Target intelligence / Profile preview

Pneumococcal capsular polysaccharide serotype 4 (CPS4)

Target
CPS4
Molecular classification
Bacterial antigen, Polysaccharide, Virulence factor
01

Overview

Pneumococcal capsular polysaccharide serotype 4 is a complex carbohydrate polymer that forms the protective outer capsule of Streptococcus pneumoniae serotype 4 [3, 10]. It serves as a primary virulence factor by shielding the bacterium from host immune recognition and inhibiting opsonophagocytic clearance by neutrophils and macrophages [8, 10]. This polysaccharide is highly immunogenic and is a key antigenic component in several multivalent vaccines, including conjugate vaccines such as Prevnar 13 (PCV13) and Prevnar 20 (PCV20), as well as the 23-valent polysaccharide vaccine Pneumovax 23 (PPSV23) [1, 6]. Vaccination with these products stimulates the production of serotype-specific IgG antibodies that facilitate the opsonization and subsequent destruction of the pathogen [1, 11]. Serotype 4 is historically associated with high invasiveness and is a significant cause of pneumonia, meningitis, and bacteremia globally [4, 12]. While widely covered by current vaccines, its prevalence is monitored due to the potential for serotype replacement and geographic variations in disease burden [4, 5].

Other names
Streptococcus pneumoniae serotype 4 capsular polysaccharidePPS4Pneumococcal polysaccharide serotype 4Streptococcus pneumoniae type 4 capsular polysaccharide antigen
02

Mechanism of action

Induction of active immunity through the production of serotype-specific opsonophagocytic antibodies that facilitate bacterial clearance by the host immune system.

03

Biological functions

Immune evasionInhibition of phagocytosisBacterial virulenceNasopharyngeal colonization
04

Disease associations

PneumoniaMeningitisBacteremiaSepsisOtitis mediaInfection
05

Safety considerations

Serotype replacementInjection site reactionsFeverHypersensitivity
06

Interacting drugs

Prevnar 13 (PCV13)

4 more in the full profile.

07

Biomarkers

Serotype-specific IgG antibody titerOpsonophagocytic activity (OPA) titer

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