“…13,14 The acetylation is known to be important for the antibody-antigen interactions and virulence with an estimated average of 2 acetates per mannose triad (serotype A and D). 14,15 This heterogeneity of the GXM severely complicates its structural analysis as well as structure-activity investigations, e.g., its use in conjugate vaccines, where the stated heterogeneity has shown to lead to irreproducible effects in vaccination in murine models. 16,17 Also, reducing ends are not obviously available in the GXM CPS, 18 why CPS-based conjugate vaccines candidates have been constructed using methods, e.g., cyanogen bromide activation, resulting in complex cross-linked conjugates.…”