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Neisseria meningitidis (N. meningitidis)

Target
N. meningitidis
Molecular classification
Other (Gram-negative bacterium, diplococcus, encapsulated bacterium)
01

Overview

Neisseria meningitidis is a Gram-negative, encapsulated, aerobic diplococcus bacterium that infects humans exclusively and is a major cause of bacterial meningitis and life-threatening septicemia (meningococcemia)[1][4][7]. It colonizes the nasopharynx, can exist as part of the normal flora in a significant portion of the population, and is known for causing both endemic disease and large epidemics, especially in certain world regions (Africa, Asia[1][7]). The bacterium is classified both by its polysaccharide capsule (serogroups A, B, C, W135, X, Y cause most disease) and by molecular genotyping methods[1][6][9]. Key virulence factors include its polysaccharide capsule, pili, outer membrane proteins (Opa, Opc), and factor H-binding protein which facilitate adhesion, immune evasion, and penetration of the blood-brain barrier[4][6]. Therapeutically, N. meningitidis itself is not a drug target in the sense of a typical molecular target (like a receptor or enzyme); rather, it is the pathogenic microbe subject to eradication by antibiotics and vaccine-preventable via capsular polysaccharide-based vaccines. Rare experimental studies have proposed individual bacterial proteins as putative drug targets[5], but "Neisseria meningitidis" is not a canonical therapeutic molecular target and should not be used as one for structured biomedical databases.

Other names
meningococcusmeningococcimeningococcal bacteriummeningococcal
02

Mechanism of action

Inhibition of cell wall synthesis (beta-lactam antibiotics) Inhibition of protein synthesis (e.g. chloramphenicol) Disruption of selected molecular targets (see experimental HP target with loperamide[5])

03

Biological functions

Colonization of nasopharynxImmune evasionInvasive infection (e.g. bloodstream, central nervous system)Capsule and surface adhesion protein expression
04

Disease associations

Infection (mainly bacterial meningitis and meningococcemia)Epidemic and endemic meningococcal diseaseSepsis
05

Safety considerations

Rapid progression to sepsis and fatalityAntibiotic resistance emerging in some strainsIncomplete vaccine coverage (especially for group B)Hypersensitivity to antibiotic therapyPost-infection sequelae (neurologic deficits, hearing loss)
06

Interacting drugs

Ceftriaxone

6 more in the full profile.

07

Biomarkers

Polysaccharide capsule typing (serogroup A, B, C, W135, X, Y)PCR detection of specific genesOuter membrane protein patterns (MLST typing)Detection of lipooligosaccharide structures and antigenic types[3][6][7]

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