The intracellular status of Streptococcus pyogenes: role of extracellular matrix-binding proteins and their regulation
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Updated: Aug 15, 2026

Invasion of Human Cells by a Bacterial Pathogen
Published on: March 21, 2011
Bernd Kreikemeyer1, Michael Klenk, Andreas Podbielski
1Department of Medical Microbiology and Hospital Hygiene, University Hospital Rostock, Schillingallee 70, D-18055 Rostock, Germany. bernd.kreikemeyer@med.uni-rostock.de
Abstract:
Streptococcus pyogenes (group A streptococci, GAS) is an important and exclusively human pathogen. Adherence to and internalization into host cells significantly contributes to the pathogenesis of GAS infections. The adherence mechanism is a two-step process in which host extracellular matrix (ECM) proteins act as prime targets. GAS may express more than a dozen different microbial surface components recognizing adhesive matrix molecules (MSCRAMMs) that attach to fibronectin or collagen. One of them, protein F1/SfbI binds fibronectin and mediates adherence of GAS to host cells. Bound fibronectin acts as a bridging molecule towards host cell integrins, which in turn initialize the uptake process that leads to GAS internalization. In their safe intracellular niche GAS can persist protected from antibiotics and host defense, a scenario currently discussed in the context of treatment failure, asymptomatic GAS carriers and recurrent GAS infections. Patients with such low grade infections represent the main GAS reservoir from which the bacteria are spread in the general population. Due to their important function, expression of GAS MSCRAMMs is under control of several "stand alone" transcriptional regulators and two-component signal transduction systems. Several regulator genes are organized together with MSCRAMM genes on one of two potential pathogenicity islands, act together in a growth phase-dependent regulatory network and are expressed in a strain-specific manner. A detailed understanding of these mechanisms is crucial, since interference with MSCRAMM function alone or in conjunction with specific manipulations of regulators is an attractive goal for novel anti-infective strategies.
Insights
Streptococcus pyogenes (GAS) uses microbial surface components (MSCRAMMs) to adhere to and enter host cells, establishing intracellular infections. Understanding these adherence mechanisms is key to developing new anti-infective strategies against GAS.
Area of Science:
- Microbiology
- Pathogenesis
- Molecular Biology
Background:
- Streptococcus pyogenes (group A streptococci, GAS) is a significant human pathogen.
- Bacterial adherence and internalization into host cells are critical for GAS pathogenesis.
- Extracellular matrix (ECM) proteins are key targets for GAS adherence.
Purpose of the Study:
- To investigate the role of microbial surface components recognizing adhesive matrix molecules (MSCRAMMs) in GAS adherence and internalization.
- To understand the regulatory networks controlling MSCRAMM expression.
- To identify potential targets for novel anti-infective strategies.
Main Methods:
- Identification and characterization of GAS MSCRAMMs, such as protein F1/SfbI.
- Analysis of the interaction between MSCRAMMs, ECM proteins (fibronectin, collagen), and host cell integrins.
- Investigation of transcriptional regulators and two-component systems controlling MSCRAMM gene expression.
- Study of GAS persistence in intracellular niches.
Main Results:
- GAS utilizes MSCRAMMs to bind ECM proteins like fibronectin.
- Bound fibronectin bridges GAS to host cell integrins, initiating bacterial internalization.
- Internalized GAS can persist intracellularly, evading antibiotics and host defenses.
- MSCRAMM expression is regulated by complex networks involving transcriptional regulators and pathogenicity islands, with strain-specific variations.
Conclusions:
- GAS adherence and internalization mechanisms, mediated by MSCRAMMs, are crucial for establishing persistent intracellular infections.
- Understanding the regulation of MSCRAMM expression offers a promising avenue for developing novel anti-infective therapies targeting GAS.
- Targeting MSCRAMM function and regulatory pathways could combat treatment failure, asymptomatic carriage, and recurrent GAS infections.
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