Abstract

Vaccination represents the most effective way to prevent invasive pneumococcal diseases. The glycoconjugate vaccines licensed so far are obtained from capsular polysaccharides (CPSs) of the most virulent serotypes. Protection is largely limited to the specific vaccine serotypes, and the continuous need for broader coverage to control the outbreak of emerging serotypes is pushing the development of new vaccine candidates. Indeed, the development of efficacious vaccine formulation is complicated by the high number of bacterial serotypes with different CPSs. In this context, to simplify vaccine composition, we propose the design of new saccharide fragments containing chemical structures shared by different serotypes as cross-reactive and potentially cross-protective common antigens. In particular, we focused on Streptococcus pneumoniae (Sp) 19A and 19F. The CPS repeating units of Sp 19F and 19A are very similar and share a common structure, the disaccharide ManNAc-β-(1→4)-Glc (A-B). Herein, we describe the synthesis of a small library of compounds containing different combinations of the common 19F/19A disaccharide. The six new compounds were tested with a glycan array to evaluate their recognition by antibodies in reference group 19 antisera and factor reference antisera (reacting against 19F or 19A). The disaccharide A-B, phosphorylated at the upstream end, emerged as a hit from the glycan array screening because it is strongly recognized by the group 19 antisera and by the 19F and 19A factor antisera, with similar intensity compared with the CPSs used as controls. Our data give a strong indication that the phosphorylated disaccharide A-B can be considered a common epitope among different Sp 19 serotypes.

Highlights

  • The Gram-positive bacterium Streptococcus pneumoniae (Sp) is a major cause of otitis media, bacteremia, and meningitis

  • The synthesized compounds were rationally designed taking into account the possible existence of nonnatural conformational epitopes as Sp19A/Sp19F common epitopes.[27]

  • Charged phosphates are part of the repeating units found in the polysaccharides, and they can play an important role in carbohydrate activity and antibody recognition.[34]

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Summary

Introduction

The Gram-positive bacterium Streptococcus pneumoniae (Sp) is a major cause of otitis media, bacteremia, and meningitis. Sp is the leading cause of community-acquired pneumonia despite the worldwide administration of pneumococcal conjugate vaccines.[1,2] A recent analysis by UNICEF estimates that pneumonia kills one child every 39 s.3. Sp accounts for approximately 100 serotypes, defined by the different serotype-specific capsular polysaccharide structures (CPSs). The CPSs are the most important virulence factor of the bacterium and are an optimal target for vaccine design and development.[4] The pneumococci are common inhabitants of the upper and lower respiratory tract microbial community

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