Pneumonia type 33 F capsular polysaccharide (Pn33Fps). The Streptococcus pneumoniae 33F strain (CMCC, National Center for Medical Culture Collection, Beijing, China) was cultured in tryptic soy broth (TSB; containing 15 g of tryptic soy broth, 5 g of soybean peptone, and 5 g of NaCl per liter) medium at 37 °C for 24 hours. The supernatant containing capsular polysaccharide was harvested through centrifugal fermentation (8000 rpm, 15 minutes). The polysaccharide was purified by 20% (V/V) ethanol precipitation (30 minutes, 2-8 °C) followed by ultrafiltration (50 KD, 30 minutes, 2-8 °C) to remove bacterial nucleic acids and proteins. Finally, capsular polysaccharides (Pn33Fps) were purified by Sepharose 4FF (GE, USA) 28. Conjugated vaccine (Pn33Fps_HBs). Pn33Fps were activated by incubation with cyanogen bromide (5 mg/mL; Fluke, USA) at 2-8 °C for 20 minutes. Adipic hydrazide solution (pH 8.0 ± 0.5; Sigma, USA) was then added to an equal volume of the abovementioned solution and incubated at 2-8 °C for 30 minutes. The residual cyanogen bromide was removed by ultrafiltration (0.25 MPa, 30 minutes) to obtain the polysaccharide derivatives, and the resulting polysaccharide derivatives were mixed with HBsAg at 1:0.5 (V:V). DEPC-carbodiimide (EDAC) was then added, and the mixture was incubated at 2-8 °C for 2-4 hours. This solution was purified by column chromatography to obtain a conjugated solution (Pn33Fps_HBs). Ethics. The experiments using mice (Charles River Laboratories Co., Ltd., Beijing, China) were designed based