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

Target
P. aeruginosa O-antigen LPS
Molecular classification
Bacterial surface antigen, Lipopolysaccharide, Other
01

Overview

Pseudomonas aeruginosa O-antigen lipopolysaccharide is the distal, highly variable carbohydrate component of the lipopolysaccharide (LPS) molecule located on the outer membrane of this Gram-negative pathogen (King et al., 2009, PubMed: 19129351). It serves as a critical virulence factor by protecting the bacterium from host complement-mediated killing and providing a barrier against antimicrobial peptides (Lam et al., 2011, PubMed: 21414841). The O-antigen is composed of repeating oligosaccharide units that define the International Antigenic Typing Scheme (IATS) serotypes, of which there are 20 recognized varieties (Rocchetta et al., 1999, PubMed: 10515902). In clinical settings, it is a primary target for the development of monoclonal antibodies and conjugate vaccines, such as Panobacumab, which aim to enhance opsonophagocytic killing of the bacteria (Que et al., 2014, PubMed: 24415639). However, the high structural diversity between serotypes and the tendency of P. aeruginosa to lose O-antigen expression during chronic infections (transitioning to a "rough" phenotype) present significant challenges for broad-spectrum therapeutic efficacy (Huszczynski et al., 2020, PubMed: 31843936).

Other names
O-specific polysaccharideO-polysaccharideO-PSPseudomonas aeruginosa O-antigenP. aeruginosa LPS O-side chain
02

Mechanism of action

Opsonophagocytic killing (OPK), endotoxin neutralization, and inhibition of bacterial adhesion.

03

Biological functions

Immune responseOther
04

Disease associations

InfectionInflammation
05

Safety considerations

Serotype specificity (limited cross-reactivity)Phenotypic switching to rough strainsPotential for endotoxin-related inflammatory response during bacterial lysis
06

Interacting drugs

Panobacumab (KBPA101)

3 more in the full profile.

07

Biomarkers

International Antigenic Typing Scheme (IATS) serotypeAnti-O-antigen IgG/IgM titersLPS concentration in clinical isolates

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