Target intelligence / Profile preview

B cell specific to Streptococcus pneumoniae type 9V capsular polysaccharide antigen (null)

Target
null
Molecular classification
Other (antigen-specific B cell subset)
01

Overview

B cells specific to Streptococcus pneumoniae type 9V capsular polysaccharide antigen are a functional subset of B lymphocytes that recognize repeating carbohydrate structures (polysaccharides) forming the outer capsule of pneumococcal serotype 9V. Their activation leads to antibody-mediated immunity, which is critical for protection against invasive pneumococcal disease. The response is typically T-independent, mobilizing marginal zone and switched B cells, and is enhanced if the polysaccharide antigen is conjugated to a protein carrier. These B cells’ activity is essential for the efficacy of polysaccharide and conjugate vaccines, but their response can be suboptimal in specific populations (e.g., young children, immunocompromised patients). Measurement of antigen-specific IgG and phenotyping of B cell subsets are used as biomarkers for vaccine response. Safety concerns include the poor vaccine efficacy in infants with unconjugated antigens and variable immunogenicity depending on antigen stability and host immune status[1][2][3][5][6].

Other names
B cell targeting pneumococcal type 9V capsular polysaccharide9V-specific B cellanti-9V polysaccharide B cellmarginal zone B cell responding to 9V polysaccharide
02

Mechanism of action

Active immunization triggers these B cells to undergo clonal expansion and differentiation into plasma cells that secrete specific antibodies (IgG, IgM) against the 9V polysaccharide T-independent (TI) activation for polysaccharide antigens, especially mobilizes marginal zone B cells in humans Isotype switching (from IgM to IgG) requires conjugation to a protein carrier (e.g., tetanus toxoid)

03

Biological functions

Immune responseAntibody production
04

Disease associations

Infection (particularly pneumococcal disease including pneumonia and bacteremia)Other (related deficiency may be associated with immunodeficiency disorders)
05

Safety considerations

Weak immunogenicity of non-conjugated 9V polysaccharide in young childrenPossibility of diminished response due to low numbers of functional B cells in certain immunodeficiencies or HIV infectionInstability of O-acetate side chains on 9V polysaccharide may reduce antigenic efficacy
06

Interacting drugs

Streptococcus pneumoniae type 9V capsular polysaccharide antigen vaccine (contained in Pneumovax 23, Prevenar 13, Prevnar 20, Synflorix, Vaxneuvance)

1 more in the full profile.

07

Biomarkers

Serum IgG and IgM against type 9V capsular polysaccharide, measured by ELISA or ELISpot assaysFrequency or phenotype of CD19+CD5− B cells post-vaccination

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