Genome sequence of a serotype M28 strain of group a streptococcus: potential new insights into puerperal sepsis and

Nicole M Green1, Shizhen Zhang, Stephen F Porcella

  • 1Laboratory of Human Bacterial Pathogenesis, Rocky Mountain Laboratories, National Institute of Allergy and Infectious Disease, National Institutes of Health, Hamilton, Montana, USA.

Insights

Group A Streptococcus serotype M28 strains, linked to puerperal sepsis, possess unique foreign genes. These genes encode proteins expressed during infection, contributing to the pathogen

Area of Science:

  • Microbiology
  • Genomics
  • Infectious Diseases

Background:

  • Puerperal sepsis was a leading cause of mortality in 19th-century Europe.
  • Group A Streptococcus, particularly serotype M28, is a significant pathogen in puerperal sepsis.
  • Understanding the genetic basis of M28 strain virulence is crucial for combating infections.

Purpose of the Study:

  • To investigate the genomic basis for the prevalence of group A Streptococcus serotype M28 in puerperal sepsis.
  • To identify novel virulence factors and host-pathogen interaction molecules in M28 strains.

Main Methods:

  • Whole-genome sequencing of a representative group A Streptococcus serotype M28 strain.
  • Bioinformatic analysis to identify virulence factors and foreign DNA elements.
  • Analysis of gene expression and protein localization.

Main Results:

  • The sequenced M28 strain genome contains genes for prophage virulence factors and cell-surface proteins.
  • A 37.4-kb foreign DNA element, shared with group B Streptococcus, encodes 7 extracellular proteins.
  • These proteins are expressed extracellularly and detected in human infections, indicating their role in pathogenesis.

Conclusions:

  • Acquisition of foreign genetic material has facilitated the evolution of group A Streptococcus serotype M28 into a specialized pathogen.
  • The identified virulence factors and expressed proteins offer potential targets for therapeutic interventions.
  • Genomic insights into M28 strains advance our understanding of puerperal sepsis and streptococcal infections.

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