Target intelligence / Profile preview

Pseudomonas aeruginosa lipopolysaccharide O-antigen (P. aeruginosa O-antigen)

Target
P. aeruginosa O-antigen
Molecular classification
Polysaccharide, Bacterial surface antigen, Endotoxin component
01

Overview

The O-antigen, specifically the long-chain O-specific antigen (OSA), is the outermost polysaccharide component of the lipopolysaccharide (LPS) molecule on the surface of the Gram-negative bacterium Pseudomonas aeruginosa (Rocchetta et al., 1999). It consists of repeating oligosaccharide units that define the bacterium's serotype and serve as a critical interface between the pathogen and the host immune system (King et al., 2009). Biologically, the O-antigen acts as a major virulence factor by protecting the bacterium from complement-mediated lysis and phagocytosis, while also facilitating environmental adaptation and biofilm formation (De Bentzmann & Plésiat, 2011). In therapeutic development, the O-antigen is a primary target for monoclonal antibodies and vaccines designed to induce opsonophagocytic killing and neutralize the pro-inflammatory effects of LPS (Que et al., 2014). Because P. aeruginosa exhibits significant structural diversity in its O-antigen across different strains, clinical strategies often target specific high-prevalence serotypes, such as O11, or utilize polyvalent formulations (Lam et al., 2011). Understanding the transition from smooth (O-antigen producing) to rough (O-antigen deficient) phenotypes is also vital, as this shift often occurs during chronic infections in cystic fibrosis patients to evade host detection (Pier, 2007).

Other names
O-specific antigenOSAB-band lipopolysaccharideO-polysaccharideO-side chainLPS O-antigen
02

Mechanism of action

Opsonophagocytic killing, Neutralization of endotoxin, Complement activation, Inhibition of bacterial adhesion

03

Biological functions

Bacterial virulenceImmune evasionSerum resistanceBiofilm formationBacterial adhesionStructural integrity
04

Disease associations

InfectionSepsisCystic fibrosis-related lung infectionVentilator-associated pneumoniaNosocomial infection
05

Safety considerations

Serotype specificity (limited cross-reactivity between strains)Antigenic variation/driftPotential for Jarisch-Herxheimer-like inflammatory reactionsRisk of selecting for O-antigen deficient (rough) strains during treatment
06

Interacting drugs

Panobacumab (AR-101)

2 more in the full profile.

07

Biomarkers

International Antigenic Typing System (IATS) serotypeAnti-LPS antibody titersLPS concentration in serum or sputum

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