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Updated: Aug 17, 2026

Implementation of a Permeable Membrane Insert-based Infection System to Study the Effects of Secreted Bacterial Toxins on Mammalian Host Cells
Published on: August 19, 2016
Involvement of streptococcal mitogenic exotoxin Z in streptococcal toxic shock syndrome
Lily Yang1, Mark Thomas, Andrew Woodhouse
1Department of Molecular Medicine and Pathology, Faculty of Medical and Health Sciences, University of Auckland, Private Bag 92019, Auckland, New Zealand.
Abstract:
We report a nonfatal case of streptococcal toxic shock syndrome (STSS) caused by a Streptococcus pyogenes emm118 strain encoding a novel variant of streptococcal mitogenic exotoxin Z (SMEZ-34). This variant was responsible for the major mitogenic activity in the cell culture supernatant. Patient sera showed seroconversion toward SMEZ, implying a role for this toxin in STSS.
Insights
A novel Streptococcus pyogenes strain caused toxic shock syndrome (STSS) via a unique streptococcal mitogenic exotoxin Z (SMEZ-34) variant. This toxin
Area of Science:
- Microbiology
- Immunology
- Toxicology
Background:
- Streptococcal toxic shock syndrome (STSS) is a severe, life-threatening condition.
- Streptococcus pyogenes is a common bacterial pathogen associated with STSS.
- Mitogenic exotoxins are key virulence factors in STSS pathogenesis.
Observation:
- A nonfatal case of STSS was linked to a Streptococcus pyogenes emm118 strain.
- This strain produced a novel variant of streptococcal mitogenic exotoxin Z, designated SMEZ-34.
- SMEZ-34 demonstrated significant mitogenic activity in vitro.
Findings:
- The novel SMEZ-34 variant was identified as the primary mitogenic factor.
- Patient serum analysis revealed seroconversion against SMEZ-34.
- This suggests SMEZ-34 plays a crucial role in the host immune response during STSS.
Implications:
- Understanding SMEZ-34's role could lead to new diagnostic or therapeutic strategies for STSS.
- This finding expands knowledge of bacterial toxin diversity and their impact on disease.
- Further research into SMEZ variants may elucidate specific mechanisms of STSS.
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