The pathogenic bacterium Neisseria meningitidis is an important cause of se
pticemia and meningitis, especially in childhood(1). The establishment and
maintenance of bacteremic infection is a prerequisite for all the pathologi
cal sequelae of meningococcal infection. To further understand the genetic
basis of this essential step in pathogenesis, we analyzed a library of 2,85
0 insertional mutants of N. meningitidis for their capacity to cause system
ic infection in an infant rat model. The library was constructed by in vitr
o modification of Neisseria genomic DNA with the purified components of Tn1
0 transposition(2). We identified 73 genes in the N. meningitidis genome th
at are essential for bacteremic disease. Eight insertions were in genes enc
oding known pathogenicity factors. Involvement of the remaining 65 genes in
meningocoocal pathogenesis has not been demonstrated previously, and the i
dentification of these genes provides insights into the pathogenic mechanis
ms that underlie meningococcal infection. Our results provide a genome-wide
analysis of the attributes of N, meningitidis required for disseminated in
fection, and may lead to new interventions to prevent and treat meningococc
al infection.