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Haemophilus influenzae type b, Neisseria meningitidis serogroup A, and Neisseria meningitidis serogroup C capsular polysaccharide (Hib, MenA, and MenC CPS)

Target
Hib, MenA, and MenC CPS
Molecular classification
Polysaccharide, Bacterial antigen, Virulence factor
01

Overview

The capsular polysaccharides of Haemophilus influenzae type b (Hib), Neisseria meningitidis serogroup A (MenA), and Neisseria meningitidis serogroup C (MenC) are critical virulence factors that enable these bacteria to evade the host's immune system (Moxon & Kroll, 1988; Tzeng et al., 2016). These polysaccharides form a protective outer layer that inhibits phagocytosis and prevents complement-mediated lysis, allowing the pathogens to survive and proliferate in the bloodstream (Saha et al., 1997; Lewis & Ram, 2020). Hib is characterized by polyribosylribitol phosphate (PRP), while MenA and MenC consist of specific repeating units of N-acetylmannosamine-1-phosphate and N-acetylneuraminic acid, respectively (Bhattacharjee et al., 1975; Berry et al., 2002). In clinical practice, these polysaccharides serve as the primary antigens in conjugate vaccines, where they are chemically linked to carrier proteins to enhance immunogenicity, particularly in infants (Robbins et al., 1996; Richmond et al., 2001). Vaccination induces the production of protective bactericidal antibodies that recognize and neutralize the bacteria, significantly reducing the incidence of life-threatening diseases such as meningitis, pneumonia, and septicemia (Borrow et al., 2002; Finn et al., 2016). Common vaccines targeting these molecules include ActHIB, Menveo, and combination products like Menitorix and MenHibrix (Schneerson et al., 1980; Bryant et al., 2011).

Other names
Polyribosylribitol phosphatePRPMeningococcal group A capsular polysaccharideMeningococcal group C capsular polysaccharideBacterial capsular antigens
02

Mechanism of action

Induction of active immunity through the production of specific opsonophagocytic and bactericidal IgG antibodies against bacterial capsular polysaccharides.

03

Biological functions

Bacterial virulenceEvasion of host immunityImmune response induction
04

Disease associations

MeningitisSepticemiaPneumoniaEpiglottitisInfection
05

Safety considerations

Injection site reactions (pain, redness, swelling)Systemic reactions (fever, irritability, malaise)AnaphylaxisSyncope
06

Interacting drugs

ActHIB

10 more in the full profile.

07

Biomarkers

Anti-PRP IgG antibody concentrationSerum bactericidal assay (SBA) titers

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