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Neisseria meningitidis serogroup B surface antigen (None standardized)

Target
None standardized
Molecular classification
Surface-exposed bacterial protein, Bacterial adhesin (NadA, NHBA), Outer membrane protein (NHBA, PorA), Vaccine antigen
01

Overview

Neisseria meningitidis serogroup B surface antigens are a group of outer membrane-associated proteins expressed by the serogroup B strains of Neisseria meningitidis, a Gram-negative bacterial pathogen responsible for invasive meningococcal disease, including meningitis and septicemia. Key surface antigens include factor H binding protein (fHbp), Neisseria adhesin A (NadA), Neisseria heparin binding antigen (NHBA), and Porin A protein (PorA P1.4). These antigens enable immune evasion, mediate adherence to host tissues, and contribute to bacterial virulence. They serve as the primary targets for modern recombinant vaccines (e.g., 4CMenB/Bexsero, MenB-FHbp/Trumenba), which elicit protective antibody responses and provide immunity by complement-mediated bactericidal activity. Strain coverage and vaccine effectiveness depend on the presence and expression of these antigens in circulating MenB strains.

Other names
MenB surface antigensMeningococcal B surface antigensNeisseria meningitidis group B surface antigensfHbp (factor H binding protein)NHBA (Neisseria heparin binding antigen)NadA (Neisseria adhesin A)PorA P1.4 (Porin A protein, subtype P1.4)
02

Mechanism of action

Vaccine-induced antibody responses trigger complement-mediated killing of N. meningitidis serogroup B by binding to surface antigens, leading to bacterial lysis and/or opsonization. Neutralization of bacterial adhesion and immune evasion functions (e.g., blocking fHbp-human factor H interaction, targeting NadA/NHBA-mediated adhesion).

03

Biological functions

Immune evasion (e.g., fHbp binds human factor H to decrease complement activation)Cell adhesion to host tissues (NadA, NHBA)Serum resistance (fHbp, NHBA)Biofilm formation (NHBA)Induce protective antibody response (major function in context of vaccination)
04

Disease associations

Infection (central to pathogenesis of invasive meningococcal disease, meningitis, and sepsis)Surface antigens as virulence factors
05

Safety considerations

Incomplete strain coverage: Not all MenB strains express all vaccine antigens at sufficient levels to be targeted by antibodies; efficacy variesReactogenicity: Local and systemic reactions such as fever and soreness post-vaccinationLong-term protection: Duration of antibody-mediated protection, especially in older populations, is still being studiedNo major off-target safety signals or autoimmune adverse events identified from current data
06

Interacting drugs

Bexsero (4CMenB; Meningococcal Group B Vaccine)

2 more in the full profile.

07

Biomarkers

Expression of vaccine antigens (fHbp, NadA, NHBA, PorA P1.4) in clinical isolates (assessed by phenotypic assays such as MATS and MEASURE, to predict strain coverage)Human serum bactericidal activity (hSBA) titers against surface antigens

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