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Meningococcal B vaccine

Meningococcal B vaccine

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Meningococcal B (MenB) Vaccine

Overview of Meningococcal B (MenB)

Neisseria meningitidis, commonly known as the meningococcus, is a type of Gram-negative bacterium that can cause meningitis and other forms of meningococcal disease such as meningococcemia, a severe blood infection.

The meningococcus is divided into 13 subtypes based on the antigenic structure of their polysaccharide capsule. Out of these subtypes, six (A, B, C, W135, X, and Y) are responsible for most cases of the disease globally. In the United States, meningococcal serogroup B is the major cause of both disease and fatalities. While effective polysaccharide vaccines have been developed for types A, C, W-135, and Y, the capsular polysaccharide on serogroup B is too similar to human neural adhesion molecules to be a viable target. Therefore, the development of meningococcal B (MenB) vaccines primarily relies on recombinant antigens or purified outer membrane vesicles (OMV).

Meningococcal B (MenB) Vaccines

During the 1980s, Cuba developed VA-MENGOC-BC, a vaccine for meningitis B. This vaccine was created using artificially produced outer membrane vesicles (OMV) of the Meningococcal B.

Trumenba is a vaccine created by Pfizer to protect against Meningococcal B. It contains two recombinant surface antigens from N. meningitidis serogroup B, which are produced individually in Escherichia coli. These two proteins are variants of lipidated factor H binding protein (fHbp) and belong to subfamily A and subfamily B (A05 and B01 respectively).

BEXSERO is a vaccine developed by GSK that consists of three recombinant antigens and purified outer membrane vesicles (OMV) derived from Neisseria meningitidis. The vaccine contains three recombinant proteins individually produced in E. coli: Neisserial adhesin A (NadA), Neisserial Heparin Binding Antigen (NHBA), and factor H binding protein (fHbp). The NadA component is a fragment of the full-length protein derived from N. meningitidis strain 2996 (peptide 8 variant 2/3). The NHBA component is a recombinant fusion protein comprised of NHBA (peptide 2) and accessory protein 953 derived from N. meningitidis strains NZ98/254 and 2996, respectively. The fHbp component is a recombinant fusion protein comprised of fHbp (variant 1.1) and the accessory protein 936 derived from N. meningitidis strains MC58 and 2996, respectively. The OMV antigenic component is produced by fermentation of N. meningitidis strain NZ98/254 (expressing outer membrane protein Porin A [PorA] serosubtype P1.4), which is then purified and adsorbed onto aluminum hydroxide as an adjuvant.

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Pipelines of Meningococcal B vaccine

Generic name

Brand Name/Alternative name

Expression System

Antigen

Manufacturer

Latest stage

Meningococcal group b vaccine

Trumenba,Rlp 2086

Escherichia coli (E. coli)

Neisseria meningitidis serogroup B

Pfizer

Approval

MenABCWY

PF 06886992

E. coli

Neisseria meningitidis serogroups A, B, C, W, and Y

Pfizer

Approval

GSK-3536829A

BEXSERO

E. coli

Neisseria meningitidis serogroup B

GlaxoSmithKline

Approval

MenABCWY

GSK3536819A

E. coli

Neisseria meningitidis serogroups A, B, C, W, and Y

GlaxoSmithKline

Submit for Approval

Meningococcal group b vaccine

Pedning update

E. coli

Neisseria meningitidis serogroup B

Chongqing Zhifei Biological Products

Phase I

Reference:

Cid R, Bolívar J. Platforms for Production of Protein-Based Vaccines: From Classical to Next-Generation Strategies. Biomolecules. 2021 Jul 21;11(8):1072. doi: 10.3390/biom11081072.

Mohsen MO, Bachmann MF. Virus-like particle vaccinology, from bench to bedside. Cell Mol Immunol. 2022 Sep;19(9):993-1011. doi: 10.1038/s41423-022-00897-8.

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