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Scheme 8
C-phosphonate analogues, 95 nonhydrolyzable phosphates, 96 and carba-
analogues 97 have been synthesized in a search for suciently stable
compounds that mimic the protective epitope. In the case of the carba-
analogues, the ring oxygen was replaced with a methylene group in order
to generate a carbocyclic analogue with enhancement of chemical stability.
After immunization in mice, the conjugated trimer 26 was able to induce
specific anti-MenA polysaccharide IgG antibodies with in vitro bactericidal
activity. 98 This strategy constitutes an important proof-of concept although
it is yet far from being ready for use in vaccine development.
2.5.2 MenB. In the absence of immune response to MenB CPS, the
LPS-oligosaccharide could be regarded as an alternative antigen. 99 Re-
cently, the total synthesis of a core tetrasaccharide was performed. 100 The
tetrasaccharide (27) - CRM 197 conjugate induces antibodies in mice 101
recognizing meningococcal strains across all serogroups and promoting
opsonophagocytic activity against Men B (Scheme 9).
2.5.3 MenX. The importance of serogroup X (28) was established
recently. A recent communication 102 shows the succesful preparation of
CRM197 conjugates of different Men X fragments. We also develop TT
and DT conjugates from relatively small fragments of the natural CPS. 103
 
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