Target intelligence / Profile preview

Streptococcus pneumoniae cell wall phosphocholine and capsular polysaccharide (PC/CPS)

Target
PC/CPS
Molecular classification
Carbohydrate, Polysaccharide, Bacterial cell wall component
01

Overview

Streptococcus pneumoniae cell wall phosphocholine (PC) and related surface carbohydrates, primarily the capsular polysaccharide (CPS), are essential determinants of pneumococcal virulence and host-pathogen interactions. Phosphocholine is a key component of teichoic and lipoteichoic acids, acting as a docking site for choline-binding proteins (CBPs) and facilitating bacterial adherence to host cells by binding to the platelet-activating factor (PAF) receptor [1][2]. The capsular polysaccharide forms the outermost layer of the bacterium, providing protection against opsonophagocytosis and environmental stress, with over 100 distinct serotypes identified to date [3]. These surface structures are the primary targets for pneumococcal vaccines, including conjugate and polysaccharide formulations, which elicit protective antibodies to enhance bacterial clearance [4]. Additionally, phosphocholine is a target for the innate immune system via C-reactive protein (CRP) and has been investigated as a target for broad-spectrum monoclonal antibody therapies due to its conserved nature across different pneumococcal strains [5].

Other names
Pneumococcal surface carbohydratesC-polysaccharideTeichoic acid phosphocholineLipoteichoic acid phosphocholinePneumococcal capsular polysaccharideC-substance
02

Mechanism of action

Induction of opsonophagocytic antibodies that bind to surface carbohydrates, facilitating bacterial clearance by the immune system; inhibition of bacterial adherence to host tissues by blocking phosphocholine-mediated binding to host receptors.

03

Biological functions

Cell adhesionImmune evasionStructural integrityPathogenesisInflammatory response
04

Disease associations

InfectionPneumoniaMeningitisSepsisOtitis mediaSinusitis
05

Safety considerations

Serotype replacementInjection site reactionsHypersensitivityLimited protection against non-vaccine serotypesPotential for immune interference in multi-valent formulations
06

Interacting drugs

Pneumococcal 13-valent conjugate vaccine

5 more in the full profile.

07

Biomarkers

Anti-capsular polysaccharide IgG antibody concentrationOpsonophagocytic activity (OPA) titerC-reactive protein levelsUrinary pneumococcal antigen

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