“…Almost all GBS strains associated with human disease are encapsulated, belonging to 1 of 10 capsular types recognized by specific Abs: Ia, Ib, and II-IX. The 10 GBS capsular polysaccharide structures are created by diverse arrangements of galactose, glucose, N-acetylglucosamine, and sialic acid into unique repeating units that invariably contain sialic acid on their branching terminus (5). Type III GBS, frequently found in neonatal invasive infections, expresses a large amount of capsular polysaccharide that was shown to inhibit activation of the complement AP in adult sera deficient in specific Abs (6), whereas AP inhibition could be overcome by anti-type III polysaccharide IgG (7).…”