Infectious Disease Epidemiology, Imperial College London
Doi
Abstract
To understand the rates and mechanisms of Neisseria gonorrhoeae opacity (opa)
gene variation, the 11 opa genes were amplified independently so that an opa allelic
profile could be defined for any isolate from the sequences at each locus.
Initial examination of 14 unrelated gonococcal isolates showed that no opa alleles
were shared. Analysis of closely related isolates showed these typically shared most
opa alleles and so the mechanisms by which recent changes occurred at individual
opa loci could be determined. The great majority of changes were due to
recombination among existing alleles that either duplicated an opa allele present at
another locus or resulted in a mosaic of existing opa alleles. Single nucleotide
changes or the insertion/deletion of a single codon also occurred, but few of these
events were assigned to mutation, the majority being assigned to localised
recombination. Introduction of novel opa genes from co-infecting strains was rare
and all but one occurred in the same sexual network. Changes at the eleventh opa
locus (opa11) occurred much more rapidly than at other opa loci, almost always
differing even between recent sexual contacts. Examination of the neighbouring pilE
gene showed that changes at opa11 and pilE often occurred together, although this
linkage may not be a causal one.
The Opa protein sequences encoded by the opa genes were determined and the
regions spanning the two hyper-variable regions (HVR1 and HVR2) were analysed.
An almost equal number of Opa protein and opa nucleotide sequences were detected
but there was a limited number of HVR combinations, indicating that a large proportion of differences are located elsewhere in the protein. Very few novel HVRs
were generated by recombination, even at opa11 where the rate of variation was
greatest. Most changes resulted in re-assortment of existing HVRs, most likely due
to protein function restriction/benefits