidal activity and is a potential serogroup b vaccine candidate.a gene encoding a 29-kda protein from neisseria meningitidis serogroup b strain mc58 with homology to the macrophage infectivity potentiator (mip) protein of legionella pneumophila was cloned and expressed in escherichia coli, and the purified soluble recombinant protein (rmip) was used for immunization studies. analysis of the predicted amino acid sequences of mip from 13 well-characterized meningococcal strains, isolated from carriers or patients and differing in serogroup, serotype, and subty ...201121708989
a naturally occurring single residue mutation in the translocator domain of neisseria meningitidis nhha affects trimerization, surface localization and adhesive capabilities.neisseria meningitidis nhha (neisseria hia/hsf homologue a) is an oligomeric outer membrane protein, belonging to the family of trimeric autotransporter adhesins. nhha mediates the interaction of n. meningitidis with human epithelial cells and components of the extracellular matrix. the recombinant protein is able to induce bactericidal antibodies and hence has also been considered as a potential vaccine candidate. in this study, we analyzed the production of nhha in a large panel of n. meningit ...201121844231
profile and pattern of stevens-johnson syndrome and toxic epidermal necrolysis in a general hospital in singapore: treatment outcomes.stevens-johnson syndrome (sjs) and toxic epidermal necrolysis (ten) are rare, but potentially life-threatening, reactions to medications. both conditions have significant morbidity and mortality. the aim of this study was to document the epidemiological features, aetiologies, treatment and clinical outcomes of retrospectively reviewed data of all patients with sjs or ten treated from january 2004 to november 2010 in a general hospital. there were 18 cases of sjs, seven cases of sjs/ten overlap a ...201121710108
identification of sexual networks through molecular typing of quinolone-resistant neisseria gonorrhoeae in ontario, canada.neisseria gonorrhoeae multi-antigen sequence typing technique demonstrated multiple sexual transmission networks in ontario, canada. isolates with novel sequences had higher odds of originating in toronto but had no association with heightened population-level quinolone exposure. neisseria gonorrhoeae multi-antigen sequence typing technique can be a useful tool for investigation of multidrug-resistant n. gonorrhoeae emergence in north america.201121844735
the use of mislowitzer's portable incubator "monotherm" in culture of the gonococcus. 193721773231
a sulfonium cation intermediate in the mechanism of methionine sulfoxide reductase b: a dft study.the hybrid density functional theory method b3lyp in combination with three systematically larger active site models has been used to investigate the substrate binding and catalytic mechanism by which neisseria gonorrhoeae methionine sulfoxide reductase b (msrb) reduces methionine-r-sulfoxide (met-r-so) to methionine. the first step in the overall mechanism is nucleophilic attack of an active site thiolate at the sulfur of met-r-so to form an enzyme-substrate sulfurane. this occurs with concomit ...201121721538
meningococcal disease: the advances and challenges of meningococcal disease prevention.vaccination as a means to prevent meningococcal disease caused by neisseria meningitidis is critical given the abrupt onset and rapid progression of this disease. five serogroups-a, b, c, w-135, and y-are responsible for the majority of cases. in developed countries, infants have the greatest risk of disease, with a smaller secondary peak observed in late adolescence. vaccines utilizing the polysaccharide capsule are poorly immunogenic in young children but can reduce the incidence of meningococ ...201121832882
combining carbochips and mass spectrometry to study the donor specificity for the neisseria meningitidis +¦1,3-n-acetylglucosaminyltransferase lgta.a library of 11 udp-n-acetylglucosamine analogs were rapidly screened for their activities as donors for the neisseriameningitidis +¦1,3-n-acetylglucosaminyltransferase (lgta) by direct on-chip reaction and detection with samdi-tof mass spectrometry. six of the analogs were active in this assay and were analyzed by samdi to characterize the kinetics toward lgta. the analysis revealed that substitutions on c-2, c-4, and c-6 affect the activity of the donors, with bulky groups at these positions d ...201121704524
a preliminary note on the employment of certain constituents of the gonococcus in treatment and of other constituents in tests of cure. 192721772547
antibiotic-resistant phenotypes and genotypes of neisseria gonorrhoeae isolates in japan: identification of strain clusters with multidrug-resistant phenotypes.: to determine the antibiotic susceptibility and the genotype distributions of n. gonorrhoeae isolates in fukuoka, japan, and to evaluate the specific associations between genotypes and antibiotic resistance.201121844744
cephalosporin susceptibility among neisseria gonorrhoeae isolates--united states, 2000-2010.neisseria gonorrhoeae is a major cause of pelvic inflammatory disease, ectopic pregnancy, and infertility, and it can facilitate human immunodeficiency virus (hiv) transmission. emergence of gonococcal resistance to penicillin and tetracycline occurred during the 1970s and became widespread during the early 1980s. more recently, resistance to fluoroquinolones developed. resistance was documented first in asia, then emerged in the united states in hawaii followed by other western states. it then ...201121734634
withdrawn: conjugate vaccines for preventing meningococcal c meningitis and septicaemia.meningococcal polysaccharide (mpls) vaccines protect against serogroup c disease, but do not produce an immune response in infants less than two years of age. this limitation can be overcome by linking c polysaccharide to carrier proteins ('conjugating'), to create meningococcal serogroup c conjugate (mcc) vaccines. in the absence of trial data, the immune response to vaccination has been considered to be a reasonable surrogate for vaccine protection.201121735387
n. elongata produces type iv pili that mediate interspecies gene transfer with n. gonorrhoeae.the genus neisseria contains at least eight commensal and two pathogenic species. according to the neisseria phylogenetic tree, commensals are basal to the pathogens. n. elongata, which is at the opposite end of the tree from n. gonorrhoeae, has been observed to be fimbriated, and these fimbriae are correlated with genetic competence in this organism. we tested the hypothesis that the fimbriae of n. elongata are type iv pili (tfp), and that tfp functions in genetic competence. we provide evidenc ...201121731720
diversity of factor h-binding protein in neisseria meningitidis carriage isolates.several meningococcal vaccines under development for prevention of serogroup b disease target the factor h-binding protein (fhbp), an immunogenic lipoprotein expressed on the surface of neisseria meningitidis. based upon sequence and phylogenetic analyses, fhbp can be classified into 3 protein variants (1, 2 or 3) or 2 subfamilies (a or b). the potential effect of fhbp-containing vaccines on meningococcal carriage is not known. we determined the diversity of fhbp among a population of carriage i ...201121704667
resistance to azithromycin of neisseria gonorrhoeae isolates from 2 cities in china.: antimicrobial resistance in neisseria gonorrhoeae (ng) is a public health concern globally, and azithromycin-resistant ng isolates have been identified in many countries. this study aimed to investigate azithromycin susceptibility in ng and to genetically characterize the azithromycin-resistant isolates identified in 2 cities in china.201121844727
experimental gonococcal infection in male volunteers: cumulative experience with neisseria gonorrhoeae strains fa1090 and ms11mkc.experimental infection of male volunteers with neisseria gonorrhoeae is safe and reproduces the clinical features of naturally acquired gonococcal urethritis. human inoculation studies have helped define the natural history of experimental infection with two well-characterized strains of n. gonorrhoeae, fa1090 and ms11mkc. the human model has proved useful for testing the importance of putative gonococcal virulence factors for urethral infection in men. studies with isogenic mutants have improve ...201121734909
some observations on the action of certain sodium bile salts on the gonococcus. 193321773512
antimicrobial susceptibility of bacterial isolates from community acquired infections in sub-saharan africa and asian low and middle income countries.objectiveôçé antimicrobial resistance has arisen across the globe in both nosocomial and community settings as a consequence of widespread antibiotic consumption. poor availability of laboratory diagnosis means that resistance frequently goes unrecognised and may only be detected as clinical treatment failure. in this review, we provide an overview of the reported susceptibility of common community acquired bacterial pathogens in sub-saharan africa and asia to the antibiotics that are most widel ...201121707879
review and international recommendation of methods for typing neisseria gonorrhoeae isolates and their implications for improved knowledge of gonococcal epidemiology, treatment, and biology.gonorrhea, which may become untreatable due to multiple resistance to available antibiotics, remains a public health problem worldwide. precise methods for typing neisseria gonorrhoeae, together with epidemiological information, are crucial for an enhanced understanding regarding issues involving epidemiology, test of cure and contact tracing, identifying core groups and risk behaviors, and recommending effective antimicrobial treatment, control, and preventive measures. this review evaluates me ...201121734242
[cloning and prokaryotic expression of the outer membrane protein gene porb of neisseria gonorrhoeae].to construct a fused expression vector of the outer membrane protein gene porb of neisseria gonorrhoeae, express the fusion protein in the prokaryotic system, and obtain a gene recombination protein, for the purpose of preparing the ground for further research on the pathopoiesis and immune protective response of porb.201121823339
computational electrophysiology: the molecular dynamics of ion channel permeation and selectivity in atomistic detail.presently, most simulations of ion channel function rely upon nonatomistic brownian dynamics calculations, indirect interpretation of energy maps, or application of external electric fields. we present a computational method to directly simulate ion flux through membrane channels based on biologically realistic electrochemical gradients. in close analogy to single-channel electrophysiology, physiologically and experimentally relevant timescales are achieved. we apply our method to the bacterial ...201121843471
development of an automated, high-throughput bactericidal assay that measures cellular respiration as a survival readout for neisseria meningitidis.complement-mediated bactericidal activity has long been regarded as the serological correlate of protective immunity against neisseria meningitidis. this was affirmed in 2005 at a who-sponsored meningococcal serology standardization workshop. the assay currently employed by most laboratories involves determining surviving bacterial colony counts on agar as a readout which is labor-intensive, time-consuming, and not amendable to rapid data analysis for clinical trials. consequently, there is an a ...201121715580
a laboratory-based evaluation of the biostar optical immunoassay (oia) point-of-care test (poct) for diagnosing neisseria gonorrhoeae.abstractthe development of gonococcal point-of-care tests (pocts) has been challenging due to the relatively monomorphic nature of the neisseria genus. the biostar optical immunoassay (oia) poct for diagnosing neisseria gonorrhoeae detects a specific epitope on the l7/l12 ribosomal protein, which reduces cross-reactivity with other neisseriae, and produces a highly specific test. a laboratory-based evaluation of this poct was performed to determine its analytical sensitivity and specificity. a p ...201121835969
case-control study of ectopic pregnancies in myanmar: infectious etiological factors.we studied the role of infections in ectopic pregnancy and the different methods of detecting chlamydia trachomatis infection using serology, cervical and tubal pcr assays, by using a hospital-based, case-control study conducted between november 2007 and september 2009. the sample size was 339 with 113 cases and 226 controls. the cases were women admitted for the management of ectopic pregnancy while the controls were women admitted for spontaneous miscarriage. both cases and controls were teste ...201121710857
Neisseria gonorrhoeae-mediated inhibition of apoptotic signalling in polymorphonuclear leukocytes.The human pathogen Neisseria gonorrhoeae recruits and interacts extensively with polymorphonuclear leukocytes (PMNs) during infection. N. gonorrhoeae is able to survive the bactericidal activity of these innate immune cells, and can actively modulate PMN functions in vitro. PMNs are short-lived cells which readily undergo apoptosis, thus the effect of N. gonorrhoeae infection on PMN survival has implications for whether PMNs might serve as an important site of bacterial replication during infect ...201121844239
Positive nucleic acid amplification tests for Neisseria gonorrhoeae in young people tested as part of the National Chlamydia Screening Programme.Little information is available on the prevalence of Neisseria gonorrhoeae (GC) infections outside genitourinary (GU) medicine clinics. A number of National Chlamydia Screening Programme areas now carry out simultaneous testing for Chlamydia trachomatis (CT) and GC in a single sample using nucleic acid amplification tests (NAATs). The aim of this study was to gather together data on dual testing from community settings. Information was collected from five programme areas. A total of 219,412 resu ...201121729959
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