Skip to main content

Bacterial Polysaccharides as Vaccines — Immunity and Chemical Characterization

  • Chapter
The Molecular Immunology of Complex Carbohydrates —2

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 491))

Abstract

Studies on protective immunity and biochemical characterization of bacterial capsular polysaccharides have led to significant contributions to understanding of the mechanisms of infectious diseases and development of effective vaccines. Immunity to encapsulated bacteria is related to antibody response to polysaccharide (PS) antigen, interactions with T - and Blymphocytes, and host defense mechanisms.

Meningococcal, pneumococcal and Salmonella vi PSs and Haemophilus type bPS-protein conjugate vaccines have been licensed and provided effective immunity for prevention of these bacterial infections. Capsular PSs are cell-surface polymers consisting of oligosaccharide repeating units. Many PSs are highly polar and hydrophilic and interfere with cell-to-cell interactions with phagocytes. Most pneumococcal PSs are negatively charged and possess acidic components such as D-glucuronic acid and phosphate in phosphodiester bonds. Extensive immunologic cross-reactivity has been observed among bacterial capsular PSs.

In infants the antibody responses to most capsular PSs are generally poor. Enhanced immunogenicity of PS antigens can be achieved through PS-protein conjugate vaccines, immunization during a critical period of perinatal development and effective antigen delivery system.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Dochez, A.R. and O.T. Avery. The elaboration of specific soluble substance by pneumococcus during growth. J. Exp. Med., 26:477–493, 1917.

    Article  PubMed  CAS  Google Scholar 

  2. Lee, C.J. Bacterial capsular polysaccharides: biochemistry, immunity, and vaccine. Mol. Immunol., 24: 1005–1019, 1987.

    CAS  Google Scholar 

  3. Butler, J.C., R.F. Breiman, H.B. Lipman et al. Serotype distribution of Streptococcus pneumoniae infections among preschool children in the United States, 1978–1994: Implications for development of a conjugate vaccine. J. Infect. Dis., 171:885–889, 1995.

    Article  PubMed  CAS  Google Scholar 

  4. Siber, G.R. Pneumococcal disease: Prospects for a new generation of vaccines. Science 265:1385–1387, 1994.

    Article  PubMed  CAS  Google Scholar 

  5. Broome, C.V. Epidemiology of Haemophilus influenzae type b infections in the United States. Pediatr. Infect. Dis. J., 6: 779–782, 1987.

    Article  CAS  Google Scholar 

  6. Immunization Practices Advisory Committee (ACIP). Haemophilus b conjugate vaccines for prevention of Haemophilus influenzae type b disease among infants and children two months of age and older. Morb. Mort. Wk. Rep., 40 RR-1:1–7, 1991.

    Google Scholar 

  7. Frasch, C.E. Meningococcal vaccines: Past, present and future. In Meningococcal Disease, Cartwright K. ed., p. 145–283, 1995, J. Wiley, Chichester.

    Google Scholar 

  8. Bruyn, G.A., Zegers, B.J. and van Furth, R. Mechanisms of host defense against infection with Streptococcus pneumoniae. Clin. Infect. Dis., 14:251–262, 1992.

    CAS  Google Scholar 

  9. Lee, C.J. Bacterial capsular polysaccharides: immunogenicity and vaccines. In Polysaccharides in Medical Applications, S. Dunitriu, ed., p.411–442, 1996, Marcel Dekker, Inc., New York, N.Y.

    Google Scholar 

  10. Frasch, C.E. Production and control of Neisseria meningitidis vaccines. In Advances in Biotechnological Process, A. Mizrahi, ed., Vol. 13, p. 123–145, 1990, Wiley-Liss, New York.

    Google Scholar 

  11. Lalitha, M.K., R. Pai, T.J. John, et al. Serotyping of Streptococcus pneumoniae by agglutination assays: A cost-effective technique for developing countries. Bull. World Health Organ., 74:387–390, 1996.

    PubMed  CAS  Google Scholar 

  12. Robbins, J.B., R. Schneerson, M.P. Glode, et al. Cross-reactive antigens and immunity of disease caused by encapsulated bacteria. J. Allergy Clin. Immunol., 56:141–151, 1975.

    Article  PubMed  CAS  Google Scholar 

  13. Heidelberger, M. Cross-reactions of polysaccharides of staphylococci and streptococci in antipneumococcal and other antisera. Mol. Immunol., 21:1011–1014, 1984.

    Article  PubMed  CAS  Google Scholar 

  14. Jennings, H.L., E. Katzenellenbogen, C. Lugowski, et al. Structure, conformation and immunology of sialic acid containing polysaccharides of human pathogenic bacteria. Pure Appl. Chem., 56:893–905, 1984.

    CAS  Google Scholar 

  15. Edwards, M.S., D.L. Kasper, H.J. Jennings, et al. Capsular sialic acids prevents activation of the alternative complement pathway by type III group B Streptococcus. J. Immunol., 128:1278–1283, 1982.

    PubMed  CAS  Google Scholar 

  16. Frank, M.M. Current concepts: complement in the pathophysiology of human disease. N. Eng. J. Med., 316:1525–1530, 1987.

    Article  CAS  Google Scholar 

  17. Bruyn, G.A., B.J.M. Zegers, and R. van Furth. Mechanisms of host defense against infection with Streptococcus pneumoniae. Clin. Infect. Dis., 14: 251–262, 1992.

    CAS  Google Scholar 

  18. Taylor, C.E., M.B. Fauntleroy, P.W. Stashak et al. Antigen-specific suppressor T cells respond to recombinant interleukin-2 and other lymphokines. Infect. Immun., 59:575–579, 1991.

    PubMed  CAS  Google Scholar 

  19. Baker, P.J. Regulation of magnitude of antibody response to bacterial polysaccharide antigen by thymus-derived lymphocytes. Infect. Immun., 58:3465–3468, 1990.

    PubMed  CAS  Google Scholar 

  20. Van Furth, R., Schuit, and R.C. Williams, Jr. The immunological development of the human fetus. J. Exp. Med., 122:1173, 1965.

    Article  PubMed  CAS  Google Scholar 

  21. Morito, T., A.D. Bankhurst, and R.C. Williams, Jr. Studies of human cord blood and adult lymphocyte interactions with in vitro immunoglobulin production. J. Clin. Invest., 64: 990–995,1979.

    Article  PubMed  CAS  Google Scholar 

  22. Schlamowitz, M. Membrane receptors in the specific transfer of immunoglobulins from mother to young. Immunol. Commun., 5: 481–500, 1976.

    PubMed  CAS  Google Scholar 

  23. Rijkers, G., W. Kuis, E. de Graeff-Meeder, et al. Impaired immune response to polysaccharides. N. Eng. J. Med., 317:837–838, 1987.

    Article  Google Scholar 

  24. Ambrosino, D.M., Siber, G.R., B.A. Chilmonczyk, et al. An immuno-deficiency characterized by impaired antibody response to polysaccharides. N. Eng. J. Med., 316:790–793, 1987.

    Article  CAS  Google Scholar 

  25. Shurin, P.A., J.M. Rehmus, C.E. Johnson, et al. Bacterial polysaccharide immune globulin for prophylaxis of acute otitis media in high-risk children. J. Pediatr., 123:801–810, 1993.

    Article  PubMed  CAS  Google Scholar 

  26. Serogroup Y meningococcal disease - Illinois, Connecticut, and selected areas, United States, 1989–96. Mort. Morb. Wk. Rep., 45:1010–1013, 1996.

    Google Scholar 

  27. Racossin, J.A., C.Q. Whitney, C.S. Conover et al. Serogroup Y meningococcal disease in Chicago, 1991–97. JAMA 24:2094–2098, 1998.

    Article  Google Scholar 

  28. Immunization Practice Advisory Committee (ACIP). Meningococcal polysaccharide vaccines, Mort. Morb. Wk. Rep., 27:327–329, 1978.

    Google Scholar 

  29. Immunization Practice Advisory Committee (ACIP). Meningococcal vaccines. Mort. Morb. Wk. Rep., 34:255–259, 1985.

    Google Scholar 

  30. Gold, R. Immunogenicity of meningococcal polysaccharide in man. In Immunology of Bacterial Polysaccharides, Rudbach, J., Baker, P., eds., p. 121–151, 1979, Elsevier, New York.

    Google Scholar 

  31. Goldschneider, I., M.L. Lepow, E.C. Gotschlich, et. al. Immunogenicity of serogroup A and serogroup C meningococcal polysaccharides in human infants. J Infect. Dis., 128:769–779, 1973.

    Article  PubMed  CAS  Google Scholar 

  32. Makela, P.H., H. Peltola, H. Kayhty, et al. Polysaccharide vaccines of serogroup A Neisseria meningitidis and Haemophilus influenzae type b: a field trial in Finland. J. Infect. Dis., 136 (Suppl):S43–S50, 1977.

    Article  PubMed  Google Scholar 

  33. Black S.B., H.R. Shinefield, Kaiser Permanente Ped Vaccine Study Gr. Immunization with oligosaccharide conjugate Haemophilus influenzae type b (HbOC) vaccine on a large health maintenance organization population: Extended follow-up and impact on Haemophilus influenzae disease epidemiology. Pediatr. Infect. Dis. J., 11:610–613, 1992.

    PubMed  CAS  Google Scholar 

  34. Adams, W.G., K.A. Deaver, S.L. Cochi, et al. Decline of childhood Haemophilus influenzae type b (Hib) disease in the Hib vaccine era. JAMA 269:221–226, 1993.

    Article  PubMed  CAS  Google Scholar 

  35. Jennings, H.J. and C. Lugowski. Immunochemistry of serogroup A, B, and C meningococcal polysaccharide-tetanus toxoid conjugates. J. Immunol., 127:1011–1018, 1981.

    PubMed  CAS  Google Scholar 

  36. Costantino, P., S. Viti, A. Podda, et al. Development and phase I clinical testing of a conjugate vaccine against meningococcus A and C. Vaccine 10:691–698, 1992.

    Article  PubMed  CAS  Google Scholar 

  37. Wyle, F.A., M.S. Artenstein, B.L. Brandt, et al. Immunogenic response of man to Group B meningococcal polysaccharide vaccines. J. Infect. Dis., 126:514–522, 1972.

    Article  PubMed  CAS  Google Scholar 

  38. Kasper, D.L., J.L. Windelhake, W.D. Zollinger, et al. Immunological similarity between polysaccharide antigens of Escherichia coli 07:K1:(NM) and Group B meningococci. J. Immunol., 110:262–268, 1973.

    PubMed  CAS  Google Scholar 

  39. Lifely, M.R., A.S. Gilbert, and C. Moreno. Sialic acid polysaccharide antigens of Neisseria meningitidis and Escherichia coli: esterification between adjacent residues. Carbohydr. Res., 94:193–203, 1981.

    CAS  Google Scholar 

  40. Maloney, P.C., H. Schneider, and B.L. Brandt. Production and degradation of serogroup B Neisseria meningitidis polysaccharide. Infect. Immun., 6:657–661, 1972.

    CAS  Google Scholar 

  41. Zollinger, W.D. and R.E. Mandrell. Importance of complement source in bactericidal activity of human antibody and murine monoclonal antibody to meningococcal gerogroup B polysaccharide. Infect. Immun., 40:257–264, 1983.

    PubMed  CAS  Google Scholar 

  42. Jennings, H.J., A. Gamian, F. Michon, et al. Unique intermolecular bactericidal epitope involving the homosialopolysaccharide capsule on the cell surface of serogroup B Neisseria meningitidis and Echerichia coli K1. J. Immunol., 142:3585–3591, 1989.

    PubMed  CAS  Google Scholar 

  43. Brisson, J.R., H. Baumann, A. Imberty et al. Helical epitope of the serogroup B meningococcal a(2–8)-linked sialic acid polysaccharide. Biochemistry 31:4996–5004, 1992.

    Article  PubMed  CAS  Google Scholar 

  44. Jennings, H.I., R. Roy, F. Michon. Determinant specificities of the serogroups B and C polysaccharide of Neisseria meningitidis. J.Immunol., 134:2651–2657, 1985.

    PubMed  CAS  Google Scholar 

  45. Yamasaki, R. and B. Bacon. Three-dimentional structural analysis of the serogroup B polysaccharide of Neisseria meningitidis 6275 by two-dimentional NMR: the polysaccharide is suggested to exist in helical conformations in solution. Biochemistry, 30:851–857, 1991.

    Article  PubMed  CAS  Google Scholar 

  46. Fukumi, H. Studies on clinical application of pneumococcal vaccine: distribution of Streptococcus pneumoniae in Japan. Jpn. Infect. Dis., 58:39–53, 1984.

    CAS  Google Scholar 

  47. Shen, S. and the Cooperation Group on Pneumococcal Serotyping. Serotypes and epidemiological study of pneumococcal infection in 18 provinces (cities) in China. Jiangxi Inst. Med. Sci., 10:133–137, 1989.

    CAS  Google Scholar 

  48. Robbins, J.B., R. Austrian, C.J. Lee et al. Considerations for formulating the second-generation pneumococcal capsular polysaccharide vaccine with emphasis on the cross-reactive types. J. Infect. Dis., 148:1136–1159, 1983.

    Article  PubMed  CAS  Google Scholar 

  49. Lee, C.J. and T.R. Wang. Pneumococcal infection and immunization in children. Crit.Rev. Microbiol., 20(1):1–12, 1994.

    Article  PubMed  CAS  Google Scholar 

  50. Briles, D.E., and J. Carroll. Natural selection and the response to polysaccharides. In Evolution and Vertebrate Immunity, G. Kelsoe and D.H. Schulze, eds., p. 117–133, 1987, University of Texas Press, Austin, TX.

    Google Scholar 

  51. Van den Dobbelsteen, G.P., H. Kroes, van Rees, E.P. Characteristics of immune responses to native and protein conjugated pneumococcal polysaccharide type 14. Scand. J. Immunol., 41:273–280, 1995.

    Google Scholar 

  52. Alonso de Velasco, E., D. Merkus, S. Anderson, et al. Synthetic peptides representing T-cell epitopes act as carriers in pneumococcal polysaccharide conjugate vaccines. Infect. Immun., 63:961–968, 1995.

    Google Scholar 

  53. Ogunniiyi, A.D., D.E. Briles, and J.C. Paton. Development of a pneumococcal common protein vaccine bases a combination of pneumolysin, PspA and PsaA. Pneumococcal Vaccines for the World 1998 conference, p. 29, 1998.

    Google Scholar 

  54. Lock, R.A., J.C. Paton, D. Hausman. Comparative efficacy of pneumococcal neuraminidase and pneumolysin as immunogens protective against Streptococccus pneumoniae. Microb. Pathog., 5:461–467, 1988.

    CAS  Google Scholar 

  55. Tart, R.C., L.S. McDaniel, B.A. Ralph, et al. Truncated Streptococcus pneumoniae PspA molecules elicit cross-protective immunity against pneumococcal challenge in mice. J. Infect. Dis., 173:380–386, 1996.

    Article  PubMed  CAS  Google Scholar 

  56. Tai, S.S., T.R. Wang, and C.J. Lee. Characterization of hemininding activity of Streptococcus pneumoniae. Infect. Immun., 65:1083–1087, 1997.

    CAS  Google Scholar 

  57. Steihoff, M.C., K. Edwards, H. Keyserling, et al. A randomized comparison of three bivalent Streptococcus pneumoniae glycoprotein conjugate vaccines in young children: Effect of polysaccharide size and linkage characteristics. Pediatr. Infect. Dis. J., 13:368–372, 1994.

    Article  Google Scholar 

  58. Pichichero, M.E., M.A. Shelly, and J.J. Treanor. Evaluation of a pentavalent conjugated pneumococcal vaccine in toddlers. Pediatr. Infect. Dis. J., 16:72–74, 1997.

    Article  PubMed  CAS  Google Scholar 

  59. Antilla, M., J. Eskola, and H. Kayhty. Opsonic activity and concentration of antibodies to Streptococcus pneumoniae type 6B polysaccharide. Abstracts of the 35th Annual Meeting of the Infectious Disease Society of America, p. 183, 1997, San Francisco, CA.

    Google Scholar 

  60. Musher, D.M., J.E. Groover, M.C. Rodriguez-Barradas, et al. IgG responses to protein-conjugated pneumococcal capsular polysaccharides in persons who are genetically incapable of responding to unconjugated polysaccharides. Clin. Infect. Dis., 111:222–233, 1998.

    Google Scholar 

  61. Kayhty, H., H. Ahman, P.R. Ronnberg, et al. Pneumococcal polysaccharide-meningococcal outer membrane protein complex conjugate vaccine is immunogenic in infants and children. J. Infect. Dis., 172:1273–1278, 1995.

    Article  PubMed  CAS  Google Scholar 

  62. Leach, A., S. Ceesay, W. Banya, et al. Pilot trial of a pentavalent pneumococcal polysaccharide-protein conjugate vaccine in Gambian infants. Pediatr. Infect. Dis. J., 15:333–339, 1996.

    Article  CAS  Google Scholar 

  63. Anderson, E., D. Kennedy, K. Geldmacher, et al. Immunogenicity of heptavalent pneumococcal conjugate vaccine in infants. J. Pediatr., 128:649–653, 1996.

    Article  PubMed  CAS  Google Scholar 

  64. Rennels, M.b., K.M. Edwards, H.L. Keyserling, et al. Safety and immunogenicity of heptavalent pneumococcal vaccine conjugated to CRM197 in United States infants. Pediatrics, 101:604–611, 1998.

    Article  PubMed  CAS  Google Scholar 

  65. Sorensen, R.U., L.E. Leviva, P.A. Giangrosso, et al. Response to a heptavalent conjugate Streptococcus pneumoniae vaccine in children with recurrent infections who are unresponsive to the polysaccharide vaccine. Pediatr. Infect. Dis. J., 17(8):685–691, 1998.

    Article  PubMed  CAS  Google Scholar 

  66. Daum, R.S. Pneumococcal vaccines for children: An update. Pediatr. Infect. Dis. J., 17(9):823–824, 1998.

    Article  PubMed  CAS  Google Scholar 

  67. Obaro, S.K., Z.M. Huo, W.A.S. Banya, et al. A glycoprotein pneumococcal conjugate vaccine primes for antibody responses to a pneumococcal polysaccharide vaccine in Gambian children. Pediatr. Infect. Dis. J., 16(12):1135–1140, 1997.

    Article  CAS  Google Scholar 

  68. Klein, D.L., R.W. Elis. Conjugate vaccine against Streptococcus pneumoniae. In New Generation Vaccines, M.M. Levine, g.C. Woodrow, J.B. Kaper, G.S. Cobon (eds.), p. 503–525, 1997, Marcel Dekker, Inc., New York.

    Google Scholar 

  69. Lu, C.H., C.J. Lee, and P. Kind. Immune responses of young mice to pneumococcal type 9V polysaccharide-tetanus toxoid conjugate. Infect. Immun., 62:2754–2760, 1994.

    PubMed  CAS  Google Scholar 

  70. Wenger, J.D., A.W. Hightower, R.R. Facklam, et al. Bacterial meningitis in the United States, 1986: report of a multistate surveillance study. J. Infect. Dis., 162:1316–1323, 1990.

    Article  PubMed  CAS  Google Scholar 

  71. Claesson, B.A. Epidemiology of invasive Haemophilus influenzae type disease in Scandinavia. Vaccine 11:530–533, 1993.

    Google Scholar 

  72. Booy, R., S.A. Hodgson, M.P.E. Slack, et al. Invasive Haemophilus influenzae type b disease in the Oxford region (1985–91). Arch. Dis. Child, 69:225–228, 1993.

    Article  CAS  Google Scholar 

  73. Centers for Disease Control. Recommendations for use of Haemophilus b conjugate vaccines and a combined diphtheria, tetanus, pertussis, and Haemophilus b vaccine. Mort. Morb. Wk. Rep., 42(RR13):1–15, 1993.

    Google Scholar 

  74. Decker, M.D., K.M. Edwards, R. Bradley, et al. Comparative trial in infants of four conjugate Haemophilus influenzae type b vaccines. J. Pediatr., 120:184–189, 1992.

    Article  PubMed  CAS  Google Scholar 

  75. Eskola, J., H. Kayhty, A.K. Takala, et al. A randomized, prospective field trial of a conjugate vaccine in the protection of infants and young children against invasive Haemophilus influenzae type b disease. N. Eng. J. Med., 323:1381–1387, 1990.

    Article  CAS  Google Scholar 

  76. Takala, A.K., J. Eskola, M. Leinonen, et al. Reduction of oropharyngeal carriage of Haemophilus influenzae type b (Hib) in children immunized with an Hib conjugate vaccine. J. Infect. Dis., 164:982–986, 1991.

    Article  PubMed  CAS  Google Scholar 

  77. Adams, W.G., K.A. Deaver, S.L. Cochi, et al. Decline of childhood Haemophilus influenzae type b (Hib) disease in the Hib vaccine era. JAMA, 269:221–226, 1993.

    Article  PubMed  CAS  Google Scholar 

  78. Centers for Disease Control. Progress toward elimination of Haemophilus influenzae type b disease among infants and children -- United States, 1993–1994. Mort. Morb. Wk. Rop., 44:545–550, 1995.

    Google Scholar 

  79. Robbins, J.D. and J.B. Robbins. Reexamination of the protective role of the capsular polysaccharide (Vi antigen) of Salmonella typhi. J. Infect. Dis., 150:436, 1984.

    Article  PubMed  CAS  Google Scholar 

  80. Keitel W.A., N.L. Bond, J.M. Zahradnik, et al. Clinical and serological responses following primary and booster immunization with Salmonella typhi Vi capsular polysaccharide vaccines. Vaccine 12:195–199, 1994.

    Article  PubMed  CAS  Google Scholar 

  81. Acharya, I., C. Lowe, R. Thapa, et al. Prevention of typhoid fever in Nepal with the Vi capsular polysaccharide of Salmonella typhi. N. Eng. J. Med., 317: 1101–1104, 1987.

    Article  CAS  Google Scholar 

  82. Klugman, K., H. Koornhof, and R. Schneerson. Protective ability of Vi capsular polysaccharide vaccine against typhoid fever. Lancet, 2:1165–1169, 1987.

    Article  PubMed  CAS  Google Scholar 

  83. World Health Organization Expert Committee on Biologic Standardization. Requirements on Vi polysaccharide for typhoid. Technical Report Series 840, p. 14–32, 1993.

    Google Scholar 

  84. Szu, S.C., X. Li, A.L. Stone, et al. Relation between the structure and immunologic properties of the Vi capsular polysaccharide. Infect. Immun., 59:4555–4561, 1991.

    CAS  Google Scholar 

  85. Szu, S.C., A.L. Stone, J.D. Robbins, et al. Vi capsular polysaccharide-protein conjugates for prevention of typhoid fever. J. Exp. Med., 166:1510–1524, 1987.

    Article  PubMed  CAS  Google Scholar 

  86. Szu, S.C., D.N. Taylor, A.C. Trofa, et al. Laboratory and preliminary clinical characterization of Vi capsular polysaccharide-protein conjugate vaccines. Infect. Immun., 62:4440–4444, 1994.

    CAS  Google Scholar 

  87. Baker, C.J. and D.L. Kasper. Group B streptococcal vaccines. Rev. Infect. Dis., 7:458–467, 1985.

    Article  CAS  Google Scholar 

  88. Dillon, H.C., Jr., S. Khare, and B.M. Gray. Group B streptococcal carriage and disease: a 6-year prospective study. J. Pediatr., 110:31–36, 1987.

    Article  PubMed  Google Scholar 

  89. Wessels, M.R., J.L. DiFabio, V.J. Benedi, et al. Structural determination and immunochemical characterization of the type V group B Streptococcus capsular polysaccharide. Biol. Chem., 266:6714–6719, 1991.

    CAS  Google Scholar 

  90. Jennings, H.J. Capsular polysaccharides as vaccine candidates. Curr. Top. Microbiol. Immunol., 150: 97–127, 1990.

    Article  PubMed  CAS  Google Scholar 

  91. Kasper, D.L., C.J. Baker, M.S. Edwards et al. The type III Group B streptococcal capsular polysaccharide: structure, immunospecificity, immunogenicity and relationship to virulence. In Seminars in Infectious Diseases, Vol. 6, L. Weinstein and B.M. Fields, eds., pp. 275–278, 1982, Thieme-Stratton, New York.

    Google Scholar 

  92. Baker, C.J., M.A. Rench, M.S. Edwards, et al. Immunization of pregnant women with a polysaccharide vaccine of Group B streptococcus. N. Engl. J. Med., 319:1180–1185, 1988.

    Article  PubMed  CAS  Google Scholar 

  93. Kasper, D.L., L.C. Paoletti, M.R. Wessels, et al. Immune response to type III group B streptococcal polysaccharide-tetanus toxoid conjugate vaccine. J. Clin. Invest., 98:2308–2314, 1996.

    Article  PubMed  CAS  Google Scholar 

  94. Griffin, P.M. and R.V. Tauxe. The epidemiology of infections caused by E. coli 0157:H7, other enterohemorrhagic E. coli, and the associated hemolytic uremic syndeome. Epidemiol. Rev., 13:60–98, 1991.

    CAS  Google Scholar 

  95. Neill, M.A., P.L. Tan, C.R. Clausen, et. al. Escherichia coil 0157:H7 and the predominant pathogen associated with hemolytic uremic syndrome: A prospective study in the Pacific Northwest. Pediatrics, 80:37–40, 1987.

    PubMed  CAS  Google Scholar 

  96. Osstroff, S.M., P.I. Tan, M.A. Neill, et al. Toxin genotypes and plasmid profiles as determinants of systemic sequelae in E. coli 0157:H7 infections. J. Infect. Dis., 160:994–998, 1989.

    Article  Google Scholar 

  97. Aleksic, S., H. Karch, J. Bockemuhl. A biotyping scheme for Shiga-like (Vero) toxin-producing Escherichia coli 0157 and a list of serological cross-reactions between 0157 and other gram-negative bacteria. Int. J. Med. Microbiol., 276:221–230, 1992.

    CAS  Google Scholar 

  98. Orskov, F., I. Orskov, J.A. Villar. Cattle as reservoir of verotoxin-producing Escherichia coli 0157:H7. Lancet, 2:276, 1987.

    Article  PubMed  CAS  Google Scholar 

  99. Keene, W.E., J.M. McAnulty, F.G. Hoesly, et al. A swimming-associated outbreak of hemorrhagic colitis caused by Escherichia coli 0157:H7 and Shigella sonnei. N. Engl. J. Med., 331:579–584, 1994.

    Article  PubMed  CAS  Google Scholar 

  100. Perry, M.B., L. MacLean, D.W. Griffith. Structure of the 0-chain polysaccharide of the phenol-phase soluble lipopolysaccharide of Escherichia coli 0157:H7. Biochem. Cell Biol., 64:21–28, 1986.

    CAS  Google Scholar 

  101. Konadu, E., J.B. Robbins, J. Shiloach, et al. Preparation, characterization, and immunological properties in mice of Escherichia coli 0157 0-specific polysaccharide-protein conjugate vaccines. Infect. Immun., 62:5048–5054, 1994.

    CAS  Google Scholar 

  102. Parke, J.C., Jr., E. Konadu, V. Pozsgay, et al. Clinical evaluation of Escherichia coli 0157 0- specific polysaccharide conjugates in adults and synthesis and evaluation of Shigella toxin B subunit conjugates in mice. In preparation.

    Google Scholar 

  103. Finland, M., W.F. Jones, and M.W. Barnes. Occurrence of serious bacterial infections since the introduction of antibacterial agents. JAMA, 170:2188–2197, 1959.

    Article  CAS  Google Scholar 

  104. Rogers, D.E. The changing pattern of life-threatening microbial disease. N. Engl. J. Med., 261:677–683, 1959.

    CAS  Google Scholar 

  105. Bartlett, J.G., P. O’Keefe, F.P. Tally, et al. Bacteriology of hospital-acquired pneumonia. Arch. Intern. Med., 146:868–871, 1986.

    CAS  Google Scholar 

  106. Jarvis, W.R., V.P. Munn, A.K. Highsmith, et al. The epidemiology of nosocomial infections caused by Klebsiella pneumoniae. Infect. Control., 6:68–74, 1985.

    CAS  Google Scholar 

  107. Keime, L. and B. Lindberg. Bacterial polysaccharides. In The Polysaccharides, Vol. 2, G.O. Aspinall, ed., pp. 287–363, 1983, Academic Press, New York.

    Google Scholar 

  108. Lee, C.J. and K. Koizumi. Immunochemical relations between pneumococcal group 19 and Klebsiella capsular polysaccharides. J. Immunol., 127: 1619–1623, 1981.

    PubMed  CAS  Google Scholar 

  109. Heidelberger, M. and W. Nimmich. Immunochemical relationship between bacteria belonging to two separate families: pneumococci and Klebsiella. Immunochemistry, 13:67–80, 1976.

    Article  PubMed  CAS  Google Scholar 

  110. Cryz, S.J., P. Mortimer, A.S. Cross, et al. Safety and immunogenicity of polyvalent Klebsiella capsular polysaccharide vaccine in humans. Vaccine, 4:15–20, 1986.

    Article  PubMed  Google Scholar 

  111. Cryz, S.J., A.S. Cross, E. Furer, et al. Activity of intravenous immune globulins against Klebsiella. J. Lab. Clin. Med., 108:182–189, 1986.

    PubMed  CAS  Google Scholar 

  112. Siber, G.R., P.H. Schur, A.C. Eisenberg, et al. Correlation between serum IgG-2 concentrations and the antibody response to bacterial polysaccharide antigens. N. Engl. J. Med., 303:178–182, 1980.

    Article  PubMed  CAS  Google Scholar 

  113. Cryz, S.J., Jr., J.C. Sadoff, A.S. Cross, et al. Safety and immunogenicity of a polyvalent Pseudomonas aeruginosa 0-polysaccharide-toxin A vaccine in humans. Antibio. Chemother., 42:177–183, 1989.

    Google Scholar 

  114. Granstrom, M., B. Wretlind, B. Markham, et al. Enzyme-linked immunosobent assay to evaluate the immunogenicity of a polyvalent Klebsiella capsular polysaccharide vaccine in humans. J. Clin. Microbiol., 26:2257–2261, 1988.

    PubMed  CAS  Google Scholar 

  115. Donta, S.T., A.S. Cross, J.C. Sadoff, et al. Immunoprophylaxis against Klebsiella and Pseudomonas aeruginosa infections. Clin Infect, Dis., 117:564, 1993.

    Google Scholar 

  116. Drabick, J.J., K. Ramsey, J.B. McClain, et al. The effect of passive immunotherapy with hyperimmune and non-hyperimmune gammaglobulin on circulating antigen-specific B cells in human volunteers. Clin. Res., 42:229A, 1994.

    Google Scholar 

  117. Campbell, W.N., E. Hendrix, S.J. Cryz, Jr., et al. Immunogenicity of 24-valent Klebsiella capsular polysaccharide vaccine and an 8-valent Pseudomonas 0-polysaccharide conjugate vaccine administered to acute trauma victims. Clin. Infect. Dis., 23:179–181, 1996.

    CAS  Google Scholar 

  118. Cryz, S.J., E. furer, A.S. Cross, et al. Safety and immunogenicity of Pseudomonas aeruginosa 0-polysaccharide toxin A conjugte vaccine in humans. J. clin. Invest., 80:51–56, 1987.

    Article  PubMed  CAS  Google Scholar 

  119. Pier, G.B., D. DesJardin, M. Grout, et al. Human response to Pseudomonas aeruginosa mucoid exopolysaccharide (alginate) vaccine. Infect. Immum., 62:3972–3979, 1994.

    CAS  Google Scholar 

  120. Cryz, S.J. Jr. Progress in immunization against Pseudomonas aeruginosa and Klebsiella spp. Path. Immunopath. Res., 6:147–152, 1987.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2001 Springer Science+Business Media New York

About this chapter

Cite this chapter

Lee, CJ., Lee, L.H., Lu, Cs., Wu, A. (2001). Bacterial Polysaccharides as Vaccines — Immunity and Chemical Characterization. In: Wu, A.M. (eds) The Molecular Immunology of Complex Carbohydrates —2. Advances in Experimental Medicine and Biology, vol 491. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-1267-7_30

Download citation

  • DOI: https://doi.org/10.1007/978-1-4615-1267-7_30

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-5469-7

  • Online ISBN: 978-1-4615-1267-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics