Typhoid fever remains a major health problem in developing countries. Young children are at high risk, and a vaccine effective for this age group is urgently needed. Purified capsular polysaccharide from Salmonella enterica serovar Typhi (Vi) is licensed as a vaccine, providing 50 to 70% protection in individuals older than 5 years. However, this vaccine is ineffective in infants. Vi conjugated to a carrier protein (i.e., an exoprotein A mutant from Pseudomonas aeruginosa [rEPA]) is highly immunogenic, provides long-term protection, and shows more than 90% protective efficacy in children 2 to 5 years old. Here, we describe an alternative glycoconjugate vaccine for S. Typhi, Vi-CRM 197 , where Vi was obtained from Citrobacter freundii WR7011 and CRM 197 , the mutant diphtheria toxin protein, was used as the carrier. We investigated the optimization of growth conditions for Vi production from C. freundii WR7011 and the immunogenicity of Vi-CRM 197 conjugates in mice. The optimal saccharide/protein ratio of the glycoconjugates was identified for the best antibody production. We also demonstrated the ability of this new vaccine to protect mice against challenge with Vi-positive Salmonella enterica serovar Typhimurium.Salmonella enterica serovar Typhi (S. Typhi) is the causative agent of typhoid fever, a systemic disease which remains a major public health problem, predominantly in children in developing countries. Estimates of the global burden of typhoid fever range from 17 to 22 million cases per year with 216,000 to 600,000 associated annual deaths (2, 9). S. Typhi expresses a virulence (Vi) capsule encoded in the viaB locus of Salmonella pathogenicity island 7 (SPI7), which allows S. Typhi to modulate host responses during infection by evading innate immune surveillance (25,26). Vi is also the main target for vaccines and a major protective antigen against typhoid fever. One of the two currently licensed typhoid fever vaccines is unconjugated Vi polysaccharide, available in more than 90 countries (41).Vi consists of repeating (␣1-4)-2-deoxy-2-N-acetyl galacturonic acid moieties and, similar to other polysaccharides consisting of repeating epitopes, is classified as thymus-independent type 2 (Ti-2) antigen (33). These types of polysaccharides provoke an immune response which is age related, with children under 2 years of age generally poor responders. Additionally, Ti-2 antigens lack affinity maturation of antibody response, generate limited immunologic memory and no booster effect, and produce predominantly immunoglobulin isotype IgM with limited class switching (1). The switch from IgM-to IgG-secreting B cells requires interaction with an activated antigen-specific CD4 ϩ T helper lymphocyte, which can be engaged by the conjugation of the polysaccharide to a carrier protein. Vi, as a Ti-2 antigen, does not generate immunological memory, and antibodies induced by Vi are not able to be boosted by repeated vaccinations (16,40).In contrast, Vi conjugated to a carrier protein provides a valid solution against those m...