Target intelligence / Profile preview

Diphtheria cross-reacting material 197 protein (CRM197)

Target
CRM197
Molecular classification
Protein carrier (for conjugate vaccines), Other (engineered protein derivative)
01

Overview

Diphtheria cross-reacting material 197 protein (abbreviated CRM197) is a genetically detoxified mutant of diphtheria toxin, featuring a single amino acid substitution (Gly52 to Glu; G52E) that abolishes its ADP-ribosyltransferase activity, thereby rendering it nontoxic. CRM197 retains the overall structure and immunogenicity of diphtheria toxin but does not cause disease. It is widely used as a carrier protein in polysaccharide-protein conjugate vaccines to enhance immunogenicity, enabling effective vaccination against encapsulated bacteria such as *Haemophilus influenzae*, *Streptococcus pneumoniae*, and *Neisseria meningitidis*. Structurally, CRM197 is a single-chain holoprotein with two main domains corresponding to fragments A (catalytic domain, inactivated) and B (transmembrane domain), linked by disulfide bridges. The protein is highly characterized, with crystal structures available, and demonstrates residual deoxyribonuclease activity, but is unable to ADP-ribosylate elongation factor 2, eliminating its cytotoxic potential. Its nontoxic nature and robust immunogenicity make CRM197 a standard carrier protein in licensed conjugate vaccines for global childhood immunization programs.

Other names
CRM197Cross-reacting material 197CRM 197Diphtheria toxin mutant G52E
02

Mechanism of action

Increases immunogenicity of polysaccharide antigens through T-cell dependent immune response by acting as a carrier protein in conjugate vaccines

03

Biological functions

Acts as a carrier protein in conjugate vaccinesResidual DNase activity
04

Disease associations

Infection (used for prevention in vaccines targeting bacteria such as *Haemophilus influenzae*, *Streptococcus pneumoniae*, *Neisseria meningitidis*, *Salmonella typhi*)Other (notably, not a disease-causing factor itself)
05

Safety considerations

Generally considered safe as CRM197 is enzymatically inactive and nontoxic due to the G52E substitutionTheoretical risk of hypersensitivity or allergic reactions to protein carriers in vaccines.
06

Interacting drugs

Conjugated as a carrier to vaccine antigens; no direct interacting drugs, but forms the basis of many conjugate vaccines (e.g., Hib conjugate vaccine, pneumococcal conjugate vaccine, meningococcal conjugate vaccine, typhoid conjugate vaccine)
07

Biomarkers

CRM197-specific antibodies may be measured for immune response following vaccination, but not a routine patient-selection biomarker.

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