Major pathogenicity factors of <i>Streptococcus pyogenes</i>

Streptococcal diseases and their complications are among the global problems of international health. S. pyogenes (group A streptococci — GAS) is a pathogen that causes significant morbidity in different countries and different age groups of the population, occurring both sporadically and epidemical...

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Main Authors: L. A. Burova, A. A. Totolian
Format: Article
Language:Russian
Published: Sankt-Peterburg : NIIÈM imeni Pastera 2021-11-01
Series:Инфекция и иммунитет
Subjects:
Online Access:https://iimmun.ru/iimm/article/viewFile/1723/1429
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author L. A. Burova
A. A. Totolian
author_facet L. A. Burova
A. A. Totolian
author_sort L. A. Burova
collection DOAJ
description Streptococcal diseases and their complications are among the global problems of international health. S. pyogenes (group A streptococci — GAS) is a pathogen that causes significant morbidity in different countries and different age groups of the population, occurring both sporadically and epidemically. Due to ineffective antibacterial therapy or its absence, 3–5% of people who have had streptococcal infection may develop complications such as acute rheumatic fever, rheumatic heart disease, acute post-streptococcal glomerulonephritis and invasive complications: necrotizing fasciitis and myositis, septicemia and toxic shock syndrome, highly lethal due to the rapid development of the process and systemic organ damage. According to recent estimates, at least 517 000 deaths occur annually in the world due to diseases caused by GAS. The diverse arsenal of pathogenic factors of this pathogen is manifested in a combination of joint or sequential reactions in the process of microbial colonization of tissue, formation of the focus of infection and overcoming the host's defense mechanisms. It is an important point in the process of studying the pathogenesis of diseases caused by these microbes. The pathogenic factors of GAS can be divided into extracellular and associated with the microbial cell, predominantly with its cell wall. The spectrum activity of pathogenicity factors can be quite wide (M proteins, pyrogenic exotoxins, superantigens) or limited (serine and cysteine proteinases, streptokinase). Information about the specificity of pathogenicity factors, their properties, relationships, regulation and specific function in pathology is the task of scientific, as well as complex researches, leading to understanding the pathogen-host interaction. An integrated approach to the investigation of GAS pathogenicity factors is needed to study the pathogenicity of streptococci, since pathogenicity factors do not manifest themselves in isolation and are not always independently regulated. In many cases, regulators control the expression of more than one of them. S. pyogenes has been studied for about 150 years, but a number of issues related to their pathogenicity remain unknown to this day. Some factors need more in-depth study: for example, endo-β-N-acetylglucosaminidase, arginine deiminase. Immunoglobulin-degrading enzymes require special attention due to their possible participation in the genesis of immunopathological processes of streptococcal etiology. This review summarizes the literature data about most of the pathogenicity factors of S. pyogenes and their role in the infectious process.
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spelling doaj.art-cb3ff1010f7249a084ffec87f855117e2022-12-22T03:46:12ZrusSankt-Peterburg : NIIÈM imeni PasteraИнфекция и иммунитет2220-76192313-73982021-11-01121335010.15789/2220-7619-MPF-17231060Major pathogenicity factors of <i>Streptococcus pyogenes</i>L. A. Burova0A. A. Totolian1Institute of Experimental MedicineInstitute of Experimental MedicineStreptococcal diseases and their complications are among the global problems of international health. S. pyogenes (group A streptococci — GAS) is a pathogen that causes significant morbidity in different countries and different age groups of the population, occurring both sporadically and epidemically. Due to ineffective antibacterial therapy or its absence, 3–5% of people who have had streptococcal infection may develop complications such as acute rheumatic fever, rheumatic heart disease, acute post-streptococcal glomerulonephritis and invasive complications: necrotizing fasciitis and myositis, septicemia and toxic shock syndrome, highly lethal due to the rapid development of the process and systemic organ damage. According to recent estimates, at least 517 000 deaths occur annually in the world due to diseases caused by GAS. The diverse arsenal of pathogenic factors of this pathogen is manifested in a combination of joint or sequential reactions in the process of microbial colonization of tissue, formation of the focus of infection and overcoming the host's defense mechanisms. It is an important point in the process of studying the pathogenesis of diseases caused by these microbes. The pathogenic factors of GAS can be divided into extracellular and associated with the microbial cell, predominantly with its cell wall. The spectrum activity of pathogenicity factors can be quite wide (M proteins, pyrogenic exotoxins, superantigens) or limited (serine and cysteine proteinases, streptokinase). Information about the specificity of pathogenicity factors, their properties, relationships, regulation and specific function in pathology is the task of scientific, as well as complex researches, leading to understanding the pathogen-host interaction. An integrated approach to the investigation of GAS pathogenicity factors is needed to study the pathogenicity of streptococci, since pathogenicity factors do not manifest themselves in isolation and are not always independently regulated. In many cases, regulators control the expression of more than one of them. S. pyogenes has been studied for about 150 years, but a number of issues related to their pathogenicity remain unknown to this day. Some factors need more in-depth study: for example, endo-β-N-acetylglucosaminidase, arginine deiminase. Immunoglobulin-degrading enzymes require special attention due to their possible participation in the genesis of immunopathological processes of streptococcal etiology. This review summarizes the literature data about most of the pathogenicity factors of S. pyogenes and their role in the infectious process.https://iimmun.ru/iimm/article/viewFile/1723/1429streptococcus pyogenesstreptococcal cell structurecell-associated pathogenic factorsextracellular pathogenic factors
spellingShingle L. A. Burova
A. A. Totolian
Major pathogenicity factors of <i>Streptococcus pyogenes</i>
Инфекция и иммунитет
streptococcus pyogenes
streptococcal cell structure
cell-associated pathogenic factors
extracellular pathogenic factors
title Major pathogenicity factors of <i>Streptococcus pyogenes</i>
title_full Major pathogenicity factors of <i>Streptococcus pyogenes</i>
title_fullStr Major pathogenicity factors of <i>Streptococcus pyogenes</i>
title_full_unstemmed Major pathogenicity factors of <i>Streptococcus pyogenes</i>
title_short Major pathogenicity factors of <i>Streptococcus pyogenes</i>
title_sort major pathogenicity factors of i streptococcus pyogenes i
topic streptococcus pyogenes
streptococcal cell structure
cell-associated pathogenic factors
extracellular pathogenic factors
url https://iimmun.ru/iimm/article/viewFile/1723/1429
work_keys_str_mv AT laburova majorpathogenicityfactorsofistreptococcuspyogenesi
AT aatotolian majorpathogenicityfactorsofistreptococcuspyogenesi