Meningitis B, sometimes abbreviated as MenB, is a type of meningococcal disease caused by serotype B of the Neisseria meningitidis bacteria. Despite its name, not all meningococcal infections due to serotype B infection involve meningitis; many also cause sepsis or other complications.
Epidemiology
Serogroup B is the most common cause of meningococcal disease in countries that routinely vaccinate against serotypes A, C, W, and Y. However, overall prevalence of meningococcal disease is low. From 2000 to 2015, only 2 countries had prevalence of B-MD greater than 2/100,000 with most countries reporting incidence of less than 1/100,000. The case fatality rate is high, ranging from 10%-20% even after aggressive treatment with antibiotics. Three hyper-invasive genotypes are responsible for most outbreaks. Asymptomatic carriage of serotype B bacteria in the nasopharyngneal passage is common.
MenB vaccines Vaccines against Meningococcal Group B bacteria are commonly called MenB vaccines.
There are two licensed vaccines specifically against serotype B meningococcal disease widely available; Bexsero (GSK) 4-component MenB vaccine (4CMenB) and Trumenba (Pfizer), a bivalent factor H binding protein vaccine (MenB-FHbp). In the UK and Australia, Bexsero is approved for ages 2 months to 50 years; in the UK and Australia, it is given routinely as part of childhood vaccines as infants the group at greatest risk from meningitis B. The protection offered is short and does not last past early childhood. In the US, both Bexsero and Trumenba are only approved for ages 10-25 and only given to certain high risk groups. There are additionally two pentavalent vaccines available targeting serogroups A, B, C, W, and Y: Penbraya was approved for use in the United States in October 2023. It combines the vaccines Trumenba and Nimenrix. Penbraya was authorized for medical use in the European Union in November 2024. It is approved for use in individuals 10 through 25 years of age. Penmenvy was approved for use in the United States in February 2025. Penmenvy is approved for use in people aged 10 through 25 years of age.
Vaccine development and outbreaks Historically, MenB vaccines were difficult to produce, and required a different approach from vaccines against other serotypes. Whereas effective polysaccharide vaccines have been produced against types A, C, W-135, and Y, the capsular polysaccharide on the type B bacterium is too similar to human neural adhesion molecules to be a useful target. Several "serogroup B" vaccines have been produced. Strictly speaking, these are not "serogroup B" vaccines, as they do not aim to produce antibodies to the group B antigen: it would be more accurate to describe them as serogroup-independent vaccines, as they employ different antigenic components of the organism; indeed, some of the antigens are common to different Neisseria species. A vaccine for serogroup B was developed in Cuba in response to a large outbreak of meningitis B during the 1980s. This vaccine was based on artificially produced outer membrane vesicles of the bacterium. The VA-MENGOC-BC vaccine proved safe and effective in randomized double-blind studies, but it was granted a licence only for research purposes in the United States as political differences limited cooperation between the two countries. Due to a similarly high prevalence of B-serotype meningitis in Norway between 1974 and 1988, Norwegian health authorities developed a vaccine specifically designed for Norwegian children and adolescents. Clinical trials were discontinued after the vaccine was shown to cover only slightly more than 50% of all cases. Furthermore, lawsuits for damages were filed against the State of Norway by persons affected by serious adverse reactions. Information that the health authorities obtained during the vaccine development was subsequently passed on to Chiron (now GlaxoSmithKline), who later developed a similar vaccine, MeNZB, for New Zealand.
… excerpt ends here. Continue reading the full article.



